Position and Rationale. 2012;76:151. The responses to the open-ended question about factors affecting students' decisions to pursue PT as a career were qualitatively analyzed/coded to iteratively identify and then group themes. 5. These challenges may include organizational intent and leadership. 16414 San Pedro Avenue Suite 805, San Antonio TX 78232, financial cost of obtaining a DPT is out of control, The Physical Therapist Workforce and Patient Access Act. The lack of funding for a DPT education is a key . Within the nine closed-choice questions: two questions inquired about race/ethnicity; 1 question probed the extent of underrepresentation and disadvantaged background of each student; five questions targeted support systems and exposure from middle school through college, including advising, health care focused programs and clubs, and STEM programs that might have influenced decisions to pursue application to DPT programs; and 1 question asked what communication and social media tools are used by students. People of color attend PT less in outpatient therapy settings, inpatients settings, and in-home care. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.aptaeducation.org). 2015;95:39-50. 20. Unfortunately, across our committees and member boards, we probably are not as well represented as we should be to reflect who we are and the communities we protect. Additionally, individuals may wonder if the given labels are appropriate for them, so they may opt to just not to share that data instead. Unfortunately, the overall disparity of URM applicants to physical therapist education programs is paralleled by a lack of racial and ethnic diversity among program faculty. 00:00. Racial minorities face obstacles like limited access to care, lower-quality insurance coverage, and less economic and social flexibility than their white counterparts. Oregon has four statutes, one executive order, and one governing initiative that all compelled the board to examine its diversity. Am J Prev Cardiol. To date, this has not been achieved, and the diversity gap in professional PT education is widening. Please enable scripts and reload this page. How to Facilitate and Engage in Healthy Decision-making Processes. 8. A comprehensive definition of underrepresented minorities (URMs) in professional physical therapy education was recently expanded to include educational, economic, and geographic disadvantage in addition to race and ethnicity. 2021;8:100283. doi:10.1016/j.ajpc.2021.100283, Gell NM, Mroz TM, Patel KV. American Council of Academic Physical Therapy. Recruitment strategies should then be tailored specifically to these practices to attract URM applicants for PT education. While race, ethnicity, and lower socioeconomic strata within this definition are commonly understood, educational, and geographic disadvantages may require explanation. But to do so, we must think critically about improving the patient experience as well as the attraction of top talent to our field and the effects systemic racism on our ability to accomplish these goals. Some error has occurred while processing your request. One question asked students to indicate the age at which they decided to become a PT. We dont even come remotely close to meeting those numbers. Oregon has four statutes, one executive order, and one governing initiative that all compelled the board to examine its diversity. This study of the perceptions and experiences of physiotherapists identified a lack of ethnic diversity within the profession. This paper uses these data to support the need for different strategies and tailored recruitment of URM students into physical therapy education programs. Students who identified as having disadvantaged backgrounds were nearly equally impacted by factors related to values + interests as they were by personal experience in making their decisions to pursue a PT career. He currently owns a private practice that has been operational since 2008 and also works per diem as a Home Health Physical Therapist in a local regional hospital.In 2011, Ruggie was appointed to the Oregon Physical Therapy Licensing Board and completed his second four-year term in 2019. Ironically Rush was a leading mental . In this episode of MossRehab Conversations: Therapy Edition, Trish Crane, PT, clinical manager MossRehab Plymouth Meeting, and Jazmine Tooles, PT, DPT, a physical therapist at MossRehab's Drucker Brain Injury Center in Woodbury, NJ, discuss how MossRehab works to reduce bias and improve healing through culturally competent care. She practiced in a variety of settings including in-patient rehabilitation, acute care, long-term care, and home care. Boards also must look at research and data to see if sanctions are harsher for minorities. This failure to access post-discharge rehab services may lead to poorer functional outcomes, which are often seen in the Black population. Am J Pharm Educ. They may regress a few years back from their current age or, in some cases, return to a child-like or infant-like state. Get new journal Tables of Contents sent right to your email inbox, Academy of Physical Therapy Education, APTA, http://www.aacp.org/governance/HOD/Documents/White%20Paper%20on%20Admissions%202015.pdf, http://www.acapt.org/docs/default-source/reports/diversity-task-force-final-report.pdf?sfvrsn=2, http://www.capteonline.org/uploadedFiles/CAPTEorg/About_CAPTE/Resources/Aggregate_Program_Data/AggregateProgramData_PTPrograms.pdf, http://www.ptcas.org/uploadedFiles/PTCASorg/About_PTCAS/PTCASApplicantDataRpt.pdf, http://www.acapt.org/images/AC-1-13_URM_Definition_PASSED.pdf, https://www.census.gov/quickfacts/table/PST045215/00#headnote-js-a, JOPTE_32_2_2018_03_05_MOERCHEN_JOPTE-D-18-00035_SDC1.pdf; [PDF] (162 KB), Purposeful Recruitment Strategies to Increase Diversity in Physical Therapist Education, Articles in PubMed by Victoria Moerchen, PT, PhD, Articles in Google Scholar by Victoria Moerchen, PT, PhD, Other articles in this journal by Victoria Moerchen, PT, PhD, Privacy Policy (Updated December 15, 2022). By exposing BIPOC students to the physical therapy profession through guidance counselors, internship opportunities, and current therapists sharing their stories, they are more likely to consider physical therapy as an attractive career. A special acknowledgment is given to Johnette Meadows, PT, MS, APTA Program Director for Minority and Women's Initiatives whose insights and enduring efforts helped inform the work of the DTF. The education community should go beyond just being intentional with recruitment and also provide additional services to students with different needs. What do we lose without diversity? She was also a member of the National Association of Drug Diversion Investigators (NADDI).In 2013, she was instrumental in the development, editing, and the selection of content for the board of nursings quarterly magazine, The Georgian Nurse. Heidi advises on WebPT's product vision, company culture, branding efforts and internal operations, while advocating for the rehab therapy profession on a national and . Once the orchestra began asking auditioners to take off their shoes, the number of women hired increased dramatically. Only 6.5 percent of the U.S. physical therapy workforce identifies as Black or Latinx, while both groups account for more than a quarter of the entire nation.The results of this disparity have been demonstrated in studies, such as the recent rehab therapy industry report that found . Thank you so much for touching this topic. Age regression is when a person reverts to a younger state of mind. However, I find the gap to be across the board in healthcare. The PT profession has not examined the disadvantaged profile of its applicant pool or student demographic, but this expanded URM definition now supports this effort. Majority and minority faculty support of such an organization should shape the career information students access, profession-specific mentoring, and opportunities for inclusive interaction with profession-specific clubs. When surveyed about the role of minority faculty in decision-making for applying to or attending a DPT program, all students disagreed more than agreed that minority faculty impacted their decisions (Table 6); however, both Hispanic and nonwhite students compared to non-Hispanic and white students reported that the presence of minority faculty was impactful. Each communication included the link to the survey. Artificial Intelligence in Medicine and Physical Therapy, Using Claims Data to Identify Risks in PT Practice, Using the Board Assessment Resource (BAR) Tool as Part of Strategic Planning, A Discussion of Diversity in Physical Therapy Regulation, President's Perspective: Being Nimble in 2020 and Beyond, An Overview of Traumas Impact on Boundary Violation Investigations, Communicating with Key Stakeholders: Lessons from the Nevada Funeral and Cemetery Services Board, Overcoming Barriers to Participation in the ELDD, Setting the BAR: The Board self-Assessment Resource, An Impossible Dream? State boards should analyze this data. Students reporting as Hawaiian or Pacific Islander, American Indian or Alaska Native, or as being from two or more races were more likely to indicate having graduated from High Schools and school districts with low graduation rates and low advancement to college. According to CAPTE, in 2019, the majority of graduates from PT programs were White, and, at 77%, it is a more significant share than the 71% for PTA graduates: Additionally, forPTs in practice from 2016-2017, there is still little diversity: While the PTA workforce has seen growing diversity, the PT workforce compared to graduates actually shows a slight increase in White PTs. 17. American Academy of Family Physicians. Over the years, Ive seen my white counterparts not understand, or misinterpret communication from AAs and other minorities because of a lack of cultural understandings. A survey of enrolled DPT students was developed by members of the DTF and APTA and was approved as exempt by the Alabama State University Institutional Review Board. Minority applicants to physical therapist education programs 20102012. Mental health matters! In December 2018 and November 2020, the board held diversity strategic planning meetings. She owned a private practice for twenty-five years and currently practices in a school-based setting. Survey responses were downloaded and, where possible, quantitatively summarized. PT Magazine. The position taken was that identifying potential differences in how URM students achieve this decision will support the development of purposeful recruitment strategies for students from URM groups. Needless to say, we were unprepared for the wave of impassioned responses (and, frankly, pure vitriol) that flooded our Facebook post. Identify ways in which the lack of diversity in healthcare directly impacts healthcare outcome; Evidence-based strategies that educators can utilize to improve diversity, equity, and inclusion in healthcare; Chris Owens PT, ScD, OCS, CSCS, FAAOMPT graduated from the University of Connecticut and received a BS in the Allied Health Sciences Program in Physical Therapy in 1993. They developed a Framework for Culturally Responsive Regulation to consider the components of diversity, equity, inclusion, racial justice, and cultural competency in the context of these four groups: Any regulatory policy or rule will consider the role of and the impact to these groups with the end goal of achieving culturally responsive regulation. She served as an evaluator for FCCPT. CAPTE aggregate program data: 201617 physical therapist education programs fact sheets. Several people argued that diversity efforts would diminish the integrity of our profession. The second open-ended question asked students to describe factors affecting their decision to pursue PT as a career. The field's continued lack of diversity stems from educational barriers. Potential issues include: Lack of knowledge about the client's culture - A client may wish to talk about attitudes, customs or cultural references which are unfamiliar to the therapist. White paper on pharmacy admissions: Developing a diverse work force to meet the healthcare needs of an increasingly diverse society. Lets work together today for a better tomorrow where everyone has a fair and just opportunity to be healthier. As an African American female PT with more than 25 years in the field, I couldnt agree more. Your email address will not be published. EIM Classroom is where your courses actually take place. We can also connect with and learn from BIPOC rehab therapists and support their efforts. It is postulated that potentially qualified . Therefore, diversity is critical to a board's mission of public protection. Join the EIM Mailing List to receive next level updates on research, news, and educational offerings. 2015;29:13-21. Requiring a cultural competency credit in continuing education credits (as of April 2020), Evaluating licensing criteria for foreign-trained/immigrant populations, Implementing diversity and inclusion training for PT board members to facilitate board awareness and create the proper lens for policymaking, Planning to collaborate with educational communities to ensure a diversified pipeline of professionalsmore specifically, the board is exploring creating outreach programs to middle and high school students, Looking into expanding the diversity of the board via public member appointments to offset the relative lack of diversity in the profession. Theres no denying it. They need to know the board will accept and listen to them to feel comfortable. When variables like insurance, income, and education level are corrected, however, only the Black population continued with reduced odds of a therapy visit. your express consent. As a physical therapist, Dr. Howard's interest lies within outpatient orthopedic & sports physical therapy. In 2018, 50% of Black and African Americans with a serious mental illness did not receive mental health treatment. People of color tend to have worse outcomes when they are referred to physical therapy after an injury or illness that causes limited functional mobility. Expanding a state board's diversity and ensuring marginalized voices are represented takes courage in leadership and courage for under-represented groups to ask difficult, challenging questions. As a hispanic individual who is seeking to apply for physical therapy this year. If we want to make a serious effort to diversify our profession, one of the most important steps will be making physical therapy education more accessible to more people. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. Kimberly Brown, MD, MPH is an emergency medicine physician, speaker, and best-selling author. As a result, student diversity and the profession's diversity have been measured, tracked, and understood solely on the basis of racial/ethnic origin, which may not adequately capture true diversity as defined by a broader set of metrics. Even if we have state-mandated initiatives, how the board adopts these initiatives can make a huge difference. Within this subgroup, over 20% of students identifying as American Indian or Alaska Native, Asian, or Black, and 40% of students identifying as Hawaiian or Pacific Islander, were the first in their families to attend college. This is something we discussed during the 2018 Graham Sessions: the financial cost of obtaining a DPT is out of control, and were preventing lower-income would-be applicants from considering PT as a career path because its just too expensive. The axial codes were then grouped into core concepts or selective codes to broadly capture the factors that influence students' decisions to pursue a career in physical therapy. The adoption of the new URM definition and its application to data collection through PTCAS begins to change the way we approach diversity in education, which should ultimately change the way the profession measures its progress toward meeting the diversity needs of the health care workforce. She also served on the County Health Emergency Assistance Resource Team (CHEART), an affiliate of the Public Health Task Force for the Georgia Emergency Management Agency (GEMA) in the North Central Health District. There are tons of patients who are lacking trust in their providers because they don't feel that their providers really care. We must invest in diversity to strengthen our industry. The results of this disparity have been demonstrated in studies, such as the recent rehab therapy industry report that found that more than three-quarters of rehab therapy professionals identify as white, while the 2020 US Census reports just under 60 percent of the population is white. It's Not Burnout! . The coding of the third reviewer was then compared to the coding of the two primary reviewers, and a weighted kappa of 0.919 was calculated. Education for physicians may also be helpful. The authors declare no conflict of interests. 9. It is argued that a lack of ethnic diversity may result in a failure to meet patients' needs. 2010;24:14-18. Unfortunately, its difficult to unshackle ourselves from our biases, and they can rear their heads at any time, even when were actively trying to be fair. Orchestra hopefuls would perform their audition pieces behind a screen in an effort to avoid bias. The COVID-19 healthcare pandemic has seen a disproportionate number of Black citizens become infected and severely ill. People of color suffer worse outcomes from cardiovascular disease and diabetes management. Racial/ethnic composition of survey respondents was similar to 20162017 CAPTE3 reported data for Black/African-American, Native Hawaiian or Other Pacific Islander but was higher for American Indian or Alaska Native and white respondents. 2010;199(3):348-353. doi:10.1016/j.amjsurg.2009.09.021. Perhaps one of the best ways to help improve the ability of Black Americans to enjoy the benefits PT has to offer is to provide education. Unfortunately, Black Americans attend PT less, and they are less likely to have a positive functional outcome when compared to others. The quest for diversity in the classroom. Underrepresented minority students reported high use of online resources and lower use of advisors and faculty in obtaining information about the profession and about preparing to apply to professional graduate education programs. A 2019 study in the American Journal of Surgery looked at who utilized rehabilitation services after hospital discharge following a trauma event. Disparities in the COVID-19 pandemic: A clarion call for preventive cardiology. J Natl Med Assoc. Phys Ther. The National Council of State Boards of Nursing (NCSBN) appointed her as the Promising Practice Consultant for Discipline on the Committee for the Commitment to Ongoing Regulatory Excellence (CORE). As part of the framework, the board developed questions to help guide them: Diversity, equity, and inclusion are essential to work towards actively. This position paper reports on a survey conducted by the American Council of Academic Physical Therapy's Diversity Task Force designed to examine recruitment into PT education through the lens of the new URM definition, with a focus on how students from underrepresented and disadvantaged backgrounds decide to pursue a PT career. Outreach to Black communities may help to improve the dialogue between physical therapists (a profession made up of mostly white people) and people of color. Mental health includes our emotional, psychological, and social well-being. This was less true for nonwhite students, and disadvantaged students identified factors related to Values and Fit as more influential in their career decision. She has been involved with the Federation of State Boards of Physical Therapy as a member of the FSBPT Membership Survey Task Force, a member of the FSBPT Resolutions Committee, the Chair of the FSBPT Re-entry to Practice Task Force, and a recipient of the FSBPT Outstanding Service Award in 2018. Pipeline programs in the health professions, part 1: Preserving diversity and reducing health disparities. Since becoming chief executive in 2013, Anne has overseen a period of growth and change, and significant expansion of BoardSource's leadership on critical sector-wide issues, most notably the board's role in advocacy and public policy, the opportunity for boards to think more proactively about strategic alliances and restructuring, and the urgent need for board action and change as it relates to diversity, inclusion, and equity.Nancy has been a member of the New Jersey Board of Physical Therapy Examiners since 1990 and was chairperson of the board for twelve years. The ages at which students from URM backgrounds make their decisions to pursue PT as a career tend to be shifted a bit later relative to non-URM students, which may reflect that URM students take longer to complete their undergraduate degrees and/or are less aware of careers or engaged with career mentoring at earlier academic stages. What are the needs of the various participant groups? These are the top 7 challenges that are affecting PT's, as well as some suggestions on what you can do to overcome them: 1. The survey was opened on March 1, 2015 and it was closed on May 1, 2015. The physical therapy profession is no exception to this - the lack of diversity in the physical therapy field does not mirror the U.S. population nor has it improved with the growth of the profession. limited access to care, lower-quality insurance coverage, 6.5 percent of the U.S. physical therapy workforce identifies as Black or Latinx, National Association of Black Physical Therapists, Climate Anxiety and Eco-Grief: How Climate Change Hurts Global Mental Health, The Call of Leadership Now: BIPOC Leaders in a Syndemic Era, How Private Equity Is Swallowing Up Health CareAnd What to Do About It, Healing Justice Lineages: Disrupting the Medical-Industrial Complex. Reasons for reduced outpatient PT visits for Black Americans may include: By understanding the factors that may present a barrier to outpatient PT services for people of color, changes can be made to ensure that therapy services are available to all people who may likely benefit from them. And, more often than not, these quiet, unconscious, implicit biases slip entirely under our radar and affect our hiring practices, even when we think were being totally fair. This can only help us in our relentless pursuit of reducing the percentage of patients (more than 90%) who have a musculoskeletal diagnosis but dont seek PT care. If thats not enough to sway your opinion, Im going to leave you with one last factual tidbit. Zoher Kapasi is the director and professor of the Division of Physical Therapy, Department of Rehabilitation Medicine at Emory University. We can learn from webinars, articles, books, research papers, conferences, and more. In December 2018 and November 2020, the board held diversity strategic planning meetings. These data will then be applied in proposing recruitment strategies that respond to influential factors in career decision-making for URM students. Ferdinand KC, Reddy TK. That . By signing up, you agree to our privacy policy and terms of use, and to receive messages from NPQ and our partners. Are doctors' referral patterns to PT different based on implicit and internal bias due to race? In the U.S., prospective clinical psychologists spend 10 or more years in higher education, typically earning a bachelor's degree, a master's degree, and a doctorate. Elected in October 2018, Ruggie is currently serving his first term as FSBPT Treasurer. 3) More URM students reported making their career decisions in the 2126 year age range than non-URM students. By Brett Sears, PT It can be a challenge for both parties to have the courage to ask uncomfortable questions and answer them. The educational pipeline model has been leveraged by many undergraduate institutions for successful recruitment, matriculation, and retention of URM students, yet very few PT education programs seem to invest in its proven success.7,15 Dialog within the PT profession about pipeline initiatives should be considered. 2. 970), that would allow physical therapists to participate in a student loan payment program if they practice in rural or underserved areas. Am J Pharm Educ. 1) With data collapsed across race and ethnicity, 34% of the sample reported educational disadvantage, 9.6% reported economic disadvantage, and 4.5% reported geographic disadvantage. Racial and Ethnic Health Disparities Evidence shows racial and ethnic disparities exist across a range of illnesses and health care services. Educational, socioeconomic, and/or geographic disadvantages were indicated by students from all racial categories. There may be many reasons people do not want to report their ethnicity. NPQ is the leading journal in the nonprofit sector written by social change experts. However, engaging in this dialogue is vital. Of the 8% of Americans with self-reported arthritis who attend at least one in-office PT visit each year, Black Americans are less likely to attendeven after variables like insurance, income, and education level are corrected. A total of 2,513 students completed this survey, yielding a response rate of approximately 10%. Finally, geographic disadvantaged background was reported by 4.5% of the sample, and Hawaiian or other Pacific Islanders were more than 10 times as likely to report coming from a geographically medically underserved area than whites. However, URM students reported more frequent use of Google or another search engine than a college advisor and were less likely to consult with a faculty member, compared to non-URM students. 8) All students were impacted by personal experience with physical therapy. Nuciforo MA. 7. Lets do this! 13. Strive to understand the feedback and implement it if possible or, if not, explain why the board cannot implement it to ensure that the speakers know the board is listening to them, they are being heard. Diversity is important, and we have to talk about it. Subscribe today and get a full year of NPQ for just $59. Kaiser Family Foundation. What are the resulting policies, standards, and practices required to address cultural responsiveness, achieve patient outcomes, and protect the public? Though the word "diversity" itself simply means having variety, true diversity in a professional setting requires more than hiring a couple people who look different than . Your email address will not be published. Moerchen, Victoria PT, PhD; Williams-York, Bernadette PT, DSc, GCS; Ross, Libby J. MA; Wise, Denise PT, PhD; Dominguez, Jesus PT, PhD; Kapasi, Zoher PT, PhD, MBA; Brooks, Salome PT, EdD. Institutional strategies to achieve diversity and inclusion in pharmacy education. Adrienne has been with the Professional Licensing Boards Division of the Georgia Office of Secretary of State for fourteen years and has served in her present role as the Executive Director of seven licensing boards, including the Georgia State Board of Physical Therapy, for seven years. What do we gain with diversity? Most high school studentsand especially BIPOC studentsare not introduced to the profession unless they or a family member have received treatment. It invades every aspect of our culture, and it has created a situation where people of color consistently realize barriers to certain aspects of our society. But we cannot let that paralyze us and allow the status quo to continue unchecked. We sit at a critical juncture in the US healthcare system when it comes to embracing diversity, equity, and justice. "In our community, there is a longstanding belief that [seeking] therapy automatically means . Oregon Board of Physical Therapy. I believe that this homogeneity prevents us from delivering the best possible care experience to each and every patient who seeks therapy treatment, and we have to talk about it. Access EIM Community to see your Plan of Study, update your email, address and more. According to Anne Wallestad, the CEO ofBoardSource, boards tend to be overwhelmingly white. Subscribe to NPQ's newsletters to have our top stories delivered directly to your inbox. A workforce that is reflective of the population it serves can have greater cul One of the best things individual therapists can do to cultivate diversity and mitigate potential unconscious bias is to self-educate and listen. A diverse staff is better equipped to handle the cultural and social needs of an increasingly diverse patient population. She also served a five-year term on the APTA Ethics and Judicial Committee and the APTA Reference Committee. Physical Therapy After COVID (and Telehealth Adoption) Accelerated by the COVID-19 pandemic, telehealth uptake in physical therapy practices continues to increase. This suggests lack of relationships with academic and professional mentors. Some of that information is relevant, but often, it is not, and our brains have learned how to use shortcuts to filter, sort, and use that information the split second after we take it in. These URM students indicated fewer career decisions under age 20 and more between 21 and 25 years compared to the non-URM students. America has a problem with systemic racism. There was one theme in our Facebook comments that really stood out to me. 4. Before we coded, we used a random numbers generator to randomly select 142 responses from both the white and disadvantaged groups, so as to assess 142 open-ended responses for all three groups (ie, 142 was the maximum number in the nonwhite group).
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