7 Big Issues Facing PT - MWTherapy (2022)

2020 is here and with it comes new challenges

The physical therapy landscape has changed dramatically in 2020. PT’s are pulling together to tackle some of the hottest issues occurring in physical therapy practices across the United States right now. And while items like self-care are still on the list, practices have adjusted their protocol to provide modern solutions for their patients who need it most.

Let’s explore the seven biggest issues facing physical therapists in 2020 and how to solve them:

1. Cleanliness

Cleanliness has been a massive focus for physical therapists opening their doors. Keeping clean is the first step when maintaining patient and PT safety. And while most practices are already sparkling clean, the addition of PPE, CDC guidelines for physical therapists, and changes in standard operating procedures moving forward has made this issue quite complicated.

Meeting CDC guidelines

The CDC has released numerous precautions for physical therapists to return their practice to normal. As most have already adapted their strategies for inpatient therapy, what about outpatient therapy? According to the CDC, These five standard guidelines must be met for outpatient physical therapy to operate safely:

  1. Hand hygiene
  2. Use of personal protective equipment
  3. Safe injection practices
  4. Secure handling of potentially contaminated equipment or surfaces in the patient environment
  5. Respiratory hygiene/cough etiquette.

For maximum effectiveness, these measures should be paired with the proper educational training and administrative policies recommended by the CDC (both foundhere).

SOP

Physical therapists have changed their standard operating procedures (SOP) due to these unprecedented times. Every aspect of your practice must be analyzed, including facility demographics, infection control infrastructure, facility practices, and infection control guidelines. This comprehensive checklist released by the CDC will help you go over each one of these topics in-depth.

Physical therapists should study these guidelines and adjust their SOP to reflect these changes. Minor changes in your practice’s daily routine can cover the majority of these recommendations – keeping your staff and patients safe.

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PPE

In combination with preventative strategies, wearing the proper personal protective equipment (PPE) is recommended by the CDC within 6 feet of co-workers and patients. Examples of appropriate PPE would be gloves, goggles, face shields, face masks, and respiratory protection. Proper use, care and guidelines for this equipment can be found in this OSHA document.

2. Telehealth Services

Telehealth has become a hot issue in the physical therapy community because of the demand by patients. Some practices arestarting from scratch, and telehealth services are uncharted territory. While it can feel like a leap of faith, it’s not.According to APTA, “Telehealth is a well‐defined and established method of health services delivery.”

The introduction of telehealth services has enhanced the therapy process reducing unnecessary in-person visits, retaining more patients while providing them additional therapy options, and keeping essential physical therapists on the payroll.Now with medicare allowing telehealth for physical therapists, more patients can finally receive these services, and physical therapists can accurately measure the impact on their practice.

3. In-Home Therapy

Physical therapy clinics in some regions of the country are reducing staffing due to lack of patients, state laws, and difficulty meeting CDC guidelines. But others are opening back up and need all hands on deck. For this reason, in-home therapy can be an option for physical therapists. Likewise, if you’re a practice owner and keeping your entire staff employed is difficult, in-home therapy could be a good option for qualified PTs until things get back to normal.

Many don’t know that Medicare does cover in-home physical therapy on an outpatient basis (e.g. under Medicare Part B). These types of visits can be offered and billed in the same fashion that an clinic visit can be offered. It’s possible that some patients will be more comfortable not being seen in a clinic-setting as opposed to receiving care in their home. It may or may not work in your area but it’s worth consideration.

4. Patient Retention

It’s no secret thatretaining your patients is good business, but why is this one of the most significant issues facing physical therapists in 2020? According to a 2019 survey amongst outpatient OT & PT clinicians, managers, directors & owners, the three leading causes (outside of insurance concerns) with patient retention are time, cost, and physical therapy expectations.

  • 53.3% of patients have time commitment and scheduling difficulties
  • 40% of patients believe PTs have unrealistic expectations for treatment
  • 73.3% of patients don’t agree with the cost of treatment

All three stem from one major problem, value. Time commitments would no longer be a problem if patients understood why therapy is necessary. Expectations wouldn’t seem difficult if the value were apparent. And the cost wouldn’t concern patients who knew physical therapy treatment was essential to living their best lives.

Treat every patient with sterling professionalism, continually underline the benefits of physical therapy, and praise people for their efforts along the way. You’ll keep the patients you have and fuel future visits from their friends and family. Build a culture of value around your craft, and never let your enthusiasm waiver for impressive results.

(Video) Choosing the best EMR for your physical therapy practice in 2020

5. Practice Management

Managing a physical therapy clinic is tough work, even for the most skilled entrepreneur. There are so many moving parts in the physical therapy industry. It’s almost impossible to stay on top of everything simultaneously.

However, with the proper delegation, marketing channels, andsoftware systems, physical therapists can build and maintain an environment that’s optimal for patients and their staff alike, promoting a culture beaming with productivity.

Marketing

The vast world of marketing is always changing. Every year the digital space evolves, making older marketing techniques inefficient. In 2020, remarketing your practice to clients and communicating when and how you’re opening back up is essential. Additionally, your marketing efforts should include detailed explanations of how your clinic is keeping safe and clean during these uncertain times.

Building a solid customer base, engaging with prior patients, and retaining top PT talent revolves around marketing on the right platforms, at the right time, to the right audience. These methods includemarketing your practice to physicians, along with prospective patients using tools such as:

  • Website Updates
  • Email Newsletter
  • Blog Articles
  • Social Media Posts
  • Word of Mouth
  • Google rankings and review-based services

Staying in the digital space has never been more relevant than now when launching a marketing campaign. Once you’ve polished and launched your campaign, study the results. Pinpointing the most successful features can save you loads of time and money in the future and could reveal eye-opening prospects.

Staying HIPAA compliant

HIPAA violations can be a severe offense for physical therapists, some resulting in fines up to $50,000 and imprisonment. The Office for Civil Rights has received over 233,581 complaints from April 2003- April 2020. The most significant compliance issues occurred in the following order:

  1. Impermissible uses and disclosures of protected health information
  2. Lack of safeguards of protected health information
  3. Lack of patient access to their protected health information
  4. Lack of administrative safeguards of electronically protected health information
  5. Use or disclosure of more than the minimum necessary protected health information

Among these complaints, private practices and physicians were among the most likely candidates to commit HIPAA violations. Therefore, practices that back up their encrypted data, create strong passwords, install antivirus software, and continuously educate their PTs about HIPAA are far better at staying compliant. This is doubly important with so many therapists working from home.

Managing Staff

Practice owners have more hurdles when managing their staff as of late. Ensuring your team is educated on new additions to your practice, such as telehealth services and following CDC guidelines is essential. But there are certain hardships in physical therapy that were already challenging, so what has changed with maintaining motivation, stellar recruiting, and productivity metrics?

Motivating Staff

Added stress and anxiety have altered career pathways, affected families, and made physical therapy difficult for all PTs. Now more than ever, one of the most impactful things practice owners can do is actively listen to their employees.

You should also communicate all the information you have about the ongoing situation with your staff. Sharing this information helps employees feel connected and could also help provide solutions. By asking for their feedback and showing appreciation along the way, people will have a newfound sense of purpose and are motivated to find answers in the workplace.

(Video) Best Streamlining Practices to Maximum Efficiency within Your PT Clinic

Recruiting and Retaining Top Talent

Whether you’re ramping back up for business or you’ve lost valuable employees in the first six months of 2020, recruiting and retaining top PTs is invaluable to any organization. The fact of the matter is, lots of professionals are out of work for one reason or another right now, and your practice could be where this talent lands.

Recruiting is as simple as finding the best place to post job offerings, updating your website’s career section, and providing proper job descriptions. Create a framework for your interview process where you can compare rockstars and decline unfit candidates immediately.

Retaining talent is a bit more tricky and boils down to excellent communication, goal-setting, and workplace flexibility. Creating an environment where the lines of communication are wide open promotes growth, and when goals are in place, employees feel like their work is meaningful. When your staff is supercharged with purpose, and you respect their time by allowing flexible PTO policies and scheduling, you’ll rarely lose employees.

Overcoming Productivity Metrics

Productivity metrics are important while measuring individual PT and the clinic’s success. But understand they are valuable tools to understand your employees. Use these metrics to identify the strengths and weaknesses of your staff. Ask questions about why specific PTs have better metrics, such as net promoter scores to figure out how to build up the entire team.

6. Career Development and Growth

As a lot of facilities have been closed, where does that leave physical therapists in their career pathway?

Continuing Education

Continuing education (CEU) is almost mandatory in the world of physical therapy. But which courses should physical therapists pursue?

Highlighting courses that align with professional goals can help develop the best clinical skills and industry knowledge – setting you apart for the competition. Look for classes that match your career pathway with their defined course goals, target audience, instructional level and faculty certifications.

Currently, APTA isoffering free courses on relevant subjects like telehealth services and additional member discounts.

Struggles of Starting a New Practice

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Starting a new practice is hard by itself, add the complications of the times, and it seems daunting. The good news is that most states are opening their economies and getting back to business. Hopefully, you’ve weathered the storm and were able to take advantage of the CARES act to keep your business afloat. Focus your efforts on marketing and building relationships with local physicians to establish a sturdy patient foundation.

If you’re opening a new clinic, it’s best to check current federal, state, and local guidelines before acting on your business plan.

7. PT Self Care

Self-care is always an issue facing physical therapists, as the industry can be demanding. New PTs out of school might be facing more stress because they’re trying to learn new skills while adjusting to updated policies and procedures. Meanwhile, established PTs are attempting to find a positive work-life balance to avoid burnout.

Work/Life Balance

Burnout and finding a positive work/life balance is difficult for PTs working in a hospital or high-volume practice. Especially with fewer employees on the payroll, somebody has to pick up the slack. Managing burnout and creating this balance is typically due to a lack of communication.

Practice owners and physical therapists alike need to be vocal when they’ve bitten off more than they can chew. Shifting the workload evenly amongst your PTs will eliminate potential burnout and create happier – healthier employees.

Stress

Managing the stress of work, life, and therapy outcomes can be a heavy burden. Patients who don’t show up for treatment and wonder why they aren’t getting better can overload the best PT. Even worse, some patients havesuffered a traumatic injury or are dealing with a debilitating illness.

Identify signs of stress by asking yourself some of the following questions:

  • Have you become cynical or critical at work?
  • Do you drag yourself to work and have trouble getting started?
  • Have you become irritable or impatient with patients?
  • Do you lack the energy to be consistently productive?
  • Do you find it hard to concentrate?
  • Do you lack satisfaction from your achievements?

If the answer is yes to any of these questions, it might be time to communicate your concerns with your leadership, take additional time to decompress, and speak with a doctor or mental health provider.

The Bottom Line

Being a physical therapist is a challenging and rewarding profession. When PTs can overcome these obstacles they find in their daily routine, it gives them purpose – making their job enjoyable and fun.

Helping patients can be one of the most rewarding feelings on the planet. Physical therapists are on the front lines every day, facing down the issues in this article and making recovery a possibility.

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FAQs

What challenges do physiotherapists face? ›

Like in any other branch of medicine, physiotherapy also can be very stressful. Working long hours shifts, dealing with patients with traumatic experiences and illnesses, can cause severe stress to physiotherapists. This stress can generate feelings of burn out and could be very draining mentally.

What is the most challenging aspect of physical therapy? ›

Stress. Managing the stress of work, life, and therapy outcomes can be a heavy burden. Patients who don't show up for treatment and wonder why they aren't getting better can overload the best PT. Even worse, some patients have suffered a traumatic injury or are dealing with a debilitating illness.

Why are ethics important in physical therapy? ›

Knowledge of ethics is important amongst the physical therapists as they are expected to have thorough knowledge, professionalism, good skills and polite behavior to achieve a good rapport with the patient because this is a field where we deal with the patient hands-on.

Is physical therapy in demand in the Philippines? ›

Do I recommend studying Physical Therapy: Yes, it is in-demand in the Philippines and worldwide. There are only few who practice this profession because some went abroad to have a high salary. And speaking of salary, it is not that high in the Philippines but it's profitable and you can manage your own family.

What are some current trends or issues emerging in physiotherapy? ›

There are a number of factors that are contributing to changes in physiotherapy.
  • Changing health needs. ...
  • Patient expectations. ...
  • Advances in technology. ...
  • Telehealth. ...
  • Home-based care. ...
  • Data science. ...
  • Focus on prevention.
22 Jul 2021

What is stressful about being a physical therapist? ›

Physical therapists reported to be the most stressed in the order of professional role conflict, overload of work, work relation with a physician and supervisor, interpersonal relationship with patient and caregiver.

What are the cons of being a physical therapist? ›

Cons of Being a Physical Therapist
  • Extensive Education Requirements. In order to become a physical therapist, you must attain a Doctorate Degree in Physical Therapy (DPT). ...
  • Demanding Work. A job as a physical therapist is demanding both physically and mentally. ...
  • Maintaining Licensure. ...
  • Insurance Rules and Regulations.

What is the burnout rate for physical therapists? ›

(2018) found that if a physical therapist is working in a less desirable setting than they have envisioned for themselves and cannot obtain desired achievement results, it can lead to burnout. Lo et al., (2017) found that the prevalence of burnout in physical therapy is 45- 71%.

What are the 7 core values of PT practice? ›

Physical therapist practice is guided by a set of seven core values: accountability, altruism, compassion/caring, excellence, integrity, profes- sional duty, and social responsibility.

What are considered ethical issues? ›

The most commonly experienced ethical issues include discrimination, harassment, unethical accounting, technological abuse, data privacy, health and safety, and favoritism and nepotism. Most of these concerns are experienced in workplaces.

What is an ethical dilemma in physical therapy? ›

Ethical dilemmas arise when physical therapists encounter conflicts between loyalty to their patients and loyalty to their employers. This type of ethical conflict is called "the dilemma of the double agent." If physical therapists perceive themselves as agents of their patients, their employment may be threatened.

Is Physical Therapy harder than nursing? ›

Physical therapists usually require more education than nurses. In the United States, physical therapy students must complete a doctoral degree, which often takes about seven years. A nurse may practice at much lower levels of education—the fastest route for starting a career in nursing is a two-year associate degree.

How much is PT in PH? ›

The price of physical therapy per session in the Philippines may range from Php 600 to Php 1,500. The exact price rate will depend on your program and the number of sessions required by the doctor.

Are physical therapist doctors? ›

So, since 2015, physical therapists are doctors, but they're not physicians. They undergo additional schooling as required for their specific professional practice just like any dentist, nurse, doctor, surgeon, optometrist, orthodontist, or therapist.

What is the future of physiotherapy? ›

Scope After B.P.T (Bachelor of Physiotherapy)?

BPT graduates are also eligible for courses like hospital administration, business management, public health management & various other postgraduate programs.

How has technology affected physical therapy? ›

Advances in robotics and bionics help therapists diagnose more precisely, increase clinic efficiencies, and reach more patients. Furthermore, such technologies improve patient engagement and HEP compliance. All of this boils down to a better patient experience, which in turn can lead to improved outcomes.

Why is innovation important in physical therapy? ›

The Importance of Physical Therapy Innovations

In the physical therapy space, innovative advancements have continuously evolved to help enhance recovery and accelerate mobility after an injury, accident, or serious health event.

Is PT a low stress job? ›

Background: Job stress has been associated with poor outcomes. In focus groups and small-sample surveys, physical therapists have reported high levels of job stress. Studies of job stress in physical therapy with larger samples are needed.

How do you prevent PT burnout? ›

Tips for Preventing Physical Therapist Burnout
  1. Ask for help when you need it.
  2. Look after your physical health.
  3. Leave work concerns at work.
  4. Keep learning.
  5. Attend professional events.
  6. Make time to do something you enjoy every day.
  7. Spend time with friends and loved ones.
  8. Keep a journal.
18 Apr 2017

What age do physical therapists retire? ›

The average age to begin a career as a physical therapist is about 25 because that is when they would be out of grad school. The average age to retire is about 60 ears old. Most physical therapist are in really good shape allowing their body to work longer and with a high satisfaction rate they have no reason to leave.

What are the pros and cons of being a therapist? ›

Pros and Cons of Being a Therapist
ProsCons
You will meet different peopleSetting up your own practice is challenging
It can be a high-income professionIt can be emotionally demanding
You can determine your own hoursSome patients can be difficult
You will never stop learningExposure to trauma
4 more rows
25 Jun 2021

What are the disadvantages of therapy? ›

The process of therapy may cause you to experience uncomfortable or painful feelings, such as sadness, guilt, anxiety, anger, or frustration. Counseling may bring up painful memories. It might disrupt relationships.

Is OT or PT school harder? ›

As for your path to becoming an OT or PT, therapy school for PTs is currently more extensive and will require a doctorate, while OT will require a Master's.

What's the highest paid physical therapist? ›

Physical Therapists made a median salary of $91,010 in 2020. The best-paid 25 percent made $106,060 that year, while the lowest-paid 25 percent made $75,360.

Are physical therapists underpaid? ›

Compared to many other professions in the US, the average salary of a physical therapist hovers around a livable $85k a year, with new graduates earning just under $70k. Once you're finally debt-free, you'll enjoy this healthy income as a PT.

Do physical therapists make 6 figures? ›

it depends. With some tweaking of the modifiable factors: Where you work, how often you work, and what you do at work, it is possible for PTs to earn a $100,000 or more. In some settings such as outpatient and schools, it would be harder to reach this number due to lower profit margins.

Are physical therapists quitting? ›

What's been dubbed as the Great Resignation has many industry employers quaking in their boots—and physical therapy is no exception. Health care has taken one of the hardest hits in resignations—with 3.6% more healthcare employees quitting their jobs in 2020 compared to the previous year.

Will there be too many physical therapists? ›

Physical Therapist jobs are projected to grow 25% between 2016 to 2026 according to the Bureau of Labor and Statistics. In 2016, the number of Physical Therapist jobs totaled 239,000.

Do you regret becoming a physiotherapist? ›

I regretted it. While it is a good profession, I just realized it really doesn't fit my personality at all. I dread having to think about practicing my profession. I'm already licensed but it really doesn't bring me any fulfillment because I realized I wanted something more stimulating.

What are the values of physiotherapy? ›

The professional values considered as essential by the Physiotherapy students are "Benevolence", "Equity and non-discrimination", "Prudence", "Respect for life" and "Respect for autonomy of users." Physiotherapy curricula should contemplate pedagogical strategies that make students understand the importance of other ...

What is professionalism in physiotherapy? ›

Background: Professionalism is defined by the Chartered Society of Physiotherapy (CSP) as “the qualities, skills, competence and behaviours expected of individuals belonging to any given profession including physiotherapy”.

What is professionalism in physical therapy? ›

Professional duty is the commitment to meeting one's obligations to provide effective physical therapy services to individual patients/clients, to serve the profession, and to positively influence the health of society. 1. Demonstrating beneficence by providing “optimal care”.

What are the 7 ethical issues in psychology? ›

Ethical Issues in Psychology
  • Informed Consent.
  • Debrief.
  • Protection of Participants.
  • Deception.
  • Confidentiality.
  • Withdrawal.

What are the 8 ethical issues related to healthcare? ›

The major 10 ethical issues, as perceived by the participants in order of their importance, were: (1) Patients' Rights, (2) Equity of resources, (3) Confidentiality of the patients, (4) Patient Safety, (5) Conflict of Interests, (6) Ethics of privatization, (7) Informed Consent, (8) Dealing with the opposite sex, (9) ...

What are the six ethical issues? ›

These principles include voluntary participation, informed consent, anonymity, confidentiality, potential for harm, and results communication.

What are unethical issues? ›

Unethical behavior can be defined as actions that are against social norms or acts that are considered unacceptable to the public. Ethical behavior is the complete opposite of unethical behavior. Ethical behavior follows the majority of social norms and such actions are acceptable to the public.

What's an example of ethical dilemma? ›

Some examples of ethical dilemma include: Taking credit for others' work. Offering a client a worse product for your own profit. Utilizing inside knowledge for your own profit.

What are common areas of ethical dilemmas that confront rehabilitation professionals? ›

A broad range of clinicians listed four primary issues: reimbursement and allocation of scarce resources; determination of rehabilitation goals; compromised decision-making capacity in patients; and concerns about confidentiality (32). They considered conflicts among the treatment team especially troubling.

What are disadvantages of being a physical therapist? ›

TOP CONS OF BEING A PHYSICAL THERAPIST
  • You will need to earn a bachelor's degree. ...
  • You will need to earn a Doctor of Physical Therapy Degree. ...
  • Do you have any idea how much this is going to cost? ...
  • How do you plan on paying for your schooling? ...
  • You must become licensed. ...
  • You will have to renew your license.

Is it hard to be a physiotherapist? ›

A physiotherapy degree is not one to be taken lightly; it's an intense, three-year, full-time course where you are in at least four days per week.

What is the burnout rate for physical therapists? ›

(2018) found that if a physical therapist is working in a less desirable setting than they have envisioned for themselves and cannot obtain desired achievement results, it can lead to burnout. Lo et al., (2017) found that the prevalence of burnout in physical therapy is 45- 71%.

What might a typical day involve for a physiotherapist? ›

On a typical day (or week) in this position, what do you do? “As a physiotherapist, I see a variety of patients referred by consultants and GPs for outpatient physiotherapy for initial assessment and follow-ups, along with communicating with patients' referrers and other professionals.”

What are the pros and cons of being a therapist? ›

Pros and Cons of Being a Therapist
ProsCons
You will meet different peopleSetting up your own practice is challenging
It can be a high-income professionIt can be emotionally demanding
You can determine your own hoursSome patients can be difficult
You will never stop learningExposure to trauma
4 more rows
25 Jun 2021

Is OT or PT school harder? ›

As for your path to becoming an OT or PT, therapy school for PTs is currently more extensive and will require a doctorate, while OT will require a Master's.

Is physiotherapy is a doctor? ›

Physiotherapists cannot prefix 'Dr. ' before their names, as they are paramedics and technicians not doctors, the Tamil Nadu Medical Council has cautioned. However, with some private physiotherapists continuing to use the prefix 'Dr.

What makes a good physiotherapist? ›

Six qualities of a 'good' musculoskeletal physiotherapist were identified as: responsive, ethical, communicative, caring, competent, and collaborative.

Is physiotherapy a stressful job? ›

Moreover, in a study in which different health professions were evaluated (nurses, clinical assistants, physicians and physiotherapists), physiotherapists had the highest levels of stress [39].

What is the average age of retirement for physical therapists? ›

The average age to begin a career as a physical therapist is about 25 because that is when they would be out of grad school. The average age to retire is about 60 ears old. Most physical therapist are in really good shape allowing their body to work longer and with a high satisfaction rate they have no reason to leave.

Are physical therapists quitting? ›

What's been dubbed as the Great Resignation has many industry employers quaking in their boots—and physical therapy is no exception. Health care has taken one of the hardest hits in resignations—with 3.6% more healthcare employees quitting their jobs in 2020 compared to the previous year.

Will there be too many physical therapists? ›

Physical Therapist jobs are projected to grow 25% between 2016 to 2026 according to the Bureau of Labor and Statistics. In 2016, the number of Physical Therapist jobs totaled 239,000.

How many patients do physiotherapists see a day? ›

The average caseload for a full-time physiotherapist is anywhere from 8 to 15 clients per day with 25 to 45 clients on their overall roster.

Do physiotherapists earn good money? ›

Recent reports suggest that with a few years working as a professional, the average salary that a physiotherapist can earn is ₹3.60 lakhs a year. This can go up to nearly ₹8 lakhs per year depending on the institution that a physiotherapist is working for and the job experience they have acquired.

How many patients does a physical therapist see in a day? ›

A typical number of patients seen by each therapist in this setting in a regular 8- hour day is approximately 12-16. The average amount of hands on time with the physical therapist is 15-30 minutes, depending on the company.

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