Week 1.1 Role of PT in Primary Care Flashcards
what is the difference between primary and secondary care?
primary care includes comprehensiveness, coordination, and continuity.
what are the 6 characteristics of primary care
safe, effective, timely, efficient, equitable, patient centered.
give examples of primary care providers
family practitioners, general internists, NP, PA, PT.
how many years of training do family physicians have after medical school, and how much time in MSK conditions (in what way)
3 years, 1 month (shadowing an ortho or sports medicine physician)
how many years of training to general internists have after medical school, and what do they focus on. how much time with MSK
3 years, and they focus on hospitalized patients as their area of expertise.
no required time with MSK (ortho or sports med)
who are the non-physician health professionals
NP, PA, PT
how much training do PAs have, and what degrees
1 year in a classroom and 1 year in IP or OP clinicals for a total of 2 years. With a BS, or MS.
TF: PA practice independently
false, never
how determines the PAs clinical focus
the supervising physician
how long do NP train and what do they focus on
its variable, and they are registered nursing grads.
what is the most prevalent disease group in whites
skin disorders
what is the most prevalent disease group in blacks
OA and skin disorders
what is the most prevalent disease group in asians
skin
what is lacking in the primary care education
lacks MSK physical and diagnosis exam
what are the potential benefits of a primary care PT model in this US
more efficient use of health care resources, care being delivered in a timelier manner, and interdisciplinary collaboration
the Virginia mason medical center follows an approach where the patient goes to PT first, and what are the outcomes
saves money and quicker.
what are some components of the US Army Model
you prepare for primary care practice, and you can do a neuromusculoskeletal eval and triage. You can direct referrals to any medical professional, and can prescribe some meds and imaging.
what are some of the outcomes of the US Army Model
prompt evals, increased quality, decreased sick calls and more appropriate use of medical physicians and PTs.
what is the Kaiser permanente model
the largest non-for-profit HMO in the US, which allows PTs to be primary care in Northern California, and allows PTs to work with medical providers.
under the Kaiser permanente model, what members are involved with the team
MDs, staff, behavioral medicine, clinical health educator, RN, LVN, PT, NP
what are the prerequisites to work for Kaiser permanente model
ortho PT background, 4-6 years in OP, required CE, competency in diagnosis, diagnostic imaging, pharmacology, lab values, acute MSK conditions.
what is the VA model
largest healthcare system with 26.5 million veterans
what services does the VA provide
integumentary, MSK, neuromuscular, cardiovascular and pulmonary
what are the prerequisites to work for the VA
- differential diagnosis,
- ortho exam and eval,
- primary and secondary disease prevention and
- effect of the four body systems on movement.
what is the PT access like in the VA system
- PT screen in the ED
- primary care clinic and triage by nurse
- overweight patients who wish to improve general health.
what is the mercy model
PT will mentor president, 2nd or 3rd year, in MSK cases.
what are the prerequisites to work for the mercy model
- strong foundation in ortho PT
- competency in differential diagnosis, diagnosis imaging, pharma, labs, MSK injuries.
- ability to work in collaboration with medical residents.
what do the PTs instruct the residents on
low back pain, neck pain, shoulder pain and knee pain.
what is the mercy PT education program evaluation
the MSK exam is done by the resident, after watching the PT, then you present cases with clinical reasoning (including history and exam), then you observe the PT in practice.
what does the mercy model allow
enhanced use of resources, multidisciplinary approach, better use of resources, more efficient access and in a timely manner.
what are some of the benefits of having PTs as primary care
expertise, DA, specific training in things like medical screening, communication skills, and always in a team work mentality.
