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Informational interview


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Interview with a physical therapist

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Informational interview

  1. 1. Conducted with: Jordan Bradosky, PT, DPT Benefis Hospital in Great Falls, MT 10/24/2016 INFORMATIONAL INTERVIEW
  2. 2. A: Graduate from an accredited Doctorate of Physical Therapy program  Evaluates patients and recommends appropriate treatment plan, based on physical therapy standards of care  Assess patient pain, makes appropriate referrals for intervention  Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs  Manages and operates equipment safely  Coordinates and directs patient care to ensure patients’ needs are met and hospital policy is followed.  Consults other departments as appropriate to collaborate in patient care and performance improvement activities.  Documentation meets current standards and policies.  Participates in educational staff in-services.  Knowledge of medications and their correct administration based on age of patient and clinical condition.  Demonstrates the ability to deal with a variety of people, deal with stressful situations, and handle conflict. 1. Q: WHAT TRAINING OR EDUCATION IS REQUIRED FOR THIS TYPE OF WORK?
  3. 3. A: I had to apply online through the Benefis employment center. I then followed up with an email and called them to be sure they received my application and resume. When they confirmed they had received it, I set up a date and time for an in person interview and was prepared with copies of my resume. I met the acute care manager for a more formal interview and then received a tour of the facility and met another physical therapist who asked questions and gave me the tour. I heard back from administration within 1 week. 2. Q: WHAT ARE TYPICAL HIRING PROCEDURES?
  4. 4. A: In the acute care setting of physical therapy it is pertinent to have a solid foundation in not only having the ability to read and interpret a variety of diagnoses, but have the ability to diagnosis and then come up with an optimal treatment plan for each individual patient. You must have knowledge at not only the superficial level, but you must also have the ability have a deeper understanding of the clinical picture for each patient -- understanding labs, vitals, ventilators, equipment, and physiological responses to physical activity based on the patient’s diagnosis and co-morbidities.  Most facilities require a new graduate to be a licensed physical therapist (passed their boards) and have graduated from an accredited DPT graduate school.  You must also pass the state boards as each state has their own practice laws for physical therapy.  Any state that you work in requires Continuing Education Units (CEUs) anywhere from 25-35 hours of attending conferences, classes, or being an APTA member. These CEUs are randomly audited every 2 years. 3. Q: WHAT AREAS OF KNOWLEDGE ARE MOST IMPORTANT FOR ADVANCEMENT IN THIS FIELD? WHAT DEGREES? CERTIFICATION?
  5. 5. A: If I were to go back in time leading up to the setting I am in now.. as a student, I would of asked to see more surgeries such as cardiac and brain surgery and asked more questions to the surgeons about why they set certain precautions or limitations to patients post operatively. What physiological response happens if a person were to go against those precautions with out of bed activity, because some surgeons place patients on “bed rest” for 24 hours and I am unsure as to why. 4. Q: IF YOU WERE STARTING OUT AGAIN, WOULD YOU DO ANYTHING DIFFERENTLY?
  6. 6. A: I have a caseload of roughly 7-10 patients per day. There is no scheduled appointments however it is important to prioritize patients based on reading. During patient care I look at the clinical presentation of each individual patient, assess pain and vitals, and then make clinical decisions on the treatment plan for the day to improve functional mobility--increasing endurance, ambulating with the least restrictive assistive device, strengthening, improving range of motion, teaching patients how to utilize an assistive device, provide education on any precautions and then make recommendations to doctors and to transitional care planners . We have daily rounds I attend every day where I meet with a few hospitalists, respiratory therapist, pharmacist, speech therapist, nutritionist, hospice care provider, and transitional care planner. After patient care I document this information in the Meditech documentation system where all care providers involved in the patient care can read our notes. 5. Q: WHAT DO YOU DO ON A TYPICAL DAY IN THIS POSITION?
  7. 7. A: In the field I’m in, the majority of patients do not want to be in the hospital and are very sick unless they opted for elective surgery such a patient who had scheduled a total knee or total hip replacement. So in this aspect it is challenging to get patients to understand the benefits of early mobility and how quickly they can lose functional mobility without physical therapy. It is a challenge to motivate patients to become independent with their functional daily activities—most patients want to be waited on and understandably so as they are sick, however this will not get them better. On the other hand it is most satisfying and rewarding to see patients overcome pain and obstacles and to watch them progress and to get set on the right path toward reaching their goals of their prior level of function. 6. Q: WHAT PART OF THIS JOB DO YOU FIND THE MOST CHALLENGING OR SATISFYING?
  8. 8. A: Currently the opioid epidemic is a hot topic. We see several individuals are hospitalized and some who are in critical care from dependency on pain medications of which doctor’s either over prescribe or individuals abuse. 7. Q: WHAT ARE THE “HOT ISSUES” IN THIS FIELD?
  9. 9. A: I work 40 hours a week, typically from 7:15am - 3:15pm. We are required to work 1 weekend a month and during that weekend we get a day off the week prior and a day off the week after. My hours are fairly flexible since we do not have specified appointments that a patient has made. I have also been working a lot of overtime at another facility within the Benefis System at Senior care services to help pay off loans…. sometimes from 3:30pm - 7:00pm during the weekdays. 8. Q: HOW MANY HOURS DO YOU TYPICALLY WORK EACH WEEK? DO YOU OFTEN WORK IN THE EVENINGS OR WEEKENDS? CAN YOU ARRANGE YOUR OWN HOURS?
  10. 10. A: Starting salary for a new DPT graduate is $55,000, but that is in Great Falls, MT. My other fellow new grads have a starting salary of $65,000. Average salary for a physical therapist is $82,000. It really depends on years experience, setting, and location of where you live (cost of living) 9. Q: WHAT IS A TYPICAL STARTING SALARY? AVERAGE SALARY? OTHER BENEFITS?
  11. 11. A: Yes, but it depends on which setting you want to work. Senior Care Services/ Geriatrics will likely be the highest demand and best paying position wherever someone lives as these are the jobs that not many young graduates want to work. 10. Q: IS THERE A DEMAND FOR PEOPLE IN THIS ORGANIZATION?
  12. 12. A: There are several people within the hospital setting that are not very “up-to-date” on the degree we receive as a physical therapist. Many hospitalists are fairly clueless as to why a patient needs physical therapy or what the purpose of physical therapy is.. this is something I have recently noticed in rounding with several other health care professionals. I see this as a problem because without an understanding of our background, education, and how evidence based we truly are, they may think physical therapists are not necessary and that anybody without our education can do our job. Most people in the hospital think that all we do in the hospital is “walk patients” , which can be very frustrating at times. I think the PT world needs to reach out other health care professionals to provide a deeper understanding on our profession. 11. Q: WHAT ARE THE PROBLEMS YOU SEE WORKING IN THIS FIELD?
  13. 13. A: The physical therapy profession for the future is promising. The world of physical therapy unfortunately is sometimes dictated by medicare/ Medicaid insurance rules—I foresee it will become more of a challenge to allow patients to get covered by their insurance and to advocate for patients and demonstrate a need for their continued physical therapy.  As a new grad I think working in the hospital setting is a good starting position as it allows a physical therapist to see and treat a wide variety of diagnoses. It also gives the opportunity to see where most patients start their physical therapy prior to coming to an outpatient clinic or transitional care. It gives the opportunity to communicate with doctors and a range of health care professionals that you may never get the chance for in an outpatient position.  Any area that a physical therapist decides to work will allow for growth and opportunity. 12. Q: HOW WOULD YOU EVALUATE THE FUTURE OF THIS CAREER FIELD? HOW DO YOU SEE JOBS IN THIS FIELD CHANGING IN THE FUTURE? WHAT AREAS DO YOU FEEL PROMISE THE MOST OPPORTUNITY? THE MOST GROWTH?
  14. 14. A: Remember to always develop a rapport with your patient first and foremost. It makes working with each patient a whole lot easier as they become more apt to intently listen to you and follow your advice. Remember to communicate well with the patient and ask open ended questions. While in school, don’t be afraid to ask questions! 13. Q: WHAT SPECIAL ADVICE WOULD YOU GIVE A PERSON ENTERING IN THIS FIELD?
  15. 15. A: As an acute care therapist I wish I would have known some the challenges of working around some of the obstacles of patient care such as a patient who is incontinent or has severe dementia. It is sometimes difficult to accomplish the treatment plan for the day or even work towards their functional goals due to these obstacles. 14. Q: WHAT, IF ANYTHING, DO YOU WISH YOU HAD KNOWN BEFORE YOU ENTERED THIS OCCUPATION?
  16. 16.  A:  Jamie Fox: my clinical instructor from grad school – outpatient orthopedic rotation, she is a PT at St Pete, FL outpatient sports clinic.  Mary Mohay my clinical instructor from grad school – inpatient rehab rotation (spinal cord injury unit ). She is a PT at Brooks Rehab in Jacksonville, FL  Rudi Rodriguez – classmate in grad school. She is a physical therapist in Ocala at their hospital.  Ali Gannon – whom I worked with at Benefis Hospital, who has currently moved to Texas and is a pediatric physical therapist. 15. Q: CAN YOU SUGGEST ANYONE ELSE WHOM I SHOULD CONTACT FOR ADDITIONAL INFORMATION?