Week 1.1 Role of PT in Primary Care

Question 1

what is the difference between primary and secondary care?

Answer 1

primary care includes comprehensiveness, coordination, and continuity.

Question 2

what are the 6 characteristics of primary care

Answer 2

safe, effective, timely, efficient, equitable, patient centered.

Question 3

give examples of primary care providers

Answer 3

family practitioners, general internists, NP, PA, PT.

Question 4

how many years of training do family physicians have after medical school, and how much time in MSK conditions (in what way)

Answer 4

3 years, 1 month (shadowing an ortho or sports medicine physician)

Question 5

how many years of training to general internists have after medical school, and what do they focus on. how much time with MSK

Answer 5

3 years, and they focus on hospitalized patients as their area of expertise.
no required time with MSK (ortho or sports med)

Question 6

who are the non-physician health professionals

Answer 6

NP, PA, PT

Question 7

how much training do PAs have, and what degrees

Answer 7

1 year in a classroom and 1 year in IP or OP clinicals for a total of 2 years. With a BS, or MS.

Question 8

TF: PA practice independently

Answer 8

false, never

Question 9

how determines the PAs clinical focus

Answer 9

the supervising physician

Question 10

how long do NP train and what do they focus on

Answer 10

its variable, and they are registered nursing grads.

Question 11

what is the most prevalent disease group in whites

Answer 11

skin disorders

Question 12

what is the most prevalent disease group in blacks

Answer 12

OA and skin disorders

Question 13

what is the most prevalent disease group in asians

Answer 13

skin

Question 14

what is lacking in the primary care education

Answer 14

lacks MSK physical and diagnosis exam

Question 15

what are the potential benefits of a primary care PT model in this US

Answer 15

more efficient use of health care resources, care being delivered in a timelier manner, and interdisciplinary collaboration

Question 16

the Virginia mason medical center follows an approach where the patient goes to PT first, and what are the outcomes

Answer 16

saves money and quicker.

Question 17

what are some components of the US Army Model

Answer 17

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.

Question 18

what are some of the outcomes of the US Army Model

Answer 18

prompt evals, increased quality, decreased sick calls and more appropriate use of medical physicians and PTs.

Question 19

what is the Kaiser permanente model

Answer 19

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.

Question 20

under the Kaiser permanente model, what members are involved with the team

Answer 20

MDs, staff, behavioral medicine, clinical health educator, RN, LVN, PT, NP

Question 21

what are the prerequisites to work for Kaiser permanente model

Answer 21

ortho PT background, 4-6 years in OP, required CE, competency in diagnosis, diagnostic imaging, pharmacology, lab values, acute MSK conditions.

Question 22

what is the VA model

Answer 22

largest healthcare system with 26.5 million veterans

Question 23

what services does the VA provide

Answer 23

integumentary, MSK, neuromuscular, cardiovascular and pulmonary

Question 24

what are the prerequisites to work for the VA

Answer 24

• differential diagnosis,
• ortho exam and eval,
• primary and secondary disease prevention and
• effect of the four body systems on movement.

Question 25

what is the PT access like in the VA system

Answer 25

• PT screen in the ED
• primary care clinic and triage by nurse
• overweight patients who wish to improve general health.

Question 26

what is the mercy model

Answer 26

PT will mentor president, 2nd or 3rd year, in MSK cases.

Question 27

what are the prerequisites to work for the mercy model

Answer 27

• strong foundation in ortho PT
• competency in differential diagnosis, diagnosis imaging, pharma, labs, MSK injuries.
• ability to work in collaboration with medical residents.

Question 28

what do the PTs instruct the residents on

Answer 28

low back pain, neck pain, shoulder pain and knee pain.

Question 29

what is the mercy PT education program evaluation

Answer 29

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.

Question 30

what does the mercy model allow

Answer 30

enhanced use of resources, multidisciplinary approach, better use of resources, more efficient access and in a timely manner.

Question 31

what are some of the benefits of having PTs as primary care

Answer 31

expertise, DA, specific training in things like medical screening, communication skills, and always in a team work mentality.