Hx of Physical Therapy - Advocacy 2023-2.pdf
Transcript
History The Emergence of Our Profession World War I – Reconstruction Aides in Physiotherapy (RAPTs) Epidemics of infantile paralysis Reconstruction Aides work with soldiers – Fort San Houston, Texas 1919 (poliomyelitis) New York Poliomyelitis Clinic - 1916 History 1921 Organizational...
History The Emergence of Our Profession World War I – Reconstruction Aides in Physiotherapy (RAPTs) Epidemics of infantile paralysis Reconstruction Aides work with soldiers – Fort San Houston, Texas 1919 (poliomyelitis) New York Poliomyelitis Clinic - 1916 History 1921 Organizational meeting for American Women’s Physical Therapeutic Association – Mary McMillian – President – 274 charter members – Quarterly PT Review started 1922 First Annual Conference in Boston AWPTA changes name to American Physiotherapy Association (APA) 1926 PT Review renamed Physiotherapy Review 1930’s 1931 APA membership 687 1933 APA asks American Medical Association to assist with accreditation 1935 APA adopts first “Code of Ethics and Discipline” 1930’s Formal Schools/programs of physical therapy Men admitted to membership Article “The Value of Physical Therapy as Proved by the War” Book Massage and Therapeutic Exercise By Mary McMillan 1940’s 1940 APA membership total 11,197 1941 first special interest section California Schools Section now known as the Section for Education 1944 House of Delegates Created 1946 APT changes name to American Physical Therapy Association 1950’s 1951 APTA Membership 4,393 1953 Section on Self Employed (now Known as Private Practice Section) is formed 1954 APTA develops 7 hours long professional competency examination, and it is made available to state licensing boards 1957 The Physical Therapy Fund is established to further research Book The Kenny Method For Infantile Paralysis 1960’s 1961 APTA membership totals 9,635 Physical Therapy Review Changes its name to Journal of Physical Therapy 1964 First Mary McMillan address is delivered by Mildred Elson 1967 First Lucy Blair Service Award winners are named 52 Education Programs 1970 Temporary affiliate membership is offered to PTA’s 1970’s 1971 APTA membership 18,455 1976 First Combined Sections Meeting CSM is held in Washington, DC 1977 Council on Post Secondary Accreditation COPA grants recognition to APTA as a secondary independent accrediting agency 1979 Foundation for Physical Therapy Inc is set up as successor to the Physical Therapy Fund. 1980’s 1980 Catherine Worthingham Fellow (FAPTA) established as new membership category. 1981 APTA Membership is 35,000 1981 First Foundation Grant Awarded 1985 First examination to certify clinical specialists Linda Crane, Scot Irwin and Meryl Cohen first 3 certified specialists in physical therapy in the area of Cardiopulmonary 1990’s 1991 Student Assembly is formed 1993 PT Magazine is launched 1995 APTA hosts World Confederation for Physical Therapy in DC – over 6,000 in attendance APTA membership is 69,620 Who Are Physical Therapists? Physical therapists are health professionals who diagnose and manage movement dysfunction as it relates to the restoration, maintenance, and promotion of optimal physical function and the health and wellbeing of individuals, families, and communities. Physical therapists possess a distinct body of knowledge that provides a unique perspective on purposeful, precise, and efficient movement across the life span. Description of Physical Therapist Practice Roles in Primary Care Roles in Secondary and Tertiary Care Roles in Prevention and in the Promotion of Health Wellness and Fitness Other Professional Roles Consultation Education Critical Inquiry Administration Physical Therapist Direction and Supervision of Personnel • Roles in Primary Care • Roles in Secondary and Tertiary Care • Roles in Prevention and in the Promotion of Health Wellness and Fitness • Other Professional Roles • • • • Consultation Education Critical Inquiry Administration GUIDE TO PHYSICAL THERAPIST PRACTICE Constructs and Concepts That Inform Physical Therapist Practice • Four major constructs and concepts inform current physical therapist practice: • The International Classification of Functioning, Disability and Health (ICF) and the biopsychosocial model • Evidence-based practice • Professional values • Quality assessment Biopsychosocial Model • In this model, a person’s health status is determined by the interplay of the biological, psychological, and social domains. Social Determinants of Health Social determinants of health include items such as economic stability, age, gender, social status, access to health services, quality education, healthy environments, social and community context and support, and healthy environments. Physical Therapist Practice Core Concepts Evidence-based practice includes: Commitment to professional practice includes: Evidence-based practice Quality assessment and outcomes Professional values Patient and Client Management Model Elements of Patient and Client Management Examination Referral/ consultation Evaluation Diagnosis Prognosis Intervention Outcomes Physical Therapist Roles Across the Continuum and Through the Life Span • Access to services for health conditions. • Direct access and primary care. • Administration of tests. • Habilitation and rehabilitation. • Performance enhancement. • Prevention and risk-reduction services. • Direct-to-employer physical therapist services. Elements of Physical Therapist Patient and Client Management 1990s……. • 1991 Student Assembly approved by the House of Delegates • 1992 October was the first Physical Therapy Month • 1995 apta.org was born in June • 1997 Congress Passes the 1997 Balanced Budget Act 20-year fight to eliminate the Medicare Physical Therapy experienced layoff Presidents Forum at the Centinela Celebration • Major corporate take over • Increase cost of health care • Health Care Reform • Coding and Payment Guide • Move to DPT APTA Vision Statement for Physical Therapy 2020 • Physical therapy, by 2020, will be provided by physical therapists who are doctors of physical therapy and who may be boardcertified specialists. • Consumers will have direct access to physical therapists in all environments for patient/client management, prevention, and wellness services. • Physical therapists will be practitioners of choice in patients’/clients’ health networks and will hold all privileges of autonomous practice. • Guided by integrity, life-long learning, and a commitment to comprehensive and accessible health programs for all people, physical therapists and physical therapist assistants will render evidence-based services throughout the continuum of care and improve quality of life for society. VISION 2020 & BEYOUND Vision 2020 Elements Transforming Society Principles • • • • • • • • • • • • • • Professionalism Doctor of Physical Therapy Evidence-Based Practice Direct Access Practitioner of Choice Autonomous Practice Identity Quality Collaboration Value Innovation Consumer Centricity Access/Equity Advocacy The Movement System Brings It All Together • Who We Are, Not What We Do • Physical Therapist Practice and the Human Movement System • One Profession • Common Identity Requires Common Language • Not an Overnight Sensation What is the Goal of our Movement System Oriented Identity • Physical therapy will be a health profession not defined by the techniques we use but rather by our body of knowledge and skills • The human movement system will be the scientific foundation of our practice • Align attention and resources in practice education and research toward efforts that support and advance our role in managing human movement • Develop a common language to describe our diagnostic process and our management of the HMS • Within that principle, the movement system is called a "foundation" and "the core of physical therapist practice, education, and research." Human movement is a complex behavior within a specific context. • Physical therapists provide a unique perspective on purposeful, precise, and efficient movement across the lifespan based upon the synthesis of their distinctive knowledge of the movement system and expertise in mobility and locomotion. • Physical therapists examine and evaluate the movement system (including diagnosis and prognosis) to provide a customized and integrated plan of care to achieve the individual's goal-directed outcomes. • Physical therapists maximize an individual's ability to engage with and respond to his or her environment using movement-related interventions to optimize functional capacity and performance. Code of Ethics for the Physical Therapist • Physical therapists shall provide: • safe, • accessible, • cost-effective, and • evidence-based services. Core Values for the Physical Therapist and Physical Therapist Assistant (HOD P06-48-55) • Accountability • Altruism • Collaboration • Compassion and Caring • Duty • Excellence • Inclusion (added 2021 HOD RC 3-21 passed) • Integrity • Social Responsibility Core Values APTA Core Values • • • • • Accountability Altruism Collaboration Compassion and Caring Duty • • • • Excellence Inclusion Integrity Social Responsibility • • • • • • • • • • • • • • Respect Altruism Patient Autonomy Professional Judgement Supervision Integrity in Relationships Reporting Sexual Harassment Exploitation Colleague Impairment Professional Competence Professional Growth Charges and Coding Pro Bono Services Vision Statement for the Physical Therapy Profession Transforming society by optimizing movement to improve the human experience. Mission Statement for the Association Building a community that advances the profession of physical therapy to improve the health of society. https://www.apta.org/apta-and-you/leadership-and-governance/vision-mission-and-strategic-plan/strategic-plan APTA is a membership lead Organization • Board of Directors elected by the HOD • Delegates elected by each component • All policy, positions, core documents are discussed, amended and voted on by the HOD 2023 House of Delegates (79th HOD ) Virtual July 8 and In Person July 23 and 24 APTA Leadership Congress, Washington, DC • HOD Considered 27 RC’s • Ensuring the sustainability of the profession, • Improving quality of care, • Strengthening the value of being an APTA member, and • Increasing patient demand for and access to physical therapy 2023 House of Delegates Recap (79th HOD) • Within the Profession and the Association • • • • • Support of equitable pay regardless of gender and gender identity Recognition of subspecialties An exploration of alternative models for PTA education and practice Advocacy for more streamlined credentialing processes for PTs and PTAs. More support for components' social media-based marketing efforts. • Societal Health • Support for increased attention to rural health issues • Promotion of the role of PTs in the treatment of long COVID. • More mention of physical therapist referral in published clinical practice guidelines and recommendations. Chapters and Sections • Chapters = 51 representing U.S. States and the District of Columbia • Sections and Academies = 18 • Special Interest Groups in Chapters and Sections 4 pages 100 ++ • Spinal Cord Injury SIG • Animal Physical Therapy SIG • Technology SIG Student Leadership and Representation • Student Assembly • Student Assembly Board of Directors • Core Ambassadors • Student Assembly Liaisons • Project Committees • Student Special Interest Groups • California Student Special Interest Group Opportunities to Participate and be Involved • Greater Los Angeles District – you will need to check • CPTA • Assembly of Representatives 2023 October 6, Long Beach Hilton • CPTA Annual Conference 2023 October 7-8, Long Beach Hilton • CPTA Annual Conference 2024 October 7-8 in Burlingame • APTA • CSM 2024 - February 14-17, 2024 – Boston, Massachusetts Registration and Housing Open --Student Volunteer Positions available (Sign up Early) • APTA Leadership Congress July 19-23, 2024 – Kansas City Missouri – Washington DC and Alexandria VA --House of Delegates HOD In person July 21 and 22, 2024 • CSM 2025 - February 13-15, 2025 – Houston, Texas • World Physiotherapy • World Physiotherapy Congress 2025 29-31 May 2025, in Tokyo, Japan. 54th Mary McMillan Lecture • The 54th Mary McMillan Lecture will be delivered by Edelle (Edee) Field-Fote, PT, PhD, FAPTA. • She is director of spinal cord injury research and the Hulse Spinal Injury Laboratory; • professor, Emory University School of Medicine, Division of Physical Therapy; • and professor of the practice, Georgia Institute of Technology, School of Biological Sciences.
