Prof Prac 2 Evolution of PT
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| PT's provide their patients with treatment that focuses on what? | Movement; Reduction of Pain; Restoration of Function; Prevention of Disability
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| When was traditional PT developed? | During WWI "Reconstruction Aides"
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| What law was one of the greatest hallmarks in PT? | 1967 Social Security Act; PT recognized & reimbursed; led to specialization we see today
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| 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
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| What are the 6 key elements of vision 2020? | Autonomous Practice; EBP; Direct Access; Practitioner of Choice; DPT; Professionalism
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| 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
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| Direct Access: What allows the PT to eval & treat a pt w/o a MD referral/order? | State licensure laws
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| What are 2 factors discussed regarding direct access? | Are PTs qualified? Would there be increased HC costs for delivery of PT?
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| What are the 7 core values of professionalism? | Accountability; Altruism; Compassion/Caring; Excellence; Integrity; Professional Duty; Social Responsibility
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| 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
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| What are the 3 different types of law? | Civil; Criminal; Administrative
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| 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
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| Civil Law | Attempt to compensate a victim monetarily for their losses; Plaintiff's attorney & defendant
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| Burdens of Persuasion in Criminal Law | Each cause of action must be proven beyond a reasonable doubt (90%)
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| Burden of Persuasion/Proof in Civil Law | With a preponderance of evidence (51%)
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| Administrative Law | Enforcement/punishment of violations of rules & regs that govern various professions/services; Ex: State Practice Act
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| Types of Courts in Federal Court | District, Appellate, U.S. Supreme
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| State Courts Divided Into | County, Circuit, District Courts of Appeal, State Supreme
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| 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
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| 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
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| Example of personal jurisdiction | Traveling PT who is no longer in state of alleged negligence
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| 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
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| 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
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| What is the function of state practice acts? | Defines each state's scope of practice of PT in it's state
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| Access to all state licensure requirements & state practice acts are available where? | Federation of State Boards of PT (FSBPT)
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| 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
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| What does a jurisprudence exam test? | Knowledge of laws, rules & regs
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| Responsibilities of State Board of PT | Rules & regs governing PT; Oversees state licensure of PTs/PTAs
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| 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
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| 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
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| 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
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| Punishment After Probable Cause Hearing | Reprimand; Remedial work; Revocation; Fines; Suspension
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| 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
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| 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)
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| What is remedial work? | Mandate to take a certain number of hours of CEUs or a type of course within a certain time frame
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| What are fines? | Monetary & discretionary with guidance from the rules & regs with regard to the amount
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| What is suspension? | Prohibited from practicing PT for a specified amount of time; Made part of your licensure file; Available for public review
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| 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
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| 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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