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Evolution of PT
Prof Prac 2 Evolution of PT
| Question | Answer |
|---|---|
| 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. |
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