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ACCE

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Academic Coordinator of Clinical Education - faculty member who place students in internships and monitor performance

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CEA

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Clinical Education Associate - staff members who assist the ACCEWs with placements and monitor students compliance with CE requirements such as immunization records, HIPPA, and OSHA training, etc

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CCCE

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Clinical Coordinator of Clinical Education - employee of clinical site who organizes clinical placements for that facility

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CI

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Clinical Instructor - licensed PT at clinic site who supervises and teach

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CPI

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Clinical Performance Instrument - web-based instrument developed by APTA used to assess students performance during internships

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NPTE

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National Physical Therapy Exam -Assess basic entry-level competence -Provides standardization -Protects public interest

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HIPAA

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Health Insurance Portability and Accountability Act

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Non-maleficence

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Do no harm

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Beneficence

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Doing good

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Wilhelmine Wright

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Trained people in "MMT" and published a Muscle Function in 1928

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What 2 historical events lead to the evolution of the industry that is Physical Therapy?

answer

Infantile Paralysis (Polio) and WWI

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WWI Reconstruction Aids

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Special Hospitals and Physical Reconstruction from US Surgeon general

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Mary McMillan

answer

First US Reconstruction Aide at Walter Reed General Hospital. 1. Born in America, educated in England 2. Authored first textbook written by an American PT 3. One of the founders and first president of the national organization of PT 4. First Reconstruction aide in the US 5. POW who provided care to fellow captives.

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1917

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-Reconstruction aides: establish reconstruction program to treat wounded soldiers during WWI -Mostly nurses and physical education graduates who went back to school for additional training

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1921

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-The American Women's Physical Therapeutic Association was formed -President: Mary McMillian (first US Reconstruction Aide)

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1922

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-Association's name was changed to the American Physiotherapy Association -Men were admitted to association

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1946

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-American Physiotherapy Association changed its name to the American Physical Therapy Association (APTA)

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1960s

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-APTA membership had grown to almost 15,000 -Physical therapy services were recognized and included in Medicare program

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APTA Vision Statement

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"Transforming society by optimizing movement to improve the human experience"

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What is the mission of the APTA?

answer

To further professions role in prevention, diagnosis, and treatment of movement dysfunctions and enhancement in the physical health and functional abilities of members of the public

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APTA is governed by

answer

House of Delegates (HOD) who create policies for professional association and elects Board of Directors

question

What are the components of the APTA?

answer

Components: Sub-organizations of APTA -Chapters (51) - State organizations (i.e. CPTA - California Physical Therapy Association) -Sections (18) -Special interest groups: i.e. cardiovascular and pulmonary, education, geriatrics -American Council of Academic Physical Therapy (1) -Student Assembly (1)

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What is Move California?

answer

A statewide, public outreach campaign presented by the CPTA to educate and motivate Californians about the need for an active, healthy lifestyle, as well as the fundamental role physical therapists can play in helping their patients attain and sustain such a lifestyle.

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Profession

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Distinct body of advanced knowledge; customarily acquired by a prolonged course of specialized study at higher education institution

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Professionalism

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Skill, competence, and character expected of a member of a highly trained profession. The ability to exhibit appropriate professional conduct and to represent the profession effectively

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What guides our profession?

answer

Individual - Personal values, beliefs, culture, and religion Organization - code of ethics, core values, standards of practice, APTA policies, generic abilities Society - Laws and regulations

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What are benefits of belonging to the APTA?

answer

-Resources -Discounted student membership -up to date hot topics -online career center -commitment to profession -interact and learn from colleagues -focus on your interests -leadership skill building -voice with legislation

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What are the seven (8) guiding principles to achieve in this profession? (Hint- Don't get these confused with 7 core values)

answer

Identity Quality Collaberation Value Innovation Consumer-centricity Access/Equity Advocacy

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7 core values of APTA

answer

1. Accountability 2. Altruism 3. Compassion/Caring 4. Professional Duty 5. Integrity 6. Excellence 7. Social responsibility

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1. Accountability

answer

Active acceptance of responsibility of roles, observations, actions including self-regulation

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2. Altruism

answer

Devotion to patients; fiduciary responsibility to patients ahead of self (Pro Bono)

question

3. Compassion Caring

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Desire to identify with the patient's experience; concern, empathy for others

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4. Professional Duty

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Commitment to serve obligations to patients, profession, society

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5. Integrity

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Adherence to high ethical principles and professional standards

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6. Excellence

answer

Consistently use current knowledge and theory; embrace advancement, challenge mediocrity

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7. Social responsibility

answer

promotion of mutual trust between profession and public that necessitates responding to societal needs for health and wellness

question

Codes of ethics bulit on 5 roles of the PT

answer

1)Management of pt/clients/ 2)consultation 3) Education 4) Research 5) Administration

question

APTA Code of Ethics (8 principles)

answer

1. PT shall respect the inherent dignity and rights of all individuals 2. PT shall be trustworthy and compassionate in addressing the rights and needs of pt 3. PT shall be accountable for making sound professional judgment 4. PT shall demonstrate integrity in their relationships with pt, families, colleagues, students, research participants, other health care providers, employers, payers, and public 5. PT shall fulfill their legal and professional obligations 6. PT shall enhance their expertise through the lifelong acquisition and refinement of knowledge, skills, abilities, and professional behavior 7. PT shall promote organizational behaviors and business practices that benefit pt and society 8. PT shall participate in efforts to meet the health needs of people locally, nationally, or globally

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Ethics Principle 1: Physical Therapists shall respect the inherent dignity and rights of all individuals. What are the Core Values associated? (2)

answer

Compassion, integrity

question

Ethics Principle 2: Physical Therapists shall be trustworthy and compassionate in addressing the rights and needs of patients/clients. What are the Core Values associated? (3)

answer

Altruism, compassion, professional duty

question

Ethics Principle 3: Physical therapists shall be accountable for making sound professional judgments. What are the Core Values associated? (2)

answer

Excellence, integrity

question

Ethics Principle 4: Physical therapists shall demonstrate integrity in their relationships with patients/clients, families, colleagues, students, research participants, other health care providers, employers, payers, and the public. What are the Core Values associated? (1)

answer

Integrity

question

Ethics Principle 5: Physical therapists shall fulfill their legal and professional obligations. What are the Core Values associated? (2)

answer

Professional duty, accountability

question

Ethics Principle 6: Physical therapists shall enhance their expertise though the lifelong acquisition and refinement of knowledge, skills, abilities, and professional behaviors. What are the Core Values associated? (1)

answer

Excellence

question

Ethics Principle 7: Physical therapists shall promote organizational behaviors and business practices that benefit patients/clients and society. What are the Core Values associated? (2)

answer

Integrity, accountability

question

Ethics Principle 8: Physical therapists shall participate in efforts to meet the health needs of people locally, nationally, or globally. What are the Core Values associated? (1)

answer

Social responsibility

question

Types of ethics

answer

1. Meta-ethics - Philosophical - is it possible to know right and wrong? 2. Normative ethics - Action 3. Descriptive ethics - Moral beliefs 4. Applied ethics - Specific question - business, military

question

Principles of ethics

answer

1. Justice - Fairness 2. Autonomy - Self-determination 3. Beneficence - Doing good 4. Non-maleficence - Do no harm 5. Confidentiality - Hold information secret 6. Paternalism - Regulate another's conduct 7. Conflict of Interest - Clash between personal and professional interests 8. Professional Distance - Appropriate boundaries in a relationship with a patient with whom you also have a personal relationship

question

Ethics

answer

- Study of morality - study of moral behavior

question

Moral decisions

answer

- What is right and wrong - what is better and best

question

Ethical situation

answer

contain important values or duties but require no problem solving or difficult decision making but ethical action may be part of the situation

question

Ethical problem

answer

Ethical temptations - we know what we should do but do not want to do it Ethical distress - we know what we would like to do but are prohibited from doing it by organizational policies and procedures

question

Ethical Dilemmas

answer

Which is better and which is worse (acting on one moral conviction can break another

question

Jurisprudence

answer

the science, study and theory of laws

question

Law

answer

a rule or regulation that must be followed with the ramification of legal action if not followed

question

Federation of State Boards of Physical Therapy (FSBPT)

answer

Licensing authorities, protects public, promotes safe and competent PT, Administers National Physical Therapy Examination (NPTE)

question

FSBPT 6 areas of Focus

answer

1. Examinations 2. Membership 3. States' Rights, Responsibilities, and Professional Standards 4. Education 5. Leadership 6. Organization and Financial stability

question

Professional Scope of Physical Therapist Practice

answer

Practice that is grounded in the profession's unique body of knowledge, supported by educational preparation, based on a body of evidence, and linked to existing or emerging practice frameworks

question

Sources of Law

answer

Constitutional Statutes Admin Code Common Law

question

Jurisprudence 1. Who is considered a physical therapy aide? How are athletic trainers, massage therapist and exercise physiologist categorized in the CA Practice Act?

answer

-Unlicensed person at least 18y/o who aids a licensed PT. -ATCs, CMTs, and Exercise physiologists are considered PT aides in the PT setting.

question

Jurisprudence 2. Can a physical therapy aide provide physical therapy treatment to patients? Who may delegate, direct or supervise a physical therapy aide? How many aides can a PT supervised at one time?

answer

-Yes, with direct supervision from PT. PT must document the competence of the aide. -1 aide to 1 PT ratio

question

Jurisprudence 3. How are general supervision and direct supervision defined? Is there any other term used for these types of supervision?

answer

- Direct supervision - "supervision by a PT who is licensed. Need presence of PT for consult and direction of the actions - General Supervision - PT is accessible at all times by two-way communication, available for consult during delivery of care, and within same geographic location Onsite supervision

question

Jurisprudence 4. What are the requirements for supervision of physical therapist assistants? Can the PTA provide physical therapy evaluation, or treatment? Are there any restrictions on services the PTA provide in the practice act?

answer

- General Supervision (with telecommunication) - PT must do initial evaluation and establish POC, designating what parts can be assigned to PTA. PTA shall not perform measurements, discharge summaries, POC, etc. - 1 PT: 2 PTA Ratio

question

Jurisprudence 5. What is the supervision requirement for students and interns?

answer

- Direct supervision

question

Jurisprudence 6. What are the general requirements for initial licensure? What is the application process? What does it cost to apply for licensure? What is the cost of license renewal?

answer

General requirements: -Graduates from an accredited PT school -Verification of all didactic and clinical work -Take NPTE and CLE Application process: -Fill out application -Fingerprinting -Submit P1E form in sealed envelope Fees: -Initial Application -$300: Application processing fee -$150: Initial License fee -License renewal: $300 every 2 years

question

Jurisprudence 7. Can you practice as a PT before you have a permanent license?

answer

- A PT graduate who has applied for the licensure exam can practice for 120 days pending the results of the exam. -Official title is PTLA (Physical Therapy License Applicant)

question

Jurisprudence 8. Unfortunately you failed the exam twice. How many more times will California allow you to sit for the exam and what will be the requirements through this process?

answer

-6 attempts allowed lifetime -3 attempts a year max allowed -FSBPT recommends using performance feedback, review NPTE content, or take a prep course

question

Jurisprudence 9. The laws and regulations outline PT supervisory responsibilities. Do these requirements differ between inpatient, outpatient and home health settings?

answer

-No difference between settings

question

Jurisprudence 10. What are the possible actions that can be taken against you for failure to maintain acceptable standards of practice? What kinds of offenses would result in your losing your license?

answer

Possible actions: -Public citation on your record -Probation, suspension, license revokation Offenses: -Sexual misconduct -Gross negligence -Repeated negligent acts -Incompetence -Aiding and abetting the practice of physical therapy -Billing fraud -Misdemeanors and felonies against you as a PT

question

Jurisprudence 11. If you receive a referral from a physician are you required to do what is written on the script when you do not agree with the requested treatment and you feel it is contraindicated for the patient?

answer

-No, you can create a new eval/POC and get it approved by the physician or refer the patient elsewhere

question

Jurisprudence 12. What is the correct designator for a physical therapist licensed in California?

answer

-Doctor or Dr. preceding the licensee's name, and P.T. and DPT following. -Spoken communication: Doctor precedes the name if they specify they are a PT

question

Describe the APTA Strategic Plan and how that impacts current and future practice

answer

Transform society- we wrote it in our vison statement Transform profession- better PT ,Better school students Transform association- autonomy ,more leaders , more members, eliminate the medicare cap. JURISPRUDENCE

question

State the purpose and roles of the APTA

answer

Improve Health and quality patient.

question

State Advocacy =

answer

INSURANCE OR STATE

question

RIPS ethical decision framework

answer

1) Realm ( individual) 2) Individual Process ( moral judgment) 3) Solution ( Issue)

question

How do you actively listen?

answer

Restate Reflect Clarify

question

Transtheoretical Model

answer

PCPAM 1) precomtemplation 2) Contemplation 3) Preparation 4) Action 5) Maintenance

question

1921

answer

1st professtional Association American Women P.T Association 1st Publication of PT review

question

1930

answer

APA codes of ethics memember ship at 1000

question

1940-1950

answer

ww2 & plio increased demands for PT

question

1940

answer

first office in NY

question

1946

answer

APA to APTA

question

1954

answer

first exams 7 hours by APTA to become a PT

question

1955

answer

first private section opened

question

1957

answer

first funds for physical therapy to estabished lit, research an programs

question

1960

answer

APTA members to 15,000 52 programs first pgrom -medicare Majority of states had licenses laws

question

1970

answer

national office in WA FIRST time specialized sections were created in chapters EX) ped, gen HOD created

question

1980

answer

HOD passed ethicals to have autonomous practice in approved states Opened to dx w/o Dr. refeerral

question

1990

answer

BBA RUs

question

1999

answer

first guide to practice PT

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