Sunday, December 18, 2011

Blog 16- Updated PDP

Professional Development Plan

***Update:

I am still in the processing of joining a professional DPT association. Joining will depend on which school I get accepted to and in what state it is in. There is a national APTA association that I can join, but am waiting to join a subdivision of that group that is divided into specific states. The following is a list of professional DPT associations I will join depending on the program I am accepted into:

University of New England- Maine : Maine Chapter APTA http://maineapta.org/about/. Site provides information on local and nationwide job openings as well as journals on current and evidence based practices in PT.

Midwestern University of Downers Grove-Illinois:  Illinois Physical Therapy Association (IPTA). Site also provides information regarding news and publications, practice and patient care, as well as current job openings in the Illinois area. http://www.ipta.org/

Concordia of Wisconsin- Wisconsin. Wisconsin Physical Therapy Association (WPTA).  Site provides information regarding local PT events, Publications, how to get involved in the local community  and job searches.  http://www.wpta.org/

I have already been accepted to the University of New England but am still interviewing with other Universities. Once a final decision is made, I will joining one of these three associations listed above.

Self-Analysis

Professional Assets and Strengths:  Adaptable, Self-Motivated, Book smart, People smart

Mission
My mission for the next year is to be accepted into an accredited Doctorate of Physical Therapy program, with the hopes of becoming a Licensed Doctor of Physical Therapy working in an outpatient clinic in Austin Texas.

Skills
  •    I have the ability to make people feel safe and comfortable in my presence, which allows them to trust me.
·         I am able to communicated in both English and Spanish (currently working on improving my Spanish skills on a daily basis)

Goals


1 year
3 years
5 years
10 years

Goals
To graduate from  UW-Stout with a BS degree in Applied Science
To have successfully completed the first 2 years of the DPT program
To successfully be working as a DPT in an outpatient clinic in Austin Texas for 1+years.
To be a well-established member of the PT field.

Goals
To be offered an interview for the DPT program at my four Universities of choice
To begin applying for an Outpatient career in a hospital in Austin, Texas
To attend a specialized clinic/training for Spinal PT
To love my job

Goals
To be accepted as a student of the DPT program
To attend a specialized clinic/training for Spinal PT
To enroll in a refresher Spanish course focusing on medical phrases

Goals
To begin the DPT program




Goals
Join a professional DPT association




Why are these Goals Important?


1 Year
3 Years
5 Years
10 years

To be able to say “I did it,” and to get me to my next step of DPT school.

So I can go onto my third and final year (one step closer to graduation)
Symbolizes that I completed the DPT program successfully and that I got my dream job.
So that people will request my name if they need PT , and to show that I still love what I do.

To gain the chance and experience that could potentially be the final decision of whether or not I get accepted to DPT school.

To get my name “out there,” so when I do graduate, they will already have an idea of who I am and what I want to do.
To keep up with the changing science and to remain “attractive.”

So that I can work effectively and happily with the people I will be spending most of my days with.

So I can start my next educational chapter which will lead me to a lifelong career.
To be more attractive to employers and to fulfill an interest acquired during job shadowing
So I can communicate with a wider range of individuals and to fulfill an interest.


To be able to get educated so I can work as a licensed DPT






To gain friendships and knowledge with other members in my field





How will you meet these goals?


1 Year
3 Years
5 Years
10 Years

By successfully completing my last 15 undergraduate credits and graduation with a diploma.




By studying hard and passing all tests and requirements asked of me.
By applying to hospitals all around the Austin Texas area and marketing my skills and attributions to each of them.
By holding a successful position as a DPT, and networking to potential candidates for PT.

By staying in contact and up to date with members of the admissions office for each of the schools I applied to.
By filling out applications to hospitals within Austin Texas
Research where the classes are being offered and get signed up
By loving what I do and the people I do it with.

By nailing my interview.
Research where the classes are being offered and get signed up
Research where the classes are being offered and get signed up


By being accepted as a DPT student in an accredited DPT program




By looking up different DPT organizations and seeing which one best fits my ethics and beliefs.





What barriers or objects might stand in the way of you meeting these goals?

·         Poor use of time

·         Underestimating what it takes in order to be considered an “attractive” candidate

·         Not “appealing” enough with current background

·         Not being accepted into a DPT program for the 2012 year

Check List for Completed Goals


1 Year
3 Years
5 Years
10 Years

 X




 X




 X















Monday, December 5, 2011

Blog 15 - Entrepreneurship

After further research, i have decided that i fall under the category of "entrepreneur" more than "buisness person." The website that was presented in class compares common characteristics for both the entrepreneur and the buisness person. Over half of my characteristics and things i want for my life fall under the title of entrepreneur such as "focuses on cooperation instead of competition, a lot of time for family and personal life instead of the opposite, and is people oriented instead of profit oriented." All three of the above characteristics are things that i want for my life that i would not be able to fully obtain as a buisness person.

Although i think i would make a great entrepreneur because of my leadership qualities and organizational abilities, there are still things that i need to improve on in order to be a great entrepreneur. Most entrepreneurs are extroverts, while i am an introvert. Although some may see this as a weekness, i see it as a strength. For introverts, as well as myself, trust is a must and extremely important. Trust is very rarely ever overlooked and is important when picking out work companions. Although i may be an introvert, does not mean that i am shy or can not take charge, but rather the actions that are taken by an introvert comapred to an exrovert are done differently. Who do you think will achieve and live the happinesses that they seek in life?

Finally, i think those that will achieve the greatest happinesses that they seek in life are those that are going to do what makes them happy. I think both buisness people and entreprenuers can be happy with their decisions. Each individual has a different idea of what will make them happy and how they will be able to achieve that. For me, being an entrepreneur will make me more happier than being a buisness person because of the financial freedom and the amount of free time to spend with family. However, not everyone wants a family or to be their own boss, so i really believe that happiness can only come from within and knowing that what you are doing is right for you and what makes you happy.

Sunday, November 27, 2011

Blog Post 14: Implementing a Lean Process

Based on our discussion in class today, implement and document a quality improvement process to the project/situation in which you performed a 5S process. This implementation must be based on the muda listed on the lean manufacturing wiki site. (note: there are several additional more modern types that you could utilize if need be)

To incorporate a lean process into my 5S process that was previously completed, i decided to focus on Transport. As defined on the Wiki page, Transport includes: "moving products that are not actually required to perform the processing." Before i began the 5S process, my desk was very cluttered and served the purpose of a "junk drawer." Homework was rarely done in this area due to the clutter and disorganization. In order to implement the lean process of Transport, i began by taking everything out of that work area so that a blank slate was left. I then redefined this area by only restocking my desk with the essentials. For easy access and organizational purposes,  my notebooks and folders occupy one shelf while my text books occupy another. On top of my desk i keep my pens and pencils in a cup for easy efficient access. A stapler and some paperclips are also stored close by but are not kept out since they do not get used enough and would only be in the way. Since my printer is used very rarely as well, this is kept in another room and away from my work area.

By getting rid of all of the extra things that once occupied my work area and turing it into a place where homework and studying can actually be done, will greatly reduce my anxiety of being overwhelmed with unnecessary junk and increase productivity. I can spend more time focusing on the school work without the extra distractions that a "junk drawer" gives off.

For the documentation, list/describe the waste you have identified and explain the process change you have implemented. Either collect some data that demonstrate your improvement, or realistically estimate the effect that your improvement will have on your process.

Blog 13 -Criteria for Evaluation

Here are the Criteria discussed in class. Use these to shape the final criteria that will be used by your group. Post the final criteria and the process you will use to evaluate and rank the members of your team related to the final project.


-Attendance/Participation

-Tasks Accomplished

-Professionalism

-Communication

-Contribution

Thursday, November 3, 2011

Blog 12 -5S Process

Post a record of a 5S process that you have completed. Post a before and after picture. Also, post a short narrative of how you addressed each of the "8s's" of the 5S process. Due Nov 11.




For my 5S project I worked on my desk area. Since my apartment is currently under construction, my desk area has become a new home for many unnecessary items. After construction ended, I began the 5S process in getting my work area back to normal. Each notebook and folder was examined, eliminating any unnecessary papers that were not relevant to this semester’s classes.  Each folder and notebook was then properly labeled with appropriate class titles. The folders and notebooks were then organized onto a specific shelf with another shelf consisting of class textbooks. Having a work area organized definitely gives me a sense of security in knowing that if I’m in need of a specific item I will know exactly where to locate it. So far the new work area has been maintained with things staying neat and clear and belongings being put back into their set places. There is definitely a great satisfaction in seeing my work area back to its original self where everything is organized and easily accessible.  

Blog 11- Quality Management

Identify and describe a quality management process that is utilized in your field of interest. Typically this process is in response or guided by a professional organization in that field. Identify that organization.

 
My field of interest is Physical Therapy. A common quality management process that is utilized in this field is patient satisfaction surveys. The organization HSM (Health Services Management), whom serves not only for the needs of Physical Therapists but for Occupational Therapists, Speech Therapists, and more, follows a very defined process in order to assure patient satisfaction. With specific regards to Physical Therapy, patient satisfaction is measured with a modified Consumer Assessment of Health Plans Survey (CAHPS). That is, “a random sample of patients will receive the satisfaction survey and an outside agency will handle the mailing, data collection and reporting.” The survey itself consists of questions regarding the patient’s recent experiences and the services provided to them as well as their experiences with health plans. The survey also incorporates a section of questions to monitor functional outcome and quality of the services provided.

Monday, October 24, 2011

Blog 10-Specific Ethical Question

Ask/address an ethical question in your field of interest.

My field of interest is Physical Therapy. Recently, there has been a rise in the number of ethical issues encountered by Physical Therapists. The ethical issue I will be addressing is within, “The Principle of Beneficence and The Principle of Nonmaleficence.”  The Principle of Beneficence states that a Physical Therapist will provide care that is in the best interest of the patient. Beneficence (which means “benefit the sick”) always addresses the question of subjective and objective determinations of benefit versus harm. Nonmaleficence means “do no harm.”  The main ethical issue within these principles that surrounds Physical Therapists is whether or not to perform acts of physical therapy on a patient dealing with terminal diseases or end-of-life dilemmas.
Develop/address arguments for each side of the issue.

Against providing therapy:

Physical Therapists should not be providing care to individuals with terminal diseases or end-of-life dilemmas.  To provide an unnecessary service to a patient who has a terminal disease, is in a coma or is dealing with end-of-life dilemmas is causing more harm than good. By providing a patient whom has a terminal disease with Physical Therapy, gives false hope to the patient and any supporting family members that the patient may get better. Patients and family members should not be put through any more than what they are already dealing with. Cost is another factor as to why a patient with a terminal disease or end-of-life dilemmas should not be given physical therapy. Today, patient care is more expensive than ever. For a patient suffering with a terminal disease and is on Medicare, the services provided by the Physical Therapists are not covered “unless the patent can show improvement as a result of physical therapy.”  If a person is suffering from the terminal disease ALS, muscle weakness is side effect of the disease, therefore, muscle strength will never improve, therefore no results can be shown and the therapy will no longer be covered making for one very large medical bill. As if living with a terminal disease isn’t expensive enough, providing someone with physical therapy will only add on to those expenses. As you can see, providing physical therapy to a terminally ill person will only give false hope to the patient and family members and can be extremely expensive in both cases where the patient may or may not be covered.
For providing therapy:

Physical Therapists should abide by the Principle of Beneficence and Nonmaleficence regardless of the patient’s health status. As stated in the Physical Therapy Code of Ethics, “Fundamental to the Code of Ethics is the special obligation of physical therapists to empower, educate, and enable those with impairments, activity limitations, participation restrictions, and disabilities to facilitate greater independence, health, wellness, and enhanced quality of life.” It does not state anywhere in the code of ethics that patients suffering from terminal diseases or end-of-life dilemmas are exempt from their services. With any diagnosed medical condition, outcomes can truly never be 100% certain and therefore no case should be treated the same (even if the disease is known to be terminal). A patient diagnosed with a terminal disease where they are in a coma and are “nonfunctional,” in terms of society’s standards, should still be receiving the services of Physical Therapists in case the diagnosis was incorrect (then they would still have basic movement and contractions of muscles and nerves as a result of the work performed on them by physical therapists) or the symptoms of the disease could be lessened.  For example, by providing physical therapy to can a patient whom suffers from a terminal disease known as Amyotrophic lateral Sclerosis (ALS), can help to reduce edema and spasms and to help increase circulation (causing fewer blood clots). Every patient deserves to be given the benefit of the doubt and therefore Physical Therapists should always perform cares on patients dealing with terminal disease, are in a coma, or are experiencing end-of-life dilemmas.  As you can see, physical therapy should be provided to patients whom have a terminal disease, are in a coma, or suffering from end-of-life dilemmas because it can keep the patient’s muscles nerves and blood flood active and because it is an ethical code of conduct that all Physical Therapists must abide by.
Defend your position on the issue:

I believe that physical therapy should be provided to each and every patient (unless refused) regardless of their health condition/status for the same reasons as mentioned above . Each patient deserves to be treated and cared for in a way that will benefit their health and cause them no harm. Each patient should be given the benefit of the doubt. Since physical therapy is so diverse in treatment options the majority of people receiving their services will show some signs of benefits. You may not be able to see these results physically, but internally they are occuring. It may not mean that the disease will be cured with physical therapy or that in certain cases a person may walk again, but using physical therapy will increase theirs odds of having greater mobility, blood flow, and muscle stimulations/contractions. Although money may be a financial issue, there are programs such as Kya’s Krusade who are willing to help and lend a supporting hand. Overall, you are unable to take back any efforts not made in trying to benefit the patients health, so you might as well try because you never know when that one exception could be your patient.

References:
1. http://www.kyaskrusade.org/info/programs-and-services/financial-assistance-program/
2. http://www.atrainceu.com/pdf/46_CA_PT_Ethics.pdf
3. http://web.alsa.org/site/DocServer/SL_Medicare_Physical_Therapy_Coverage.pdf?docID=5223&AddInterest=1244