Guest guest Posted November 24, 2008 Report Share Posted November 24, 2008 the role you described can be filled by a physical therapist. Besides, few insurers are going to pay for an additional doc to see a patient in order to see a PT who, depending on your state practice act, could see the patient without any referral to begin with. Jim Dunleavy PT, MS Director, Rehabilitation Services Trinitas Regional Medical Center , NJ 07207 Physiatrists I would like to ask for feedback from anyone who has worked with physiatrists. Our neuroscience department is developing a spine program. This will be a multi-disciplinary program to include neurology, neurosurgery, pain management, and physical therapy. The physicians developing the program are asking for my opinion about hiring a physiatrist for the program. My understanding is that the physiatrist would be hired initially on a consulting basis to evaluate and determine the best treatment approach for each patient: rehab, pain management, and or surgery. The administrator of the program thinks this role could be filled by a PA. I have not had any experience working with physiatrists. If anyone else has worked with this model could you let me know how this has worked for you? What is the role of the physiatrist? I have a very experienced staff of therapists, all have received level one certification in OMT and skilled at evaluating and treating spine patients. I would like this to be a collaborative relationship with the physiatrist. Thank you for your thoughts on this. Meg Madden PT Manager Outpatient Rehabilitation Services Caritas St. 's Medical Center Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 24, 2008 Report Share Posted November 24, 2008 the role you described can be filled by a physical therapist. Besides, few insurers are going to pay for an additional doc to see a patient in order to see a PT who, depending on your state practice act, could see the patient without any referral to begin with. Jim Dunleavy PT, MS Director, Rehabilitation Services Trinitas Regional Medical Center , NJ 07207 Physiatrists I would like to ask for feedback from anyone who has worked with physiatrists. Our neuroscience department is developing a spine program. This will be a multi-disciplinary program to include neurology, neurosurgery, pain management, and physical therapy. The physicians developing the program are asking for my opinion about hiring a physiatrist for the program. My understanding is that the physiatrist would be hired initially on a consulting basis to evaluate and determine the best treatment approach for each patient: rehab, pain management, and or surgery. The administrator of the program thinks this role could be filled by a PA. I have not had any experience working with physiatrists. If anyone else has worked with this model could you let me know how this has worked for you? What is the role of the physiatrist? I have a very experienced staff of therapists, all have received level one certification in OMT and skilled at evaluating and treating spine patients. I would like this to be a collaborative relationship with the physiatrist. Thank you for your thoughts on this. Meg Madden PT Manager Outpatient Rehabilitation Services Caritas St. 's Medical Center Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 24, 2008 Report Share Posted November 24, 2008 Hi Meg I have worked with physiatrists for over 25 years in both inpatient and outpatient settings, including program development, interviewing and hiring. While in a hospital based setting (both inpatient and outpatient) I have developed a number of programs ( " programs " , clinics etc), including three different spine programs in which physiatrists played a role. In many instances the physiatrist was the " lead " physician, and other instances the physiatrist was on the " team " and was a consulting physician. I can't overestimate the role that the other physicians should play in determining your direction in this regard. Since your other physicians are asking you for guidance in whether to hire a physiatrist it is important to get their perspective on what role they perceive the physiatrist would play in your spine program. The particular expertise of the physiatrist is also important in determining the role played in a spine clinic. Handling the differing roles and expectations of the various physicians and other health practitioners is a real balancing act, better bounced around to all parties involved prior to commitments being made. Does the clinic have a model protocol for marketing, referral and intake and follow-up? I have had successful working collaborations with physiatrists, and then again, I can name a few collaborations that were not spectacular. Often times the less than opportune experiences are related to egos and personalities rather than to medical expertise. The right physiatrist (expertise, reputation) is capable of generating referrals for a spine clinic. Good luck in your clinic development, and kudos for seeking input in this process. Beckley, MS, MBA, CHC Certified Healthcare Compliance Bloomingdale Consulting Group, Inc <http://www.bloomingdaleconsulting.com/> www.BloomingdaleConsulting.com * (direct) * @... _____ From: PTManager [mailto:PTManager ] On Behalf Of Margaret Madden Sent: Monday, November 24, 2008 11:46 AM To: PTManager Subject: Physiatrists I would like to ask for feedback from anyone who has worked with physiatrists. Our neuroscience department is developing a spine program. This will be a multi-disciplinary program to include neurology, neurosurgery, pain management, and physical therapy. The physicians developing the program are asking for my opinion about hiring a physiatrist for the program. My understanding is that the physiatrist would be hired initially on a consulting basis to evaluate and determine the best treatment approach for each patient: rehab, pain management, and or surgery. The administrator of the program thinks this role could be filled by a PA. I have not had any experience working with physiatrists. If anyone else has worked with this model could you let me know how this has worked for you? What is the role of the physiatrist? I have a very experienced staff of therapists, all have received level one certification in OMT and skilled at evaluating and treating spine patients. I would like this to be a collaborative relationship with the physiatrist. Thank you for your thoughts on this. Meg Madden PT Manager Outpatient Rehabilitation Services Caritas St. 's Medical Center Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 24, 2008 Report Share Posted November 24, 2008 Hi Meg I have worked with physiatrists for over 25 years in both inpatient and outpatient settings, including program development, interviewing and hiring. While in a hospital based setting (both inpatient and outpatient) I have developed a number of programs ( " programs " , clinics etc), including three different spine programs in which physiatrists played a role. In many instances the physiatrist was the " lead " physician, and other instances the physiatrist was on the " team " and was a consulting physician. I can't overestimate the role that the other physicians should play in determining your direction in this regard. Since your other physicians are asking you for guidance in whether to hire a physiatrist it is important to get their perspective on what role they perceive the physiatrist would play in your spine program. The particular expertise of the physiatrist is also important in determining the role played in a spine clinic. Handling the differing roles and expectations of the various physicians and other health practitioners is a real balancing act, better bounced around to all parties involved prior to commitments being made. Does the clinic have a model protocol for marketing, referral and intake and follow-up? I have had successful working collaborations with physiatrists, and then again, I can name a few collaborations that were not spectacular. Often times the less than opportune experiences are related to egos and personalities rather than to medical expertise. The right physiatrist (expertise, reputation) is capable of generating referrals for a spine clinic. Good luck in your clinic development, and kudos for seeking input in this process. Beckley, MS, MBA, CHC Certified Healthcare Compliance Bloomingdale Consulting Group, Inc <http://www.bloomingdaleconsulting.com/> www.BloomingdaleConsulting.com * (direct) * @... _____ From: PTManager [mailto:PTManager ] On Behalf Of Margaret Madden Sent: Monday, November 24, 2008 11:46 AM To: PTManager Subject: Physiatrists I would like to ask for feedback from anyone who has worked with physiatrists. Our neuroscience department is developing a spine program. This will be a multi-disciplinary program to include neurology, neurosurgery, pain management, and physical therapy. The physicians developing the program are asking for my opinion about hiring a physiatrist for the program. My understanding is that the physiatrist would be hired initially on a consulting basis to evaluate and determine the best treatment approach for each patient: rehab, pain management, and or surgery. The administrator of the program thinks this role could be filled by a PA. I have not had any experience working with physiatrists. If anyone else has worked with this model could you let me know how this has worked for you? What is the role of the physiatrist? I have a very experienced staff of therapists, all have received level one certification in OMT and skilled at evaluating and treating spine patients. I would like this to be a collaborative relationship with the physiatrist. Thank you for your thoughts on this. Meg Madden PT Manager Outpatient Rehabilitation Services Caritas St. 's Medical Center Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 24, 2008 Report Share Posted November 24, 2008 If you could find an experienced, talented, team oriented Physiatrist; I would opt for assigning as Medical Director / Team Leader for team conferences. I would then opt for Neurologist, Neurosurgeon, and Pain Mgmnt / Anesthesiologist on a consultative basis. Jeff Geyer, PT Ormond Beach, FL Physiatrists I would like to ask for feedback from anyone who has worked with physiatrists. Our neuroscience department is developing a spine program. This will be a multi-disciplinary program to include neurology, neurosurgery, pain management, and physical therapy. The physicians developing the program are asking for my opinion about hiring a physiatrist for the program. My understanding is that the physiatrist would be hired initially on a consulting basis to evaluate and determine the best treatment approach for each patient: rehab, pain management, and or surgery. The administrator of the program thinks this role could be filled by a PA. I have not had any experience working with physiatrists. If anyone else has worked with this model could you let me know how this has worked for you? What is the role of the physiatrist? I have a very experienced staff of therapists, all have received level one certification in OMT and skilled at evaluating and treating spine patients. I would like this to be a collaborative relationship with the physiatrist. Thank you for your thoughts on this. Meg Madden PT Manager Outpatient Rehabilitation Services Caritas St. 's Medical Center Quote Link to comment Share on other sites More sharing options...
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