PT 2012 - Wrap-up E-dition - (Page 1)
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Maley Lecturer Calls for Standardized Outcome Measures
Around the World in 120 Days to Support Physical Therapy Research
tanley Paris, PT, PhD, FAPTA, FAAOMPT, a member of the Foundation for Physical Therapy Board of Trustees, announced at the June 8 “Legacy Gala” that he plans to become the oldest person to solo circumnavigate the globe nonstop by sailboat, in less than 150 days. Paris hopes to break several records and has generously agreed to also use this trip to raise funds and awareness for the Foundation for Physical Therapy. To emphasize his intentions, Stanley proposed a matching gift challenge to the gala audience for that night only. By the evening’s end, over $170,000 was raised: $100,000 from Paris » see page 6
By Don Tepper delle Field-Fote, PT, PhD, on June 8 called upon the profession to adopt standardized outcome measures (OM), warning in her delivery of the 2012 Maley Lecture that without them patients won’t achieve optimal outcomes. Without standardization, she continued, competing outcome standards might evolve. And others—particularly regulators and legislators—could impose outcome measures on the profession. Standardization, she said, “ensures the end product has consistent quality, and that any conclusions made are comparable with equivalent items in the same class.” She added, “We benefit from standards—building codes, traffic signals, and so on. But often these aren’t universal standards.” Field-Fote explained that standardization can occur either de facto (by practice) or de jure (by law). She conceded that either approach “can
Edelle Field-Fote, PT, PhD be controversial.” But she pointed out that standardization already exists in some areas of the profession. For example, standards already have been adopted for the accreditation process, clinical practice guidelines, and normative models of education. And, she
stressed, “Standards and guidelines are critical for demonstrating the value of physical therapist services.” Citing Rebecca Craik’s 2005 McMillan Lecture, Field-Fote said that the profession needs a 3-pronged approach to competency: (1) standardized classification of patients, (2) standardized interventions, and (3) standardized outcomes assessment. She said that best clinical practice relies on systematic data collection. The first step in the process “requires agreement on what information will be collected to determine whether intervention has been effective.” In the United States, she pointed out, 1 study indicated that only 48% of PTs reported using standardized OMs, and half of those who didn’t said that they did not plan to in the future. The low use of outcome measures, however, is not confined to the United States. » see page 7
Oxford Debate: Should Residency Be Required for DPTs?
By Don Tepper wo teams of PTs, assisted by a raucous audience, debated the need for a mandatory residency program as part of the DPT curriculum June 8. The resolution was: “That graduation from an accredited entry-level doctor of physical therapy degree program and the subsequent completion of an approved residency program should be required for licensure as a physical therapist in the United States or its territories.” Debaters and audience members drew from a wide range of resources—including Pink Floyd, Animal House, and Fiddler on the Roof—to make their arguments. Arguing in favor of mandatory residency were team captain Robert Wainner, PT, PhD, ECS, OCS, Eric Robertson, PT, DPT, OCS, and Mark Shepherd, PT, DPT. Arguing against mandatory residency were team captain James Milder, PT, Aimee Klein, PT, DPT, DSc, OCS, and Philip Tygiel, PT, MTC. Chad Cook, PT, PhD, MBA, FAAOMPT, served as
Oxford Debate audience members make their opinions known about DPT residency licensure requirements at the annual meeting event June 9. debate chair. Arguing in favor of the resolution, Wainner said, “It’s 1985. All is well. Who needs residency? If it ain’t broke, don’t fix it. After all, 150 years ago, medicine didn’t think residency was necessary, either. But there’s been exponential growth in the physical therapy profession. We need a continued mentoring experience, and that’s residency. » see page 7
Terry Bradshaw’s wit, humor, and thanks to physical therapists highlighted the PT 2012 Opening Session June 6.
Join the conversation! Follow PT12 at twitter.com/APTAannualconf.
Table of Contents for the Digital Edition of PT 2012 - Wrap-up E-dition
PT 2012 - Wrap-up E-dition