PT Roles and Responsibilities Flashcards
Primary Care
Comprehensive
Coordination
Continuity
Secondary Care
Consultative Short Term Disease Oriented Assisting PCP Historically PT
Family/Osteopathic Physicians/GPs
Graduation from med school
Min 3 years post grad training
at least 1 month MSK conditions
Shadowing orthopedist/sports med
General Internist
Grad from med school
3 years post grad training
Focus on internal medicine (viscera, organs in the body)
Chronic conditions - cardiac disease, HTN, DM, Chronic pulmonary disease
No requirement for training with orthopedist or sports med to treat MSK conditions
PA
2 years (1 class room, 1 in IP/OP experiences)
BS/MS
PAs never practice completely independently
Clinical focus depends on supervising physicians expertise
NP
Grad from RN training program
Length of training is variable
Clinical focus is variable
Primary care PT models in the US
Facilitation of
- more efficient use of health care resources
- care being delivered in a more timely manner
- Interdisciplinary collaboration
US Army model
Prep for primary care practice
Neuromusculoskeletal evaluation (triage model) - whos appropriate for clinics and interventions
Privileges - Order image, order labs, Rx non narcotic meds as needed for healing and functional treatment
Outcomes
Kaiser Permanente
Largest non for profit HMO
PT primary care in most regions
PTs work with medical providers (similar to military)
Outcomes
VA
Extension of military
PTs screen pt’s in ED
Primary care clinic - triage by a nurse
Direct: overweight patients who wish to improve their general health
Mercy Model
PTs instruct medical residents - Low back, neck, shoulder , knee Rotations MSK exam by medical resident Case presentations - clinical reasoning Residents observe a PT
Enhanced use of resources, multidisciplinary approach, better utilization of resources, most efficient access
