Continuing Education Bits for PTs & PTAs

Archive for March, 2014

How do the 2014 California regulations impact YOU?

A number of very significant laws that regulate our profession came into effect in January of this year. Some of them are changing the practice of physical therapy in California. Do you know what these are and how they impact you?

Law 2014

An example of changes include the area of DIRECT ACCESS: physical therapists are now legally allowed to see patients directly for musculoskeletal care. This, of course, grants a much larger degree of autonomy and independence to PTs. But, did you know:

  • What are the limitations of this law?
  • What are the parameters under which you can or cannot see patients without a referral?

Another significant and major change is in the PROFESSIONAL CORPORATION ACT, which now allows physical therapists to be employed by medical and podiatric corporations.

And yet another regulatory change is in the area of Supervision of PTAs. In this case, regulations have loosened up quite a bit and it’s important to fully understand the legal definition of “PT or record” and how it applies to PTA treatment.

To operate within the framework of these new regulatory conditions –or, better yet—to use the new environment to build a thriving career or practice–, the California PT needs to be thoroughly educated on these historic changes. The EDUCATA course, A Practical Approach to California PT Law — 2014 is fully updated with the new regulations and devoid of non-applicable, older laws.

This unique course presents vignettes of actual case examples to better illustrate, with examples, how the law is implemented.

DURING THE PERIOD OF TIME BETWEEN NOW AND APRIL 15TH, 2014, EDUCATA is making this course available at a special pricing:

  • For those who have already taken the course previously: purchase it now at half rate ($29.95). Send us an e-mail to so we can send you your personal coupon code.
  • If you have never taken the course before, purchase it at 25% discount of regular price, or $44.92, using coupon code CALAW2014.

This course is taught by Dr. James Dagostino, a well known PT and educator who specializes in all issues related to the legislation of physical therapy in California.  Dr. Dagostino was instrumental during the law change process in Sacramento and presents these issues from a unique perspective.

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Now, going back to DIRECT ACCESS, the new law specifies, for example, that a physical therapist may see a direct access patient for 12 visits, or 45 days –whatever comes first. What is required for treatment past those parameters?

How will the new law changes affect YOU?

Chime in on your reactions to these law changes and the future of PT IN California!

Farewell and Thank You, Dr. Jobe!

by Marilyn Pink, PT, Ph.D., MBA

Jobe banner

A patient sitting in his/her pre-op exam with Dr. Frank Jobe would hear about the surgery, and then they’d hear “—and that is only Jobe in scrubsthe first half of the job, the second half is your physical therapy”. On March 6, 2014, physical therapy lost a great friend and a firm believer in the profession with the passing of Dr. Jobe.

Given the great therapists he worked with, it is easy to see how he came to appreciate the benefits of PT. So, before going on with remembrances of Dr. Jobe, I, as a PT, would like to thank all of you PTs who affirmed Dr. Jobe’s belief in us: Haideh, Judy, Clive, Kevin, Pat, Brian, Matt, Stewart and many, many more. For those PTs who have not had the privilege to work with Dr. Jobe: we are making his EDUCATA course The Process of Progress (a collaboration between myself and Dr. Jobe) available for free this month of March 2014 in his honor. Click here and enter coupon code JOBE2014 at checkout if you’d like to hear and learn directly from this great clinician, surgeon, educator.

Like Hippocrates, Galen and Pare, Dr. Jobe went to war to learn about surgery. He joined the Army out of high school during World War II and served in the 101st Airborne Division during the Battle of the Bulge. One day, out of the blue, he told me a story about how his group was about to move to a new location the next day. As the medical supply sergeant, he stayed up all night packing supplies. The next day, once they’d arrived at their new destination and he had unpacked, he decided to take a nap.  So, he went into the forest and fell asleep – until he heard yelling, screaming and gunfire. He looked out from the dense forest, and saw the Germans had overtaken his camp. As a young man not knowing what exactly to do, he went deeper into the forest and became quite lost. Multiple days in the cold without food went by. Then he heard trucks. He decided it didn’t matter if those trucks were American or German, he was going to flag them down.

Lucky for him, and us, they were American trucks. Dr. Jobe became a medic and the Army doctors whom he saw performing surgery, keeping calm and focused with gunfire overhead, became his inspiration.

Indeed focus and keeping calm became landmarks of his personality.

The first lecture I did for Dr. Jobe was at a Baseball conference. After speaking and on stage, Dr. Jobe came up to shake my hand and leaned in, for what the audience probably assumed was a gentlemanly kiss on the check.  But, here’s the truth – he was whispering in my ear that I’d forgotten to distinguish between the upper and lower subscapularis!! So, Dr. Jobe: in the lecture on shoulder biomechanics that is currently in production at EDUCATA, I make a big deal out of the difference of those two RADICALLY DIFFERENT parts of the muscle.

Dodgers Fantasy Camp fixed

Baseball Fantasy Camp for MD’s and PTs. Dr. Jobe flanks one end and Marilyn Pink the other

Much has been said this past week about his breakthrough surgical procedures and the famous people he treated – mostly athletes. But I’d like to put in my two cents for his generosity to humanity. Here was a busy man who loved his work and the people around him. He helped us define our strengths and then gave us an opportunity to push a bit more. He knew what and when something was taking our minds off of work, he’d gently inquire about it and turn the focus to what we did well. He helped us believe in ourselves.

Jobe Manuel Bunelos

I’m at a lack of words for the greatness of this human being, but I’d like to close with this remembrance: frequently, at the end of a lecture, Dr. Jobe would turn to the audience and say “We aren’t done.  It isn’t over yet.  It is for you, the next generation, to take this knowledge to the next level.  I want YOU to do the research to make my words outdated.”

I take that to heart.  This past year we saw Dr. Perry pass away, as did Dr. McKenzie and now Dr. Jobe.  Who among us are the next leaders in clinical advancement?  What questions are we asking?  What do we look for and how can we consistently optimize treatment with our patients?  Equally pertinent is how do we deftly communicate our findings and promote learning in all of us?

So, thank you Dr. Jobe, Dr. Perry, Dr. McKenzie and many other leaders who have shown us not just the facts of medicine, but also the process of thinking through problems, deriving solutions and communicating results. Thank you too, for making it clear that we each have a responsibility to enjoy our work as we push it forward.   Thank you for being our inspiration.


Dr. Jobe and Marilyn

“A great surgeon but a better person” – Tommy John, retired Dodger’s pitcher.

Dr. Frank Jobe with Tommy John.

Would you exercise this patient?

If you were asked to create and execute a PT program for a patient and his ECG graph looked like this:

Exercise this

Would you?

Tell us your choice and comment as to why you think you should or should not. We’ll let you know the results (and the correct answer) shortly.

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