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Re: CSCS

 
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Re: CSCS - December 28, 2004 11:15:00 AM   
Dr.Wagner


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Sorry man, nope. It really depends on the company that I am around.

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Post #: 21
Re: CSCS - December 28, 2004 2:42:00 PM   
ptdan23

 

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A little off topic - but hey, I started it so I am allowing myself :)

Dr.Wagner - do you feel that being a PT prior to becoming a DO has made you a better doc?

Just interested. Hope everyone had a Merry Christmas.

Dan, PT.

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Post #: 22
Re: CSCS - December 29, 2004 3:22:00 AM   
Dr.Wagner


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Fantastic Christmas, hope you had the same.

Yes, I think being a PT added alot to my orthopedic physical exam and aided my understanding of neuroanatomy. As a DO, it ABSOLUTELY helped my manual skills. It was a fantastic background much like many RT's, RN's etc who enter medicine. I am grateful for my background.
Furthermore I signed on with a company while in PT school and they gave me a grant for tuition, so it made it a very inexpensive degree! I don't think that is commonplace today.

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Post #: 23
Re: CSCS - December 29, 2004 3:30:00 AM   
ptdan23

 

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Dr.Wagner...had a very good one...found out I am going to be an uncle :)

Besides the obvious manual skills, is there any advantage in being a DO over an MD?

Dan, PT.

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Post #: 24
Re: CSCS - December 29, 2004 7:31:00 PM   
Dr.Wagner


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Well, I chose DO specifically for the manual skills...I think the additional physical exam aspects found in osteopathic medical schools may give us an edge in many aspects of the physical exam...we don't mind touching the patient. Overall MD programs have well established clinical programs and tend to have better research institutes.
Much of what really makes a doctor is learned in residency. I chose an allopathic residency (MD residency).
Medical school is medical school when you boil it down...it sucks and is extremely difficult (but who wants a doctor that coasted through medical school?)

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Post #: 25
Re: CSCS - January 2, 2005 11:07:00 AM   
FlaDC

 

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the CSCS was developed not as a degree, but as certification to prove a minimum competancy. It is way for a college athletic department to make an informed decision when hiring strength and conditioning personnel. Before this certification came into being, anyone who was a "gym rat" could claim to be a strength and conditioning coach. In an attempt to make the position more professional, the National Strength and Conditioning Coaches Association has set some mimimum standards, so that any Tom, Dick, Harry and benchpress/steroid Joe would be eliminated from consideration.

This is not a certification that would really enhance the career of the average PT, MD, DO, or DC. College athletic departments now require as a minimum for consideration as employment as a strength and conditioning specalist, a BS, or actually am MS ( is preferred) in exercise physiology along with graduate work experience and the CSCS certification.

Just about all colleges that field athletic teams employ certified strength and conditioning coaches. These people work with the different teams overseeing sport specific pre, inseason, and post season conditioning programs. They are not to be confused with PT's or ATC's who may do post injury rehab. Although they may work with the PT/ ATC to insure that the injured athlete do his/her specific exercise rehab.

prior to attending Chiropractic school, I worked in a major college athletic department as a strength and conditioning specalist. This was back in the early 80's. I hold an MS in exercise phys, along with my CSCS.

But I must ask a question of PTDan. Why are you unwilling to work with a chiro? We all have our specific area of "turf" so to speak. It seems contrite, that if a DC had a patient who would best benefit from what you had to offer in the way of PT, you would prefer not work with that patient, or accept that referral.

I am not trying to inflame at all. I just find it odd that in todays healthcare environment, you would hold such an attitude.

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Post #: 26
Re: CSCS - January 2, 2005 1:26:00 PM   
FLOrthoPT

 

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I agree with that, and think that some DC and some PT are only different in background education and name and tend to practice very similarly. But in this case, maybe he put is wrong...solet's say I am very confident in my orthopedic evaluation and treatment, biomechanical evaluation, and very confident with my manual skills including spinal manipulation....why would I farm out to a dc? I do not see how your turf is any turf I cannot handle? So why would a PT farm out to a DC? Why is this offensive?

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Post #: 27
Re: CSCS - January 3, 2005 11:20:00 AM   
wjhanney

 

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A Question for Dr. Wagner. Do you keep your PT license current?

Thanks,WJH

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Post #: 28
Re: CSCS - January 3, 2005 2:05:00 PM   
FlaDC

 

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I wasn't asking if he would "farm out". I can care less if wants to "farm out". He stated ..."I am more than willing to work w/ other professionals (AT, MD, etc - maybe except chiros)".

I was just asking to explain his statement. If someone would rather not see my patients, then I would rather not send them his way.

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Post #: 29
Re: CSCS - January 3, 2005 2:29:00 PM   
FLOrthoPT

 

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touche

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Post #: 30
Re: CSCS - January 3, 2005 6:37:00 PM   
ptdan23

 

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FlaDC...please do not take that comment personal. My experience with DC's has been anything but positive. Very few of my patients that have ever been to one have had a positive experience and if they say chiropractic has helped them they are usually a geriatric patient that has gone 1-2x/wk for the last 30 years (I have had someone like that before!). A lot of the comments I hear tend to make me very apprehensive about chiro's. I have had more than a couple of patients just in the past 6 months say that they went to a chiropractor and even before seeing them or discussing their complaints, the chiro wanted them to sign a contract for a certain number of tx's for thousands of dollars.

Just like there are good and bad PT's, docs, etc I know there are good and bad chiro's. I guess the main reason I made that comment is because of the turf war as well as the above examples. No other profession is trying to steal or limit what PT's do more than DC's. I don't think you can fault me for being defensive.

Also, I am not saying that I would not accept a referral from a DC. I would do what was best for the patient and not let politics or turf war interfere, at least the best that I could.

I don't want to make this into PT vs DC post but wanted to answer FlaDC's question. I can understand why he would ask it.

Dan, PT.

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Post #: 31
Re: CSCS - February 1, 2005 5:57:00 AM   
JLS_PT_OCS

 

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Back to the CSCS issue...

Maybe i'm just stupider than everybody else, but I really enjoyed studying for and taking the exam. It gave me a new perspective on things and a new source of information in the musculoskeletal world. I feel that many PTs do not understand the fitness and wellness world very well and that many do advanced sport specific rehab poorly, if at all.

The test wasn't helpful, the helpful thing is keeping up my CEUs for the NSCA and the great journals and educational opportunities it provides. That makes me a better therapist. It also says to others that I am intimately familiar with the sports and athletic world and how to provide programs for athletes.
It not being required to practice is beside the point.

Who knows, maybe every other PT knows all about this type of thing without taking the exam and staying current...maybe it's just that me and my education were suboptimal. But I doubt it.
:)

I don't need OCS to practice or DPT, but I have (former) and will get (latter) those distinctions also. It's not about letters after your name, it's about keeping your education going and being able to show with some objective measure what your strengths are: to patients, employers, other professionals.

I have learned a lot with the NSCA and their great credential. I hope to continue to learn more.
Also their forums are very interesting. Great way to represent our profession and show what our abilities are. And we clearly need awareness of that among other professions....

Jason


DanPT-

I think you will find that if you look closer, the main opponents to PT practice evolution are not Chiros as much as Orthopedic Surgeons and Physiatrists. Especially the AAOS. Check the APTA website, they talk about position papers, etc regarding this.
I think PTs and Chiros both have more to gain by joining forces than by fighting. Clearly it is those physician organizations that hold most of the money and influence in the healthcare system.
But that's a different thread...

Jason.

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Jason Silvernail DPT, OCS, CSCS
"It isn't what you're able to do that requires your courage but rather what you have come to understand and are willing to express." - Barrett Dorko,PT
**I no longer post on RehabEdge**

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Post #: 32
Re: CSCS - February 1, 2005 2:00:00 PM   
ptdan23

 

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Jason...thanks for another great post in response to a topic I posted.

I agree with your comments re: the CSCS. It is not so much taking the test but the education that comes with it and continues on after you attain the credentials.

It is sad but also true how the AAOS is against us. What ever happened to those in the medical profession working together in the interest of the patient? A lot of time for docs, especially orthos, it is all about the bottom line. As long as it doesn't take money away from them it is ok, but if it does, watch out because they will put up a fight.

Dan, PT.

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Post #: 33
Re: CSCS - February 2, 2005 3:38:00 AM   
JLS_PT_OCS

 

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Dan-
Your criticism of the AAOS not wanting to lose patients and money by giving up physical therapy is accurate.

However, this is truly a double-edged sword.

So I don't think we can ethically protest against POPTS and it's indentured servitude on one hand, and then make statements like "they (insert title here) should not be doing rehab, that is our domain."

I don't think PTs own rehab anymore than Chiros own spinal manipulation or ATCs own sports injury care. There are a lot of us that provide similar services out there. The issue should not be one of turf, but one of who provides the best outcomes for patients and payers.
I think PT is the way to go because we have a much stronger research base than any other provider in dealing with the types of patients that we do. We have very strong, science based educational programs, and board cert opportunities. I think we eventually need to move toward the residency-based system that medicine uses. It has a lot of advantages.

But that's a little off-topic, sorry.

Jason

ps everyone, go get the CSCS if you're interested. You would be surprised the things you might learn from trainers, strength coaches, and ATCs. I know it has really benefitted me.
The journals are excellent.

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Jason Silvernail DPT, OCS, CSCS
"It isn't what you're able to do that requires your courage but rather what you have come to understand and are willing to express." - Barrett Dorko,PT
**I no longer post on RehabEdge**

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Post #: 34
Re: CSCS - February 2, 2005 7:40:00 PM   
Alex Brenner PT MPT OCS

 

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Which journals do you get? Any links to their web sites?

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Post #: 35
Re: CSCS - February 3, 2005 3:40:00 AM   
JLS_PT_OCS

 

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Sure.
Check out [URL=http://www.nsca.com]www.nsca.com[/URL]

They publish the Journal of Strength and Conditioning Research and the Strength and Conditioning Journal.
I would be happy to email a few articles to those interested, they are very rehab related and may influence your decision to branch out in this way.

If you'd like a good example of a handy article or two, drop me an email --
jason.silvernail@us.army.mil.

Army- you can also look me up on AKO, i'm here in CONUS in the NCA.

Cheers.
Jason.

_____________________________

Jason Silvernail DPT, OCS, CSCS
"It isn't what you're able to do that requires your courage but rather what you have come to understand and are willing to express." - Barrett Dorko,PT
**I no longer post on RehabEdge**

(in reply to ptdan23)
Post #: 36
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