Podcasts about APTA

In this episode we discuss the topic of dual tasking. We explore: The definition of dual tasking How we can utilise dual tasking in sports, orthopaedic and return to work with our patients Dosage & delivery of dual tasking Dual tasking vs multitasking  Want to learn more about dual tasking? Dr Mike Studer recently did a brilliant Masterclass with us called “Uniting Cognitive and Physical Fitness with Dual Tasking” where he goes into further depth on this topic. 

In this episode of the Healthy, Wealthy & Smart Podcast, host Karen Litzy is joined by orthopedic physical therapist Matt Huey to discuss the importance of building independence with patients through effective communication and empowerment. With nearly 15 years of experience in outpatient orthopedics, Matt shares his diverse PT background. He dives into strategies for meeting patients where they are in their healing journey and fostering a collaborative environment in therapy. Tune in to discover how to enhance patient empowerment and promote more effective therapeutic relationships. Time Stamps:  [00:03:12] Patient empowerment through education. [00:04:42] Soft skills in physical therapy. [00:11:23] Building patient independence in therapy. [00:12:20] Mechanical pain explanation. [00:18:02] Home exercise consistency challenges. [00:19:36] Incorporating exercise into daily routine. [00:23:13] Effective communication in therapy. [00:27:47] Honesty in patient treatment. [00:32:28] Special tests in therapy. [00:35:15] Patient communication and independence. [00:40:38] Asking questions for growth. [00:00:00] Health, wealth, and smart living.   More About Matt Huey: With nearly 15 years of experience as a physical therapist, Matt has established himself as a highly skilled clinician in the realm of orthopedic care, both in patient care and clinical expertise.   Matt earned a diploma in Mechanical Diagnosis and Therapy (MDT), showcasing his mastery in assessing and treating musculoskeletal disorders. He is also a Fellow of the American Academy of Orthopaedic Manual Physical Therapists (FAAOMPT), which reflects advanced skills in manual therapy approaches.   Matt has demonstrated leadership by operating clinics throughout his career, leading them to deliver the highest quality care and serving the profession through various roles. In his time, he has not only assisted in the passage of the licensure compact bill into law, but also brought about a motion for the APTA to support pay transparency as a way to help improve wage disparities.   Matt has also leveraged social media as a way to not only entertain people through humor, but also educate a wider audience about Resources from this Episode: Matt's Website Matt on Instagram Matt on TikTok Matt on YouTube   Jane Sponsorship Information: Book a one-on-one demo here Mention the code LITZY1MO for a free month Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio

UNA MESA DE GRACIA, NO DE MÉRITOEn Lucas 14, un hombre que escuchaba a Jesús exclamó piadosamente: “Bienaventurado el que coma pan en el reino de Dios” (v.15). Pero Jesús respondió con una parábola que desnudó el corazón de quienes presumían de su justicia. Aquel que se sentía seguro de estar entre los comensales del Reino, en realidad no entendía quiénes eran los verdaderos invitados.Cristo describe una gran cena preparada con generosidad. La mesa está servida, pero los primeros convidados se excusan con argumentos mundanos: un terreno que atender, unos bueyes que probar, una boda recién celebrada (v.18–20). Todos ellos representan a quienes valoran más sus asuntos que el honor de sentarse a la mesa del Rey. Aquí el fariseísmo se desenmascara: es la religión de quienes creen tener derecho al banquete, pero no tienen hambre de gracia.El Evangelio no es para los que creen merecerlo, sino para los que no tienen nada que ofrecer.He aquí, una invitación para los que no tienen nadaAnte el desprecio de los primeros, el dueño de casa —imagen de Dios mismo— abre su convite a los pobres, mancos, cojos y ciegos (v.21). ¡Qué imagen tan clara de los que reconocen su necesidad espiritual! Ellos son los que saben que no pueden llegar por sus méritos. No traen dotes, ni vestidos finos, ni logros religiosos. Solo traen su quebranto, su miseria, y una disposición humilde a recibir.Así es la gracia del Nuevo Pacto. En la Cena del Reino no hay lugares reservados para quienes confían en su piedad externa. No es apta para fariseos que oran de pie dando gracias por no ser como los demás (cf. Luc. 18:11), sino para pecadores que claman a Dios pidiendo misericordia.Cristo es un Salvador perfecto; pero sólo para pecadores verdaderos. Y estos son los que Él mismo invita: "venid a mí".He aquí una cena de caridad que humilla el corazón.Cuando uno se sienta en esta mesa, no se jacta, se quebranta. Es una cena de caridad, es decir, de amor gratuito. Aquí no hay rangos ni méritos, sino un mismo pan para todos: Cristo crucificado por los indignos. Comer de este pan es participar de su muerte (1 Cor. 10:16), es renunciar a todo orgullo, es confesar: “Señor, yo no soy digno... pero di la palabra, y seré sano”.Esta mesa —como símbolo del Reino— es una constante humillación al ego religioso. Por eso los que se creen llenos no se sientan. Solo los vacíos son llenados. Solo los pobres en espíritu son saciados. Es que la puerta del cielo es baja: sólo pueden entrar los que se agachanVEN A LA CENA DE CARIDAD; TODO ESTÁ PREPARADO PARA LOS POBRES E INDIGNOS QUE BUSCAN A CRISTO.El mensaje del Evangelio es claro y urgente: “Venid, porque ya todo está preparado” (v.17). No se nos pide traer nada, solo venir. ¿Te sientes indigno? Estás en el grupo correcto. ¿Te duele tu pecado? Este banquete es para ti. ¿Sientes que has fallado demasiado? Cristo preparó su mesa no para los limpios, sino para lavar con su sangre a los sucios.No te excuses más. No alegues ocupaciones. No esperes a “estar mejor”. Ven tal como estás, con corazón sencillo y espíritu quebrantado. La Cena está servida. El Señor recibe con gozo a los que se reconocen pobres y necesitados.

Real estate investing for doctors is more than just a trend — it's becoming a critical strategy for physicians looking to reclaim control of their time, reduce burnout, and build long-term wealth.In this episode, we sit down with Dr. Vasu Kakarlapudi, MD, MBA, founder of APTA Investment Group, a practicing ENT surgeon turned real estate investor who helps fellow physicians and surgeons achieve financial freedom through real estate. Dr. Kakarlapudi's methodical, low-risk approach resonates deeply with medical professionals who are tired of the grind and want to explore passive income for surgeons.You'll learn how APTA crafts recession-resistant portfolios focusing on multifamily real estate, medical office buildings, and retail assets. Vasu shares his 28x ROI case study, breaks down risk management for high-interest environments, and reveals how physicians can transition from clinical burnout to becoming empowered investors.This episode is for you if you've ever searched for:"How to start real estate investing as a doctor""Passive income for medical professionals""Safe real estate strategies for busy physicians"By the end, you'll understand how Vasu's structured investment framework — built on trust, data, and physician-first principles — can serve as a blueprint for doctors ready to transform their financial futures.

Killer episode with APTA Utah president Dr. Justin Carrier on the recent bill that passed officially recognizing physical therapists as primary care providers. We unpacked a LOT. This is something every PT/PTA, APTA state chapter representative, lobbyist or interested party should listen to. Important references in the links below: The Bill Utah SB 0196 https://le.utah.gov/Session/2025/bills/static/SB0196.html Cardiovascular conditions in Athletes course: https://learn.redefinehealthed.com/courses/cvathletes MSK Imaging Certification: https://learn.redefinehealthed.com/courses/MSKimagingcert Foundations for the Primary Care PT: https://learn.redefinehealthed.com/courses/PCPTonline

స్ఫూర్తి కిరణాలు కార్యక్రమంలో భాగంగా ఈ వారం ఆప్త ఫార్మర్ ప్రెసిడెంట్ శ్రీ గోపాల గూడపాటి గారిని కలుసుకుందాం. 2006 లో అమెరికా వెళ్లిన ఆయన, తన ఉద్యోగ బాధ్యతలతో పాటు, ఒక రేడియో హోస్ట్ గా, సిలికాన్ ఆంధ్ర మనబడి అధ్యాపకుడిగా ఎలా సేవలందించారు? అక్కడ నుండి APTA అధ్యక్షుడిగా ఎలా ఎదిగారు? అసలు ఈ నాయకత్వ లక్షణాలు ఎలా అలవడ్డాయి? వీరికి స్ఫూర్తి ఎవరు? ఇలాంటి ఎన్నో విషయాలు మనతో ఈ పాడ్కాస్ట్ పంచుకుంటున్నారు. మరి వినేద్దామా?As part of the "Spoorthi Kiranalu" series, we meet Sri Gopala Gudapati, who journeyed to the U.S. in 2006 and served as a radio host and Silicon Andhra Manabadi teacher. He rose to become APTA President, sharing insights on leadership and his sources of inspiration in this podcast.​Host : RenusreeGuest : Gopala Gudapati#TALRadioTelugu #InspiringLeaders #TeluguDiaspora #GopalaGudapati #SpoorthiKiranalu #APTA #TouchALife #TALRadio

OCU pone el foco en el porcentaje de calles peatonales que hay en las capitales de la región con un déficit importante

Why are PT wages so low—and more importantly, who's responsible?In this episode of the PT Pintcast 6-Pack, we're joined by Matt Huey, a physical therapist, powerlifter, and healthcare humorist, who isn't afraid to ask the uncomfortable questions. With five Texas state powerlifting records under his belt and a serious passion for wage transparency, Matt breaks down the forces behind stagnant PT pay—and what we as a profession can do about it.This one's for the PTs and PTAs wondering if it's the APTA, the government, or just us holding the paycheck hostage.Expect real talk, some laughs, and ideas you haven't heard before on how to actually shift this conversation—and your income.

In this episode of the Healthy, Wealthy and Smart Podcast, host Karen Litzy welcomes back fellow physical therapist Ali Shoos to discuss leadership within the physical therapy profession. Allie, a dedicated volunteer leader since she began her career in 1982, shares her journey and experiences in fostering the potential of future leaders in the field. The conversation explores the importance of mentorship, the impact of involvement in professional organizations, and the role of the community in shaping effective leaders. Join Karen and Ali as they delve into the significance of leadership in physical therapy and how to empower the next generation of therapists.   Time Stamps:  [00:01:21] Leadership journey in physical therapy. [00:04:11] Leadership and advocacy journey. [00:10:05] Telehealth leadership during COVID. [00:14:36] Giving back to the profession. [00:17:30] Mentorship in professional growth. [00:22:02] Integrity as a leadership quality. [00:24:40] Vulnerability in leadership. [00:28:12] Volunteer opportunities in APTA. [00:34:55] Be bold and take risks. [00:35:26] Boldness in leadership decisions.   More About Ali Schoos: Ali Schoos, PT, graduated with her bachelor's degree from the University of Puget Sound in Tacoma WA in 1982. Between then and 2000 she worked in a private practice, managed a hospital based sports medicine clinic, opened a private practice in 1987, and worked for a national PT company for six years as their group director in the greater Seattle area.  She then returned to private practice in 2000, after co-founding Peak Sports and Spine Physical Therapy with her husband, a group of 8 private practice clinics, practicing in Bellevue, WA. She has been a board certified orthopedic specialist from 1993-2023. She retains a small ownership in the clinics that have largely been sold to the partners she and her husband developed from their employees.   Ali has long been an active volunteer and advocate for the PT profession. She has been the secretary and chair for the Orthopedic Special Interest group, state insurance liaison for APTA Washington for nine years, a delegate to the HOD, past board member for Washington state PPSIG, served on the APTA Private Practice Section Board of Directors for six years, as well as the Covid advisory task force. She served on the APTA advisory group for primary care PT and the development of the APTA telehealth certification series. She currently serves on APTA PPS Nominating Committee, the telehealth subcommittee for APTA PPS payment policy committee,  and is an APTA PAC Trustee. She is a key PT for APTA and APTA PPS and active in legislative advocacy in Washington state. She was awarded the Washington state PT of the Year in 1993 for her insurance advocacy and again in 2021 for her work on obtaining telehealth payment and delivery parity in Washington during the outbreak of the Covid pandemic. She also advocates for Alzheimers' and ALS research, medication access, and patient resources. She has presented on numerous topics, most recently for APTA and APTA PPS webinars on telehealth, advocacy, and marketing, as well as developing and moderating “Chelan Chat” for the Washington State PPSIG annual meeting in 2022 and 2023. Ali has served her local community on the Alzheimers' Regional Advisory Board, the Bellevue YMCA board, her parish council, fundraising efforts for her children's school, and coaching her kids in soccer when they were young enough to not be too technical yet! She loves the physical therapy profession and is happy to serve in any way that facilitates our movement forward as a profession and helps us to better meet the needs of our patients, while keeping us financially viable as a profession. Resources from this Episode: APTA Private Practice Peak Sports and Spine PT Ali on LinkedIn   Jane Sponsorship Information: Book a one-on-one demo here Front Desk @ Jane Mention the code LITZY1MO for a free month   Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio

En Capital Intereconomía, Roberto Moro, Director de APTA negocios, comenta la situación de los mercados y resuelve las dudas de nuestros oyentes. La buena situación del mercado europeo y el IBEX, que se encuentra a punto de alcanzar máximos de nuevo, nos invita a seguir invirtiendo, aún así, el analista advierte que “la tortilla se volverá a girar, pero mientras tanto, a seguir disfrutando”. El analista opina que “el IBEX, podría Incluso podría desplazarse al alza en torno a los 1000 puntos” y señala como soportes de resistencia los valores del 11 y 13 de marzo.

Dr. Corrie Jones discusses her appraoch to helping athletes return to plyometrics following an injury. 

Meditamos ampliando nuestra paz, nuestra luz interior, nuestra plenitud. (Apta para conciliar el sueño. )"Quizás la mayor tragedia de nuestras vidas es que la libertad es posible, pero podemos pasar los años atrapados en los mismos patrones... Quizás queramos amar a los demás sin reservas,.." Tara Brach y por otro lado "¿Es este el camino del amor?" nos podemos preguntar. https://www.instagram.com/ilana_dhamma

In this conversation, Dr. Cameron Bearder shares his experiences and insights from the APTA's 50th Annual Conference, highlighting the scale of the event, the demographics of attendees, and the educational content presented. He discusses the differences between physical therapy and chiropractic practices, particularly in terms of research application and clinical practices. Dr. Bearder reflects on the networking opportunities available at the conference and emphasizes the importance of collaboration between physical therapists and chiropractors for better patient outcomes.Important Links:Dr. Bearder's Cornelius, NC practice: https://www.keystonespineclinic.com/Dr. Bearder on IG: @drbearder

Many of us might only seek out physical therapists if we are recovering from accidental injuries or surgery. However, medical experts say these specialists can also help prevent many health problems if they are seen on a regular basis. 我们中的许多人可能只有从意外伤害或手术中恢复过来时才能寻找物理治疗师。 但是，医学专家说，如果定期看到这些专家，也可以帮助预防许多健康问题。 One leader in the industry, Sharon Dunn, even calls physical therapists “the best-kept secret in health care.” Dunn is the past president of the American Physical Therapy Association (APTA). 该行业的一位领导者莎朗·邓恩（Sharon Dunn）甚至称物理治疗师为“医疗保健中最保鲜的秘密”。 邓恩（Dunn）是美国物理治疗协会（APTA）的前任主席。 She recently told The Associated Press she thinks people need to look at physical therapists in a new way – as health practitioners who can help identify possible medical issues before they appear. 她最近告诉美联社，她认为人们需要以一种新的方式研究物理治疗师 - 因为可以在出现之前帮助识别医疗问题的健康从业人员。 Other health experts share this opinion. They include Roger Herr, the current president of the APTA, and Gammon Earhart of Washington University in St. Louis. They both shared Dunn's prevention message in separate discussions with the AP. 其他健康专家也分享了这一意见。 其中包括APTA现任总裁Roger Herr和圣路易斯华盛顿大学的Gammon Earhart。 他们俩都在与AP的单独讨论中分享了邓恩的预防信息。Earhart urges people to think about physical therapists just as they do dentists. “Even if you're not having any problem, you go in and have everything checked out.” She noted that such examinations could help find and deal with problems early. Earhart敦促人们像牙医一样考虑物理治疗师。 “即使您没有任何问题，您也要进去，并签出一切。” 她指出，这种检查可以帮助早期发现并处理问题。 For example, an exam could include a patient's health history and current health – things like physical activity, sleep, nutrition, and so on. This could be followed by a look at how a person is moving. Exams might uncover things like postural issues or unusual body movements. 例如，考试可能包括患者的健康病史和当前健康状况 - 例如体育锻炼，睡眠，营养等。 随后可以看一下一个人的移动。 考试可能会发现诸如姿势问题或不寻常的身体运动之类的东西。 Herr is a big supporter of yearly wellness visits. He told the AP he believes physical therapists can be helpful for all kinds of people – the young, athletes, or anyone who wants to be as “independent as possible.” HERR是年度健康访问的主要支持者。 他告诉美联社，他认为物理治疗师可能对各种各样的人（年轻人，运动员或任何想“尽可能独立”的人）有所帮助。In the United States, you can now visit a physical therapist in all 50 states without needing permission from a doctor or surgeon. 在美国，您现在可以参观所有50个州的物理治疗师，而无需医生或外科医生的许可。 However, a yearly exam might not be covered by a person's health insurance. This could prevent some from seeking out care. 但是，每年的考试可能不会被一个人的健康保险所涵盖。 这可能会阻止某些人寻求护理。 Earhart estimated such a visit in areas across the U.S. Midwest might cost around $150. Herr suggested a cost of $200-$300 in more costly areas. But both experts said that in the long run, such exams might save money and can add healthy years.Earhart估计在美国中西部地区的地区进行了这样的访问，费用约为150美元。 HERR建议在更昂贵的地区成本为200-300美元。 但是两位专家都说，从长远来看，这样的考试可能会节省金钱并增加健康的岁月。

#NayibeAbud ASEGURA que #ImeldaTuñón no es APTA para cuidar a su hijo #Juliancito tras PRESENTAR PRUEBASSee omnystudio.com/listener for privacy information.

En #PájarosEnElAlambre ¡#ImeldaTuñón NO es APTA para cuidar a su hijo según #NayibeAbud! Calambres, besos de tres, esto y más en #SaleElSolSee omnystudio.com/listener for privacy information.

Hachazo del Barça. No es la mejor semana en la historia del Atleti. El Madrid cansado no agota los cambios. Del fútbol al postfútbol o el metafútbol. Jornada delirante del VAR. Joan García y no venirse abajo. El Newcastle, Gol Cantado y reflexionando unos temitas. La Liga de Mascotas volverá a nuestras vidas.

On January 1, 2017 new Common Procedural Codes Terminology or CPT codes were formerly introduced for physical and occupational therapy evaluations. CPT, authored by the American Medical Association, aims to provide uniform language for health care professionals to code medical services. The goal is to streamline reporting, and to increase efficacy. The decision to modify evaluation coding came about after careful deliberation with AOTA, APTA, the Centers for Medicare and Medicaid, other insurers and other key stakeholders. Why is this change a huge win for PT and OT professionals? It allows us to capture the complexities of the patients you work with every day in practice. Prior to 2017 all evaluations were coded the same, regardless of the time, effort, and critical thinking skills needed by the therapist to perform the service. Now that we have coding options, how do we know which evaluation code to choose? And why does it even matter? Data is being compiled and could result in increased reimbursement in the near future. Therefore, PTs and OTs are charged with the responsibility of using critical thinking to select a code that accurately reflects the complexity of the evaluation. This course will discuss the dos and don'ts of complexity code selection and several reasons why it is important to choose correctly; including ethical and legal considerations. Several case examples will be provided to integrate theory into practice, as well as a Complexity Code Selection Guide. Return to the clinic ready to code confidently and accurately every time.  To view accreditation information and access completion requirements to receive a certificate for completing this course, please click here. The content of this Summit podcast is provided only for educational and training purposes for licensed physical therapists and occupational therapists. This content should not be used as medical advice to treat any medical condition in either yourself or others.

On today's show Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS, recap their experience at the recent APTA's CSM conference and what stood out. Neuro Collaborative was founded with the mission of helping people start neuro-focused practices and programs in their communities, to increase access to specialized neurological care and services. We grew into providing mentorship and continuing education, and part of the mission continues to be helping people start and sustain practices. We'll explore the challenges of running a neuro-only clinic, including the need for supplementary revenue streams. We'll discuss various solutions to creating a sustainable practice in neuro because it looks very different than an ortho practice. Be sure to follow us on IG and send us a DM if you have questions about your neuro biz! @neurocollaborative  Listen to our previous episode with Adriaan Louw, Episode 211 Request to join the NeuroBiz Besties free Slack channel  

Brian Gallagher reflects on his experience at APTA's CSM conference in Houston, sharing insights on the new generation of physical therapists and the evolving landscape of private practice. In this episode, he breaks down the key business models available to PTs, the importance of practice management strategies, and how MEG Business is lowering the barrier to entry for private practice owners. If you're thinking about scaling, transitioning, or launching your PT business, this episode is for you! Click Here to Book a Free Discovery Call!  

In this episode of the Making Strides for Animal Chiropractic podcast, Dr. Katie talks with Dr. Francisco Maia. He is originally from Brazil, moved to the U.S. in 2005, and earned a B.S. in Exercise Science from IUPUI in 2009, graduating with top honors. He then obtained his Doctor of Physical Therapy degree from the University of Pittsburgh in 2012, where he and his wife adopted their first dog, Ringo.After working in orthopedics and sports medicine, he combined his expertise with his passion for animals, earning his canine rehabilitation certification in 2015. In 2017, he founded TheK9PT, initially as a mobile practice to improve access to canine rehabilitation. By 2020, the business expanded into a hybrid model with in-home and in-clinic sessions in Irving Park, Chicago.A leader in the field, Dr. Francisco mentors other canine therapists, teaches at the Canine Rehabilitation Institute and serves as President of the APTA's Animal Physical Therapy Special Interest Group.Topics covered in this episode: Francisco's transition from human physical therapy to canine rehabilitationOvercoming challenges in client acquisition and pricing servicesBalancing direct-to-consumer marketing with veterinary referralsLeveraging Google and the 7% rule for lead generationBuilding and scaling a mobile and clinic-based businessTracking metrics, differentiation, and networking for successFrancisco's journey into canine rehabLinks and Resources: Visit the K9PT Academy website to learn moreVisit TheK9PT websiteFind TheK9PT on FacebookFind TheK9PT on InstagramFind TheK9PT on YouTubeMaking Strides for Animal Chiropractic Links and Resources:Visit the Making Strides for Animal Chiropractic websiteVisit our Facebook PageVisit our Instagram Page Thank you to our sponsors!Academy for the Advancement of Animal ChiropracticiPoint Touch- Integrative Veterinary Medicine EHRThe Evidence Based ChiropractorHave an idea for the podcast? Please leave us a survey! 

Its that time of year folks! #PTintheCommunity is happening again at the APTA's Combined Sections Meeting (CSM 2025 Houston, TX Feb 12-15 2025).Come on out and Volunteer with us!!!Dr Patrick Berner covers all the deatils

In this episode, Jerry sits down with longtime friend and physical therapist Stephanie Wayrauch to talk about the evolving journey of balancing career, family, and leadership in the PT profession. From meeting on Twitter as a PT student to now running her own mobile pelvic health practice in Montana, Stephanie shares her path—from early career decisions and APTA involvement to navigating work-life balance as a parent and business owner.They dive into:

Stephen Anderson's journey from a Division III basketball player to CEO of the largest private practice physical therapy organization in the U.S. is nothing short of remarkable. In our conversation, Stephen shares the lessons he learned about leadership, the value of teamwork, and how he embraced opportunities even when they seemed daunting. We talk about the importance of building a strong culture, learning from failure, and empowering others to lead from any position. If you've ever doubted your leadership potential or wondered how to navigate challenges in healthcare, Stephen's advice will inspire you to take that next step and embrace your own journey.Steve Anderson is the ex-CEO of Therapeutic Associates which is a physical therapy company that consists of 100 outpatient clinics in Washington, Oregon and Idaho and a major hospital contract in Southern California. The company was formed in 1952 and Steve was the 3 rd CEO and held that position for 19 years. He is also active nationally in the American Physical Therapy Association (APTA), was a Board of Trustee for The Foundation for Physical Therapy and was the President of The Private Practice Section of APTA for 6 years between 2002-2008. He was also awarded the most prestigious award the Section gives out annually to a physical therapist, the Robert G. Dicus Service Award in 2010. Steve received the APTA Leadership Advocacy Award in 2006 for his efforts in Washington D.C. and Washington State in the legislative arena. In 2012 Steve received the Distinguished Alumnus Award from Northwestern University Physical Therapy School. In 2016 Steve was awarded Physical Therapist of the Year by PTWA, APTA's Washington State Chapter. Steve is also a founder and facilitator of The Graham Sessions for the last 18 years. The conference is a think tank, discussion and debate forum held annually on a national platform.Learn more about our guest at:www.orangedotcoaching.comhttps://www.instagram.com/steveorangedot/Check out the new course on Self Funding Your Own Conference Attendance:https://healthcareeducationtransformationpodcast.com/conferenceIf you are taking the NPTE or are teaching those about to take the NPTE, visit the NPTE Final Frontier at www.NPTEFF.com and use code "HET" for 10% off all purchases at the website...and BREAKING NEWS!!!! They now have an OCS (and soon to be GCS) review option as well... You're welcome! You can also reach out to them on Instagram @npteff If you're a PT and you have student loan debt, you gotta talk to these guys. What makes them unique is that they view financial planning as like running hurdles on a track. And for PTs, the first hurdle many of us run into is student loan debt. Varela Financial will help you get over that hurdle. They not only take the time to explain to you which plans you individually qualify for and how those plans work, but they ALSO take the time to show you what YOUR individual case looks like mapped out within each option. So if you're looking for help on your student loan debt, or any area of your personal finances, we highly recommend working with them. You can check out Varela Financial out at varelafinancial.com. Feel free to reach out to us at:  http://healthcareeducationtransformationpodcast.com/ https://www.facebook.com/HETPodcast https://twitter.com/HETpodcast Instagram: @hetpodcast @pteducator For more information on how we can optimize and standardize healthcare education and delivery, subscribe to the Healthcare Education Transformation Podcast on Apple Podcasts or wherever you listen to podcasts.

Tiff and Dana discuss the ideal ways to utilize expanded functions dental assistants (EFDAs). They provide different ideas of how an EFDA can effectively fill in gaps, address scheduling SNAFUs, why state regulations need to be taken into consideration, and more. Episode resources: Reach out to Tiff and Dana Tune Into DAT's Monthly Webinar Practice Momentum Group Consulting Subscribe to The Dental A-Team podcast Become Dental A-Team Platinum! Review the podcast Transcript: The Dental A Team (00:01.464) Hello, Dental A Team listeners. We are back at you. Dana and I, Dana, thank you for being here with me today. I'm so excited to see you. How are you on this lovely, lovely, still morning? Yes, morning.   Dana (00:14.474) God, I'm doing pretty good. I'm excited to be here. I like this. I know you're always like, I love my time with Dana. It's equally reciprocated. So I'm excited to get a little extra Tiff time today.   The Dental A Team (00:21.101) Thank you.   Thank you, me too, me too. We really need to, I was thinking this morning, as I was getting ready for work, I was like, my gosh, we need to schedule the Seven Falls hike in Tucson because it's getting cooler, we'll say. So yeah, we need to find a weekend that we can get down there, you can get up there, and we meet, it's almost in the middle, right? So, awesome. Okay, hiking is my jam, you know that, we'll get that scheduled and...   Dana (00:42.731) Yes.   The Dental A Team (00:49.771) We're going to spend some time together today. We've already recorded one podcast and I cannot wait for that one to release. I think it was fantastic. Doctors. was really good. We just did it about coding and making sure that systems are accurate and billing is accurate and billing representatives, making sure that you're getting the support you need from your doctors within that coding accuracy department. So go listen to that. If you haven't listened to it yet, I do love all of our podcasts. I think that they're all fantastic, but   We like to hear it from you guys too. So whatever you think, whatever you need, if there's ever ideas that you guys have too that you're like, gosh, I would love more information about this. Do you know anything? One, ask us at Hello@TheDentalATeam.com We're always here to help answer questions or give ideas. But if you've got podcast ideas, like we are open to them. literally, the consulting team goes through and we pick the topics and we try to think of the things that you might like. And I honestly think sometimes we might miss the mark on something. So.   Let us know if there's things that you want more information on or things that we could dive into further for you, because we're here for that. Also drop a five star review. Let us know what you think down there as well, because we do love hearing about it. I love sharing podcasts, Do you ever share a podcast with your friends? I have a very specific friend group that's podcasters, and we very specific podcasts that we share. Do you have one of those in your life?   Dana (02:10.75) Yes, I do. And I always joke around and say, if I start sending you podcasts or even sometimes like funny Instagram things, like you've made it to my inner circle.   The Dental A Team (02:18.672) Yeah, I totally agree. I saw a the other day that was like, it's a full-time job. I'm here for it. You're welcome. And it was like sending memes all day to my best friend or something like that. And my best friend is a stay at home mom. And so I sent it straight to her. She's like,   You're welcome. I'm gonna log on at the end of the day and I'm like, my gosh, got a lot of things in here. Yeah, but I do, I love sharing the podcasts and sometimes I'll share a podcast and they're like, gosh, I can re-listen to this. I'm like, I don't know. Like sometimes I just re-listen to podcasts and I get nuggets and tips that I didn't catch before or it hits a little bit differently. And I know I've gone back and listened to years later a podcast and been like, wow.   I didn't even realize it could have meant this or now I'm in this space of my life and it's completely applicable. And I think about that on my free time, I listen to much different, I listen to leadership and life coaching style podcasts and I do sprinkle some dentistry in there just to stay up to date. But it made me think this morning too, these podcasts that we do.   Sometimes we've got startup doctors or two years into owning the practice or associate doctors who maybe don't own their own practice yet or maybe they don't want to own their own practice but they're super new, listen to a podcast and then fast forward five years, we've been doing this podcast for a long time you guys, going back and listening to it from a different perspective. Today I'm a different person than I was five years ago when I first listened to it.   It made me think about that this morning. I love podcasting, I love pulling you guys into the podcasting world and getting this time with you. And it really made me think about how different stages of your life things are just gonna hit a little bit differently. So I wanted to take that minute to just remind everyone to go back through. We've got a million podcasts. Share with your friends, share with your family who's in dentistry. Like how many of us, right, have some sort of family member who's also in dentistry that could use the information?   The Dental A Team (04:19.771) Just a quick reminder, and today's topic is super fun. I am not an EFDA. I will put that out there. I'm not an EFDA, but I'm a dental assistant at heart. I will say it every single time. I just said it on the last podcast. I love dental assisting. It just makes me so happy. It fulfills my soul. So today, Dana, I thought it would be really fun to take a little adventure down the road of what an expanded functions.   dental assistant within a practice might look like. And I think this is a good space for teams and for doctors, a good podcast for doctors to really get some ideas on what that could look like within their practice. Now doctors, will say and listeners out there, not every state sees an EFDA for what another state sees them as.   So a lot of the things that we're going to talk about, remember we consult practices from coast to coast. We are all over the country. And so we've got tidbits and pieces that we picked up from different practices all over different states. So caveat to today, I want you to go check what your state's requirements are, what your state's legalities are, what they can or can't do before taking anything we say and implementing it right off the bat, right off the bat, unless you already have that information. Really easy place to go is your state dental board.   ADA usually has some interesting facts on per state. So just go double check those beforehand. So that's my caveat, but Dana and I both have worked with a lot of practices who do utilize EFTAs. It's a wild wild west out here, so we don't require the EFDA, but we do have that available here and you can do more with it. You can do the coronal polishing and things like that here in Arizona, but it's...   sadly not yet required in Arizona. I think it is getting pushed towards that way. But I wanted to pick your brain a little bit Dana on some things that you've seen maybe just within different practices across the country. We don't have to like state specific them or anything, but how have you seen chair, know, chair side wise with a doctor and after really be useful to the dentist and the practice for maybe even practice flow.   Dana (06:29.374) Yeah, so I there's two ways that I think are super common. And I do think that, like knowing, like you said, knowing your state regulations, exactly what you're after can and can't do will kind of help you choose which way might work best for your practice. And there is the first way is they really have their own column, right? And the doctors hop in where doctor is needed. And then the flip side of that is there isn't a separate column for them. They just follow the doctor.   So I think it just kind of depends on how much they can do independently based on state laws as far as which one you choose. But those are the two most common structures that I see. And I think that...   Again, we wanna maximize the way that we utilize them. The other thing that I see is EFTAs being used a lot for assisted hygiene because if they can coronal polish, that's just another avenue for them to be able to help in a different way, help to boost production too and just see more patients.   The Dental A Team (07:19.283) Yeah, thank you.   The Dental A Team (07:29.703) Yeah, I agree with that. I was thinking the same thing with hygiene and I was actually thinking as you were talking about like their own provider column or utilizing that provider situation where the doctor's kind of almost the assistant following the assistant, right? It makes me think of your hygiene schedule because if you've got an assisted hygiene schedule or even just two or more hygienists, your doctors are going in for what they need to for their exams. So it's kind of similar I think to...   practices and team members get a little hung up on the scheduling piece and like wrapping their minds around it because you're kind of like Reworking how you thought about an appointment you learned how to schedule an appointment you learn the X's and slashes and the block scheduling but now we're like totally warping what you knew and adding a new caveat but if you think of it in that like assisted hygiene or Double or triple hygiene where the doctors coming in for the exams. It's kind of similar the doctors coming in for   their pieces, right, for the drilling and the decay removal while the assistant stays there just like the hygienist would stay there and finish the cleaning, et cetera, the assistant staying there and filling the tooth back in and finishing it out. So the doctor would come and go and follow the assistant more as a provider. So I do have, I actually have an interesting like smash of all of that information. I do have a practice in a state in Tennessee.   that she's a fantastic dentist and she has like these insanely great ideas and she's always smashing things together. She actually took a hygienist, had a hygienist EFDA. So she had a hygienist go get her EFDA and now she truly is like a provider column because she's doing hygiene and she's doing EFDA out of that column, out of her chair in her room. So it's kind of cool because when practices do that, I have a few practices that are maybe not hygienists, but doing that   kind of column in that chair, that process for like a provider of a few offices that are doing that. And it's almost like you can then look at it as you would an associate or that fifth hygiene. Like how much is this column, how much is this chair able to produce based on what my UFDA can produce and not just what my doctor. So then my doctor column, like my doctor heavy column over here can be those big long.   The Dental A Team (09:46.101) crown appointments or root canals or whatever. And while he or she is able to break and go do what they need to do in my assistant, my EFDA column, they go pop over and do that and my EFDA finishes it. It's almost as if my EFDA is a provider there and can provide that column's worth of production. So it really helps you, think, when you do it that way to be able to split it out very easily. And then Dana, you mentioned the assistant following the doctor.   that's kind of the same as it is now, but you would need that other assistant to be there if the other one, like you've got two assistants calling the doctor, but that one makes it, that one I think is probably the easiest version for the scheduling aspect for people to digest because it's more similar to the way we naturally already learned how to schedule. So I think that's probably the most common one that we see.   Dana (10:22.368) there.   The Dental A Team (10:41.62) And then the hygiene one, I love that, the assisted hygiene, because yeah, coronal polishing, most of them can coronal polish and most states allow that, but again, double check that for you. But I do, actually have a practice that seriously struggles with hygienists. Like they're just in an area that is impossible to get and keep a hygienist. It is so hard. So what they've done is they've actually completely changed the model of their practice and we're still testing it.   We're only a few months in, so do not drop everything and change everything unless you have already been on this train and you're ready for it, but I'm not suggesting you drop everything and change it. Hygiene is difficult right now. I will put that out there. And we need more hygienists, so everyone out there listening, if you wanted to be a hygienist, go be a hygienist. need more of you guys. But this practice is really struggling in their hygiene department, so what they did was they actually got rid of the normal hygiene model, and the doctor   is the hygienist and the doctor, but he's got his FDES who are running the hygiene schedule. So he'll actually have like full hygiene only schedule and he'll run three or four columns of just hygiene. And it's actually super similar to a pedo practice scheduling. So there are smaller appointments and the assistants are doing most everything. He goes in and scales and does the exam at the same time. And he pops out and he's just running around like a pedo doctor would from room to room doing the scaling and the exam.   So that's actually been super beneficial for their practice because then they'll do three days of hygiene, two days of heavy treatment because they've got now four assistants. And so they can run assistant-driven columns on treatment days. And then his column, he can run two chairs on his with two assistants and then two assistant-driven columns.   where his F-Dos can be over there doing whitening, they can do impressions or scans for night guards, all of those pieces. So smashing all of those worlds together, he is exhausted, I'm not gonna lie. He's still trying to figure it out, because he's running around like a chicken. But it is a kind of cool smash between that Peto style of scheduling and then going back to that GP style of scheduling for those F-Dos.   The Dental A Team (13:00.019) I know you have lot, have practices spread out all over the place too. What have you seen practices doing? Those were kind of like examples, even similarly, but what have you seen in your practices, them really be able to utilize those F-DOS4 within all of their treatment?   Dana (13:03.21) Yeah.   Dana (13:15.86) Yeah, I love that you pointed out, Pito, because that is a great space to utilize an EFDA because assistants are doing a lot of the hygiene, but when the assistant can do the sealants and do the night guards and even do some of the restorative, you know.   The Dental A Team (13:25.984) Yeah.   Dana (13:30.812) after the preps are done, jump in and do that. So, PETO is a great avenue where you can really maximize an EFDA. So, if you're a PETO practice, consider at least having one EFDA on your clinical team because you really can maximize what they can do, especially, I mean, kiddos were trying to crank and burn out those sealants pretty routinely on those kiddos. And so, having an EFDA that even they can be scheduled specifically in their column for that, that's a really great way to maximize it. I do agree on those power hygiene days. I've got a lot of practices   that are doing the same thing where it's a power hygiene day. We are bringing in as many hygienists or assistants as we can and doctor and team are cranking out as much as you can there. And I like the assisted hygiene model and even if you're not in pedo, right, to be able to have them say, hey, no, let's go in overflow. Let's do your whitening today. Hey, no, let's go into overflow. Let's get that night card started. Like they can maximize and expand on what's already on a hygiene column. And if you're just a practice where like your restorative side   The Dental A Team (14:14.005) You too.   Dana (14:30.668) is busy and you are booked out so far, consider bringing in an EFDA who can run their own, like essentially have their own column that you hop in and out of while you're seeing your patients to really be able to maximize the restorative need in your patient base.   The Dental A Team (14:44.576) Yeah, absolutely. I love that you said that about pedo with like the sealants and things, because I was actually in one of my favorite practices not that long ago out in Atlanta. She's a pedo dentist and it is just like, I love pedo practices. I just get so, I feel like a child when I'm there and like, my gosh, I'm so excited. And it's so much fun, but it's moving so quickly. And the front office gals, the scheduling, they slid in like.   some sealants on a hygiene day, right? Which is like a no-no in this practice and in PETO, like if it's a hygiene day, it's fricking hygiene. And if you're not, don't have F-dos or hygiene doing the hygiene and doctors, it's a no-go. You don't do this, right? So they slid in some sealants because it was break, was spring break, of course. And doctor was like, I'm not really sure how you expect me to get this done. And in my brain, I was like, wow, that's wild to me that she's responsible for the sealants and that   I didn't, in that moment I was like, my gosh, she doesn't have someone here to do the sealants for her. That blows my mind, right? So was like, we gotta get this fixed because if a kiddo is here, a kiddo is ready, a kiddo needs sealants, bust it out. 15 extra minutes to get those sealants done is way better than reappointing, bringing them back, getting them settled in again, getting them prepped, like.   All the children love going to this specific practice. I'm not gonna lie, they love coming back. She's fantastic. But that's not always the case. So if you are a pedo practice or just even a pedo practice that schedules out really far and this patient needs sealants, it's really fantastic to, like you said, be able to just be like, yeah, let's just pop over here. This, know, EFDA over here or this high jumps over here is gonna get these sealants done for you while this person moves on to their next patient or that patient, that person can stay with that kiddo.   give that expanded service while someone else takes the next patient because you're all kind of doing the same things. And I know in pedo model, there's more dental assistants typically than there are hygiene. It's very rare that we see hygienists working in a pedo practice. So having those FDAS on hand is gonna be super beneficial. Maybe one, maybe two, depending on how busy you are, to really bust some of that stuff out. I think that is brilliant.   Dana (16:58.23) Yeah, and I've had a lot of general practices switching right, like we talk about sealants all the time, especially to hygiene. Like that's just a great add on for hygienists, even in adults. But I've got a lot of offices where they're switching adult sealants to flowable. Well, the hygienist can't really do that, but guess who can? And then it makes that transition super easy. We can find it in hygiene, we can do it while they're there for their hygiene appointment, but we're able to do a flowable or something that maybe the doctor prefers. So I just think, think about   The Dental A Team (17:03.319) Yeah. Yeah.   The Dental A Team (17:11.225) Bye.   Yeah.   Dana (17:26.804) the things that you would love to incorporate or where you might have just a gap as far as a need for it. And if you're a practice that does that, if you're a practice that's like, I just need somebody to kind of fill in those gaps here and there and FDOT is a great solution oftentimes to the obstacles that we're running into.   The Dental A Team (17:46.251) I totally agree. My doctor for years was like, this is so frustrating because I would prefer flowable over the sealant material because it doesn't chip as easily, but he was the only one that could place it. So I agree that is brilliant. And I think whether, whether your state allows the APTA space to really be driven like that, to really be utilized, effectively, start thinking about those things that maybe even a regular dental assistant could take from your plate.   that you're holding onto that doesn't require that extra schooling or education or letters on their name. Start looking for those spaces. Pedal, general practice, oral surgery, like surgical assistance. There's a lot of stuff they can do too. And a lot of things that assistants can do that we forget to utilize them for and then we get behind or we get stuck.   you know, stuck on something. know a lot of my associate dentists, our sticklers, still about their temps. I walk into practices and I'm like, why are you making a temp right now? Like, this is insane. This is why you have dental assistants. And the dental assistants over there twiddling their thumbs like, have nothing to do all day and I don't feel important. And you know, I'm not valued. And it's like, get your butt out of that chair, doc. What can she do to help support you? Or what can he do to help support you to give that patient an even better experience and to get you moving so that that next patient's experience   Dana (18:42.038) Yeah.   The Dental A Team (19:05.716) isn't negatively impacted just because you're spending time doing things that you don't have to. So, EFDA or not, I think it's really important to look for those areas where a dental assistant can be super supportive. Dana, have you had a lot of practices that have been in search of EFTAs and struggled to find them? Or I feel like my practices that can utilize EFTAs, like they're out there. They're finding them fairly easily and able to get them.   into the practice right away, but what have you experienced with that with the hiring search for Aftis?   Dana (19:38.646) Yeah.   I mean, I definitely think that they're out there. think practices can find them. And then I think if you can't get set, like if there is an assistant that you absolutely love in your practice, who you're like, she's just as a chair side master, or he just is so fantastic. Consider reaching the topic of looking for growth, right? Are you looking for growth in your position? Is this something that you would consider? I think we could implement it really well in the practice. And it's something that I think you would be great at. I think that that's an easy space to look within your practice if you can't find someone out there because oftentimes,   we've got that fantastic personality, that amazing chair-side go-getter, that if we had the conversation with them, it's something that they'd consider.   The Dental A Team (20:16.892) I totally agree, I think that's brilliant. I actually have a doctor here in the valley that did that and I was like dang, this gonna be everybody. He had like three assistants go and he's like my life's about to be so easy. I was like sure, we're okay. Yeah, so I do agree, I do agree. All right guys, hope, dentist, I hope you found this super valuable and I hope it gave you at least some ideas or sometimes we kinda just feel stuck or lost or like I just need like.   Dana (20:26.633) I love it.   The Dental A Team (20:39.682) something lost in the hygiene world, like whatever it might be. I hope there was a tip or a trick in here that helped you. For my FDAS out there, you guys are fantastic. For my dental assistants out there, you guys are fantastic. My heart is with all of you guys, my hygienist, front office representatives, like I hope everyone found something super helpful and valuable within this podcast and I want you to share it with each other.   especially when it comes to the scheduling. It does get little wild. It's just a little hard sometimes to bend our minds to understand what it is we're looking for. So Dana, I think action items, number one, check your state requirements and your state laws. Like what are you allowed to do with an EFDA? And number two slash three is really explore the idea and figure out where could you add more value to your patient's appointment.   reduce your time or not, at least not increase it utilizing an APTA or a dental assistant for more than what you might be right now. Dana, is there anything else you can think of? feel like those are like the two main shebangs right now. Like think about it, figure out what you can do, think about what you'd want to do, and then implement, figure out how to implement within your practice. Yeah, awesome.   Dana, thank you so much for being here today. Your ideas were fantastic. I know you've seen so many different things in all the practices you work with. And I know that with your virtual clients, you worked a lot on the scheduling model. So thank you so much for having that knowledge and for being here with me today and letting me pick your brain. I adore you and I appreciate and value your time today. Awesome, everyone. Thank you.   Dana (22:12.768) Thanks so much.   The Dental A Team (22:16.539) Go leave us a five star review. I wanna know if you enjoyed this. Doctors, I really wanna make sure that this stuff is really hitting home for you, that it's something that's super valuable for you. So reach out to us, Hello@TheDentalATeam.com Let us know if you loved it. Let us know if there's more information that you'd like or if you're trying this model already and you've got some, you know, some stop holds, some holdups, some walls you're hitting, whatever that might look like, reach out to us. We're always here to help. Hello@TheDentalATeam.com and we will catch you next time.

In this episode of the Healthy, Wealthy, and Smart Podcast, host Dr. Karen Litzy welcomes Dr. Mike Studer, the author of "The Brain That Chooses Itself." Dr. Studer shares his extensive background as a physical therapist with 33 years of experience, focusing primarily on neurologic therapy while also engaging in pediatrics and geriatrics. They discuss behavioral economics and how it is a powerful tool that can be effectively utilized in physical therapy to create personalized care plans that motivate patients. By understanding how individuals make decisions, physical therapists can implement strategies such as nudges, gamification, and temptation bundling to enhance patient engagement and adherence to treatment plans.   Time Stamps:  [00:03:05] Unique consulting opportunities for PTs. [00:05:22] Behavioral economics in decision-making. [00:10:50] Temptation bundling in therapy. [00:14:55] Health span versus lifespan. [00:18:32] Lactate's effect on brain health. [00:21:52] The importance of choice in health. [00:27:35] Find your passion.   More About Dr. Studer: Mike Studer,PT, DPT, MHS, NCS, CEEAA, CWT, CSST, CBFP, CSRP, FAPTA, has been a PT since 1991, a board-certified in neurologic PT in 1995, and a private practice owner since 2005.  Dr. Studer has been an invited speaker covering 50 states, ten countries, and four continents, speaking on topics ranging from cognition and psychology in rehabilitation, aging, stroke, motor learning, motivation in rehabilitation, balance, dizziness, neuropathy, and Parkinson's Disease.  Dr. Studer co-founded and is co-owner of Spark Rehabilitation and Wellness in Bend, OR. He is an adjunct professor at adjunct professor at Touro University in Las Vegas as well as a part-time instructor at UNLV. Mike has led classes in the DPT program at Oregon State University (motor control) and frequently serves in a guest-lecture capacity at several other DPT and residency programs. In 2011, Mike was recognized as Clinician of the Year in the Neurologic and (in 2014) the Geriatric Academies of the APTA.  He received the highest honor available in PT in 2020, being distinguished as a Catherine Worthingham Fellow of the APTA in 2020, joining a group of under 300 persons at the time for the profession's history.  Mike's professional honors additionally reflect his service at the state and national level, including the Vice President of the Academy of Neurologic PT and the Mercedes Weiss award for service to the Oregon chapter of APTA.  He holds a trademark in dual-task rehabilitation and has a patent pending on the same. Over his career, Mike has presented courses in all 50 states, four continents, and 10 countries. He has authored over 35 articles and 6 book chapters and routinely has clinical research projects in affiliation with one of many universities. He is a consultant to Major League Baseball on the motor control of pitching and hitting. As a very fun and lighthearted note, Mike is the four-time and current WR holder for the fastest underwater treadmill marathon, a mark set most recently in January 2022.    Resources from this Episode: Mike's Website Mike on Instagram The Brain That Chooses Itself   Jane Sponsorship Information: Book a one-on-one demo here Mention the code LITZY1MO for a free month   Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn   Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio

𝐄𝐥 𝐩𝐨𝐝𝐜𝐚𝐬𝐭 𝐬𝐨𝐛𝐫𝐞 𝐍𝐅𝐋 𝐦𝐚́𝐬 𝐢𝐧𝐭𝐞𝐫𝐚𝐜𝐭𝐢𝐯𝐨, 𝐜𝐨𝐧 𝐑𝐚𝐟𝐚 𝐂𝐞𝐫𝐯𝐞𝐫𝐚, 𝐍𝐚𝐜𝐡𝐨 𝐂𝐞𝐫𝐯𝐞𝐫𝐚, 𝐒𝐚𝐧𝐭𝐢𝐚𝐠𝐨 𝐓𝐨𝐦𝐚𝐬𝐢 𝐲 𝐏𝐚𝐜𝐨 𝐕𝐢𝐫𝐮𝐞́𝐬 Después de la décima semana de temporada regular en la NFL, analizamos una jornada marcada por lo igualado de muchos de los encuentros, que se decidieron en la última jugada. Además. analizamos el resto de la actualidad NFL y respondemos a vuestras preguntas. 𝗦𝘁𝗿𝗶𝗽𝗲𝘀, 𝘁𝘂 𝗮𝗴𝗲𝗻𝗰𝗶𝗮 𝗱𝗲 𝘃𝗶𝗮𝗷𝗲𝘀 𝗱𝗲𝗽𝗼𝗿𝘁𝗶𝘃𝗼𝘀 stripes.es 𝐑𝐨𝐜𝐤 & 𝐁𝐥𝐮𝐞𝐬, 𝐞𝐥 𝐥𝐮𝐠𝐚𝐫 𝐩𝐚𝐫𝐚 𝐝𝐢𝐬𝐟𝐫𝐮𝐭𝐚𝐫 𝐝𝐞 𝐥𝐚 𝐦𝐞𝐣𝐨𝐫 𝐦𝐮́𝐬𝐢𝐜𝐚 𝐞𝐧 𝐙𝐚𝐫𝐚𝐠𝐨𝐳𝐚 𝐇𝐚𝐫𝐝 𝐑𝐨𝐜𝐤 𝐂𝐚𝐟𝐞́ 𝐁𝐚𝐫𝐜𝐞𝐥𝐨𝐧𝐚: 𝐋𝐚 𝐦𝐞𝐣𝐨𝐫 𝐜𝐨𝐦𝐢𝐝𝐚 𝐚𝐦𝐞𝐫𝐢𝐜𝐚𝐧𝐚 𝐣𝐮𝐧𝐭𝐨 𝐚 𝐫𝐞𝐥𝐢𝐪𝐮𝐢𝐚𝐬 𝐝𝐞𝐥 𝐑𝐨𝐜𝐤 Twitter: @ElCapologist Twitch: https://www.twitch.tv/elcapologist Youtube: https://www.youtube.com/watch?v=br4bwIXvCjE&;;;;t=811s

La semana que acaba de terminar tuvo tres temas relevantes. El contundente triunfo de Donald Trump en las elecciones de los EEUU, el anuncio del presidente Javier Milei del fin de la recesión y el recrudecimiento del conflicto en Apolíneas Argentina, que podría terminar con el cierre de la empresa. Entrevistamos a Ricardo Cirielli, secretario general de APTA, para analizar la crisis terminal de la aerolínea de bandera. Recomendamos Tu tambien lo harías (Apple+) El trailer posés verlo acá https://bit.ly/40Hy0XU Comparto mi análisis de las elecciones norteamericanas publicado en MDZ online https://bit.ly/4fi0SKJ GRACIAS POR TU DONACION Si querés y podes ayudarnos a financiar Micro Mundos. Es muy fácil, sólo te pedimos que nos invites un cafecito..o también varios. Esa es tu decisión. Tus donaciones son muy importantes para que podamos seguir creciendo y mejorando. Micro Mundos seguirá siendo gratis e independiente por eso tu colaboración es indispensable. Si querés colaborar con Micro Mundos podés invitarnos un cafecito desde este link ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://bit.ly/4ckPD2r⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Tu apoyo significa mucho, nos ayuda a crecer y a mejorar. ¡Muchas gracias! Suscribite a Micro Mundos en ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Spotify⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Suscribite a Micro Mundos en ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Applepodcast⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Suscribite al canal de ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Youtube⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Mis Redes Sociales Seguime en X:⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@martinpitton⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Seguime en Instagram ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@pittonmartin⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Seguime en ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

In this episode of the Healthy, Wealthy, and Smart podcast, hosts Dr. Karen Litzy and Dr. Stephanie Weyrauch welcome Dr. Rob Worth, the Vice President of the APTA Private Practice Section, live from the Jane booth at the APTA Private Practice meeting in Washington, D.C. Rob shares insights into his early career in physical therapy, revealing that his passion for the profession began at the age of 16. He discusses the criteria he considered when choosing a career, emphasizing his desire to work in healthcare, focus on wellness, and leave a meaningful legacy. Please tune in to learn more about Rob's journey and his contributions to physical therapy.   Time Stamps:  [00:01:03] Early career in physical therapy. [00:06:36] Building resilience through adversity. [00:09:20] Finding passion in mentorship. [00:12:25] Loss of a practice partner. [00:15:23] Mission trips' impact on life. [00:20:30] Importance of having fun. [00:22:36] Opportunities in physical therapy. [00:26:16] Business Fundamentals program launch.   More About Dr. Worth: Dr. Worth has been in private practice since establishing Advanced Physical Therapy & Sports Medicine in 1998, with 29 clinics in northeast/central Wisconsin and provides on-site care for 60+ companies and municipalities.  Rob has served in many volunteer and leadership roles within the APTA over the past 30 years and is currently a Wisconsin Delegate to the American Physical Therapy Association and also serves as Vice-President on the APTA Private Practice Board of Directors. Dr. Worth has received the Outstanding Service Award from APTA Wisconsin and the IndUS International Award for cross-cultural contributions in healthcare.   Resources from this Episode: Advanced Physical Therapy & Sports Medicine Rob Worth Instagram   Jane Sponsorship Information: Book a one-on-one demo here Mention the code LITZY1MO for a free month   Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn   Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio

In this episode of the Healthy, Wealthy and Smart podcast, host Dr. Karen Litzy interviews Roger Herr, president of the American Physical Therapy Association (APTA), discussing his journey in physical therapy, the APTA's initiatives, and advocacy efforts. Roger shares his career path from PT school to managing home care operations, emphasizing the APTA's focus on improving payment models and transitioning to value-based care through member engagement. He outlines the strategic planning process for the next three to five years, highlighting the importance of addressing unsustainable payment systems and workforce challenges. The conversation also covers recent legislative wins, including changes in Medicare regulations and telehealth access, while underscoring the APTA as a community that supports professional growth. Roger encourages innovation within the profession and expresses gratitude for the engaged APTA members, concluding with a call for continued involvement in advocacy efforts.   Time Stamps:  00:00-05:19: "Insights from APTA President Roger Herr on Physical Therapy's Future" 05:19-09:48: Innovative Payment Models and APTA's Strategic Planning 10:27-11:04: "Collaborative Efforts for APTA's Future Planning" 12:25-14:56: "Transforming Strategic Planning: Engaging Members and Addressing Workforce Challenges" 15:05-18:07: "APTA Strategic Planning and Advocacy Insights" 19:56-23:55: "Advancing Telehealth and Workforce Diversity in Physical Therapy" 25:47-29:55: "Embracing Innovation and Change in Physical Therapy"   More About Roger Herr: Roger Herr is VP VNSNY Home Care at VNS Health in NYC. A distinguished healthcare leader with over 35 years of experience in post-acute care, quality reporting, health plan, and rehabilitation. Roger has implemented multiple post-acute care regulatory changes in home health, hospice, and long-term care. He has lived and worked in New York, Washington, California, and Pennsylvania. He has served multiple federal technical expert panels and quality and policy reform appointments. Roger is currently President of APTA and has twenty years of board experience in the American Physical Therapy Association (APTA) specialty sections, state chapters, and national board of directors.  An APTA member since 1985, Herr's previous association service includes previous terms on the APTA Board of Directors, serving as chief delegate for New York, and serving on APTA's Public Policy and Advocacy Committee. He has been recognized as Physical Therapist of the Year by the Washington Chapter (2006), and received APTA's Lucy Blair Service Award (2021) and Marilyn Moffat Distinguished Service Award (2021). Resources from this Episode: Roger on LinkedIn American Physical Therapy Association APTA Advocacy APTA Strategic Plan 2022-2025   Jane Sponsorship Information: Book a one-on-one demo here Mention the code LITZY1MO for a free month   Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn   Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio

Innovative hiring strategies for physical therapy clinics, exploring how to attract, interview, and secure top-tier physical therapists. Jimmy McKay, alongside industry leaders, shares creative approaches to identify motivated candidates, avoid common hiring pitfalls, and enhance your recruitment process. 00:00 – Introduction: The Challenge of Hiring in PT Clinics03:45 – Unconventional Interview Techniques That Work12:30 – The Power of First Impressions in the Hiring Process21:15 – Should You Offer APTA Memberships as a Job Perk?30:50 – Real-life Examples: How Front Desk Conversations Impact Hiring40:18 – Streamlining Your Recruitment Process with FAQs50:35 – Creative Easter Eggs to Ensure Candidate Engagement58:00 – Final Thoughts: Standing Out in a Competitive Job MarketThey discuss real-life examples, including the power of unconventional interview tactics and leveraging APTA memberships as part of compensation packages. Whether you're a clinic owner struggling with staffing or a practice manager seeking to optimize your recruitment pipeline, this conversation offers valuable insights to help you thrive in a competitive market.Key Points Discussed:How creative interview techniques can reveal true candidate motivation and fit.The pros and cons of offering paid APTA memberships and other value-add perks.Streamlining the hiring process with FAQs, phone interviews, and Easter eggs.Real-life examples of hiring tactics from the radio industry and multi-site clinics.The importance of aligning recruitment efforts with long-term business goals.

I Pr'd my half marathon by 13 minutes. One reason I truly think I was able to do this was because of how mentally prepped I was to endure the 13.1 miles at my half marathon pace. I can't stress the mental importance enough, so in this episode I have physical therapist Dr. Jessica Wulke here to discuss the importance of neurocognitive training for runners. Episode Outline00:00Introduction: Is Running a Learned Skill or an Innate Ability?06:39Challenging Yourself and the Benefits of Running11:19The Developmental Sequence of Movement and Coordination in Running25:37Long-Term Athletic Development: Play, Practice, and Training30:04Refining Running Skills: Beyond Running Form31:59Positive self-talk and starting the process34:03Starting with biomechanics and key performance indicators37:24Importance of warm-up drills and assessments48:07The role of coaching and individualized approaches57:10Run your own race: Focus on your journeyAbout Dr. Jessica Jessica Wulke is a dual board-certified specialist in orthopedics and sports physical therapy, based in Dallas, Texas. She earned her Doctorate in Physical Therapy from the University of Iowa and has dedicated her career to sports rehabilitation, with extensive experience in treating professional athletes. Currently, Jessica serves as an Implementation Manager for the healthcare technology company, Academy Medtech Ventures,  and also owns a concierge physical therapy company for professional athletes. Prior to this, Jessica spent 11 years at Baylor Scott & White Institute for Rehabilitation, excelling in various roles, including clinic manager, sports residency mentor, and sports physical therapist.  Her innovative approach to care includes developing return-to-sport protocols for lower extremity injuries, collaborating closely with sports performance teams throughout the athlete's rehabilitation journey, and conducting advanced video analysis for running evaluations.Jessica's expertise extends beyond clinical practice into education and professional development. A passionate advocate for women in sports, she frequently addresses the unique challenges and opportunities they face, inspiring future generations to pursue their goals in the sports industry. She is actively involved in advancing the field through participation in professional groups and conferences, presenting on topics such as running gait analysis and hamstring injuries. She was also a platform speaker at the APTA's Combined Sections Meeting, where she discussed treating first responders post-COVID. Jessica's holistic approach to patient care, combined with her leadership in program development, highlights her as a distinguished figure in physical therapy, committed to enhancing both patient outcomes and the professional growth of her peers.Connect with Dr. JessEmailwulkej@gmail.comWebsite https://www.linkedin.com/in/jessica-wulke/Instagram@sportspt_jessConnect with Dr. KatInstagram-  @Runwithkat_dptTik-tok- @Runwithkat_dptFacebook Group- RunwithKat ShowWebsite- RunwithKat.net

In today's episode Erin Gallardo, PT, DPT, NCS and Claire McLean, PT, DPT, NCS had the pleasure of interviewing APTA President Roger Herr and asking all of the burning questions about what it's like to run a neuro practice with Medicare as it is and where we're going. Roger shared his journey into physical therapy and his extensive experience in key roles that gave him a wide angle perspective of the profession he advocates for now. Alternative Payment Models for PT Practices - Herr emphasized the importance of finding local, regional payment models that best fit each practice's needs, whether that's working with employers, payers, or patient groups. - He discussed strategies like opting out of Medicare, negotiating contracts, and exploring cash-based services to create sustainable business models. Challenges for Micro Practices - Smaller PT practices often struggle with billing, communicating with payers, and navigating the complexities of Medicare coverage. - Could clearer guidelines around medical necessity and skilled care be a helpful short-term goal? Advocacy Efforts for the PT Profession - Herr highlighted the need to shift from volume-based to value-based care, and to advocate for recognizing the downstream costs and impact on patients. - He discussed opportunities in Medicaid, annual wellness visits, and partnering with patient advocacy groups to drive change. Modernizing Medicare Access - Herr explained efforts to update Medicare legislation and allow beneficiaries to directly contract with physical therapists. - This could provide more flexibility and options for patients, though the details around rules and limitations are still being worked out. Leveraging Technology and AI - Herr shared insights on how technology and AI can support population health management, documentation, and reducing administrative burdens for PT practices. APTA Infographic of Prior Authorization ChoosePT How Medicare Determines Payment HH and SNF Download the APTA Advocacy App ChoosePT Directory - Sign up by logging into APTA account, then go to Online Profile, then Find a PT Instagram  rogeraherr   X @RAHPT  Facebook Roger Herr

Join Jimmy McKay and Tony Maritato as they interview leaders from Sarah Health at the APTA's Private Practice Section (PPS) Conference 2024! They dive into the emerging world of Remote Therapeutic Monitoring (RTM) and how this technology is reshaping the physical therapy landscape.Hear from SaRA Health's experts on how their platform is boosting patient engagement between visits, improving outcomes, and streamlining billing processes. They also discuss the future of healthcare technology and offer insights on how PT clinics can stay ahead of the curve.Tune in for:Practical tips for integrating RTM in your practiceThe impact of AI on PT business managementThe differences between PPS and CSM for physical therapistsReal-world examples of improving clinic revenue with RTM

Dr. Carrie J. Pagliano has been a dynamic leader in the areas of women's/pelvic health for over25 years. Dr. Pagliano received her Masters in Physical Therapy from the University of the Sciences in Philadelphia in 1999 and Doctor of Physical Therapy from University of St. Augustine for Health Sciences in 2007. Dr. Pagliano is a double Board Certified Clinical Specialist in Orthopaedics and Women's Health.  Dr. Pagliano served for 7 years on the Executive Board of the Academy of Pelvic Health Physical Therapy, a component of the American Physical Therapy Association (APTA), completing her term as President in 2020 and as Past President in 2021.She is an adjunct professor at Marymount University in Arlington, VA.  She also served as Instructor of Clinical Rehabilitation Medicine at Georgetown University School of Medicine.  She is an appointed Advisory Board member to the Pelvic Floor Disorders Network: National Institutes of Health, Eunice Kennedy Shriver National, Institute of Child Health and Human Development.  Dr. Pagliano is a Certified Running Coach through the Road Runners Club of America as well as a Level 1(O) CrossFit Certified Coach.Dr. Pagliano speaks internationally in the areas of postpartum return to sport and integrative models of practice in pelvic physical therapy. She is a national media spokesperson for the APTA.  Dr. Pagliano is the founder of Carrie Pagliano Physical Therapy, LLC in Arlington, Virginia as well as digital course education for moms & postpartum professionals. She is the host of Active Mom Postpartum Podcast.  When she's not kid wrangling or bringing pelvic health to the world, Carrie is an avid runner, yogi & crossfitter.https://carriepagliano.com/https://www.instagram.com/carriepagliano/https://www.youtube.com/@carriepaglianoptThank you so much for listening! I use fitness and movement to help women prevent and overcome pelvic floor challenges like incontinence and organ prolapse. There is help for women in all life stages! Every Woman Needs A Vagina Coach! Please make sure to LEAVE A REVIEW and SUBSCRIBE to the show for the best fitness and wellness advice south of your belly button. *******************I recommend checking out my comprehensive pelvic health education and fitness programs on my Buff Muff AppYou can also join my next 28 Day Buff Muff Challenge https://www.vaginacoach.com/buffmuffIf you are feeling social you can connect with me… On Facebook https://www.facebook.com/VagCoachOn Instagram https://www.instagram.com/vaginacoach/On Twitter https://twitter.com/VaginaCoachOn The Web www.vaginacoach.comGet your Feel Amazing Vaginal Moisturizer Here

  Each October, the American Physical Therapy Association (APTA) celebrates National Physical Therapy Month. In this episode, AMRPA Board Chair Chris Lee talks his career, which started in physical therapy, the importance of physical therapy in inpatient medical rehab, and how his training in PT impacts his work both as the vice president and chief operating officer of Madonna Hospitals and with AMRPA. We also talk with Derek Stepp, Senior Director in the APTA's certification department about the value of physical therapy specializations and certifications.   You can learn more about APTA's Certifications at https://specialization.apta.org/   Learn more about inpatient medical rehab at www.amrpa.org.  

On today's episode, I explain why I quit the APTA. We talk about:-the good the APTA has done-where they've fallen short-being open to new ideas -falling short on feedback-relying on physician referrals-lack of transparency-getting the value you expectTIME STAMPS:1:00 Intro3:40 complain but take action7:30 trying to speak at PPS and CSM9:15 reluctant to make changes 14:30 how COVID was handled Connect with Aaron:Facebook: https://www.facebook.com/AaronLeBauerInstagram: https://www.instagram.com/aaronlebauer/CashPT Nation FB Group: https://www.facebook.com/groups/CashPTNation

Representing Davis, Weber & Box Elder Counties boardoftrustees@rideuta.com Trustee Holbrook brings a wealth of experience to UTA. She began her career in the financial sector, established a real estate firm, and went back into the financial sector working in business development. Trustee Holbrook would go on to work with the Public Sector for a private company. Trustee Holbrook was first elected to the Bountiful City Council in 2007 and has served on several boards including the Bountiful Power Commission, Planning Commission and the Utility Facility Review Board with the Public Service Commission. She is a former President of the Utah League of Cities and Towns. Since being appointed to the UTA Board of Trustees, Trustee Holbrook has worked to increase community engagement throughout Davis, Weber, and Box Elder Counties. Service on other local boards and committees include the Commission on Affordable Housing, the Utah Association of Special Districts (UASD), EDCUtah, Envision Utah, Chair of the Olene Walker Housing Fund, and Chair of the Utah Urban Land Institute (ULI). She also works with APTA - the American Public Transit Association, as a Transit Board Member in addition to Chair of the Transit Board Member's Legislative Sub-Committee.

Calling new and veteran therapists alike! Is the APTA's Private Practice Section conference worth your time? Short answer: yes! We know it's an investment of time and money, but truly, you can't afford not to learn the latest in physical therapy and be able to predict its future. Mingle with and learn from the best in our industry! Episode at a glance: Make the investment Physical therapy is a “retail business” PPS is the place to learn Get resources and connections  

Mike uses the platforms of business coaching and leadership training to fulfill his passion: helping others maximize their own personal and professional value.   As a member of the 8150 Advisors team, Mike collaborates with private practice owners through strategic growth, creating next level leaders, operational efficiency, and team engagement. Several practices have doubled in practice value as result of their collaboration.  Prior to joining the 8150 team, Mike helped Rock Valley Physical Therapy grow from 26 to 52 locations as their first VP of Growth & Development. New patient volumes increased 210% during his six-year tenure where he was responsible for de novo and mature clinic growth. While serving as Director of Operations for Proaxis Therapy, he was an integral leader in developing physician relations, operational excellence, and a five-star patient experience. Dedicated to life-long learning, Mike earned a BS from Mount Union College, an MDiv with Leadership Specialization from Indiana Wesleyan University, and a DPT from the Duke University School of Medicine. Mike is a Certified Coach and DISC Personality Assessment Trainer through the Maxwell Leadership Team. Mike began his career at the Ohio State University Sports Medicine Center where his experiences included consulting with the US Army Special Forces, treating a Masters champion and several NFL draft picks. He has served APTA and PPS as a Federal Affairs Liaison, APTA Delegate, PPS Impact Editorial Board Member, and PPS Annual Conference presenter. In addition to his business ventures, Mike serves part-time as the Partner Relations Manager for Zoe Empowers.  Zoe is an empowerment-based program in India and nine African countries which transforms youth-led households to self-sufficiency in just three years.  He has led several trips to Rwanda, Kenya, and Malawi to allow US partners to see the program's impact.  Mike lives in Iowa and enjoys time with his wife Kim (also a PT!), their four boys, and two dogs.

In this interview, the incredible Gail Wetzler, PT, DPT, EBO, BI-D and I will be exploring the fascinating connections between the pelvic floor and foot engagement—a topic we've delved into while treating a mutual patient.One of our shared clients with significant neuropathy needed help with his ankle strategy and keeping his toes down during sit-to-stand movements. This journey of discovery began when Gail asked, "Have you cued his pelvic floor?" That simple question unlocked a wealth of new insights.Join us as we dive into how it's all interconnected—from anatomy to brain function—and uncover the best ways to analyze and cue these movements. Gail Wetzler, PT, DPT, EBO, BI-D  currently owns an integrative physical therapy practice in Denver, Colorado, where they treat orthopedic, fascial/muscular/soft tissue, neurologic, pain,respiratory, digestive, mTBI and women's and men's health issues. After receiving her initial degree in physical therapy, she pursued her first experience in acute orthopedic care at Hoag Hospital, Newport Beach California. Within 1 year, she became the outpatient clinical supervisor and thus began her journey and desire for continuing education in the science and art of human movement and function. She studied with Travell and Simons, Mennell, Kaltenborn, Maitland, McKenzie, Mitchell, Jones and Greenman in the earlier years of manual therapy education. Inspired by these methods of treatment, she became an assistant teacher to Dr. Janet Travell and later an instructor with the Institute of Physical Art (IPA) developed by Gregg Johnson and Vicky Saliba Johnson.In a few years, she developed her own private practice, at which time she received a large number of head, neck and TMJ pain patients. This became a driver to learn more about cranial osteopathy, craniosacral therapy and how the fields of physical therapy and dentistry could collaborate to help these patients. As she pursued continuing education classes with Dr. John Upledger, he inspired her to learn more about the different systems in the body and how they all integrated for function. During one of her earlier speaking engagements for the Upledger Institute ( Beyond the Dura), she met Jean Pierre Barral DO, who inspired the importance of anatomy, the ability to listen to the body and the specificity of tissue dialogue in manual therapy techniques. She has listened and followed his mentoring into understanding the body's deeper fascial relationship of the viscera, vascular, neurological and manual articular systems since 1989. Gail has been an instructor for the Barral Institute (BI) since 1991 and became the BI Curriculum Director in 2001.In her career, she has been invited to speak at multiple professional conferences including National and State levels for the APTA, USC Head, Neck and Facial Pain Clinic, University of California, Irvine (UCI), Beyond the Dura Research Conferences, "Hope" Head Injury Organization, and was the keynote speaker in Italy for the Fascial Manipulation Research Conference presented by Antonio, Carla and Luigi Stecco. She is the Past Director of Physical Therapy for the Integrative Medicine Center at UCI. She is currently part of the Research Team for the Upledger Foundation for their recent studies on Post Concussion Recovery She currently teaches for the Women's Health Section of the APTA "Gynecological Visceral Manipulation". Gail earned her Diplomate from the Barral Institute in 2005. She earned her Equine Diplomate in Osteopathy from Vluggen Institute of Equine Osteopathy in 2009 and she earned her Doctorate in Physical Therapy from Rosalind Franklin University, Chicago, in 2013.Gail serves on the Women's Health Task Force for the United States Olympic and Paralympic Committee (USOPC).Resources: APTA Academy of Pelvic Health Physical Therapy (aptapelvichealth.org)

Dr. Zach Baker, DPT, SCS and Dr. Seth Hawks, DPT discuss recent literature and pscyhological readiness to return to sport after ACL surgery. They also discuss updates to the NATA guidlines on Sickle Cell related illnesses with training. 

Dr. Heather Salzer // #ICEPelvic // www.ptonice.com  In today's episode of the PT on ICE Daily Show, ICE Pelvic faculty member Heather Salzer discusses a case study involving helping a patient increase her calorie & protein intake during postpartum to improve her recovery & performance. Take a listen to learn how to better serve this population of patients & athletes or check out the full show notes on our blog at www.ptonice.com/blog. If you're looking to learn more about our live pregnancy and postpartum physical therapy courses or our online physical therapy courses, check our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. Are you looking for more information on how to keep lifting weights while pregnant? Check out the ICE Pelvic bi-weekly newsletter! EPISODE TRANSCRIPTION HEATHER SALZERGood morning, PT on ICE Daily Show. Happy Monday. I'm Dr. Heather Salzer and I'm here with the Pelvic Division at ICE. And this morning we are going to talk about hacks to hit protein and calorie needs to help us stay out of low energy states and avoid RETs. So at the ICE Pelvic Division here, We talk a lot about REDS, also known as relative energy deficiency in sport. It's something that can have widespread effects. It can affect our immunity, sleep, energy across the day, muscle building function, and then a lot of pelvic kind of class specific things like fertility, increase our risk of urinary incontinence. If you want to deep dive into REDS, please join us in one of our pelvic we go into it in great detail, but when we talk about it, we always get the question of, okay, well, if I need to be eating that much, or if my clients need to be eating that much, that feels like a lot. How can we actually get there? So for the podcast today, we're gonna go through a case example, and as we talk about that, discuss overall calorie needs from Red's perspective, and protein needs, because that's something that a lot of people struggle with as well. And as we go through that example, we'll go through hacks of little changes that someone could make in their diet to make these things a little easier. So meet Kristen. She is our client today, and she is 32 years old and around 160 pounds. She's got a three-year-old at home and a 10-month-old that she is breastfeeding. Kristen runs two to three days a week at a pretty moderate, sometimes higher intensity, and she also crossfits around three days a week. She's also pretty busy chasing around her three-year-old and while carrying her 10-month-old with her as well. So how much does Kristen need to be eating a day when you ask her and are getting some feedback from her? So someone with her general demographics would need relatively about 1,500 calories just at absolute baseline doing nothing else. When we add in her activity across the day, we're looking at closer to 2,500 calories. Then we add in breastfeeding on top of that and she's sitting at close to 3,000 calories a day in terms of her caloric need. if we're thinking about how much protein we want her to be getting, likely we're trying to be somewhere in that close to one gram of protein per pound of body weight, just because of her high activity and breastfeeding. So we're looking at like 150, 160 grams of protein. That can be a lot. When we ask this question to our clients, a lot of times, her it's like, whoa, I am not getting anywhere close to 3,000 calories and you want me to eat how much protein? Don't you know that I have kids that I'm chasing after? When am I supposed to meal prep enough to make all of that happen? So let's go through her day, talk about what she might be eating to start with, and then little tweaks we can make to change it along the way. So we ask her, Kristen, what do you eat for breakfast? And she says, well, some days I have got, I do like two eggs, some toast and some fruit. And other days I do some oatmeal with berries and milk. Okay, if we think about that, we're maybe getting 15 grams of protein and probably like 300 calories on top of that. That's not a super strong start to the day. So we ask her, hey Kristen, Do you think you can add another egg or maybe some egg whites to those eggs and a breakfast sausage on top of it? She's like, yeah, that seems reasonable. Or on oatmeal days, can we do overnight oats instead of hot oats and put a scoop of protein powder and maybe a couple tablespoons of chia seeds in there? And then all of a sudden with either of those options, we've upped protein closer to 30 to 40 grams and now we're sitting at like 700 calories. So starting off strong with a good breakfast is a nice way to already help us get those totals earlier in the day. Side note on the oatmeal, I don't know about you but I have tried putting a protein powder in hot oatmeal and it gets chunky. Overnight oats are fantastic and that protein powder scoop is a good way to up the protein on that. So moving on to Kristen's day, we are about mid-morning and she's like, yeah, usually I don't really have time to eat again till breakfast or till lunch. I get going with my day. I'm pretty hungry when I'm breastfeeding, but then I keep going and I really just don't have time to eat again until lunch. So we say, What can we do to make it easier for you to get a snack? Can we have a protein shake that you make with breakfast that's sitting in the fridge ready to go? Can we have some yogurt that can be easily grabbed? Where are you doing your breastfeeding right now? Do you have a station set up? Can we put some protein bars there? Can you grab your yogurt on your way there? Can we stash some protein bars in your car? So finding a way to get her a snack in the morning that can pack an extra 20 grams of protein and maybe another 200 cals on top of that. Breastfeeding, for this specific example, can be a great time to get it. Baby's getting their nutrients in. I promise they won't mind with some crumbs on their head. Fuel yourself while you're fueling baby. That can work great. So, we've already increased by adding in some snacks, packing her breakfast a little bit fuller, now we get to lunch. And we ask her, okay, Kirsten, what are you eating for lunch? And she's like, well, I've been trying really hard to be good about my nutrition and getting in healthy things, so I've been meal prepping turkey and cauliflower bowls. I say, okay, awesome, I'm so excited that you're taking the time to meal prep, that can take a lot of time. And how much are you eating? And she's like, well, I've got this little Tupperware. And you go through it together and you calculate it. And really, she's getting like maybe 400 calories and maybe 20 grams of protein in her little Tupperware. And you ask her, are you full by the time you're done eating lunch? She's like, eh, maybe. You're like, do you think you could eat a little bit more? And she's like, yeah, probably. So you say, girl, you gotta get rid of your tiny Tupperware. The big mixing bowls with a lid, that is where it's at. And we see if we can increase her serving size just a little bit. Can we add especially a little bit more protein into that, up that turkey percentage? Or also she's using cauliflower rice, which great to get some veggies. but maybe we're not getting enough calories overall, so can we add some brown rice and white rice into that mix in addition? Now, we've taken her lunch from 20 grams of protein to maybe closer to 40, and 400 calories closer to 800, just by slight small ups in that serving size. We hit mid-afternoon, we're back to breastfeeding, happens again, And we have some other snacks set up by her station. Maybe she's grabbing a handful of trail mix with some unsweetened dried fruit and some nuts. And so we're getting another 10-ish grams of protein, maybe 400 calories. And we made it back to dinner. We ask her the same thing. Do you feel really full after dinner? And she's like, Eh, not necessarily. And then, so it's like, okay, her family's making tacos for dinner tonight. And she's like, yeah, normally I eat like two-ish tacos. And then I get distracted trying to feed my three-year-old who's thrown their taco meat to the dog on the floor. And then before I know it, all the food's gone and we're on to the next thing. We say, let's prioritize getting you an extra taco. So yet again, without doing more work from a meal prep or food prep standpoint, we're able to increase protein a bit and increase over calories. So say that bumps us up to maybe again, like another 40 grams of protein and 800 calories. So if we look back at our day, Kristen maybe started off with maybe hitting 75 grams of protein and 1500 calories. which will definitely not be enough. That's like baseline function if she were to do nothing else across the day. With a few of our little swaps, we've gotten her really hitting that 2,900 calorie mark that we talked about would be ideal for her and closer to 150 grams of protein. So again, we boosted up her breakfast, adding in a little bit more, made snacks convenient that she could grab, and upped what she was eating just a little bit for lunch and dinner and made a big difference. Now, obviously, you wouldn't want to jump somebody who had been eating very low to a ton all at once. They may feel way more full, so that might be more of a gradual transition. But if you can even start with just, hey, let's really prioritize adding in one more protein-heavy snack. How can we make that easier? Is it making some protein balls over the weekend that you have in the fridge that you can grab? Like I mentioned, is it stashing that protein bar in the car by the breastfeeding station? How can you make that easy to hit those numbers? Now, in an ideal world, when somebody is dealing with, when we're noticing as we ask them questions about their diet, that we're not getting enough calories if we think they need to have a little more protein, it would be wonderful to refer them to a registered dietitian. It is great to have resources in your community of places that you can refer people out to. But the reality is, a lot of the time, they're not going to make time for another appointment. So you are their nutrition resource. The APTA says that it is within our scope of practice to talk about nutrition. So start asking. You will be surprised about the answers you get Especially, our example today was within that postpartum population, but this could be transferred over to any of your clients. Another great group that we really need to be asking about this is our teenage athletes, especially our female teenage athletes. And it is sometimes wild how low of a calorie count those people are getting in a day. Now, if we're wanting realistic Like if we're really wanting to know exact numbers, it is helpful to track for a day or two and see where they're at. Tracking, you can use like MyFitnessPal as a free app that allows you to track across the day. And that's a good idea to be able to see where the calories at versus where we want them to be and where's the protein at versus where we want it to be. I know tracking can be definitely triggering for some people, especially when we're talking about this population I like to recommend, can we do it for a couple days to get a baseline of what you're eating? And then a couple more days on top of that so that you can see, oh, wow, this is where I actually need to be with that. And maybe it doesn't have to be a long-term thing, because it also takes a lot of time in addition. If that's off the table, again, just go back to what are some of those little changes that you can ask them to make and maybe start with just one change at a time. So again, can we add that snack in or can we increase serving size at one meal? SUMMARY If this feels like a topic that you're like, man, I really wish I was a little bit more comfortable talking about nutrition, ICE does have a self-paced nutrition course. If you go to free resources on the app, you can access that. And if you're interested in learning more about REDS and its impact on all things pelvic, such as fertility, urinary incontinence, you should jump into one of our pelvic courses, either live or online. We've got some coming up. Our next online level one cohort is going to start on September 9th. and level two starts on August 19th, and then there's lots of opportunities to join us on the road as well. We'll be in Hendersonville, Tennessee on September 7th, Wisconsin on the 14th of September, and then Connecticut on September 21st. I hope this helps give you some ideas about little changes that we can make to make sure that our clients and you are getting the calories you need to do all of the awesome stuff that you want. Happy Monday, everyone, and go crush some breakfast. OUTRO Hey, thanks for tuning in to the PT on Ice daily show. If you enjoyed this content, head on over to iTunes and leave us a review, and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ice content on a weekly basis while earning CEUs from home, check out our virtual ice online mentorship program at ptonice.com. While you're there, sign up for our Hump Day Hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. Head over to ptonice.com and scroll to the bottom of the page to sign up.

Alan Fredendall // #LeadershipThursday // www.ptonice.com  In today's episode of the PT on ICE Daily Show, ICE Chief Operating Officer Alan Fredendall discusses the current state of healthcare & rehab as an industry, who the big players are, what (if anything) is being done to change things, and how individual therapists can begin to affect meaningful change Take a listen to the podcast episode or check out the full show notes on our blog at www.ptonice.com/blog. If you're looking to learn more about courses designed to start your own practice, check out our Brick by Brick practice management course or our online physical therapy courses, check out our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. EPISODE TRANSCRIPTION ALAN FREDENDALLGood morning, everybody. Welcome to the PT on ICE Daily Show. Happy Thursday morning. We hope your day is off to a great start. My name is Alan, the pleasure of being our Chief Operating Officer here at ICE and a faculty member in our Fitness Athlete and Practice Management Divisions. It is Leadership Thursday. We talk all things practice, ownership, business management. Leadership Thursday also means it is Gut Check Thursday. This week's Gut Check Thursday comes directly from ICE's CEO, Jeff Moore. sent this to me last week said hey I was just goofing off in the gym trying to get some lifting and cardio in together and so he sent me a workout of 100 bench press with the weights on the barbell 135 for guys 95 for ladies and a hundred calories on a fan bike for guys 80 for ladies with the caveat that you can break up that work however you like you can Do 100 bench press straight through, 100 calories on the bike straight through. You can break it up into 10 rounds of 10 and 10, 20 rounds of 5, 5, 5. Whatever rep scheme suits your fancy, you are allowed to do that as long as you get all of those bench press and all of those calories done. that bench press weight should be light to moderate for you enough that you could potentially do five to ten reps unbroken. If it's so heavy that you could only do maybe singles or doubles or triples it's going to take you a long time to work through a hundred so keep that in mind. Other than that just pace yourself on the bike. There is no use racing that bike to finish a couple seconds maybe faster than normal only to lay on that bench for 30 seconds before you feel like getting some reps in. So just treat it a moderate approach on that bike and hammer out that bench press as able. So that is Gut Check Thursday. Today we're talking about changing the status quo. What does that mean? We're talking about the status quo as it is across healthcare in general, but of course specifically to rehab today on PT on ICE. So we're gonna talk about what is business as usual in rehab, who are the major players, We're going to talk about what is currently being done to address some of the issues across the rehab professions and again in particular physical therapy. And then are there more effective ways to try to change things. WHAT IS BUSINESS AS USUAL IN REHAB? So let's get started first by talking about what is business as usual. And in the rehab industry, the healthcare industry in general, we have what is really going on across pretty much every industry in the country of a slow merger acquisition consolidation of small to moderate companies being bought out by larger companies and slowly paring down the amount of organizations who really offer the same or similar service. A good representation of this is the airline industry. We only have four major airlines left. Southwest, Delta, American, and United. 20 or 30 years ago, there were over a dozen. And in the wake of some of the IT issues we had last week, we may even see that Delta and American could be going away soon if they don't fix their IT infrastructure and get their feet back on board. And so we see that there are just a handful of major players in the industry. And we would label those too big to fail kind of organizations. We have the same phenomenon going on in physical therapy and again in healthcare in general. When we look at healthcare, when we look in particular at rehab, we really have four major players. We have health insurance companies that control the care that patients are able to receive. and the amount of time providers have to spend paperwork wise on providing that care and also the amount of money that providers get. We know that almost every American has health insurance and so that health insurance for the foreseeable future is going to be part of the equation and therefore these health insurance companies are a big player in this industry. We have just a handful of health insurance companies, about 10, that generate $1.3 trillion collectively and employ over half a million people, with an average profit increase every year of about 9% year over year. And these 10 companies insure about three-fourths of Americans. So again, a very consolidated, condensed industry. where if any of those companies were to go out of business or something, it would have a lot of ramifications for the economy, for patients, and for providers. And so health insurance companies stand as one of those too big to fail type of organizations in this equation. Right after health insurance companies are health care companies. Large, national, across state lines, corporate, health care clinics, whether they are primary care clinics, dental clinics, urgent cares, physical therapy clinics, whatever, we see the same issue across all health care professions is that over time we are slowly paring down that the vast majority of clinics are owned by a large corporation and that usually as we get near the top of these organizations, Nobody involved in the leadership or management of the company is actually a healthcare provider. And so these are large, for-profit clinics that provide some sort of healthcare treatment. In the rehab industry and physical therapy in specific, just eight companies are closing in on owning 75% of all outpatient physical therapy clinics. And so that's very similar to health insurance, right? A small amount of companies own the vast majority the organizations and clinics within the industry. We have universities as our third player in the equation. They are responsible for educating entry-level students and getting them prepared to become new clinicians. They certainly have a stake in the equation here. And then finally we have the government itself. That can be kind of vague when we say the United States government. We're kind of really referring to enforcement organizations, Medicare, IRS, who are trying their darndest to try to regulate the other three organizations, big players in the industry. And what we find when we look at the intersection of all these giant, large, too-big-to-fail organizations is that we find that Over time, they have become intertwined. They have developed a symbiotic relationship with each other such that it would be really hard to affect significant change on one piece of the puzzle without it affecting everything else downstream. We see that universities have grown their cohort sizes so much that they are now graduating hundreds. Hybrid programs with multiple cohorts starting per year are getting close to graduating thousands of physical therapists per year. And all of those students need clinical placements. Those large corporate health care clinics are happy to take those students and put them to work for some free labor. I think we've probably all experienced that. at one point or another in our student career. And when those universities grow these cohort sizes, they begin to need those large clinics to have places to send their students to. And those clinics rely on those students, again, as part of their labor force alongside their staff therapists as well. We see that health insurance companies need, at some level, some providers to take their insurance so that they can offer to their customers, our patients, that there are some providers who take your insurance. If we get to a level where no one is taking insurance, health insurance companies are gonna be in a lot of trouble, and so we see that they are trying to hang on and kind of fight back against a shift across healthcare towards cash-based physical therapy and trying to go around the insurance system. And then finally we see that the United States government hasn't necessarily quit trying to enforce curb all the fraud waste and abuse in Rehab in health care in general what we see is they've kind of changed their policy over the years instead of throwing people in jail or busting up companies or that sort of thing that they have shifted their strategy to just collect fines right if they can't and stop it, then they will collect a piece of the revenue that all these different organizations are making. And so you see that fines are becoming much more popular than actual legal action when the government tries to get involved in significant issues with fraud, waste, and abuse in healthcare. So that's business as usual currently. Universities pumping out students, big corporate clinics taking students, offering students a job, health insurance companies playing both sides against the middle and then the government just trying to come in and take a little bit off the top at the end of the day. And really what we see happening is at the end of the day, there's really no impetus to change business as usual, the status quo among those four groups. It is working well enough that there is no significant push to really change things. WHAT IS BEING DONE TO CHANGE THINGS? What is being done to change things? You may have noticed what we did not mention in one of those big players was an organization like the American Physical Therapy Association. Not much is being done here because not much can be done. If we take a second, and please don't hear that this episode is just an episode designed to dump on the American Physical Therapy Association, but structurally it is not designed to hang on and try to enforce or weigh in or make any sort of decisions or affect really a lot of long-term change on any of the issues we see among the big players in our industry. That when we look at what is the APTA, really it is a non-profit member organization. It's not a charity. It's not a church. It's a member organization, it's a non-profit, it doesn't pay taxes, and so at the national level it really can't affect change. Nothing about our profession is regulated on the national level, it is all regulated on the state level. Your scope of practice, whether you can manipulate the spine, dry needle, whether who can prescribe exercise, who can do cupping, who can do blood flow restriction, all those different scope of practice issues are all handled by individual state legislations. And because of that, the APTA cannot really weigh in. They can also not weigh in because they can't legally weigh in. When we look at how the APTA is structured, it's structured as a non-profit corporation. It is forbidden by law, as is every non-profit company, every church, every anything, from engaging in political activities. So what the APTA has is a secondary organization called the PT PAC, the Political Action Committee. That is an entirely different organization. It's an entirely different pool of money. And that is the group that can try to lobby for things like mitigating Medicare reimbursement cuts. But that in general, on the national level, by design, it can't be effective. And just being an APTA member without donating any extra money to the PT PAC itself doesn't really allow us as individual clinicians to help the APTA effect change either. HOW DO THINGS ACTUALLY GET DONE? So, how do things actually get done then? Things really get done in our profession at the state level. State legislation, changing scope of practice, doing things like expanding direct access, opening up the ability to dry needle. We saw Washington just get access to dry needling a couple months ago. That was a state-led initiative from the clinicians in that state, from the state physical therapy chapter, and from the state legislature in Washington. That is how things actually begin to move around in our profession. And the unfortunate thing is you cannot join, just join your state chapter. You have to join the APTA and then also join your state chapter at the same time. So you can't be a part of just your state without being a part of the national organization, which I personally believe is a little bit unfortunate because I'd rather see my time and money go towards the organization that's going to affect the most change, which is going to be my state chapter. A really good example right now, we're close to completely removing direct access restrictions here in Michigan, and that is led on the state level. A guy over on the west side of the state, Dustin Karlich, he is pushing that initiative with the Michigan State Physical Therapy Association through the Michigan State Legislature, and we're hoping that that gets heard in the fall meeting of the state legislature. and that we have direct access restrictions completely removed here in Michigan. And again, that is all done at the state level, not at the national level. So what can we do? What can be done? If that is the status quo, if that is what is currently being done, and most of it is being done at the state level, What can we do to try to change the status quo? We hear a lot here at ICE, you know, what is being done about this issue? What is being done about that issue? And the truth is, not a lot, right? We're not expecting to see reimbursement probably go up ever again. We've talked about why that is. The math just doesn't math with that. And so if we can't meaningfully affect the change that we want to see, especially at the level that we want to see it, what can we do as individuals and what can be done to try to change things in our profession? The first is to recognize, like, hey, we're in a Cold War event, kind of, right? These big organizations that don't really want to change things are pitting themselves against each other, and again, they don't really have an impetus to change. We see a lot of proxy fighting going on, arguing back and forth about who and who cannot dry needle or use cupping or blood flow restriction or whatever. We kind of have these proxy fights across the country. We go back and forth constantly. And the truth is, we need to recognize, hey, how did we actually win the real Cold War? We've significantly changed our strategy, right? How did we do that? We stopped expecting that doing the same thing over and over again would create meaningful change, right? We stopped going into small countries and propping up a government to fight against the Soviet Union. We recognized after 50 years of that, that that wouldn't work. What we did instead was we shifted to focus on our economy, we shifted to focus on being self-sufficient with natural resources, and we went an economy-driven strategy instead of a military-driven strategy, and that's what actually ended the Cold War. We see a very similar recommendation here inside the PT profession. What is the strategy? Literally anything except what we're trying to do, which has not worked in decades. This is one of my favorite books of all time. This is a hefty book. None of you are probably going to read this. That's okay. This is Army FM 7-8, Field Manual 7-8. It is infantry tactics. What I love about this book is probably a thousand pages of how to fight a war. What I love is that almost every section starts with, if what you're currently doing is not working, stop trying to expect a lot of change by doing the same exact thing over and over again. Change your strategy, right? Do the unexpected. There is a whole page in here on how to react to an ambush and the first sentence is, if ambushed, attack back immediately. Why? It is the unexpected thing to do. We have to do the same thing in physical therapy. Do the unexpected strategy because the expected strategy, the thing we've been trying, for the past 50 years or so has not really changed anything and we should not expect that doing the same thing over and over again will affect any sort of meaningful change. If we just stick our head in the sand and say, certainly someone is going to fix all of these issues soon, we should not expect that those issues will be fixed anytime soon. So, what are our recommendations? Support your local state PT association. You can't join it directly, but you can support your state PT PAC, your political action committee, which means that you can give money to your state physical therapy association that they can use to pass meaningful legislation in your state. So if you're in a state and you want access to dry needling, you want access to spinal manipulation, cupping, blood flow restriction, you want better direct access, you want whatever, it's going to change most likely at the state level and so support your state level association. As an industry, as a profession, we need to recognize that slowly over time, we're moving towards a state where it is not going to be possible to accept every single insurance and run a sustainable and profitable practice that lets us pay our therapists what they need to make to make a decent living while working at a reasonable volume, right? We have moved over the years from 40 patients a week to 60 patients a week to 80 to the average now is climbing towards a hundred patients a week that is Unsustainable and the again the idea that we can just do the same thing over and over again and expect change is not going to happen we're not going to to really make any meaningful change by trying to see a hundred patients a week or 120 patients a week and to try to generate more money to be able to pay more people. There are limits to how much you can get, how much you can work, and we need to recognize that over time, if things don't change with insurance, we need to let that ship sail. That is a tough transition, that is a hard transition, but it is a transition that is going to have to happen to some degree at some point in time for almost every physical therapy clinic in the country. unless things meaningfully change. How can those things change? There are systems in place for us to report our outcomes and increase our reimbursement from insurance. Almost nobody does that because it takes time, but it is possible. We're going to see our reimbursement here at our clinic here in Michigan go up 20% in 2025 because we are reporting our outcomes and And we are getting rewarded with more reimbursement. So there are systems in place, but if you don't want to use those systems or do those tasks, you need to recognize that you need to let that insurance ship sail. And it means that you're not going to be on it. And then over time, we'll need to probably pare down our insurances and potentially be cash only across the majority of the profession. And then as individuals, what can we do? Yes, we can support our state physical therapy association and state PT pack, but we can also stick up for ourselves. Every time you go to work for somebody that overworks you and underpays you, you confirm to the leadership of that organization that there is another sucker out there who is willing to accept that, right? And we just perpetuate the cycle that we have been trapped in for many decades. And again, what is the best strategy? Anything different than what we're already doing. So when you are given that quote unquote opportunity from that organization, and it looks terrible, don't take it. There are 34,000 physical therapy clinics across the country. Find a different one. There is a clinic for you that is going to pay you well and respect your time and autonomy. I guarantee it. It just might not be three minutes from your house, right? We sometimes need to choose a little bit of discomfort to make a meaningful bump in our own individual practice and our own individual work inside of the bigger profession. SUMMARY So changing the status quo, recognizing we're kind of stuck in a cold war with several organizations that are too big to fail, that don't really have an impetus to change what they're doing because it's working well enough for all of them. What is being done currently? Not a lot on the national level because it can't. We have to stop expecting that black helicopters with agents in suits from the American Physical Therapy Association are going to drop out of helicopters and just fix things. There are only 160 people that work at the APTA. Almost all of them are administrative roles. There are very few people there that are doing a lot of of groundwork because the groundwork of our profession happens at the state level. So what can we do to support that? Support your state physical therapy association. If you're like me and you don't want to join the American Physical Therapy Association just to support your state association, you can still support your state's physical therapy political action committee PAC PAC by donating money. If you go to that website I think you'll be surprised by how few people donate and in reality how much gets done at the state level with a relatively small amount of manpower and money and that if we all just gave a hundred bucks to those organizations I think we'd be really surprised at how much more change we see affected if only in our individual states, but how effective and how large that change could be across our profession. So, when in doubt, if your courage strategy is not working, literally do anything else, right? Write from the Army Field Manual. If you are being ambushed, attack back because that is the strategy that is least expected. Do something different. Go around insurance companies, support your state political action committee, and stop working for employers who don't respect your autonomy and who don't respect your livelihood, who are trying to overwork you and underpay you. That's all we have for today's episode. I hope you found this helpful. I'd love to hear any discussion you all have about this. You can leave a comment here. I'll be back tomorrow. We're gonna talk about Fitness Athlete Friday, how to develop really brutal strength in a way that translates to improvements in your Olympic weightlifting. So we'll see you again tomorrow morning. Have a great Thursday. Have fun with Gut Check Thursday. Bye, everybody. OUTRO Hey, thanks for tuning in to the PT on Ice daily show. If you enjoyed this content, head on over to iTunes and leave us a review, and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ice content on a weekly basis while earning CEUs from home, check out our virtual ice online mentorship program at ptonice.com. While you're there, sign up for our Hump Day Hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. Head over to ptonice.com and scroll to the bottom of the page to sign up.  

On this episode of the Healthy, Wealthy, and Smart podcast, Dr. Jennifer Stevens-Lapsley and Dr. Kory Zimney, underscored the crucial role clinicians play in influencing the APTA research agenda. They emphasized that clinicians should be invested in the research agenda as it directly impacts their practice and the well-being of their patients. Here are key takeaways from the episode on how clinicians can actively contribute to the APTA research agenda: 1.     Data Collection: Clinicians are encouraged to start gathering outcomes data in their clinical settings. This data serves as a valuable resource for addressing research inquiries and refining clinical practices. By systematically collecting data on patient outcomes, clinicians can bolster the evidence base, guiding decision-making at both individual patient levels and broader research endeavors. 2.     Questioning: Clinicians are uniquely positioned to identify knowledge gaps and areas requiring further research. By posing questions based on their clinical experiences, clinicians can help shape research priorities and initiate meaningful research projects. Cultivating a curious mindset can lead to the formulation of research questions that tackle real-world clinical challenges. 3.     Collaboration with Researchers: Collaboration between clinicians and researchers is pivotal for advancing the field of physical therapy. Clinicians can collaborate with researchers by sharing clinical insights, participating in research studies, and engaging in discussions on research findings. Through joint efforts, clinicians and researchers can ensure that research remains relevant, practical, and directly applicable to clinical settings. 4.     Networking and Relationship Building: Clinicians are urged to network with researchers, academic institutions, and other healthcare professionals to foster collaborations and knowledge exchange. Establishing relationships with researchers can provide clinicians with opportunities to contribute to research projects, access resources, and stay abreast of the latest research developments in physical therapy. 5.     Promoting Evidence-Based Practice: Physical therapists are an evidence-based profession who rely on research to inform their clinical interventions. By actively engaging with the APTA research agenda and participating in research endeavors, clinicians can enhance the quality of care they deliver and contribute to the advancement of the profession. Time Stamps:  00:00:00 - Introduction and Guest Welcome 00:01:04 - Importance of the APTA Research Agenda 00:03:27 - Development Process of the Research Agenda 00:07:02 - Dissemination of the Research Agenda 00:11:56 - Overview of the Six Key Areas 00:12:14 - Population Health Research 00:12:59 - Mechanistic Research 00:13:19 - Clinical Research 00:17:19 - Education and Professional Development Research 00:21:16 - Health Services Research 00:22:18 - Workforce Research 00:24:36 - Relevance to Clinicians 00:30:05 - Encouragement for Clinician Involvement 00:32:11 - Final Thoughts and Takeaways 00:34:16 - Contact Information for Guests 00:34:42 - Advice to 20-Year-Old Self 00:36:12 - Conclusion and Sign-Off   More About Dr. Jennifer Stevens-Lapsley: Dr. Stevens-Lapsley serves as a Professor and the Director of the Rehabilitation Science PhD Program within the Physical Therapy Program at the University of Colorado Anschutz Medical Center. Additionally, she is the Associate Director of Research for the Eastern Colorado VA Geriatrics Research, Education, and Clinical Center (GRECC). She is dedicated to the advancement of evidence-based solutions in older adult rehabilitation, achieved through rigorous research methodologies and strategic partnerships. With 25 years of experience in clinical research, her specialization lies in post-joint arthroplasty care and medically complex patient populations.  Dr. Stevens-Lapsley's impactful clinical research has yielded 200 publications, garnered numerous awards, and secured $20 million in funding. She is a frequent presenter at both national and international forums, contributing significantly to the dissemination of her research findings.   More About Dr. Kory Zimney: Kory Zimney, PT, DPT, Ph.D. has been practicing physical therapy since 1994 following his graduation from the University of North Dakota with his Master in Physical Therapy. He completed his transitional DPT graduate from the Post Professional Doctorate of Physical Therapy Program at Des Moines University, Class of 2010. He also earned his Ph.D. in Physical Therapy from Nova Southeastern University in 2020. Dr. Zimney is an Associate Professor within the Department of Physical Therapy at the University of South Dakota and the Director of the Ph.D. in Health Sciences program at USD. He also serves as Senior Faculty with Evidence in Motion (EIM) and researcher with Therapeutic Neuroscience Research Group and USD Center for Brain and Behavior Research. His primary teaching, research, and treatment focuses are on pain neuroscience, therapeutic alliance, and evidence-based practice for orthopedic injuries of the spine and extremities. He has published multiple peer-reviewed research articles in these areas. Past work experiences have been with various community-based hospitals working in multiple patient care areas, including inpatient, skilled rehab, home health, acute rehab, work conditioning/hardening, and outpatient orthopedics.   He has completed the Advanced Credentialed Clinical Instructor program through the American Physical Therapy Association and is a Certified Spinal Manual Therapist and assisted in the development of the Therapeutic Pain Specialist program through the EIM certification program, and has a certification in Applied Functional Science through the Gray Institute. Resources from this Episode: APTA Research Agenda   Jane Sponsorship Information: Win a Ticket to See Lorimer Moseley in NYC Book a one-on-one demo here Mention the code LITZY1MO for a free month     Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn   Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio

In this episode, Michelle and the host discuss ways that healthcare practices and clinics can be more inclusive for patients and staff, especially those in LGBTQ+ communities. They talk about important considerations like using preferred names on intake forms, having gender-neutral bathroom options, using inclusive language in patient interactions, and more. Michelle also provides suggestions on how practices can approach DEI training for their staff in order to foster welcoming environments. Key topics covered include intake forms, bathrooms, language use, staff training ideas, and resources from organizations like PT Proud and APTA.

Join us in this episode of PT Pintcast as we dive into the best practices in geriatric physical therapy with Jackie Osborne and Ken Miller from APTA Geriatrics. Our special guests share their expertise and discuss the essential principles that guide effective geriatric care. Key Points Covered:1.**Best Practices Framework:** Jackie and Ken explain the framework for best practices in geriatric physical therapy, emphasizing the importance of standardized guidelines. 2.**Person-Centered Care:** Learn how prioritizing the preferences, values, and goals of elderly patients can drive effective treatment plans. 3.**Combating Ageism:** Discover strategies to avoid ageist practices in healthcare and promote a more inclusive approach. 4.**Holistic Assessment:** Understand the significance of conducting comprehensive assessments using sound outcome measures. 5.**Promoting Physical Activity:** Explore the role of physical activity in enhancing health, well-being, and chronic disease management among older adults.  For more information, visit APTA Geriatrics](https://www.aptageriatrics.org). 

Description:In this episode, we dive into the 5 M's of geriatric care with Dr. Jackie Osbourne and Dr. Ken Miller. Learn how these key concepts can enhance the care of older adults and improve their quality of life.Timestamps:00:28 - Welcome back to the podcast00:47 - Introduction to the 5 M's of geriatrics02:03 - Medications: Impact on movement and cognition05:00 - Mobility: Holistic treatment and early mobilization13:05 - Mind: Cognitive function and mental health23:03 - Multi-conditions: Managing complex health issues38:48 - Matters Most to Me: Patient-centered care and goals45:03 - Conclusion and parting shotsGreat news from APTA Geriatrics – the Certified Exercise Expert for Aging Adults course is now hybrid! This means you can get profession-leading knowledge without the travel and extra costs. Choose the hybrid path with online modules and live webinars, plus a hands-on weekend, or stick with the traditional in-person weekends. Either way, you'll gain expert skills to design effective exercise programs for aging adults. Elevate your practice and save time and money. Learn more at APTAGeriatrics.org!Breakdown:Recap and Topic Introduction: Overview of the five best tests for fall risk and introduction to the five M's of geriatrics by Dr. Mary Tinetti.Medications (Meds): Discussion on how medications affect functional movement, cognitive, and physical function. Examples include treatments for Parkinson's disease and mood disorders.Mobility: Emphasis on treating musculoskeletal conditions holistically, understanding age-related changes, and the importance of early mobilization.Mind: Importance of cognitive function in physical abilities and safety. Discussion on mental health conditions like depression and dementia.Sponsor Message: Information about APTA Geriatrics and the Certified Exercise Expert for Aging Adults (CEEAA) program. Learn more about CEEAAMulti-Conditions: Managing multiple chronic health conditions in older adults, such as diabetes, cancer, and COPD. Importance of a holistic approach.Matters Most to Me: Focus on patient-centered care, understanding patient goals and wishes, and aligning treatment plans accordingly.Conclusion and Parting Shots: Summarizing the five M's and encouraging clinicians to incorporate them into their practice.

We cover the top 5 tests and measures every geriatric physical therapist should consider for assessing fall risk in older adults. Join our expert guests, Jackie Osborne and Ken Miller, as they share their insights on the Berg Balance Scale, Single-Leg Stance, Timed Up and Go, Five Times Sit-to-Stand, and Self-Selected Gait Speed. Discover how these essential tools can help you improve patient outcomes and enhance your practice. Don't miss out on this valuable discussion!Great news from APTA Geriatrics – the Certified Exercise Expert for Aging Adults course is now hybrid! This means you can get profession-leading knowledge without the travel and extra costs. Choose the hybrid path with online modules and live webinars, plus a hands-on weekend, or stick with the traditional in-person weekends. Either way, you'll gain expert skills to design effective exercise programs for aging adults. Elevate your practice and save time and money. Learn more at APTAGeriatrics.org!