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Evolution of PT

Prof Prac 2 Evolution of PT

PT's provide their patients with treatment that focuses on what? Movement; Reduction of Pain; Restoration of Function; Prevention of Disability
When was traditional PT developed? During WWI "Reconstruction Aides"
What law was one of the greatest hallmarks in PT? 1967 Social Security Act; PT recognized & reimbursed; led to specialization we see today
Vision 2020 By 2020 PT provided by DPTs, recognized by consumers/health pros as practitioners of choice with direct access for dx, intervention, prevention of impairment, fxnal limitations & disabilities relevant to mvmt, fxn & health
What are the 6 key elements of vision 2020? Autonomous Practice; EBP; Direct Access; Practitioner of Choice; DPT; Professionalism
What is autonomous practice? Practice w/o constraints from others; w/o necessity of MD consultation for rx plans/re-eval of outcomes; PTs 100% accountable for decisions & actions
Direct Access: What allows the PT to eval & treat a pt w/o a MD referral/order? State licensure laws
What are 2 factors discussed regarding direct access? Are PTs qualified? Would there be increased HC costs for delivery of PT?
What are the 7 core values of professionalism? Accountability; Altruism; Compassion/Caring; Excellence; Integrity; Professional Duty; Social Responsibility
Entry-Level Practitioner Pt comes to PT first for an eval & dx of ailment; then PT may need to refer for further testing if pt not appropriate for PT
What are the 3 different types of law? Civil; Criminal; Administrative
Criminal Law Involves attempt to punish when laws are broken w/ use of state prosecutor; statutes creates elements of causes of action the prosecutor must prove
Civil Law Attempt to compensate a victim monetarily for their losses; Plaintiff's attorney & defendant
Burdens of Persuasion in Criminal Law Each cause of action must be proven beyond a reasonable doubt (90%)
Burden of Persuasion/Proof in Civil Law With a preponderance of evidence (51%)
Administrative Law Enforcement/punishment of violations of rules & regs that govern various professions/services; Ex: State Practice Act
Types of Courts in Federal Court District, Appellate, U.S. Supreme
State Courts Divided Into County, Circuit, District Courts of Appeal, State Supreme
Venue the proper or possible place for the trial or lawsuit, usually because of the "place"; The county in which the PT services were rendered usually becomes the county in which trial starts prior to any appeals
Personal Jurisdiction Court's power to bring a person into its adjudicative process; jurisdiction over a defendant's personal rights, rather than over property interest
Example of personal jurisdiction Traveling PT who is no longer in state of alleged negligence
Subject Matter Jurisdiction Jurisdiction over the nature of the case & the type of relief sought; the extent to which a court can rule on the conduct of persons or the status of things; Ex: usually a $ limit in the lawsuit
Dollar amounts for subject matter jurisdiction <$15,000 in damages commonly provide the court with subject matter jurisdiction; >$15,000 in damages usually referred to county's circuit court system
What is the function of state practice acts? Defines each state's scope of practice of PT in it's state
Access to all state licensure requirements & state practice acts are available where? Federation of State Boards of PT (FSBPT)
FSBPT Details Made up of one rep from each state's board of PT; this organization administers licensure exam (NPTE); they have also developed a jurisprudence exam
What does a jurisprudence exam test? Knowledge of laws, rules & regs
Responsibilities of State Board of PT Rules & regs governing PT; Oversees state licensure of PTs/PTAs
If a law is too broad within the state practice act it is deferred where? To the state's Board of PT Practice for interpretation of the law
Probable Cause Hearing Evidence collected, presented to panel, determination of grounds to prosecute; Accused PT has right to counsel to present evidence to defend selves; If probable cause determined, then prosecution begins & matter becomes public record
Subject Matter Jurisdiction Jurisdiction over the nature of the case & the type of relief sought; the extent to which a court can rule on the conduct of persons or the status of things; Ex: usually a $ limit in the lawsuit
Punishment After Probable Cause Hearing Reprimand; Remedial work; Revocation; Fines; Suspension
What is a reprimand? A form of discipline, imposed after trial or formal charges, that declares the PT/PTA/Student's conduct improper but doesn't limit his/her right to practice
What happens if a PT gets a reprimand? Maintained in licensure file; Available for view as public record (in litigation an attorney may request a copy of the licensure file)
What is remedial work? Mandate to take a certain number of hours of CEUs or a type of course within a certain time frame
What are fines? Monetary & discretionary with guidance from the rules & regs with regard to the amount
What is suspension? Prohibited from practicing PT for a specified amount of time; Made part of your licensure file; Available for public review
What is revocation? The permanent cancellation of your license to practice PT in that state; Unlikely to be able to obtain a license in another state
Are all state practice acts the same? NO! Each reads differently, so know the one for the state in which you choose to practice.
Created by: 1190550002



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