Week 1.1 Role of PT in Primary Care Flashcards Preview

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Flashcards in Week 1.1 Role of PT in Primary Care Deck (31)
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what is the difference between primary and secondary care?

primary care includes comprehensiveness, coordination, and continuity.


what are the 6 characteristics of primary care

safe, effective, timely, efficient, equitable, patient centered.


give examples of primary care providers

family practitioners, general internists, NP, PA, PT.


how many years of training do family physicians have after medical school, and how much time in MSK conditions (in what way)

3 years, 1 month (shadowing an ortho or sports medicine physician)


how many years of training to general internists have after medical school, and what do they focus on. how much time with MSK

3 years, and they focus on hospitalized patients as their area of expertise.
no required time with MSK (ortho or sports med)


who are the non-physician health professionals



how much training do PAs have, and what degrees

1 year in a classroom and 1 year in IP or OP clinicals for a total of 2 years. With a BS, or MS.


TF: PA practice independently

false, never


how determines the PAs clinical focus

the supervising physician


how long do NP train and what do they focus on

its variable, and they are registered nursing grads.


what is the most prevalent disease group in whites

skin disorders


what is the most prevalent disease group in blacks

OA and skin disorders


what is the most prevalent disease group in asians



what is lacking in the primary care education

lacks MSK physical and diagnosis exam


what are the potential benefits of a primary care PT model in this US

more efficient use of health care resources, care being delivered in a timelier manner, and interdisciplinary collaboration


the Virginia mason medical center follows an approach where the patient goes to PT first, and what are the outcomes

saves money and quicker.


what are some components of the US Army Model

you prepare for primary care practice, and you can do a neuromusculoskeletal eval and triage. You can direct referrals to any medical professional, and can prescribe some meds and imaging.


what are some of the outcomes of the US Army Model

prompt evals, increased quality, decreased sick calls and more appropriate use of medical physicians and PTs.


what is the Kaiser permanente model

the largest non-for-profit HMO in the US, which allows PTs to be primary care in Northern California, and allows PTs to work with medical providers.


under the Kaiser permanente model, what members are involved with the team

MDs, staff, behavioral medicine, clinical health educator, RN, LVN, PT, NP


what are the prerequisites to work for Kaiser permanente model

ortho PT background, 4-6 years in OP, required CE, competency in diagnosis, diagnostic imaging, pharmacology, lab values, acute MSK conditions.


what is the VA model

largest healthcare system with 26.5 million veterans


what services does the VA provide

integumentary, MSK, neuromuscular, cardiovascular and pulmonary


what are the prerequisites to work for the VA

-differential diagnosis,
-ortho exam and eval,
-primary and secondary disease prevention and
-effect of the four body systems on movement.


what is the PT access like in the VA system

-PT screen in the ED
-primary care clinic and triage by nurse
-overweight patients who wish to improve general health.


what is the mercy model

PT will mentor president, 2nd or 3rd year, in MSK cases.


what are the prerequisites to work for the mercy model

-strong foundation in ortho PT
-competency in differential diagnosis, diagnosis imaging, pharma, labs, MSK injuries.
-ability to work in collaboration with medical residents.


what do the PTs instruct the residents on

low back pain, neck pain, shoulder pain and knee pain.


what is the mercy PT education program evaluation

the MSK exam is done by the resident, after watching the PT, then you present cases with clinical reasoning (including history and exam), then you observe the PT in practice.


what does the mercy model allow

enhanced use of resources, multidisciplinary approach, better use of resources, more efficient access and in a timely manner.