Because of some things at work and at home, I’ve taken a hiatus of sorts from posting, but am working on new posts, ideas, and reviews.
I got the new PTJ/PTIM today. Two articles in PT in Motion caught my eye. The first was the Ethics in Practice column about professional responsibility, giving the example of an employer in a Comprehensive Care Community who has developed an education program using a weekly journal club and a monthly in-service, but he has one employee who has not bought in to this. The employee is then noted to have the highest number of no shows/ cancellations, and he delivers the same interventions regardless of patients, as well as demonstrating a lack of progressing his patients.
The question at the end is directed to the reader being in the employer’s shoes (I would have a discussion and do remediation for change of behavior and mindset, and probably use something like FOTO to be able to demonstrate to him how he compares to other PT’s). I like the employer’s idea of the education program – I believe it is important professionally for continued learning and challenging our practice, and the idea really involves each staff member to be active rather than passive. From the employer side of things, this can really eat into the bottom line (0.5hrs x 10 or more therapists) which makes it hard to justify to the higher-ups. Coming at it from a co-worker perspective, I’ve been in places where people don’t seem to care for their professionalism and how it can impact a patient. My only thought in those situations is to lead by example. Where I work we are blessed to have a journal club several times a semester presented by the resident (we are a clinical site for the University of Minnesota geriatric residency), which has resulted in some good discussions and I am thankful for them.
The second article is on Pioneering PT’s (“exploring new territory involved in patient and business practices”). I was hoping to read about a geriatric focused one (does Medicare’s requirements, limitations, and reimbursement of PT have an impact on innovation?), but there are good ideas including incorporating some technology, creating niches (sub-niches?), partnering with health systems (not sure how that would work as generally they have their own rehab clinics, at least here in the Twin Cities), onsite PT services at various locations (problematic with MedB I think), and various ways of compensating therapists. I think we as PT’s will need to continue to push for professionalism and pioneering if the progression as a whole is to survive and thrive, and I look forward to seeing what comes in this regard.