Introduction to the profession of physical therapy and the role of the physical therapist assistant. Forty-eight lecture hours
Professional Behavior
Professional behavior is absolutely essential both while the individual is a student in this program as well as after graduation. The Professional Behaviors Assessment form provides a standard for behavior and a mechanism for self-assessment by the student as well as assessment by faculty during the academic component of the program. If a faculty member observes consistent failure to demonstrate acceptable professional behavior by a student, the faculty member will utilize the assessment form as a tool for counseling the student. Failure to respond appropriately to counseling regarding professional behaviors will result in dismissal from the program. See PTA program Student Handbook located in the Bridge for the attendance policy.
- Appreciate the historical foundation of physical therapy (F1, F2, F11):
- Define physical therapy.
- Discuss and order the major historical events contributing to the development of physical therapy as a profession.
- Discuss the factors that have influenced the development of Physical Therapist Assistant.
- Value professionalism as an essential attribute of a physical therapist assistant (F1, F2, F10, F11):
- Describe the characteristics of a profession.
- Describe the “Values-based Behaviors for the Physical Therapist Assistant”.
- Compare the “Values-based Behaviors for the Physical Therapist Assistant” to the “Core Values” of the physical therapy profession and relate them to physical therapy practice.
- Describe the role of the physical therapist assistant in the clinical education of physical therapist assistant students.
- Understand the role of professional associations in the advancement and regulation of physical therapy (F1, F2, F10, F11):
- Discuss the mission, goals, and vision of the American Physical Therapy Association (APTA).
- Describe the organization and governance of the APTA.
- Evaluate the effects of professional associations on the practice of physical therapy
- Describe other selected organizations and their relevance to physical therapy.
- Identify current issues pertinent to physical therapy and discuss the role of the APTA in regards to the issues.
- Understand the role of the physical therapist assistant in the provision of physical therapy (F1, F2, F10, F11, F12):
- Describe and differentiate the roles and supervisory relationships of physical therapists, physical therapist assistants, and physical therapy aides.
- Identify specific activities that PTAs in Texas are allowed to do and are prohibited from doing.
- Evaluate circumstances and patient scenarios to determine if the physical therapist assistant needs to contact the supervising physical therapist for additional guidance before proceeding with patient care.
- Understand the role of physical therapy in the provision of health care (F1, F2, F10, F11):
- Describe and differentiate the acute medical delivery system and the post-acute care delivery system.
- Describe and differentiate typical physical therapy practice settings and practice specialties.
- Identify members of the multi-disciplinary health care team and describe their roles.
- Categorize specific signs/symptoms according to Nagi’s disablement model.
- Describe organizational planning strategies and challenges in physical therapy settings.
- Understand the legal issues pertinent to physical therapy (F1, F2, F10, F11, F12, C5, C7):
- Relate law and professional ethics.
- Describe the law governing the practice of physical therapy in the State of Texas.
- Discuss selected sections of the PT Rules particularly relevant to obtaining and maintaining licensure and apply the rules to various physical therapy scenarios.
- Describe selected components of civil law and health care malpractice.
- Describe selected civil liability issues related to physical therapy.
- Discuss the organization and purpose of the Executive Council of PT and OT Examiners and the Texas Board of PT Examiners.
- Demonstrate the ability to access the PT Rules and FAQs on the ECPTOTE website.
- Describe the licensure and facility registration processes and requirements
- Understand the ethical issues pertinent to physical therapy (F1, F2, F10, F11, F12, C5, C7):
- Define professional ethics.
- Describe and differentiate selected ethical theories.
- Discuss the four biomedical ethical principles and relate them to physical therapy.
- Describe the APTA documents and processes concerning the ethical conduct of members.
- Describe ethical decision making methods and apply them to ethical issues.
- Describe the legal concepts of confidentiality and informed consent and their application in physical therapy.
- Prepare to implement an evidence-based physical therapy practice model.
- Discuss the application and limitations of evidence-based practice.
- Describe specific strategies for implementing evidence-based practice.
- Define selected terms found in research studies and discuss their significance.
- Analyze specific research studies to determine significance and relevance as evidence in PT practice.
- Understand reimbursement concepts and issues pertinent to physical therapy.
- Describe and differentiate selected health care reimbursement models and payment strategies.
- Define selected terms pertinent to physical therapy reimbursement.
- Describe Medicare requirements and benefits related to physical therapy.
- Differentiate the Medicare, Medicaid and Workers Compensation programs.
- Describe the relevance of the Correct Coding Initiative and Functional Limitation Reporting to physical therapy.
Teaching Methods and Learning Experiences
Lectures, laboratory activities, reading assignments, individual and/or group projects and assignments. Some components of this course will be computer based. Student access to a computer/printer will be required for completing assignments. Computers are available to students in the Academic Support Center in the Mineral Wells Education Center.
Textbooks: The Role of the Physical Therapist Assistant, 2nd edition; Holly M. Clynch, PT, DPT, MA, GCS; F.A. Davis Company, 2016 ISBN number: 9780803658165
Course Packet: PTHA 1301 Lecture Power Points and Packets per topic (available in Canvas classroom)
Course Requirements
- Complete all unit tests.
- Complete all projects and assignments.
- Complete the final exam.
Grad Compilation
Unit Exams 60%
Lab projects / Assignments 5%
Research Poster Presentation 10%
Final Exam 25%
Grading Scale
A |
90-100% |
B |
80-89% |
C |
75-79% |
F |
<75% |
Failed Lab Practical and Skills Check offs
Lab practical examinations and/or skills check-offs will be given to assess the student’s proficiency in laboratory skills taught. ALL lab skill check-off assessments and Lab Practical examinations must be successfully completed and passed. When lab skill check-offs are assigned prior to a lab practical examination, failure to complete ANY of the laboratory skills check offs will result in the inability to sit for the lab practical, resulting in a grade of zero. Students are required to pass all lab practical examinations and skills check offs with a minimum of 75% in order to pass the class. The student will be given 3 opportunities to correct a failed lab practical exam (LPE) and/or check-offs with grade deductions for each attempt. In the event that the student does not pass a LPE or a check off, the student will fail the lab portion of the class, and fail the course and will not be allowed to continue in the PTA program. Both the lab and lecture portions of each class must be passed with a 75% for the student to receive a passing grade in the class. The grade deductions are noted in the course syllabus and on the LPE and check-off forms.
FAILURE OF AN EXAM
If a student makes below a passing grade on an exam (makes a grade below 75%) they are required to seek counseling and remediation from the instructor for the course. It is the students’ responsibility to seek out the instructor promptly for this counseling and remediation during the instructors posted office hours by appointment. If the student fails to contact the instructor within an appropriate time to get remediation prior to the next examination, they are outside the department policy and are subject to disciplinary action. The instructor and student will develop a plan for the student to show competency in knowledge of the material.
ACADEMIC DISMISSAL
Students in the PTA Program must successfully complete all general education courses with at least a “C” to continue in the PTA program. If a student makes below a 75% in any PTHA course, they will not be allowed to continue in the program and will be academically dismissed. Additionally, you must maintain a passing average of 75% of major exams, and pass all check offs and lab practical exams in each course to be able to show competency and continue in the program. Major exams are defined as unit tests and includes the final exam. Bonus points or extra credit points will only be awarded after competency is met. If a student does not meet the competency guidelines bonus points will not be applied. See the Bonus Point/Extra Credit Policy in the PTA Program Handbook.
Students must also complete each clinical course with at least a “C” or 75% grade (see Clinical Failure policy). If these standards are not met, dismissal from the program will occur.
If the student fails a class, the student’s progression in the program will be halted. The student is then subject to the same readmission criteria as students who withdraw from the program.
TRUE COLORS
HISTORY OF PHYSICAL THERAPY
I. What is Physical Therapy?
II. Early History of Physical Therapy
III. The Physical Therapy Profession in the U.S.
IV. Development of the PTA
V. Utilization of the PTA
PROFESSIONALISM
I. Introduction
II. Core Values of the Physical Therapy Profession
III. Professional Behaviors
PROFESSIONAL ORGANIZATIONS
I. American Physical Therapy Association (APTA)
II. APTAs Influence on the Role of the PTA
III. APTA Associated Organizations
IV. Related Organizations
V. Current Issues
ROLES AND PRACTICE SETTINGS
I. Differences between PTs and PTAs
II. Working Together as a Team
III. The Role of the Physical Therapist Assistant
IV. The Role of the Physical Therapy Aide
V. Supervision
VI. Multi-Disciplinary Team
VII. Continuum of Care
VIII. Characteristics of Various Practice Settings
IX. Guide to Physical Therapist Practice – “The Guide”
X. Organizational Planning and Operation
PHYSICAL THERAPY PRACTICE SPECIALTIES
I. Orthopedic Physical Therapy
II. Neurologic Physical Therapy
III. Pediatric Physical Therapy
IV. Cardiopulmonary Physical Therapy
V. Wound Care (Integumentary Physical Therapy)
VI. Geriatric Physical Therapy
REIMBURSEMENT
I. Introduction
II. Insurance Basics
III. Private (Commercial) Insurance
IV. Medicare
V. Medicaid
VI. Workers Compensation
VII. CPT Codes and the Correct Coding Initiative
VIII. Documentation Tips for Writing for Third-Party Payers
THE LAW AND PHYSICAL THERAPY
I. The Law and Professional Ethics
II. Four Sources of Law and Legal Obligation
III. Health Care Malpractice
IV. Risk Management
V. The Executive Council of Physical Therapy and Occupational Therapy Examiners
VI. Texas Board of Physical Therapy Examiners
VII. Practice Act and Rules
VIII. Licensure and Facility Registration
ETHICS
I. Introduction
II. Classical Ethical Theories
III. Biomedical Ethical Principles
IV. Codification of Ethics
V. Developing Ethical Behaviors
VI. Ethical Decision Making
PATIENTS’ RIGHTS
I. Introduction
II. Informed Consent
III. HIPAA – Health Insurance Portability and Accountability Act of 1996 (HIPAA)
EVIDENCE-BASED PRACTICE
I. Introduction
II. Implementing Evidence-Based Practice
Regular attendance in lecture and lab is critical and has a direct effect on the final grade that a student earns in class. Non-attendance on the part of a student may result in grade penalty or may lead to dismissal from the program.
A student should attend all lecture and laboratory sessions. Good "working" habits would mean arriving 10 - 15 minutes ahead of the scheduled start time of the class, staying for the complete session and returning from breaks promptly. Habitual or patterned absenteeism in lecture or lab will not be tolerated. Absences in laboratory sessions are particularly problematic because of the lost opportunity to practice skills for them self, and for their lab partner; therefore, students are responsible for arranging to acquire any skills missed during a laboratory absence. Note, not all lab experiences can be made up.
All absences must be reported to the appropriate faculty member prior to the start of class. Try to reach the faculty member by phone at their office phone number. If the faculty member cannot be reached directly, a voice mail message may be left the day of the absence. Email notification is not acceptable and should only be used if phone systems are not available. Contacting a classmate to have him/her notify the faculty member is not acceptable. Failure to notify the faculty prior to class for any absence will result in anautomatic deduction of 2 points from the student’s final grade for each episode.
The student may be allowed to miss 2 class/lab days without it adversely affecting their grade (exception: exam days, lab practical or check off days) if proper notification has been made. Every absence over the allotted 2 days will result in the student’s final course grade being reduced by 2 points each absence. If the student misses more than 30 minutes of class due to being tardy or leaving early, it will constitute an absence. Three tardies, regardless of how late the student is, count as 1 day absence.
If it is necessary for a student to miss an exam, the instructor must be notified prior to the scheduled exam time and arrangements must be made for make-up. It is the instructor’s option to give the same exam as the one missed or a different exam over the same content. It is the students’ responsibility to make arrangements to make up the exam. A 5% penalty will be assessed for taking an exam out of the scheduled time. An additional 5% penalty will be assessed for each day the exam has not been made up. See missing an Exam/Test/Quiz in the PTA Program Handbook for more information.
Acceptance of Late Assignments
Projects or outside assignments are due at the beginning of class on the assigned due date. Late papers will receive a 5% per day grade penalty. This penalty will continue to be assessed each day the assignment is not turned in.
Missing an Exam
Exams are defined as formally scheduled examinations covering a major portion of the course content and cumulatively comprising a relatively large percentage of the overall grade for a course. Every effort should be made by the student to be present for all exams. If it is necessary for a student to miss an exam, the instructor must be notified prior to the scheduled exam time and arrangements must be made for make-up. It is the instructor’s option to give the same exam as the one missed or a different exam over the same content. If arrangements to make up the exam are not made within one class day, a 5% per day penalty will be assessed each day the exam is not taken.
WECM End of Course Outcomes
Describe the history, purpose, and scope of physical therapy; identify the roles and responsibilities of the physical therapist assistant.
ADA Statement:
Any student with a documented disability (e.g. learning, psychiatric, vision, hearing, etc.) may contact the Office on the Weatherford College Weatherford Campus to request reasonable accommodations. Phone: 817-598-6350 Office Location: Office Number 118 in the Student Services Building, upper floor. Physical Address: Weatherford College 225 College Park Drive Weatherford, TX.
The Secretary’s Commission on Achieving Necessary Skills (SCANS) identified Competencies in the area of Resources, Interpersonal, Information, Systems, and Technology; and foundation skills in the areas of Basic Skills, Thinking Skills, and Personal Qualities. This course is part of a program in which each of these Competencies and skills are integrated. The specific SCANS Competencies that are recognized throughout this course are noted at the end of the appropriate Competencies or task listed. The key for the Competencies is located at the end of this syllabus
SCANS COMPETENCIES
Foundation Skills |
Workplace Competencies |
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Basic Skills: Reads, writes, performs arithmetic & mathematical operations, listens, and speaks |
Resources: Identifies, organizes, plans & allocates resources |
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F1 |
Reading: Locates, understand, & interprets written information in prose & in documents such as manuals, graphs, & schedules |
C1 |
Time & Selects goal-relevant activities, ranks them, allocates time, & prepares & follows schedules |
F2 |
Writing: Communicates thoughts, ideas, information, & messages in writing; & creates documents such as letters, directions, manuals, reports, graphs, & flow charts |
C2 |
Money & Uses or prepares budgets, makes forecasts, keeps records, & makes adjustments to meet objectives |
F3 |
Arithmetic: Performs basic computations ; uses basic numerical concepts such as whole numbers, etc. |
C3 |
Material & Facilities & Acquires, stores, allocates, & uses materials or space efficiently |
F4 |
Mathematics: Approaches practical problems by choosing appropriately from a variety of mathematical techniques |
C4 |
Human Resources & Assesses skills & distributes work accordingly, evaluates performance & provides feedback |
F5 |
Listening: Receives, attends to, interprets, & responds to verbal messages & other cues |
Information: Acquires & uses information |
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F6 |
Speaking: Organizes ideas & communicates orally |
C5 |
Acquires & evaluates information |
Thinking Skills: Thinks creatively, makes decisions, solves problems, visualizes, knows how to learn, & reasons |
C6 |
Organizes & maintains information |
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F7 |
Creative Thinking: Generates new ideas |
C7 |
Interprets & communicates information |
F8 |
Decision Making: Specifies goals & constraints, generates alternatives, considers risks, & evaluates & chooses best alternative |
C8 |
Uses computers to process information |
F9 |
Problem Solving: Recognizes problems & devises & implements plan of action |
Interpersonal: Works with others |
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F10 |
Seeing Things in the Mind’s Eye: Organizes, & processes symbols, pictures, graphs, objects & other information |
C9 |
Participates as a Member of a Team: Contributes to group effort |
F11 |
Knowing How to Learn: Uses efficient learning techniques to acquire & apply new knowledge & skills |
C10 |
Teaches others new skills |
F12 |
Reasoning: Discovers a rule or principle underlying the relationship between two or more objects & applies it when solving a problem |
C11 |
Serves Clients/Customers: Works to satisfy customers’ expectations |
Personal Qualities: Displays responsibility, self-esteem, sociability, self-management, integrity, & honesty |
C12 |
Exercises Leadership: Communicates ideas to justify position, persuades & convinces others, responsibly challenges existing procedures & policies |
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F13 |
Responsibility: Exerts a high level of effort & perseveres towards goal attainment |
C13 |
Negotiates: Works toward agreements involving exchange of resources, resolves divergent interests |
F14 |
Self-Esteem: Believes in own self-worth & maintains a positive view of self |
C14 |
Works with Diversity: Works well with men & women from diverse backgrounds |
F15 |
Sociability: Demonstrates understanding, friendliness, adaptability, empathy, & politeness in group settings |
Systems: Understand complex interrelationships |
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F16 |
Self-Management: Assesses self accurately, sets personal goals, monitors progress, & exhibits self-control |
C15 |
Understands Systems: Knows how social, organizational, & technological systems work & operates effectively with them |
F17 |
Integrity/Honesty: Chooses ethical courses of action |
C16 |
Monitors & Corrects Performance: Distinguishes trends, predicts impacts on system operations, diagnoses systems’ performance & corrects malfunctions |
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C17 |
Improves or Designs Systems: Suggests modifications to existing systems & develops new or alternative systems to improve performance |
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Technology: Works with a variety of technologies |
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C18 |
Selects Technology: Chooses procedures, tools or equipment including computers & related technologies |
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C19 |
Applies Technology to Task: Understands overall intent & proper procedures for setup & operation of equipment |
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C20 |
Maintains & Troubleshoots Equipment: Prevents, identifies, or solves problems with equipment, including computers & other technologies. |