I wanted write a follow-up to last week’s blog that I wrote. I knew it would create discussion and wanted to tie up some of what I have gleaned from the conversation. It has been great to get historical perspectives, economic perspectives as well as professional perspectives that add to the depth of this topic.
Some folks have asked: “why are you bringing this discussion up? This is old news and we have better and more productive things to talk about.”
But, if you get to the root of my fellowship training, I was charged to always challenge my biases. This doesn’t hold true for just clinical hypotheses or interventions, but in life as well. I see it important to see perspectives that were outside my own biases and try to look at the other side.
Even though this topic has been had time and time again, I think it is important to continue to discuss. We learn new things. Perspectives. Ideas.
The intent of the original blog was to continue discussion based on what I have experienced over the past few years. I hope to have at least stimulated some thoughtful reflection and comments to add to the reader’s perspective. Below are a couple key comments/thoughts from the conversation.
- Steve McDavitt’s original comment adds much depth to the historical and professional aspects to this conversation. I am glad that Steve commented (had a feeling he would!). Check this out to gain more insight on this topic.
- The discussion is old, but the information is not well known or followed. Brian D’Orazio alluded to this on one of his comments. We all have seen the practice variation that I brought up and is demonstrated in the comments. If anything, I hope this blog helps educate PTs and PTAs alike on the background here.
- Check out Jim Rivard’s comment. Nicely worded and sums up many points regarding economic drivers.
It had been stated several times that we need to move the discussion to more talks about best practice, reimbursement, etc. So, below are a couple of discussion questions that I am curious about. I have my own biases here, but want to read other perspectives to gain a better insight.
- What does the PT-PTA team look like within a best practice model?
- What is your decision-making process for PT’s using joint mobilization and transitioning care to a PTA? Go beyond “when I don’t need to continuously evaluate” as this seems to mean different things to different folks in different situations.
- Does anyone have a win-win economical PT-PTA model worth sharing?
As always, thanks for reading and adding your thoughts.