• TABLE OF CONTENTS
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 Front Cover
 Title Page
 Table of Contents
 Preface
 Introduction
 Acknowledgement
 The physical therapy assistant
 Appendix






Title: Essentials for establishing and evaluating physical therapy assistant programs - an interim report.
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Title: Essentials for establishing and evaluating physical therapy assistant programs - an interim report.
Physical Description: Book
Language: English
Creator: Florida Department of Education
Publisher: Florida Department of Education
Place of Publication: Tallahassee, Fla.
Publication Date: June, 1969
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General Note: Florida Department of Education bulletin 77L-S
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Bibliographic ID: UF00080742
Volume ID: VID00001
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Table of Contents
    Front Cover
        Front Cover 1
        Front Cover 2
    Title Page
        Page i
        Page i-a
    Table of Contents
        Page ii
    Preface
        Page iii
    Introduction
        Page iv
    Acknowledgement
        Page v
        Page vi
    The physical therapy assistant
        Page 1
        Page 2
        Page 3
        Page 4
    Appendix
        Page 5
        Page 6
        Page 7
        Page 8
        Page 9
        Page 10
        Page 11
        Page 12
        Page 13
        Page 14
        Page 15
        Page 16
        Page 17
        Page 18
        Page 19
        Page 20
        Page 21
        Page 22
        Page 23
        Page 24
        Page 25
        Page 26
        Page 27
        Page 28
        Page 29
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Full Text














ESSENTIALS
FOR ESTABLISHING
AND EVALUATING

PHYSICAL
THERAPY
ASSISTANT
PROGRAMS
-AN INTERIM REPORT-




DIVISION OF VOCATIONAL,
TECHNICAL, AND ADULT EDUCATION

CARL W. PROEHL, Assistant Commissioner

TECHNICAL and HEALTH
OCCUPATIONS EDUCATION


THOMAS W. STRICKLAND, DIRECTOR








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TABLE OF CONTENTS


I. The Physical Therapy Assistant

II. Appendix A (Summary Report, Physical
Therapy Assistant Program, Miami-
Dade Junior College)


. . . . . . . 1




. . . . . . . . 6


Appendix B (Summary Report, St.
Petersburg Junior College, Physical
Therapy Assistant Program)


IV. Appendix C (Philosophy and Purposes
of an Educational Program for Physical
Therapy Assistants)

V. Appendix D (Criteria for Faculty of a
Physical Therapy Assistant Program)

VI. Appendix E (Criteria for Clinical
SFacilities in Physical Therapy
Assistant Programs)

VII. Appendix F (Physical Therapy Practice
Act Florida Statutes)


. . . . . . . 25


. . . . . . . 27



. . . . . . . 32


. . . . . . . 37


(ii)


N


:II.






















PREFACE


This report represents part one of a two-phase project. Phase two of the
project will incorporate obtaining follow-up data on examination for licensure
and employment situations as well as evaluations of equipment, instructional
materials and learning situations found to be most appropriate to the education
of the physical therapy assistant.

Mrs. Elizabeth Lundgren, Consultant, Medical Related Programs, Florida State
Department of Education, served as coordinator of the project and prepared the
draft for this report.


(iii)











INTRODUCTION


In order to develop guidelines for junior colleges in planning and establishing
programs for the physical therapy assistant, the Florida State Department of
Education requested that representatives be appointed to an advisory committee
by the State Board of Medical Examiners, Division of Physical Therapy; Junior
Colleges selected to provide the pilot programs; Sub-Committee on Physical
Therapy of the Council on Allied Health Professions of the University of Florida;
and the American Physical Therapy Association, Florida Chapter. Programs for
the physical therapy assistant must reflect requirements of the employment
situation and allow full access of the graduate into the career. To facilitate
appropriate program design, continuing communication has been established with
the associations and community agencies cooperating as clinical affiliations
for the education of the assistant and with the organizations designated by the
Commissioner of Education, United States Department of Health, Education and
Welfare as the nationally recognized accrediting agencies and associations.

After detailed consideration of the elements involved in comprehensive instruc-
tional planning, the committee presented the materials included in these
essentials to suggest appropriate strategies for providing health technology
programs for the physical therapy assistant. These Essentials are presented as
an interim report because a definition of the functional role and the specific
educational content of the technology are in the initial phases of development.
The imperative for continuous evaluation of pilot programs prior to considering
a definitive statement is recognized. The junior colleges in Florida are being
encouraged to delay establishing additional programs until the evaluation of
the pilot programs has progressed to the point that operational state-wide
planning can be suggested. Planned establishment of programs is consistent
with the suggestions presented by the State Board of Medical Examiners, the
American Physical Therapy Association, Florida Chapter and the Florida State
Department of Education, Technical and Health Occupations Section.

Descriptions of the programs in progress at Miami-Dade Junior College and
St. Petersburg Junior College are included in the appendix. In addition, the
appendix includes a summary of information forwarded for this publication by
the American Physical Therapy Association.


(iv)













ACKNOWLEDGMENTS


Advisors for the physical therapy assistant programs to the State of Florida,
Department of Education include:

State Board of Medical Examiners

Mr. Millard Berman
Dr. George Palmer


Florida Medical Association

Dr. William J. Hutchinson
Dr. James Walker


Florida Chapter, American Physical Therapy Association

Mr. Leon Kurmbholz
Miss Bella J. May
Miss Cora Lee Reynolds
Miss Martha Wroe


University of Florida

Miss Thelma Holmes
Miss Barbara White


Junior Colleges

Miss Barbara Bradford
Miss Anastasia Hartley
Mr. Robert Patterson
Mr. Harold J. Zabsky


SPECIAL ACKNOWLEED'GI 1 i'T3r

Miss Beth J. Phillips
Division of Education
American Physical Therapy Association

Dr. Lee Henderson
Division of Junior Colleges
State Department of Education


(v)











THE PHYSICAL THERAPY ASSISTANT


Physical Therapy is one of the established professions whose members are con-
cerned with the health needs of people. The patients with whom physical
therapists work are referred to them for care because an illness or injury has
resulted in a disability or physical limitation. Patients are referred for
physical therapy by qualified physicians with whom the professional physical
therapist works closely in carrying out evaluative procedures to determine the
degree and extent of disability and in planning and administering the thera-
peutic program.

The physical therapy assistant is a technical health worker capable of per-
forming those patient care activities designed and delegated by the professional
physical therapist who provides continuing direction. "The physical therapy
assistant participates in carrying out the objectives of the service by per-
forming duties which are commensurate with his education and which are delegated
to him by the supervising physical therapist. The supervisory relationship has
as its goals: (1) maintenance of quality care for patients, (2) efficiency
in departmental operation, and (3) the technical development of the assistant
staff." (Supervisory Statement, APTA)

The physical therapy assistant will complete a college level educational program
leading to an Associate Degree; the program shall be established in accredited
institutions and approved by the Florida State Board of Medical Examiners,
Division of Physical Therapy. During the developmental phases, the State Board
of Medical Examiners requested that the State Department of Education, Technical
and Health Occupations Education Section be prepared to determine the quality
of the pilot programs. Reviews by the staff in the Technical and Health
Occupations Education Section will facilitate rendering appropriate services
to the colleges. When formal guidelines are established and published by the
American Physical Therapy Association, essentials for the program shall reflect
these standards to assure recognition by the profession. The graduate will be
eligible to take the examination for licensure approved by the Florida State
Board of Medical Examiners, Division of Physical Therapy, as outlined in
Section 10, Florida Statute 486, the Physical Therapy Practice Act.


Organization and Administration


1. Programs for the physical therapy assistant may be established in junior
colleges only when qualified faculty and suitable clinical facilities are
available. Participating clinical facilities must be accredited by the
Joint Commission on Accreditation of Hospitals or be otherwise acceptable
to the Florida State Department of Education, Technical and Health Occupations
Education Section. Formal agreement should be executed between the junior
college and the clinical facilities.













2. The responsibility for administration and planning is assumed by the college.
This responsibility includes organization, administration, and periodic
evaluation to insure the efficiency and the effectiveness of the educational
program. An advisory committee is essential to comprehensive planning. It
is recommended that (a) this committee be appointed by the junior college
president for one or two year terms and (b) the junior college seek con-
sultative services from the State Department of Education, Technical and
Health Occupations Education Section and others as appropriate. The organi-
zation and operation of the program, including curriculum, shall be
consistent with the requirements of the State Plan for Vocational, Technical,
and Adult Education; the policies of the State Board for Vocational Education;
and the policies of the State Junior College Board.

3. The college bulletin should include information regarding the organization
of the program, required courses, entrance requirements, tuition and fees,
and general information concerning clinical facilities. Information con-
cerning thr; physical therapy assistant program should be reviewed annually
and revised when necessary.

4. Selection of students should be made cooperatively by the admissions per-
sonnel and those directly responsible for the physical therapy assistant
program. High school graduation or its equivalent is required in order to
meet the requirements for licensure. All applicants should be required to
submit evidence of physical health and emotional stability commensurate
with satisfactory performance in the program. This is particularly impor-
tant in the case of the physical therapy assistant because of the direct
patient contact.

5. A record of class performance and accomplishment of each student should be
kept in accordance with the college requirements. Because final evaluation
will be based on a combination of performances, it is strongly recommended
that the faculty construct evaluative instruments which will reflect the
best methods available. An analysis of student performance in teaching
laboratory and clinical facilities should be included.

6. Copies of the course outlines including behavioral objectives, sample in-
struments for evaluation, and descriptions of the classroom and clinical
learning experience in the technology should be on file and available to
instructors in both the departmental office and affiliated clinical fa-
cilities. Description for academic courses included in the total program
as "supportive to the technical program" should be included.

7. Provision should be made for on-going studies of the activities and per-
formance of graduates.

8. It is the responsibility of the college administration to provide an ap-
provable program in order to guarantee the graduates the option for
admission to examination for licensure.











Services and Facilities


9. Student health services should be available, consistent with the policy of
the junior college.

10. Counseling service should be available for student guidance.

11. Library facilities should be readily accessible and should contain an adequate
supply of books, periodicals, and other reference materials related to the
educational program. It is suggested that reference books used as required
reading should be available in a ratio of one copy to every three or four
students.

12. Classroom laboratory space, storage, locker space adjacent to lab, equip-
ment and supplies appropriate to the objectives of the program and in
sufficient quantities for demonstration and full student participation
should be provided by the college. Appropriate instructional materials
should be available and readily accessible to the teaching laboratory and
classrooms.

13. Adequate office space and secretarial assistance for the program faculty
should be provided by the college.

14. The clinical practice may be provided in a variety of facilities and health
agencies. The facilities should have experienced physical therapists,
adequate equipment and practice material to provide the type and amount of
experience for which the student is assigned. All clinical settings should
be under the direction of a registered physical therapist whose qualifi-
cations are acceptable to the appropriate professional groups, the college
and the Florida State Department of Education. Sufficient physical ther-
apists should be available to properly supervise the students in the
facilities. The physical therapist appointed as director of the program
by the college is responsible for the coordination of all the learning
experiences provided for the students in the clinical facilities. Physical
therapists who are involved in the program in any phase should partici-
pate in seminars and other orientation programs provided by the college
for faculty members in the physical therapy assistant program. The phy-
sical therapy assistant program is entirely separate and distinct from
concurrent education of other allied health personnel except in the class-
room activities which have been determined to be common elements in the
education of related health personnel.


Faculty


15. The instructional staff should be qualified through academic preparation
and experience to teach the subjects) assigned.













16. The program director, clinical supervisors, and instructional staff should
have at least a baccalaureate degree, registration by the Florida State
Board of Medical Examiners, and a minimum of three years supervisory experi-
ence in the practice of physical therapy. It is generally recommended
that the director have a masters degree. In addition, minimum standards
governing persons who serve in an instructional capacity of the State of
Florida must be met. The exact requirements are determined by the Division
of Teacher Certification.

17. In each clinical practice area, there shall be registered physical therapists
with adequate experience in the specialized areas of the practice of physical
therapy to which the students are assigned under the direction of the direc-
tor of the program. The placement of students in clinical areas should
not exceed a ratio of two students to each clinical affiliate faculty member.
This ratio requirement is better considered an index to the staffing patterns
in the clinical facility and is not necessarily an ingredient in effective
educational programming. The student-instructional staff ratio during the
formal teaching laboratory classes should be in the same proportion as simi-
lar technical educational programs sponsored by the educational institution.


Educational Program


18. Admission requirements: candidates for admission should have completed the
requirements for high school graduation or the equivalent and meet the re-
quirements for admission to the junior college.

19. The program will include elements in general education and basic sciences
as defined by the college to reflect the consensus that technical curricula
be firmly based on broad understandings and principles of the related
liberal arts and sciences. The technical program content shall be designed
to assure students a strong foundation for the practice of the skills unique
to the supportive role in physical therapy, working relationships as a
member of the medical care team, and of the ethical and legal principles
relating to the practice of physical therapy. Clinical practice should be
limited to the optional learning time commensurate with the carefully de-
fined program objectives. The volume of knowledge is so vast today that
classroom experiences and activities must be carefully evaluated; experi-
ences provided should serve as outstanding illustrations of basic structures,
concepts and principles required for the performance as a skilled physical
therapy assistant.

20. Delineation of the functions and tasks of the physical therapy assistant
has been suggested by the Committee on Supportive Personnel of the American
Physical Therapy Association. It is expected that these materials will
be available in the near future.




























APPENDIX A

SUMMARY REPORT

PHYSICAL THERAPY ASSISTANT PROGRAM

MIAMI-DADE JUNIOR COLLEGE










SUMMARY REPORT


PHYSICAL THERAPY ASSISTANT PROGRAM

MIII-DADE JUNIOR COLLEGE


Program Planning and Development


The Physical Therapy Assistant Planning committee is made up of five actively
practicing Physical Therapists from the community. Meetings were held with
college officials in development of the program starting in November, 1966.
They represent a variety of health facilities including two general hospitals,
a rehabilitation center, a nursing home and a private practice. A College
representative is chairman of the committee. The committee is referred to as
a planning committee rather than advisory since it is a working committee
and the community professional and technical personnel participate actively
in all phases of the program. The committee is charged with five major re-
sponsibilities:

To establish a job description at the outset so that a curri-
culum can be planned to educate a technician for specific
functions.

To derive a list of understandings and skills as a consequence
of this job description.

To assist the College in developing a collegiate curriculum
based upon the understandings and skills required.

To recommend to the College qualified instructors for the
program.

To evaluate the program periodically after it is started.

After completing the first two functions listed above, the planning committee
prepares a curriculum proposal. This proposal includes a job description,
curriculum, course descriptions and outlines, budget and faculty estimates,
an item listing of equipment required for any specialized laboratories, and
a preliminary estimate of library expenditure.

The curriculum proposal is then submitted for examination and approval to the
Divisional Program Development Committee by the chairman of the planning
committee. The entire planning committee is invited to this meeting. The
Program Development Committee, presided over by the divisional Coordinator
of Programs, is composed of:

Representative of the administrative and teaching staff of the
Division of Allied Health Studies.













Representatives of other areas of the College, such as Academic
Advisement, Division of Natural Sciences, and Grants.

Representatives of professional agencies, such as the South Florida
Hospital Council, the Dade County Medical Association, the
University of Miami School of Medicine, and public health offices.

Professionals from the medical and various allied health fields.

If approved by the Divisional Program Development Committee, the program is
next submitted to the North Campus College Curriculum Committee, the campus
Vice President, the President of the College, the District Board of Trustees,
and the State Department of Education, in that order for their respective
approval.

Hence, every program is meticulously planned and thoroughly screened before
being finally scheduled for offering.


Curriculum


A copy of the Physical Therapy Assistant curriculum and course description
as presently developed is attached. The program was initiated in August,
1967.


Clinical Facilities


The Program Supervisor who is a Registered Physical Therapist selects appro-
priate community clincial facilities for student training. After arrangements
have been completed a contract is made between the administrator of the
clinical facility and the College and signed by the administrator of the
facility, the President of the College and the Board of Trustees.

The health facilities presently utilized in the Miami-Dade Junior College
Physical Therapy Assistant Program include: a general hospital, a rehabili-
tation center, a nursing home, and various health agencies that provide services
to children such as the Easter Seal Society and the Dade County Childrens'
Society. A sample copy of a contractual agreement form is attached.


Evaluation of Program


Because of the newness of this Program it is difficult to make an objective
evaluation at this time. While the weaknesses will become more apparent and
appropriately dealt with as they develop, a few strong points of the Program
seem worth consideration. The cooperation and involvement of the State,
district and local chapters of the American Physical Therapy Association as











well as many of its individual members has been extremely helpful in organizing
and developing the Physical Therapy Assistant Program. Many of the actively
practicing Physical Therapists in the community are being utilized as part-
time instructors as well as clinical supervisors of students during the clinical
affiliation phase of their training. This spirit of cooperation not only of the
Physical Therapist, but the community at large has certainly been one of the
necessary and positive factors of the Program thus far developed.


Job Description


The job description as developed by the planning committee for the physical
therapy assistant is as follows:

1. Aids patients in preparation for, during, and at the conclusion
of treatment.

2. Aids patients in the safe practice of activities related to the
development of strength and endurance.

3. Aids in administering therapeutic exercises and massage as directed.

4. Applies heat to affected parts of body by use of infrared or ra-
diant heat lamps, hot packs, cabinet baths, short wave, diathermy,
and other electrical apparatus.

5. Gives whirlpool, contrast, and paraffin baths and assists in use of
certain other hydrotherapeutic procedures.

6. Assists patients in performance of routine exercises involving
use of such apparatus as progressive resistance exercise equipment,
shoulder ladder, wrist roll and pulley weights.

7. Supports patient as necessary in ambulation and other exercise ac-
tivities, including activities of daily living.











CURRICULUM

Physical Therapy Assistant

FRESHMAN YEAR


Fall Term


AHS 101 Survey of Health Services
PTA 101 Introduction to Physical
Therapy
***BIO 111 Anatomy Lecture
***BIO 112 Anatomy Laboratory
ENG 111 Expository Writing
HUM Humanities
SSC 101 Social Science
PED Physical Education
Elective


Winter Term

AHS 108 Applied Medical Physics
& Chemistry
***BIO 114 Physiology Lecture
***BIO 115 Physiology Laboratory
*ENG English
SSC 102 Social Science
Elective


1


Total Credits


Total Credits 17


SOPHOMORE YEAR


Fall Term


PTA 201 Medical Surgical
Orientation to Physical
Therapy
PTA 211 Applied Kinesiology
PTA 220 Electro-Hydro Therapy
PTA 297 Clinical Practice I
SPE 105 Fundamentals of Public
Speaking
PSY 207 Foundations of Scientific
Psychology

Total Credits


Winter Term

PTA 251 Applied Kinesiology II
PTA 260 Therapeutic Exercises
PTA 261 Rehabilitation
PTA 290 Ethics and Clinical
Procedures
PTA 298 Clinical Practice II
PED Physical Education
Elective


Total Credits 13


Spring or Summer Term


PTA 299 Clinical Practice III 5

*English requirement may be satisfied by one of the following: ENG 102, 104, or SEC
**Elective may be satisfied with a course in Conversational Spanish 231.
(SPA 103) or Humanities.
***BIO 111 and 112 must be taken together.
BIO 114 and 115 must be taken together.

(9)











Course Descriptions


PTA 101 Introduction to Physical Therapy 1 credit

An introduction to the field of physical therapy including a general survey
and history of the field, common physical disabilities and current treat-
ment procedures, observation of treatment and field trips to facilities in
the area. One class period per week.

PTA 201 Medical-Surgical Orientation to Physical Therapy 3 credits

An introduction to the medical backgrounds of all types of injuries and
diseases usually seen in a physical therapy department including common sur-
gical and medical treatment procedures. The course will include diagnosis;
terms and descriptions concerning diseases; orthopedic, neurologic, medical
and surgical entities. Prerequisites: PTA 101, BIO 111, 112, 114, and 115.
Three class periods per week.

PTA 211 Applied Kinesiology I 2 credits

A basic study of anatomical structures and movement as directly related to
physical therapy procedures. The basic principles of the relationship between
joint motion and mechanical action are emphasized. Prerequisites: BIO 111,
112, 114, and 115. Two class periods per week.

PTA 220 Electro-hydro Therapy 4 credits

The elementary principles with theory and application of electricity, heat
and water in therapeutic treatment. Introduction to the various methods
and equipment utilized in actual practice in the safe application of these
modalities. The student will also be taught contra-indications and danger
potential inherent to these treatments. Prerequisites: PHY 108, BIO 111,
112, 114, and 115. Two class periods and one six-hour laboratory per week.

PTA 251 Applied Kinesiology II 2 credits

A continuation of Applied Kinesiology I with emphasis on the analysis and
biomechanics of all human motion as related to the functions of the muscu-
loskeletal system and to therapeutic exercises and gait training. Two
class periods per week.

PTA 260 Therapeutic Exercises 5 credits

The theory and principles in the use of mechanical appliances and equipment
such as shoulder wheels, pulleys, traction, and progressive resistive exer-
cise devices. Includes lecture, demonstration and practice in therapeutic
exercises, equipment, posture, body mechanics, remedial exercises as appli-
cable to and related to various disabilities. Safety precautions, contra-
indications and limitations of treatment will be emphasized. Prerequisites:
PTA 201, 211. Corequisites: PTA 251, 261. Two class periods and one
nine-hour laboratory per week.


(10)












PTA 261 Rehabilitation


Theory and principles involved in normal and abnormal ambulation and mobil-
ity, types of external supports, and methods of activities of daily living.
An analysis of normal human locomotion; description of abnormal gaits; and
description, demonstration and practice with various types of crutches, canes,
wheelchairs, prosthetic appliances and other devices necessary for rehabili-
tating the disabled individual. Theory and practice of methods of teaching
activities of daily living and proper patient safety are included. Corequi-
site: PTA 260. Two class periods and one three-hour laboratory per week.

PTA 290 Ethics and Clinical Procedures 1 credit

Instruction in the organization of hospitals and health care facilities, phy-
sical therapy departments, and the ethics involved. Discussions on the
relationship of the physical therapy department to the medical organization,
general medical organization and ethics, physical therapy assistant ethics,
proper conduct and procedures. Orientation to clerical duties, maintenance
of supply inventories and related duties. One class period per week.

PTA 297 Clinical Practice I 1 credit

Supervised practice in the performance of the duties of a physical therapy
assistant in a variety of different health care agencies. Practice in the
application of all therapeutic modalities commensurate with the position of
physical therapy assistant under the direct supervision of registered phy-
sical therapists in various clinical situations. One eight-hour clinic per
week.

PTA 298 Clinical Practice II 1 credit

A continuation of Clinical Practice I. One eight-hour clinic per week.

PTA 299 Clinical Practice III 5 credits

A continuation of Clinical Practice II. One forty-hour clinic per week for
six weeks.


(11)


3 credits












AGREEMENT


THIS AGREEMENT entered into this day of
19 by and between the DISTRICT BOARD OF TRUSTEES OF MIAMI-DADE JUNIOR
COLLEGE, hereinafter referred to as the COLLEGE, and

Shereinafter referred to as the
HOSPITAL.




WITNESS ETH:


WHEREAS, the COLLEGE desires that students enrolled in its PHYSICAL
THERAPY PROGRAM hereinafter referred to as the students,
obtain clinical experience at the HOSPITAL; and

WHEREAS, the HOSPITAL is willing to provide the necessary facilities
for said clinical experience;

NOW, THEREFORE, for and in consideration of the premises and the mutual
covenants and agreements herein contained, the parties hereto agree as
follows:

1. FACILITIES: The HOSPITAL agrees to make available its facilities
to the COLLEGE in order to provide clinical experience in the above named
program. This will include the following:

(a) Conference rooms and/or classrooms as available.

(b) The use of the HOSPITAL facilities as applicable to the said
program subject to the arrangements as provided in Paragraph
2 (c) of this agreement.

(c) Cafeteria facilities for the students and the COLLEGE faculty
while on assignment at the HOSPITAL. The cost of meals at
same is to be paid by said faculty members and students.

(d) Lounge, lockers, and dressing room space for the students as
available.

(e) Use of the HOSPITAL library facilities while the HOSPITAL acts
in the capacity of a cooperating institution.

(f) Emergency Out-Patient treatment, in case of accident or ill-
ness, to students while in the HOSPITAL for clinical experience
and without cost to the student.


(12)












(g) An environment conducive to the learning process of the
students as intended by the terms of this agreement and
conforming with customary HOSPITAL procedures.

2. PROVISIONS FOR INSTRUCTION AND SUPERVISION OF STUDENTS:

(a) The COLLEGE shall acquaint the students with the rules and
regulations of the HOSPITAL and shall hold them responsible
for complying with all rules and regulations applicable to
non-resident students.

(b) The HOSPITAL reserves the right to refuse its facilities and
services to any student who does not meet the professional
or other requirements of the HOSPITAL or any appropriate
authority controlling and directing said HOSPITAL.

(c) The dates, time and other arrangements for the clinical ex-
perience of the students shall be planned jointly by the
faculty or other delegated representatives) of the COLLEGE
and the appropriate staff or other delegated representatives)
of the HOSPITAL. The instructional schedule agreed upon
shall be submitted to the HOSPITAL at least sixty days prior
to the beginning of such schedule.

(d) The HOSPITAL will provide the appropriate clinical instructors)
from the following medical or allied health fieldss:
PHYSICAL THERAPY,
to whom the student will be directly responsible. The number
of such instructors shall be determined according to Paragraph
2, (c) above.

(e) The duties of the clinical instructors) with regard to the
clinical experience of the student will include,

(1) direct instruction and supervision of the student according
to the respective course description and/or course outline,
cooperating therein with the faculty member assigned by
the COLLEGE to supervise said course.

(2) periodic evaluation of the student's progress as required
by the COLLEGE.

(3) providing to the above mentioned faculty supervisor, on a
weekly basis, the proposed schedule for clinical instruction
for the ensuing week.

(4) being available for scheduled and unscheduled conference
with the student and/or faculty supervisor.


(13)












(f) The COLLEGE faculty supervisor will make regular visits to the
HOSPITAL in order to coordinate the progress of the course in-
struction and to determine its effectiveness.

(g) The COLLEGE on its part agrees further,

(1) to go through proper channels at the HOSPITAL in planning
clinical experience,

(2) to arrange regular meetings with the appropriate clinical
staff of the HOSPITAL to whom the student is directly
responsible in order to review and evaluate the progress
of the clinical instruction,

(3) to provide methods for student evaluation which are brief
and meaningful,

(4) to inform the clinical instruction staff of the HOSPITAL
as to the extent of the student's academic preparation for
purposes of assignment of the student to the appropriate
job entry level of clinical experience.

3. TERM OF AGREEMENT: The term of this AGREEMENT shall be from the date
hereof through 19 and from
year to year thereafter (each such year ending on
) except that either party hereto may terminate this
Agreement effective on the next expiration date thereof by giving written notice
to the other party to that effect not later than days prior to
said expiration date.

IN WITNESS WHEREOF the parties have caused this Agreement to be executed
in their respective corporate names and their corporate seals to be affixed by
duly authorized officers, all on the day and year first set forth above.


(14)















FOR MIAMI-DADE JUNITOR COLLEGE


(Seal)


Dr. Peter Masiko, Jr., President
Miami-Dade Junior College


Attest:


Mitchell Wolfson
Chairman of the District Board
of Trustees
Miami-Dade Junior College




FOR


(Seal)


Attest:


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APPENDIX B

SUMMARY REPORT

ST. PETERSBURG JUNIOR COLLEGE

PHYSICAL THERAPY ASSISTANT PROGRAM











SUMMARY REPORT


ST. PETERSBURG JUNIOR COLLEGE

PHYSICAL THERAPY ASSISTANT PROGRAM


Philosophy & Purpose


St. Petersburg Junior College was awarded a grant in 1968 under the Allied
Health Professional Training Act, Developmental, to establish a pilot Associate
in Arts in Physical Therapy Degree Program in the State of Florida, using the
core approach and to explore in the third year of the grant the possibility
of establishing a rehabilitation aide certificated program through the use of
a cluster approach to curriculum development.

Before deliberating on the approaches used to develop the Physical Therapy
Assistant Program it seems appropriate to first present highlights of our phil-
osophy and objectives concerning training on a technical level for Physical
Therapy Assistants. These will, however, reflect some of the approaches used
to develop the program.

The technical level of education for the Physical Therapy Assistant belongs
ideally in the Junior College setting. Contacts with other students in this
setting affords the environment and opportunity for growth and development in
general education and in the chosen technical area, rather than in a strictly
occupationally oriented environment. Establishment of the Physical Therapy
Assistant Program adheres to the stated function of the American Physical
Therapy Association and program operation is within the framework of the ob-
jectives of St. Petersburg Junior College. Provision is made for the
development of basic knowledge, skills, and attitudes in the field of phy-
sical therapy with the application of principles of social, biological and
physical sciences, using a core course approach to the curriculum. Special
techniques, problem solving, communication skills, and creative thinking are
essential parts of the physical therapy assistant educational experience.
The direct responsibility for developing these skills, as well as the special
patient care techniques in the college laboratory and clinical laboratories
in the health agencies, are the responsibility of the instructor of the
college rather than a vocational apprenticeship type of experience. We believe
this fosters a more conducive learning atmosphere for the students and more
opportunity for the instructor to get to know the students and consequently
provide greater opportunity for guidance.

These courses will fall in the pattern of other laboratory courses within the
college. Students will have specific written objectives for each laboratory
class. This includes previous reading assignments and a pre and post-conference


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period in the laboratory in which students immediately share experiences in
light of the specific stated objectives. Students learn vicariously and
enrich their knowledge and understanding by their involvement in the sharing
period. Careful screening of objectives and health agencies which offer
the best illustration and skill application are chosen for the specific cor-
relation of formal classes (didactic material). This pattern of education
prepares students to become participating team members at a technical level,
whose contribution will be to serve as an extention of the professional
physical therapist, assisting patient-related activities commensurate with
their education. Students completing the program will be eligible for li-
censing in the State of Florida, which is required for protection of the
public and maintenance of quality of physical therapy services to people.

Our purpose, therefore, is to meet the needs for supportive personnel in the
areas of Physical Therapy through a new health field program to educate
Physical Therapy Assistants.


Overall Objectives


Students should:

1. Know his/her role (including ethics, legal responsibilities, and limita-
tions) and understand supervisory relationship of physical therapy
assistant to professional physical therapist.

2. Understand relationship and responsibility to patients.

3. Demonstrate desirable interpersonal relationships in clinical and class-
room situations.

4. Develop techniques in problem solving, communication skills and creative
thinking.

5. Understand the social, physical, and biological sciences applicable to
physical therapy assistant level of performance.

6. Know principles and safe practices underlying physical therapy and re-
habilitation procedures.

7. Know procedures of patient management and application of principles of
physical modalities.

8. Know and have opportunity to practice in a health team approach to care
of patients.

The initial idea and interest came from the local district physical therapy
community. In December, 1966, representatives from the West Coast Physical
Therapy District and the St. Petersburg Junior College administration met to
discuss the feasibility of establishing the program. Several general meetings
were held and finally proposals for the program were completed. Subsequently,


(18)










a broad planning committee for the program was set up, which involved repre-
sentation from the above, plus the American Physical Therapy Association--
Florida Chapter, the faculty of the professional school of Physical Therapy,
University of Florida, the Florida State Department of Education--Technical
and Health Education Section, and the Pinellas County Medical Society, in
order to have the thinking and assistance in content area of curriculum de-
velopment, changes in the field, as well as overall suggestions concerning
the implementation of the program at the junior college level. This is a
continuous committee and provides good cross-section representation for
information and for advice regarding establishment of additional programs.
It is hoped that proliferation of these programs will not occur before
proper evaluation of the programs in existence can be obtained and opera-
tional statewide planning can be suggested. The local working planning
committee continues to meet and give guidance to the College.

Utilization of core course approach included the core course HF 101 (Survey
of Health Related Fields), which is required of all students in any health
related program at St. Petersburg Junior College. The philosophy of this
course is that all students for health fields have common knowledge and
skills when dealing with people under stress.

There is also the pattern of the first session skill course (PT 113) per-
tinent to the specific discipline for the beginning student (a 1:3 ratio
laboratory). The Physical Therapy course specifically includes class hours
and a 1:3 laboratory at the college, as well as in a variety of clinical
settings. There is a total of approximately 50 per cent in the specific
field. A copy of the course of studies is enclosed. The course is two aca-
demic years in length.


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REQUIRED PROGRAM LEADING TO THE DEGREE OF
ASSOCIATE IN ARTS IN PHYSICAL THERAPY


FRESHMAN YEAR


Semester Hours' Credit
1st 2nd
Course Description Session Session

EH 130-131 . Communications 1-11 . . . . . 3 3


EH 14-141 .
PY 132 .
HF 101
PT 113 .
P 106 .
BY 107 .
MS 103 or 110.
PT 101 .
PT 102 .
GT 122 .
PE 108 .


. English Composition . . . .
. General Psychology . . . .
. Survey of Health Related Fields .
. Basic Patient Care Skills . .
. Bio-Physical Sciences . . .
. Human Anatomy and Physiology . .
. Mathematics . . . .
. Principles of Physical Therapy I .
. Principles of Physical Therapy Lab
. National Government . . .
. Physical Education . . . ..


SOPHOMORE YEAR


SP 190
DP 105
PT 201-203
PT 202-204
PT 230
SY 226
PE 297-298
PE 108
*Electives


. Physical Science . . . .
. Introduction to Data Processing
. Physical Therapy II III .
. Physical Therapy Lab II III .
. Trends in Physical Therapy . .
. Introduction Sociology. . ..
. First Aid I II . . . .
. Physical Education . . . .


*Suggested Electives: A proposed course is in preparation dealing with the
aging process which will be required and any course listed under Humanities,
Area II, Plan II, of graduation requirements for the elective.


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1


3
4
2
3
1
1
3


3











COURSE DESCRIPTIONS


Physical Therapy


PT 113--Basic Patient Care Activities Laboratory . . . .. 1 credit
Corequisite: HF 101. A laboratory course in which there is the intro-
duction to and practice in activities and modalities basic to the care
of patients in health agencies. The development of manual dexterity skill
in the "Activity of Daily Living" techniques with patient safety and com-
fort is the focus. College laboratory and community health agencies will
be utilized for practice and demonstrations. One three-hour laboratory.
SP: D-I

PT 101--Principles of Physical Therapy I . . . . .... 3 credits
Prerequisite: HF 101 and PT 113. A course to introduce the principles
of physical therapy and rehabilitation treatment procedures and modalities
used in patient care plans. Specialized vocabulary and selected clinical
conditions are presented. Role orientation ethics, legal aspects, limi-
tations and relationships to physician, professional physical therapist
and to the patient will be explored. Three one-hour class periods.
SP: D-I

PT 102--Principles of Physical Therapy Laboratory I ...... .2 credits
Corequisite: PT 101. Basic skills are to be developed and principles
applied involving functional anatomy, basic therapeutic exercise, ambu-
lation and procedures of application of modalities relative to caring
for the patient, the environment and the equipment. Demonstrations, stu-
dent practice in college laboratory and in pertinent health agencies are
employed. Twro three-hour laboratories. SP: D-II

PT 20--Physical therapy I . . . . . . . . 3 credits
Prerequisite: PT 101. This course builds upon and broadens the special
modalities, applied kinesiology and therapeutic exercises used by physical
therapy assistants. A broader selection of medical and surgical conditions
are studied. Three class periods. SP: D-I

PT 202--Physical Therapy Labo ry II . . . . . . 3 credits
Corequisites: PT 201. The laboratory is correlated with class material.
Activities will include selected experiences in the college laboratory
and health agencies. More complex procedures are studied and patient
care plans are utilized as a basis for practice in clinical areas. Problem
solving techniques are employed in the execution and evaluation of patient
care plans. Three three-hour laboratories. SP: D-I


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PT 203--Physical Therapy III. . . . . . . . . .. 3 credits
Prerequisite: PT 101, 102. The combining of knowledge and skills to
include meaningful interpersonal relations with patients in carrying out
patient treatments continues to be built upon. Observation, recording
and reporting are emphasized and patient teaching for home treatments and
continuity of care synthesizes the more complex patient care physical
therapy assistant roles. Three one-hour class periods. SP: D-II

PT 204--Physical Therapy Laboratory III . . . . . ... 3 credits
Corequisite: PT 203. Selected laboratory experiences in the college and
at health agencies. The emphasis is placed on continuing to develop
critical thinking in patient care approach through the execution of care
in health agency units. Four three-hour laboratories. SP: D-II

PT 230--Trends in Physical Therapy . . . . . . .... 2 credits
A seminar-type class will explore the newer trends involving the role of
the professional team, the professional organization, legal and ethical
implications, and legislation (Medicare and Medicaid). Historical
patterns in the development of the profession of physical therapy and
projections of future directions in light of influence from the past will
be explored. Two one-hour class periods. SP: D-II

There are presently no avenues of ingress in the program for students during
Session II of the first year unless they can satisfy their prerequisites HF 101
and PT 113. Provision for the entry of students in Session II through offering
HF 101 and PT 113 in Session II and offering Session II courses in Session III
are in the plans for next year. Presently there are seven students enrolled
in the Physical Therapy Assistant Program.

Evaluation of students is a continuous process, but the nature of a core cur-
riculum lends itself to evaluation of students not only during the course, but
after graduation as well. It is our desire to wait until after graduation of
students before making a complete summary of evaluation. In the interim, we
can report satisfactory completion of the HF 101 and PT 113 courses by seven
students. One student lost too much time through illness. There have been
selected 9 students to date for next year and 14 more are in the process of
being accepted.

Another unique and interesting development has been the placement of the college
physical therapy laboratory in a former crippled children's hospital which had
the facilities of a complete physical therapy department that was no longer
being used. Through rental, we are able to have a realistic, outstanding lab-
oratory with a minimum of expenditure for the physical plant. The specialized
equipment has been purchased through the Federal Grant. Canned schedules have
been set up with transportation time available in the student's schedule.


(22)











New teaching tools are being developed and a strong library collection built.
Existing TV tapes are being utilized with plans for making new ones in the
future. Programmed instruction is also being utilized with both the Mark-
Tudor II machines and program booklets.

Arrangements with clinical agencies involved contracts through the proper
administrative channels, such as Administrators, Presidents of Boards and/or
Physical Therapists, or those in charge of subcontract Physical Therapy De-
partments of hospitals, rehabilitation clinics and nursing homes. Discussion
has been initiated and agreement confirmed using the enclosed sample of con-
tractual agreement form.

Other future plans involve holding workshops for Registered Physical Therapists
in the region. Programs will be provided on the use of orientation and of
continuing education of the licensed Physical Therapy Assistant and the Re-
habilitation Aide.

Mediums of recruitment have been newspapers and TV tapes. Contract has been
made and recruitment material supplied to the high school counselors of the
local communities.

We have also accepted several requests to speak to high school paramedical
clubs.

Inquiries of the program are received daily. We submit this interim report
as a general summary of a health-disciplinary educational pattern that should
prepare persons to meet the modern inter-discipline appropriate to patient
care.


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APPENDIX C

PHILOSOPHY AND PURPOSES OF AN EDUCATIONAL PROGRAM
FOR
PHYSICAL THERAPY ASSISTANTS











American Physical Therapy Association
1740 Broadway, New York, New York 10019


PHILOSOPHY AND PURPOSES OF AN EDUCATIONAL PROGRAM
FOR
PHYSICAL THERAPY ASSISTANTS


The following statement is intended to serve as a frame of reference
for the planners of Physical Therapy Assistant programs. Since the
philosophy and purposes of each program should be consistent with
those of the individual institution, this is offered only as a guide-
line.

The purpose of a Physical Therapy Assistant program is to prepare
assistants who will contribute to physical therapy services by per-
forming functions commensurate with the needs of the patients as
determined by the physical therapist.

The philosophy and purposes of a Physical Therapy Assistant program
should be written statements of basic educational tenets. These
statements should be reviewed periodically and approved in accordance
with procedures of the -educational institution.

The philosophy and purposes should be utilized as a basis for (1) the
development of the curriculum and (2) the evaluation of the program.
They should be consistent with accepted principles for the development
and implementation of Physical Therapy Assistant programs. These
include:

1. Adequate control of the technical course content by the
physical therapy assistant faculty, within the framework
of the policies of the educational institution.

2. Inclusion of the general education requirements of the
educational institution.

3. Provision of opportunities for physical therapy assistant
students to participate in all student functions of the
educational institution.

4. Preparation of graduates to perform competently as beginning
physical therapy assistants.




Statement prepared by the Committee on Supportive Personnel and
approved as a working document by the Board of Directors of the
A.P.T.A., October, 1968.


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APPENDIX D

CRITERIA FOR FACULTY OF A

PHYSICAL THERAPY ASSISTANT PROGRAM












American Physical Therapy Association
1740 Broadway, New York, New York 10019

CRITERIA FOR FACULTY OF A
PHYSICAL THERAPY ASSISTANT PROGRAM


A. GENERAL CONSIDERATIONS

The education of the physical therapy assistant includes learning
experiences in classroom and laboratory settings as well as clinical
(patient care)

The physical therapist who is director of the program is responsible
for the overall development, implementation and evaluation of the
program. Additional physical therapy faculty should include:

1. Physical therapists who teach courses in the classroom and
laboratory.

2. Physical therapists who instruct and supervise students in
that portion of the education planned and offered in a clinical
setting.

Colleges and universities establish policies regarding qualification for
faculty appointments and employment. Physical therapists who will have
academic appointments and those selected to be clinical instructors should
be expected to have the abilities, professional experience and level of
education comparable to those of other professional faculty in similar
programs at the same institution.

Part-time faculty members, guest lecturers and others who contribute to
the education of students in the courses for the Physical Therapy Assistant
on a part-time basis are utilized in accordance with college policy.

B. FACULTY APPOINTMENTS

The number of persons appointed to the faculty depends on several factors:

1. Number of courses to be offered during an academic term.

2. Number of students to be registered in any given course.

Laboratory sections of 16 students or more require a laboratory
assistant in addition to the principal instructor.

3. Number of classes to be registered during an academic term.


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B. FACULTY APPOINTMENTS (CONTINUED)

4. Responsibilities other than teaching such as:

a) Recruitment and publicity

b) Correspondence and counseling with students, interviews,
screening applicants for admission, etc.

c) Activities as faculty advisor

d) Participation in Community Health Programs

e) Students' clinical experiences

f) Research

g) Administrative functions

Other factors relative to the size of student enrollment, and the number
of faculty required, include the size and availability of classrooms,
laboratories and location of clinical facilities to be used for instruction.

C. SPECIFIC CONSIDERATIONS

1. Qualities which the director, faculty members, and clinical instructors
should possess include:

a) Knowledge, based upon education and experience, in physical
therapy

b) Interest in teaching

c) Ability to motivate and guide students

d) Facility in speech and writing

e) Ability to work harmoniously with colleagues and students

f) Aptitude for scholarly work

g) Willingness to accept responsibility

h) Identification with the profession

1) understanding of the role of physical therapy in health
care

2) concern for future development of physical therapy


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C. SPECIFIC CONSIDERATIONS (CONTINUED)

3) a philosophy of physical therapy assistant education and
physical therapy service compatible with that held by the
institution offering the curriculum

4) understanding of philosophy and trends in community college
education

5) vision and foresight to anticipate social change which will
influence health care programs and physical therapy assistant
education of the future

2. Criteria for the selection of the physical therapist who will be the
director of the Physical Therapy Assistant program should include:

a) Graduation from an accredited program of physical therapy education

b) Completion of a Masters Degree preferably including some content in
educational administration

c) Eligibility for state licensure or registration in physical therapy

d) Such other credentials as may be required by the college

e) Professional background that includes a minimum of three years
effective functioning in areas of administration, teaching, and
physical therapy practice, as well as public relations

f) Demonstrated interest in continuing education

g) Membership and participation in the physical therapy professional
organization

3. Criteria for the selection of other physical therapy faculty members
should include:

a) Graduation from an accredited program of physical therapy education

b) Educational preparation that includes completion of a program
leading to a Masters Degree or initiation of graduate study with
a plan to complete the required preparation

c) Eilgibility for state licensure or registration in physical therapy

d) Such other credentials as may be required by the college

e) A minimum of three years of professional experience that enables
effective functioning as a practitioner of physical therapy and
as a teacher of physical therapy assistant curriculum content


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C. SPECIFIC CONSIDERATIONS (CONTINUED)

f) Demonstrated interest in continuing education

g) Membership and participation in the physical therapy professional
organization

4. Criteria for the selection of physical therapists who will instruct
and supervise students in clinical settings should include:

a) Graduation from an accredited program of physical therapy
education

b) Completion of a Baccalaureate Degree

c) Eligibility for state licensure and registration in physical
therapy

d) A minimum of one year's clinical experience

e) Demonstrated interest in continuing education

f) Membership and participation in the physical therapy professional
organization


























Statement prepared by the Committee on Supportive Personnel and approved as
a working document by the Board of Directors of the A.P.T.A., October, 1968.


(30)





























APPENDIX E

CRITERIA FOR CLINICAL FACILITIES

IN

PHYSICAL THERAPY ASSISTANT PROGRAMS











American Physical Therapy Association
1740 Broadway, New York, New York 10019

CRITERIA FOR CLINICAL FACILITIES
IN
PHYSICAL THERAPY ASSISTANT PROGRAMS


The physical therapy service and the faculty of the educational institution
work jointly in the development of the program for physical therapy assistants.
Areas of collaboration include development of objectives and programs, evalua-
tion of training, job descriptions, and recruitment. The facility must be
willing to share in the education of the physical therapy assistants and must
be willing to make available its resources to this end. It must insure ade-
quate staff to provide an optimum learning environment for students. It must
also orient the facility staff to the training program and delineate or
assign responsibilities as indicated.

The clinical facilities necessary for the development of the educational
program shall be selected by the director and faculty of the physical therapy
assistant program within the educational institution.

To qualify for selection the physical therapy service and the facility in
which it exists should meet the following criteria:

A. General

1. The facility is approved by the appropriate accrediting agency.

2. The physical therapy service is under the direction of a physical
therapist who meets the qualifications of the American Physical
Therapy Association.

3. The facility and its physical therapy service contract to provide
clinical experiences which meet goals developed collaboratively by
the educational institution and the physical therapy service.

4. The physical therapy service agrees to be responsible for the
supervision of the students in all situations where the educational
institution does not provide a field supervisor. The ratio does not
exceed two students to one physical therapist.

B. Specific

1. The physical therapists who instruct and supervise students in the
clinical setting:

a. Have graduated from an accredited program of physical therapy
education.

b. Hold baccalaureate degrees.


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B. Specific (Continued)


c. Are eligible for state licensure and registration in physical
therapy.

d. Have a minimum of one year's clinical experience.

e. Have demonstrated interest in teaching and in continuing education.

f. Are members and participate in the physical therapy professional
organization.

2. The facility and its physical therapy service have a philosophy of care
compatible with the clinical experience objectives and the philosophy
of the educational institution.

3. The physical therapy service has a physical plant and equipment that
will provide adequate clinical experience for students.

4. The physical therapy service has sufficient qualified personnel to
teach and supervise the student. The personnel have the ability and
desire to teach.

5. The staff of the facility demonstrate ethical behavior expected of
health care personnel in total patient management.

6. The physical therapy service is willing to share responsibility for
the instruction, supervision and evaluation of the student with the
educational institution.

7. The physical therapy service is willing to conform with the con-
tractual agreement between the educational institution and the
clinical facility which delineates the roles and responsibilities
of each.

8. Employee benefits offered to the student by the clinical facility
and clearly understood by its physical therapy service, the student,
and the educational institution.

9. The clinical facility and its physical therapy service are well
established and provide sufficient patient contact to develop the
kinds of skills desired by the educational institution for the
physical therapy assistant. The physical therapy service offers
and delivers services of a level of quality which are appropriate
for student learning.



Statement prepared by the Committee on Supportive Personnel and approved as
a working document by the Board of Directors of the A.P.T.A., November, 1968.


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AGREEMENT


This Agreement, made and entered into this day of
19_, by and between THE DISTRICT BOARD OF TRUSTEES OF ST. PETERSBURG JUNIOR
COLLEGE, FLORIDA, P. 0. Box 13489, St. Petersburg, Florida 33733, hereinafter
referred to as the College, and EASTER SEAL REHABILITATION CENTER
(insert name of health agency)
7671 U. S. Highway 19, North, Pinellas Park, Florida
(insert complete address of health agency)
hereinafter referred to as the Health Agency,

WITNESS E T H

WHEREAS the College is desirous of using the facilities of the Health
Agency to implement its program of Physical Therapy and
(insert name of program)
WHEREAS the Health Agency wishes to cooperate with the College in
implementing the above named program in order that more health related personnel
will be available to serve the community,

NOW, THEREFORE, the parties agree as follows:

THAT the faculty and students in the above named program at the College
may use the various departments of the Health Agency for laboratory practice.
The specific dates when the students of the College will be utilizing the
facilities of the Health Agency will be set up and agreed upon by both parties
in advance of the specific session. Learning experiences in the departments
will be selected and the days and hours planned by the faculty of the College.

THE RESPONSIBILITIES OF THE HEALTH AGENCY ARE:

1. To provide opportunities for observation and practice experience in
the patient units and clinics, and in selected departments of the
Health Agency.

2. To provide adequate classroom and conference room space, library
facilities, and for the use of available instructional materials.

3. To assist in the orientation of faculty and students to the physical
facilities, policies, and procedures of the Health Agency as required.

4. To allow the students and faculty, at their own expense, to use
cafeteria facilities in the Health Agency, if they so desire.

THE RESPONSIBILITIES OF THE COLLEGE ARE:

1. To use the proper Health Agency channels to make plans for
observation and practice experience.

2. To comply with current policies and procedures of the Health Agency.


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3. To provide all instruction and guidance required in the program.

4. To require that students carry professional liability insurance.

This agreement between the College and the Health Agency shall become
effective upon the date of signature by the administrators and the two agencies.

This agreement shall be automatically renewed from year to year unless
either party requests a change or termination thereof.

This agreement may be terminated upon the giving of written notice by
either party to the other party at the end of any given academic year,
PROVIDED HOWEVER, that such termination shall not become effective as to
students already enrolled and participating in the program until they shall
have had an opportunity to complete the program at the Health Agency to meet
the course of study requirements for graduation.


President, St. Petersburg Junior College


Administrator for:


Easter Seal Rehabilitation Center
(insert name of health agency)


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APPENDIX F

PHYSICAL THERAPY PRACTICE ACT

(Florida Statutes)










CHAPTER 486


PHYSICAL THERAPY PRACTICE ACT


486.011 Short title.
486.021 Definitions.
486.031 Registration requirements.
486.041 Application for regis-
tration.
486.051 Examination of applicants.
486.052 Annual fees.
486.061 Issuance of certificates to
applicants passing ex-
aminations.
486.071 Registration required.
486.072 Disposition of fees.
486.081 Issuance of certificates to
persons passing examination
of certain other examining
boards; permits.
486.091 Refusal, revocation and suspen-
sion of registration.
486.101 False representation of regis-
tration prohibited.
486.102 Physical therapy assistant re-
gistration requirements.
486.103 Licensed physical therapy assis-
tant application for regis-
tration.


486.011
act."


486.104 Licensed physical therapy
assistant examination
of applicants.
486.105 Licensed physical therapy
assistant annual re-
gistration fee.
486.106 Licensed physical therapy
assistants; issuance
of certificates.
486.107 Licensed physical therapy
assistants; issuance
of certificates to
persons passing exami-
nation of other exam-
ining boards; permits.
486.121 Powers and duties of
board of medical ex-
aminers.
486.131 Annual registration with
state board of health.
486.141 Fraudulent representation
to obtain registra-
tion unlawful.
486.151 Penalties for violations.
486.161 Exemptions.
486.171 Current valid certificates
effective.


Short title/--This chapter may be cited as the physical therapy practice


486.021 Definitions.--In this chapter, unless the context otherwise requires:

(1) "Physical therapy" means the treatment of any disability, injury, disease,
or other condition of health of human beings, or the prevention of such dis-
ability, injury, disease or other condition of health and rehabilitation as
related thereto by the use of the physical, chemical and other properties of air,
cold, heat, electricity, exercise, massage, radiant energy, including ultraviolet,
visible and infrared rays, ultrasound, water and apparatus and equipment used in
the application of the foregoing or related thereto, or the performance of tests
of neuromuscular functions, except electromyrography, as an aid to the diagnosis
or treatment of any human condition. The use of roentgen rays and radirum for
diagnostic and thbrapeutic purposes, and the use of electricity for surgical


(37)











purposes, including cauterization, are not authorized under the term "physical
therapy" as used in this chapter.

(2) "Physical therapist" means a person who practices physical therapy as
defined in this chapter upon the prescription of a person licensed and registered
in this state to practice medicine, surgery or dentistry, and whose license is
in good standing.

(3) "Licensed physical therapy assistant" means a person who applies physical
therapy procedures as defined in this chapter under the direction of a registered
physical therapist, and whose license in Florida is in good standing.

(4) "Board" means the State Board of Medical Examiners.

(5) Words importing the masculine gender may be applied to females.

486.031 Registration requirements.--To be eligible for registration by the board
as a physical therapist an applicant must:

(1) Be at least twenty years old;

(2) Be of good moral character, and

(3) (a) Have been graduated from a school giving a course in physical therapy,
which course, as given by such school has been approved for the educational
preparation of physical therapists by the appropriate subbody, if any, of the
American Medical Association, at the time of his graduation; or if graduated
prior to 1936, the course was approved by the American Physical Therapy Asso-
ciation, at the time of his graduation and pass to the satisfaction of the
board, an examination conducted by it to determine his fitness for practice as
a physical therapist as hereinafter provided; or

(b) Be entitled to registration without examination as provided in
486.081.

486.041 Application for registration.--A person who desires to be registered
as a physical therapist shall apply to the board in writing, on a blank fur-
nished by the board. He shall embody in that application evidence under oath,
satisfactory to the board, of his possessing the qualifications preliminary
to examination required by 486.031. He shall pay to the board at the time of
filing his application, a fee of twenty-five dollars, no part of which shall
be returned.


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486.051 Examination of applicants.--


(1) The board shall hold examinations for applicants for registration as
physical therapists at least once a year, and more often at the discretion of
the board at a time and place to be determined by the board. Examination of
applicants for registration as physical therapists shall be made by the State
Board of Medical Examiners according to the methods deemed by it to be most
practical and expedient to test the applicant's qualifications, including oral
and written tests and practical demonstrations. In the written tests each
applicant shall be designated by a number instead of by name so that his
identity shall not be disclosed to the members of the board until after the
examination papers are graded. Examinations shall be given in the following
subjects: the applied sciences of anatomy, physiology, neuroanatomy, kine-
siology, psychology, physics, physical therapy as defined in this chapter,
applied to medicine, neurology, orthopedics, pediatrics, psychiatry, surgery,
elementary gross pathology, medical ethics, and the technical procedures in
the practice of physical therapy as defined in this chapter.

(2) The board shall employ three registered physical therapists for a term
of four years each to whom it may delegate such powers and duties as it may
deem proper to examine applicants and to carry out the mechanics and proce-
dures necessary to effectuate this chapter. The board shall fix their
compensation and pay their expenses; no registered physical therapist shall
serve more than two successive terms, provided, however, that the registered
physical therapists presently so employed shall serve until the expiration of
their respective terms of employment or until their successors shall be em-
ployed. At any time there is a vacancy to be filled by the employment of a
registered physical therapist, the Florida chapter of the American Physical
Therapy Association shall recommend to the board in a number of not less than
twice the vacancies to be filled, and the board may appoint from submitted
list, in its discretion, any of those so recommended; provided, however, it
shall insofar as possible appoint persons from different geographical areas
and persons who are representational of various areas of physical therapy
treatment.

486.052 Annual fees.--An annual registration fee of five dollars shall be
required of all registered physical therapists, the time and place of payment
to be determined by the board.

486.061 Issuance of certificates to applicants passing examinations.--

The board shall register as a physical therapist and shall furnish a certi-
ficate of registration to each applicant who successfully establishes his
eligibility under the terms of this law, and any person who holds a certificate
of registration pursuant to this section may use the words "physical thera-
pist," "physiotherapist," or "registered physical therapist," and he may
use the letters "P. T., "Ph. T.," or "R. P. T.," in connection with his name
or place of business to denote his registration hereunder.


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* 486.071 Registration required.--No person shall practice, nor hold himself
out as being able to practice, physical therapy in this state unless he is
licensed in accordance with the provisions of this law; provided, however, that
nothing in this law shall prohibit any person licensed in this state under any
other law from engaging in the practice for which he is licensed.

* Note--Sec. 1, ch. 67-406, which became law on July 26, 1967, purported to amend
486.071 (1) to extend the time in which certain qualified persons could apply
for a certificate of registration without examination. Section 6, ch. 67-537,
which became law on August 4, 1967, and which was part of a comprehensive
revision of Chapter 486, deleted from 486.071 all reference to certification
without examination.

486.072 Disposition of fees.--All moneys received by the board under this
chapter shall be deposited and expended pursuant to the provisions of 215.37.
All such expenditures shall be paid upon presentation of vouchers approved by
the president and secretary-treasurer of gaid board.

486.081 Issuance of certificates to persons passing examination of certain
other examining boards; permits.--The board may register as a physical thera-
pist and furnish a certificate of registration without examination to any
applicant who presents evidence, satisfactory to the board, of having passed
an examination before a similar lawfully authorized examining board in phy-
sical therapy of another state, District of Columbia, territory or foreign
country, if the standards for registration in physical therapy in such other state,
district, territory or foreign country are determined by the board to be as
high as those of this state. Any person who holds a certificate of registra-
tion pursuant to this section may use the words "physical therapist,"
"physiotherapist," or "registered physical therapist," and he may use the
letters "P. T.," "Ph. T.," or "R. P. T.," in connection with his name or
place of business to dehote his registration hereunder. If the board deter-
mines that the applicant has not passed such examination as to entitle him to
a certificate of registration without examination the board may, if it deter-
mines the applicant possesses sufficient other qualifications for the practice
of physical therapy, issue the applicant a permit allowing him to practice
physical therapy, pursuant to the terms of this chapter, until the holding of
the next examination provided for by this chapter, but not for a longer period
of time. At the time of making application for registration without exami-
nation, pursuant to the terms of this section, the applicant shall pay to the
board a fee of twenty-five dollars no part of which shall be returned.

486.091 Refusal, revocation and suspension of registration.--The board, after
registered notice in writing to the party in interest, shall hold a hearing
within thirty days after the mailing of said notice, may refuse to register any
applicant and may suspend or revoke the registration of any registered person:

(1) Wh6 is addicted to the habitual use of intoxicating liquors, narcotics,
or stimulants to such an extent as to incapacitate him for the performance of
his professional duties; or


(40)











(2) Who is guilty of fraud in the practice of physical therapy or deceit in
obtaining his registration as a physical therapist; or

(3) Who has been convicted in a court of competent jurisdiction of a felony.
The conviction of a felony shall be the conviction of any offense which, if
committed in the state, would constitute a felony under the laws of this state;
or

(4) Who is guilty of treating or undertaking to treat ailments of human beings
otherwise than by physical therapy, as authorized by this chapter; or

(5) Who has undertaken to practice physical therapy independently of the
prescription of a person licensed by the state to practice medicine, surgery
or dentistry; or

(6) Who has been found by a court of competent jurisdiction to be a mentally
ill person and has not thereafter been restored to legal capacity; or

(7) Who is guilty of conduct unbecoming a person registered as a physical
therapist or detrimental to the best interest of the public.

486.101 False representation of registration prohibited.--It shall be unlawful
for any person who is not registered under this chapter as a physical therapist
or whose registration has been suspended or revoked, to use in connection with
his name or place of business the words or letters ~"physical therapist,"
"physiotherapist," "registered physical therapist," or the letters "P. T.,"
"Ph. T.," or "R. P. T.," or any other words, letters, abbreviations or insignia
indicating or implying that he is a physical therapist or who in any other way,
orally, in writing, in print or by sign, directly or by implication represents
himself as a physical therapist.

486.102 Physical therapy assistant registration requirements.--To be eligible
for registration by the board as a physical therapy assistant an applicant
must:

(1) Be at least eighteen years old, and

(2) Be of good moral character, and

(3) Have a diploma or its equivalent from an accredited high school and have
been graduated from a school giving a course of not less than two years for
physical therapy assistants, which course, as given by such school has been
approved for training physical therapy assistants by the physical therapists
employed by the board pursuant to 486.051 (2) and pass to the satisfaction of
the board, an examination conducted by it to determine his fitness for practice
as a physical therapy assistant as hereinafter provided.

486.103 Licensed physical therapy assistant application for registration.--
A person who desires to be registered as a physical therapy assistant shall
apply to the board in writing on a blank furnished by the board. He shall


( 41)












embody in that application evidence under oath, satisfactory to the board, of
his possessing the qualifications preliminary to examination required by
486.104. He shall pay to the board at the time of filing his application, a
fee of twenty dollars, no part of which shall be returned.

486.104 Licensed physical therapy assistant examination of applicants.--
The board shall hold examinations for applications for registration as physical
therapy assistants at least once a year, and more often at the discretion of
the board, at a time and place to be determined by the board. Examination of
applicants for registration as physical therapy assistants shall be made by
the State Board of Medical Examiners according to the methods deemed by it to
be most practical and expedient to test the applicant's qualifications, in-
cluding oral and written tests and practical demonstrations. Examinations shall
be given in the following subjects: Human anatomy and physiology, chemistry
and physics, electrotherapy and hydrotherapy, therapeutic exercises, rehabili-
tation, ethics and clinical procedure. In the written tests each applicant
shall be designated by a number instead of by name so that his identity shall
not be disclosed to the members of the board until after the examination papers
are graded.

486.105 Licensed physical therapy assistant annual registration fee,--An annual
registration fee of three dollars shall be required of all licensed physical
therapy assistants, the time and place of payment to be determined by the board.

486.106 Licensed physical therapy assistants; issuance of certificates.--
The board shall register as a licensed physical therapy assistant and shall
furnish a certificate of registration to each applicant who successfully estab-
lishes his eligibility under the terms of this law, and any person who holds
a certificate of registration pursuant to this section may use the words
"licensed physical therapy assistant" or "physical therapy technician," and
he may use the letters "L. P. T. A.," or "P. T. T.," in connection with his
name to denote his registration hereunder.

486.107 Licensed physical therapy assistants; issuance of certificates to
persons passing examination of other examining boards; permits.--The board may
register as a licensed physical therapy assistant and furnish a certificate of
registration without examination to any applicant who presents evidence, satis-
factory to the board, of having passed the examination for physical therapy
assistants before a similar lawfully authorized examining board of another state,
District of Columbia or territory, if the standards for registration for li-
censed physical therapy assistants in such other states, District of Columbia
or territory are determined by the board to be as high as those of this state.
Any person who holds a certificate of registration pursuant to this section
may use the words "licensed physical therapy assistant," or "physical therapy
technician," and he may use the letters "L. P. T. A.," or "P. T. T.," in con-
nection with his name to denote his registration hereunder. If the board
determines that the applicant has not passed such examination as to entitle
him to a certificate of registration without examination the board may, if it
determines the applicant possesses sufficient other qualifications for the
practice as a licensed physical therapy assistant, issue the applicant a permit
allowing him to practice as a licensed physical therapy assistant, pursuant to


(42)











the terms of this chapter, until the holding of the next examination provided
for by this chapter, but not for a longer period of time. At the time of making
application for registration without examination, pursuant to the terms of this
section, the applicant shall pay to the board a fee of twenty dollars, no part
of which shall be returned.

486.121 Powers and duties of board of medical examiners.--The state board of
medical examiners may administer oaths, summon witnesses, and take testimony in
all matters relating to its duties under this chapter. The board is authorized
to adopt only those rules and regulations needed to carry out the mechanics and
procedures to effectuate this chapter and may amend and revoke such rules at
its discretion. If the board determines an applicant for registration is quali-
fied to practice physical therapy the board may issue the applicant a permit
allowing him to practice physical therapy pursuant to the terms of this chapter
until the holding of the next examination provided for by this chapter, but not
for a longer period of time. The board shall have power to pass upon the good
standing and reputability of any school or college offering courses in physical
therapy, and whether the courses of such school or college in physical therapy
meet the standards fixed by the board. In determining the standing and repu-
tability of any such school and whether the courses can be approved by the
board, the board may investigate and make personal inspection of the same. The
powers and duties of the board, as set out in this chapter, shall in no way
limit or interfere with its powers and duties as set forth in chapter 458. All
powers and duties of the board, as set forth in this chapter, shall be sup-
plemental and additional powers and duties to those conferred upon the board
by chapter 458.

486.131 Annual registration with state board of health.--Any person who holds
a certificate of registration under this chapter shall not be required, in
order to practice physical therapy, to register or obtain a certificate, li-
cense, or other evidence of authority from any other state board; provided,
however, that annual registration of any person holding a certificate of
registration to practice physical therapy pursuant to this chapter shall be
made with the state board of health as prescribed in 381.401.

486.141 Fraudulent representation to obtain registration unlawful.--It shall
be unlawful for any person to obtain or attempt to obtain registration under
this chapter by any willful misrepresentation or any fraudulent representation.

486.151 Penalties for violations.--Any person who violates any of the provisions
of this chapter shall upon conviction be guilty of a misdemeanor and shall
be punished by a fine of not more that $500.00 or be imprisoned in the county
jail for a period not exceeding 6 months, or both, in the discretion of the
court.


(43)











486.161 Exemptions.--No provision of this chapter shall be construed to pro-
hibit the following persons from using physical therapy as a part of or
incidental to their profession, when they practice their profession under the
statutes applicable to their profession: chiropractors, podiatrists, doctors
of medicine, masseurs, nurses, osteopathic physicians and surgeons, and
naturopaths.

486.171 Current valid certificates effective.--

(1) Any person holding a certificate of registration to practice physical
therapy issued by the board which is valid when this law takes effect shall be
deemed to be licensed as a registered physical therapist under the provisions
of this chapter.

(2) Any person employed as an aide or assistant to a registered physical
therapist shall be considered eligible to continue to perform the duties he
is performing at the time this act becomes a law but shall not be eligible for
registration hereunder until he shall meet the requirements of this chapter.




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