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I teach my patients in-depth every time. whether they are a plumber or a physician.
That one weak study has been quoted like 3 times in this dumb thread
Keep in mind the source of the examination (MDs):
University of Pennsylvania School of Medicine, Philadelphia
J. Bone and Joint Surgery 1998 (Oct); 80-A (10): 1421–1427
http://www.ejbjs.org/cgi/content/full/80/10/1421
great argument by the way. you read my part about the superiority complex right?
Don't think I don't know about Sackett's levels of evidence, however this supports my point just fine.
I've actually asked this question to a fellow colleague of mine.
So what is the difference between a Physical Therapist and a Physical Medicine and Rehabilitation physician as far as skill set?
I've actually asked this question to a fellow colleague of mine.
So what is the difference between a Physical Therapist and a Physical Medicine and Rehabilitation physician as far as skill set?
PM and R is a medical doctor or osteopath who has gone through medical school and then a residency that deals specifically with rehabilitation sciences.
In the United States a 'medical doctor' may be a physician who is a graduate of an allopathic medical school and has the designation of M.D., or an osteopathic medical school and has the designation of D.O.
The correct terminology of a U.S. trained D.O. is Osteopathic Physician. Osteopaths are limited in their scope of practice to simply manual therapies.
I believe he is right.
Here in Brazil, Osteopathy is not recognized by the Brazilian Council of Medicine. The Brazilian Council of Physical Therapy, on the other hand, has recognized Osteopathy as a specialization (in manual medicine or therapy) of DPTs. It is a four year course that leads to the title "Osteopath". We Brazilian osteopaths refer to US DOs as Osteopathic Physicians. It is the best way, at least IMHO, to differentiate physicians from other professionals, i.e., osteopaths. We have to remember that historically, osteopathy left the USA as a different path in healthcare and not as a "different MD graduation". Also, just to mention, Medicine in Brazil is a bachelor's degree (six year course). A physician must complete a PhD program in order to become a "real doctor" as any other profession in our country. Physicians refer themselves as physicians which is a very respected title in our society, probably the hardest to become in average.
Cheers
[/B]
My bolds: That is absolutely not true. DOs have the same rights and privleges that the MD has. They are NOT limited to simply manual therapies. Are you serious? aren't you a DO student?
I think I was too quick to doubt myself.
http://kidshealth.org/parent/system/doctor/osteopath.html
http://thyroid.about.com/od/findlearnfromdoctors/a/osteopath.htm
http://www.doh.state.fl.us/mqa/osteopath/
these are just a few of many. An Osteopath is a physician at least that is the interpretation of American English.
At this point in time, most of my patients think the janitor is their doctor (if he has a white coat on).
http://www.xtranormal.com/watch/116...ition-to-direct-access-to-physical-therapists
My Professionalism in Physical Therapy Instructor showed us this in class today
physician doctor ok
chiropractor doctor ok
pharmacist doctor ok
physical therapy doctor ok
psychologist doctor ok
optometrist doctor ok
listen if you earned the damn doctorate ill call you dr. simple as that why are these threads continuing?
if you earned it, you deserve to be called it.
http://www.xtranormal.com/watch/116...ition-to-direct-access-to-physical-therapists
My Professionalism in Physical Therapy Instructor showed us this in class today
Pretty much! I mean the whole argument is just, well........it is getting beat like an old rug. I mean how fragile does your ego have to be to? Each discipline engages in what is typically a very specific role in healthcare. Achieving the title of "Dr." has absolutely nothing to do with how good of a clinician you are or will be over the course of your career. I don't care if you did your PhD in custodial engineering and then completed a 3 year post-doc studying how recycling efficiency could be improved at Level 3 trauma centers. Just go out and be the best damn janitor you can be! Nuff said!
physician doctor ok
chiropractor doctor ok
pharmacist doctor ok
physical therapy doctor ok
psychologist doctor ok
optometrist doctor ok
listen if you earned the damn doctorate ill call you dr. simple as that why are these threads continuing?
if you earned it, you deserve to be called it.
Well done! I do have a question about when physical therapists are taught to refer a patient to see a physician outside of acute neurologic symptoms. The cartoon stated 4-6 weeks of no improvement. Is this taught in most schools? If so, is there a study or something that this number is based on?
Thanks!
I'm not sure what schools are teaching now, but 4-6 weeks of no improvement seems like an awful lot of wasted time to me. I usually expect to see some improvement within the first two or three sessions for most acute symptoms, and within the first several weeks for more chronic symptoms. If that's not happening, I'm usually putting a call into the physician.
This is a very interesting topic and thread. I will preface my remarks by disclaiming that I am a realist, so some of this may seem a bit blunt to those whose egos or personalities are damaged (inferiority complexes, etc.). I am also speaking solely for the US.
The US allopathic medical school degree (MD) is the most prestigious and difficult to attain degree in the country, based on the intellectual (IQ – as assessed by the MCAT, which, you may not be aware, is designed to weed out those who are not in the top 1% of IQ level), academic, and extracurricular credential-set required to be accepted to a US allopathic school. The US osteopathic schools and Caribbean/foreign MD schools allow a lower standard of requirements for admission and are therefore excluded from this distinction. Even the most rigorous PhD program entrance requirements pale in comparison (again, nothing against PhD's at all, I'm just presenting the facts/reality as can be accessed online by anyone willing to look up the statistics). I write this only because some on here/elsewhere feel that the title of doctor insinuates a level of prestige, which is not necessarily untrue. If this is important to you, then you need to go to a US allopathic school. If you cannot get accepted, but are prestige-hungry, then you may need to see a therapist, or settle for something less prestigious.
In the case of the hospital setting, the following should be observed (on the basis of minimizing patient confusion, which in my opinion is the most important factor):
Medical students: the appropriate title is: Mr., Ms., or first name
MD, DO, clinical psychologist (PsyD, PhD), DDS, DMD, DPM, OD: the appropriate title is Dr.
All others (DPT, DNP, PharmD, academic PhD, DC, etc.): the appropriate title is Mr., Ms., (or simply first name); addressing themselves as Dr. is ABSOLUTELY unacceptable and potentially illegal depending on the context
(Clarifiers after name [medical student, physical therapist, etc.] are appropriate as well)
In the case of the general public/social setting, the following should be observed:
MD, DO, clinical psychologist (PsyD, PhD), DDS, DMD, DPM, OD: the appropriate title is Dr.
All others (DPT, DNP, PharmD, academic PhD, DC, etc.): depends on the social context, but most often the appropriate title is: Mr. or Ms.
For example, the correct way to address an MD on a postal envelope is Dr. (always), where as an academic PhD is Mr. / Ms. UNLESS the sender is addressing the academician as an academician (and not a random individual).
In the case of the academic setting or a personal office, the following should be observed:
MD, DO, clinical psychologist (PsyD, PhD), DDS, DMD, DPM, OD, DPT, DNP, PharmD, academic PhD, etc.: the appropriate title is Dr. or Professor
The etymology and history of the word "doctor," while interesting, is mostly irrelevant from a realist's perspective living in this day and age (vernacularism and tradition take precedence). Hate to break this to some of you, but no one in the general public considers, or ever will consider, a DPT, DNP, PharmD, PhD, etc. as a "doctor." If you obtained one of these degrees hoping to be seen as such, you made a mistake. sorry.
Hope this helps with minimizing patient confusion. I certainly am confused when anyone but my physician labels themselves as Dr. while I am in the hospital, and I find it quite offensive (if not amusing) to be honest. But, I certainly do hope that all fields can work together as a cohesive unit regardless of degree type or level.
the term "doctor" is not owned by some professions and unattainable by others
my opinion on this subject remains the same. I will NEVER introduce myself as Dr. anything. I work in a hospital setting. I am probably the orthopedic expert on our staff but I am not a doctor. i have my doctorate in PT but it implies much more than i am allowed to do by statute.
I think it is great that the APTA is pushing the DPT but I think that it might be a response to the chiropractors calling themselves doctor all the time. i think the designation assigns more knowledge and credibility than either the DPT or the DC deserves. We are experts in our scope but our scope is limited when compared to the MD or DO.
To me, any PT that introduces themselves as Dr. anything is trying to elevate themselves and give themselves additional credibility based just on the word "doctor" rather than basing it upon their skill and results.
If they call me "Doc" I don't correct them, but I tell them that I'm not a real doctor, the real doctors save lives. There are no physical therapy emergencies. There are lots of doctor emergencies. If someone ever yells "Is there a doctor in the house!!" how many PTs with their doctorates seriously think that they are being asked for help?