Objectives Identify the different areas that Physical Therapists and Physical Therapist Assistants may specialize in. Identify tools and sources of information to help you pursue your PT passion. Identify traditional and nontraditional settings of physical therapy, variety of business models that exist in the workplace, and the pros and cons with clinical education and volunteer work in 2014 world. 2014 Student Conclave 1
Assumption 2014 Student Conclave 2
In 2013, 70% of working Americans are unfulfilled in their jobs 18% to such a degree that they are undermining their colleagues Unfilled employees are growing this stat is increased from 55% in 2010 http://www.gallup.com/strategicconsulting/163007/state-american-workplace.aspx http://cbsnews.com/2100-201_162-6056611.html Know Thyself Self Assessment o Financial Needs & Goals o Lifestyle Preferences o What brings you Joy & Purpose o What are your Strengths & Weaknesses Assess needs vs. the wants 2014 Student Conclave 3
BENEFITS CO WORKERS TEAM DYNAMIC 2014 Student Conclave 4
OPPORTUNITY TO SPECIALIZE COMMUNITY SERVICE OPPORTUNITIES SPECIFIC POPULATIONS 2014 Student Conclave 5
ALTERNATE SETTINGS Look at your career as a series of stepping stones NOT as a linear trajectory. http://blogs.hbr.org/2013/08/build-a-career-worth-having 2014 Student Conclave 6
Resources to guide your career path Strength Finder 2.0 Myers Briggs Type Indicator (MBTI ) MAPP Test Seek three things Legacy Mastery Freedom Use your resources 2014 Student Conclave 7
Final Thoughts Short term vs. Long term What opportunities are available to those that perform well? Do you invest in your team and how? Learning / Mentoring Promotion Ownership Clinical Specialization Teaching Etc, etc, etc 2014 Student Conclave 8
Grow an amazing CAREER! Where to Start? Review on Reflection SELF DRIVEN Financial Needs & Goals Lifestyle Preferences What brings you Joy & Purpose What are your Strengths & Weaknesses: SWOT analysis PEER DRIVEN Clinical Internships: Web CPI Faculty/Co Workers/Students and Patients 2014 Student Conclave 9
Booming Need for PT Services By 2030: Last round of boomers 65 or older will climb to >71 million, up from about 41 million currently, i.e. >70% gain 3/5 with >1 chronic condition 1/2 will be living with arthritis 1/3 will be considered obese 1/4 living with diabetes 8x s more TKA than today Source: Afable,R, Averbeck, B, Dziedzicki, R, Nichols, A et al. When I m 64: How babyboomers will change healthcare. American Hospital Assoc. May, 2007 Should I Still Be Worried?!? Picture of Physical Therapy in 1997 Tuition Then / BS to Masters / PPS Scare / Medicare Scare / Average Salary Rumor Picture of Physical Therapy in 2014 Tuition Now / Masters to Doctorate / ACA Scare / Medicare Scare(s) / Average Salary Rumor What Are All The PT/PTA Settings? 2014 Student Conclave 10
I. Outpatient Clinics Treatment Setting Outpatient Clinics: 1. Physical Therapist Owned Clinic 2. Non PT Owned Clinics: a) Individuals: POPTS & DC DO DPM NMD (Naturopathic Medicine), DHM (Homeopathic Medicine), and OMD (Oriental Medicine) RN (Nursing), LAc (Acupuncturist), ATC (Athletic Trainer), and personal trainers b) Group Owned Clinics: Hospitals / Counties / States / Districts / Federal / Military / Education Centers / Athletic Centers / Resorts / Spas Other Organizations Outpatient Clinic Services Nearly entire spectrum of physical therapy is being done in outpatient clinics More Common: Less Common 1. Aquatic therapy Headaches 2. Chronic Pain TMJ 3. Gait and Balance Neurodevelopmental 4. Joint Replacements Spinal Cord 5. Spine and Extremity Woman s Health 6. Sports Medicine Lymphedema / Oncology 7. Osteoprosis Vision / Vestibular 8. Work Conditioning Specialized techniques II. Inpatient Care Settings 1. Traditional Acute Care Hospitals 2. Trauma Centers (Level 1 5) 3. Specialty Hospitals (LTACs, Children s etc) 4. Sub acute and Rehab Hospitals 5. Skilled Nursing Facilities (SNFs) 6. Transitional Care Units (TCUs) 7. Assisted Living Facilities (ALFs) 8. Multiple Others 2014 Student Conclave 11
III. Other Settings 1. Home Health Settings 2. Adult Day Healthcare Settings 3. Healing Gardens 4. International Experiences 5. Education 6. Research 7. Political / Admin / Sales 8. Other Type of Work Fulltime Employment Part Time Per Diem/Casual Independent Contracting Registry Traveler How Am I To Know? Challenging to know if no exposure and STUDENT ASSUMPTIONS NEEDING TO BE CHALLENGED: 1. Clinical Internships will guide me, I ll know when done 2. Voluntary work is just like being a PT / PTA 3. If I focus on my studies I will be successful and know what drives me 4. There will be plenty of per diem work to guide me 2014 Student Conclave 12
Suggested Solution(s) Network, network, and network Consider volunteering while enrolled in program in a variety of settings Consider elective internships Not be overly worried, sometimes the road your on will change and alter, be proud to be a generalist Found Your Setting, Now What? How You Will Be Employed: Fulltime Part time Per Diem Independent Contracting Registry Travel PTs What More? Compensation: art of negotiation Know what is involved too: a) Productivity b) Supervision c) Number and type of therapists and average Case Load d) Time Off Policies e) Benefits f) Growth Potential 2014 Student Conclave 13
Something for Everyone Opportunities in Physical Therapy Orthopedics Wound Care Geriatrics Teaching Neurology Research Pediatrics Cardiovascular and Pulmonary Women s Health One PT s Story Why go into physical therapy? What kind of therapist to be? Experience influences you. Opportunities to grow are always there. Opening doors, opens doors. 2014 Student Conclave 14
The Clinical Specialist Eight areas currently recognized: Cardiovascular and Pulmonary Clinical Electrophysiology Geriatrics Neurology Orthopedics Pediatrics Sports PT Women s Health *The American Board of Physical Therapy Specialties www.abpts.org PTAs: Advanced Proficiency Program Acute Care Aquatic Cardiovascular/ Pulmonary Education Geriatric Integumentary (Wound Care) Musculoskeletal Neuromuscular Oncology Pediatric Areas of Pursuit More Career Options Research Teaching Health and Wellness Oncology Wound Care (Integumentary) Prosthetics Subspecialties Neonatology Orthopedic Manual Therapy Critical Care Education Leadership Hand therapy Movement science 2014 Student Conclave 15
Paths to Pursue Your Passion Clinical Residencies Fellowships Self Study Allied health and wellness field certifications, licenses, etc. Continuing Education Have a Mentor Association Involvement www.abptrfe.org (American Board of Residency & Fellowship Education) Why Specialize? Makes it into more than just a job and career, makes it about your own passion pushes you to new skill and knowledge levels. Improves the quality of care for the clients and patients we serve. Advances the profession as a whole we all learn and grow as we share knowledge & expertise. Your Story What inspired you to want to be a PT? Where is the greatest need? What area of PT are you drawn to what are you good at? What are your goals in life? Your in the right profession to do it all! Pursue your passion! 2014 Student Conclave 16