October/November 2008

PTThe Official Magazine of thePriority Illinois Physical Association

Inside:

EMPLOYMENT CONTRACT The Tie That Binds

Call for 2009 IPTA Award Nominations

Guidelines for Student Finance

...and more!

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Your Balance: ō Full-time & Part-time Positions ō Paid Time Off & Paid Holidays ō Fringe Benefits & Discounts ō Team Building Events ō Philanthropic Efforts: ATI Foundation

To Join ATI’s Team of Professionals E-Mail Resumes to [email protected] www.ATIPT.com Illinois Association • www.ipta.org CONTENTS Features: From the Editor An excerpt from Employment Contract: By Jennifer Ryan, PT, MS, DPT, CCS The Tie That Binds 5 FERPA: FAQs for Clinicians 9 Call for 2009 IPTA Award Nominations 12 This issue is for students. Books 18 I remember when I was a Student Portfolios 22 student. Keeping You Connected: Your Navigation to www.IPTA.org 25 Guidelines for Student Finance 30 his issue is for everyone since we are all students, whether we are practitioners or in our formal professional training. We are all encouraged to be reflective, News Flash: Tlifelong-learners to enhance our professionalism, our abilities as clinicians and to Michael Zumpano Promoted to IPTA further our career goals. The breadth of resources that we offer in this issue are designed Member Services Coordinator 20 to address your needs at many stages of your career. It will be a good (no pun The Illinois Chapter is Moving! 20 intended) for you to undergo before the November career fair that IPTA will be hosting. APTA Urges Medicare to Improve More details on that event to follow in this issue as well as our cool new website www. Fee Schedule Rule for 2009 20 IPTA.org. The Editorial Board of PT Priority again assembled some great articles for you, and APTA and FSBPT Discuss How to the IPTA Ethics Committee also made a contribution. The Ethics Committee article is Better Collaborate 20 a tool to help therapists who work in the school systems to understand what rules and ‘Know Your Costs’ Before Setting Fees, regulations are unique to their practice setting. Also in this issue we hope to help you Accepting Contracts 20 to see how developing a portfolio can help you to both gain an appreciation for all of OIG Report Calls for Increased your accomplishments as well as help you to see the areas where you should focus your DME Documentation Review 20 future continuing education goals. This feature, along with some book reviews, can offer Speak Your Mind 21 you a perspective on your career review that may shape how you design that portfolio. I made a portfolio about four years ago and found that it was not difficult to assemble Columns and Departments: once I committed to make it. Now I look forward to using the ideas in these articles to From the Editor 3 enhance and update my own portfolio. There is much news and other tools within the issue for you to peruse and learn from President’s Message 4 but this is not the only source. Considering that one of the expectations of Vision 2020 Community: is to have all physical therapists obtain their doctorate in physical therapy or another Welcome New Members 11 terminal degree, this newsletter can only begin your process towards that goal. Last year’s issue for October and November had many resources for you to tap into that you IPTA Calendar 14 may want to revisit in the archives of PT Priority on www.IPTA.org if you are considering Dateline 16 further formal education. As we consider ourselves students on a day-to-day basis as we look up diagnoses as we meet patients with diseases that we have not studied since our formal education, we gain ideas of what continuing education courses we need to attend to complement our knowledge. See this charge as an opportunity to take in some new information and seek out other professionals to help you to assimilate the information Illinois Physical Therapy Association into your own practice; then pass it on. n 300 E. 5th Avenue Station, Suite 430 Naperville, IL 60563 www.ipta.org Tel: 630-571-1400 Fax: 630-571-1406 INDEX OF ADVERTISERS E-mail: [email protected] ABC CEUs, Inc...... 26 Creative Rehab...... Back Cover A Chapter of the American Physical Therapy Association PT PRIORITY is the official magazine of the Illinois Academy of Lymphatic Studies...... 17 Fitness Together...... 8 Physical Therapy Association. Articles express the Accelerated Rehabilitation Centers...... 31 Klose Training...... 18 authors’ views and are not necessarily the official Advanced Therapy & Rehabilitation...... 26 Lake County Physical Therapy...... 11 policy of the Illinois Physical Therapy Association. Advertisements accepted by PT PRIORITY do not ARC Physical Therapy...... 5 Myofascial Release...... 27 imply endorsement of products and/or services. Athletico...... 19 Nothern Illinois University...... 10 PT PRIORITY is published 6 times a year by the Illinois Chapter of the American Physical Therapy ATI Physical Therapy...... 2 Occusport Physical Therapy...... 21 Association. Capron and Averginos Law Firm...... 15 Physiotherapy Associates...... 28 © by Illinois Physical Therapy Association. All rights Central Dupage Hospital...... 7 Rock Valley Physical Therapy...... 21 reserved. Materials may not be reproduced without Centegra Health System...... 6 Rosalind Franklin University...... 29 written permission. Community Physical Therapy...... 24 Supplemental Health Care...... 14

3 PT Priority • October/November 2008 President’s Message By Peter McMenamin, PT, MS, OCS

Collegiality

ho helps the graduate therapist who has failed the license document. But, because we are colleagues, we answer the question exam three times, and can’t get through to IDFPR to find anyway. Other questions are hard, because they involve points of Wout what to do next? Who helps the therapist who failed subtlety that require the experience of someone who has spent many to renew their license on time and is now scrambling to set things hours of in-depth study of the PT and other practice acts, or a close-up right? Who helps the therapist who is caught in a sticky, poten- knowledge of state or federal regulation, or other areas of professional tially unethical or illegal practice situation and needs an independent, practice. We answer those questions too, because we are colleagues. knowledgeable third party colleague as a sounding board? Who Soon, because we are all members of this collegial body, we will share assists a therapist who needs to undergo a “remedial program” before this insight with all members, through the members-only password- being allowed to take the exam a fourth time, but has no contacts or protected areas of the IPTA website. And when in the future, a mem- resources to help put such a program together? Who helps the PT or ber calls our office with a vexing professional issue, if the answer is PTA colleague caught in a difficult intra-departmental conflict. I can not in the established FAQs, we’ll identify the people or resources to report unequivocally that IPTA is there, and has been there, to help find the answer. That’s what professional colleagues are for! such members! I have personally been involved in all these cases, Collegiality also applies to the big professional issues of the day. and I know of numerous board members who have done the same. The email traffic among physical therapist volunteers who are Perhaps you have not had your hour of need when you were des- Chapter and Section Presidents, Delegates and Chief Delegates, perate for such help or assistance. If so, you are fortunate. Know Chapter and Section Committee Chairs, and members of APTA however, that part of the role of a national committees and task forces, would astound those who are not This October, Physical professional association, your col- involved. These email and other communications, and the relation- Therapy Month, it is a legial body, is to be a resource in ships they forge and nurture, represent the life-blood of a professional great time to recognize small individual matters, not just body, enabling it to thrive, to serve its members, to respond to the the global professional issues of the needs of patients, to advance its science, and to be a viable entity the PTs and PTAs who day. IPTA is not in a position to within the social order. Countless therapists at the local, District, have given something offer unlimited or full fledged con- Chapter, Section, and national levels, devote countless hours of their back to the profession. sulting services to our members personal uncompensated time to keep this profession viable. without charge, but we are there to This October, Physical Therapy Month, it is a great time to rec- provide resources and put our colleague in the right direction towards ognize the PTs and PTAs who have given something back to the finding solutions to professional challenges. profession, through their volunteer time, their service, their leader- What does this professional collegiality mean? The word, at its ship, their enthusiasm. The best way to thank them, besides doing root, implies a common education (“college”), and the camaraderie so with a sincere verbal or written expression of your gratitude, is to that arises from undergoing such an experience. The word also persuade a non-member, who benefits from every drop of this blood, implies that members both hold one another to high standards, and sweat, and tears, to participate at the very minimum level by paying also help and support one another for the benefit of the whole, for the dues and belonging to the only professional group which sustains benefit of the profession. their livelihood. A few examples of collegiality were cited above. In addition, Without participation in the collegiality of belonging to a profes- IPTA is preparing for publication on our website, over 40 pages of sional body, without doing at least the minimum to support the body Frequently Asked Questions. These are merely the cream of the crop the sustains the profession, how can a physical therapist “licensee” of the numerous questions that have come into IPTA office by phone, claim to be a full professional? mail, and email over the course of my tenure as IPTA president. With 100% participation of licensees in the life of the profession, The questioners are all IPTA members. When non-members ask there is no end to what this collegial body can accomplish! n questions, we are compelled by the scarcity of time and personnel to tell them that our resources must be devoted to helping Members— those who make an investment in keeping the lights on at the only entity devoted solely to sustaining the physical therapy profession in Illinois. Some of the questions are simple, and the questioner probably should have, and could have, easily found the answer had they Peter J. McMenamin, PT,MS,OCS bothered to read the practice act or some other easily accessible President, IPTA

4 Illinois Physical Therapy Association • www.ipta.org

Open Position at our Elmhurst Location Physical Therapist Position Available Immediately

Are you a hard working physical therapist who likes to get things done? Are you happiest when you are helping people? Do you have an intense desire to learn? Would you like to enjoy the freedom to perfect and perform your craft? If you answered "yes" to all of these questions, you may qualify to help Advanced Rehabilitation Clinics, Inc. as we expand throughout the Chicagoland area. We are a growing, 100% physical therapist owned private practice and have a reputation for getting results. An excerpt from Interviewing for part-time Employment Contract: and full-time LEARN HOW TO EARN • Mentoring OWNERSHIP INTEREST • Flexible Hours The Tie That Binds IN YOUR OWN • Generous Benefits PHYSICAL THERAPY • Profit Based Incentive By Kathy Lewis, PT, JD OUTPATIENT CENTER. Bonus

ecause health care delivery is a business as well as a service, it’s important that physical therapists (PTs) DON’T WAIT... CONTACT US TODAY! familiarize themselves with the basics of employment contracts. Gaining an understanding of documents that govern employment in physical therapy also is in keeping with autonomous practice, which entails self- determined professional judgment, responsibility for and acceptance Bof risk, the ability to refer to and collaborate with other health care providers, recognition of circumstances that necessitate consultation, decision-making independent of external financial considerations, and governance and control of physical therapy practice in all settings.

The Foundation The goal of creating an employment contract that is risk-neutral for both employer and employee begins during the search for employ- ment. Once the two parties are satisfied that there is a compatible match, they should work out essential terms and ratify them in writ- Contact: Kevin Cronin, P.T., A.T.C., J.S.C.C ing. Both the employer and the prospective employee should retain Phone: 630-832-6919 attorneys who specialize in business-related health care transactions E-mail: [email protected] for help in preparing, evaluating, and negotiating the employment Website: www.arcphysicaltherapy.com contract. Even when the prospective employee and the employer have had detailed discussions and have verbally agreed on specific terms, an employer often will offer a standardized contract, which is more cost effective than individualizing each document. Potential employees should recognize that most aspects of standardized contracts are CAREER OPPORTUNITY!!! negotiable. That makes diligent reading of the proposed contract a must. Read every word! The best way to view the first iteration of an employment contract is as a rough draft that is subject to notation with a red pen. Points Continues on page 6.

5 PT Priority • October/November 2008

EMPLOYMENT CONTRACT... from page 5. that the prospective employee has redlined as unclear or highlighted as absent should be discussed with the prospective employee’s attor- ney.

What to Look For An employment contract should include such fundamentals as: • The parties’ legal names, “Prospective • The employer’s ownership status, traveling PTs need • The employee’s profession and credentials (ie, physical therapy to be aware of issues licensure and certifications), • The employer’s and employee’s roles and responsibilities (reflect- that may arise in ing all applicable professional and legal standards), employment contracts • The employment relationship’s specific nature (eg, traditional employment or independent contractor), and with companies that • The complete compensation package, including such benefits as provide traveling insurance coverage, parking or transportation, education and pro- opportunities.” fessional development, and vacation and sick leave. Additional clauses that are common in employment contracts and may have legal implications that may not readily be apparent include: • Arbitration/mediation, • Entire (aka integrated) agreement, • Exclusive agreement, • Indemnification (aka hold-harmless), Issues Specific to Traveling PTs • Liquidated damages, Some PTs and PTAs enjoy opportunities to travel and gain experi- ence within a variety of practice settings and geographic locations. • Restrictive covenants (aka non-compete clauses), and But prospective traveling PTs need to be aware of issues that may • Term, renewal, and termination. arise in employment contracts with companies that provide traveling opportunities. When a prospective employee is assigned to a juris- diction in which he or she is not licensed, the employment contract What should specify that the employer first will give the employee sufficient do you time to apply for and receive licensure. value? Although opportunities to travel can be enticing, potential traveling PTs must have their eyes open to the additional costs of this lifestyle. Prospective traveling PTs must negotiate for sufficient salaries and/or adequate expense allowances to cover the added costs—and any lack of comparable fringe benefits they might otherwise receive were they not traveling. Reputable agencies already have factored these terms and costs into their business plans, but you may not know for certain unless you ask. “I work with extraordinary people and love the community I live in. What more can I ask for?” A Tie or a Noose?

Every day, we live our values of genuine respect, passionate caring, and a joyful spirit. You can Let’s face it: Many of us rely on oral contracts or sign a written con- too, at Centegra Health System, located in beautiful McHenry County, IL. Our health system tract without reading it, much less seeking legal counsel about it. This boasts one of the best workplaces in all of healthcare. is a mistake. Taking the time to develop an understanding of employ- PHYSICAL THERAPISTS & PHYSICAL THERAPIST ASSISTANTS ment contracts will help you gain negotiating power and ensure that you create a tie that will bind you in a positive way to your employer— • Multiple Settings: Acute, Sub-Acute, Inpatient Rehab, Outpatient, and Home Health • Team Approach to Patient Treatment rather than a noose that may one day hang you out to dry. n • Continuing Education Including Specialty Certifi cation is Supported • Sign-On Bonus (or choice of tuition payback for New Grads) • New Graduates welcome to apply! The complete article can be found on the APTA website, search “Fiscal Therapy”. • Also Focusing on: Expanding Orthopedic Services, Women’s Health/Neonatal, Kathy Lewis, PT, JD, is an associate professor in the graduate program in physical therapy Open Heart, Wound Care Services, Lymphedema, Hand Therapy at Wichita State University in Kansas and is a former chair of APTA’s Committee on Risk Apply to become a valued team member today. For more Management and Member Benefits. She can be reached at 316/978-6156 or dknlewis@ information, contact: Charlene Choklad at sbcglobal.net . (815) 759-4261 or visit our website at: APTA does not provide members with legal representation or advice. The information presented www.centegra.org here is not to be interpreted as specific legal advice for any particular provider or practice set- ting. Only a licensed attorney versed in applicable state and federal law can give responsible, EOE M/F/D/V Well Beyond Expectation individualized legal advice.

6

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To find career information and apply online, go to cdh.org/jobs; or contact Cori Zacher, PT, Director of Rehab Services, at 630.933.6093.

EOE “Who Else is Tired of Insurance Billing Headaches?” “A personal training studio is the perfect second business for a Busy Physical Therapist like me...” Personal training is one of the fastest growing segments of the health care industry. With recent reports suggesting 1 out of every 3 Americans are overweight, some experts believe the personal training industry is ready to explode. “Physical Therapists nationwide are continuing business as usual while opening a new cash-based Fitness Together personal training business. Owning your own studio does not require time-consuming and costly insurance billing headaches. A Fitness Together franchise truly is the perfect business for many physical therapists, like myself.” ABOUT FITNESS TOGETHER Established in 1984, Fitness Together o ers the latest in one-on- one personal training. There are 400 Fitness Together franchise locations operating throughout the United States, Costa Rica, Israel, Ireland, and Canada and another 160 scheduled to open. To discover how you can open your own Fitness Together personal training studio, please call 1-877-663-0880 ext. 10 Steve Mills is a Physical Therapist or visit www.FITNESStogether.com. and owns 3 Fitness Together Studios!

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Service are covered by HIPAA. Schools can provide information from education records to parents during a health or safety emergency or if a student under the age of 21 has violated any law or policy concerning the use or possession of alcohol or a controlled substance. FER PA: Who is affected by FERPA? FERPA affords parents and eligible students rights with respect to education records. Anyone who has contact with education records must protect the privacy of student records, including academic FAQs for faculty, clinical instructors (CIs), Center Coordinators of Clinical Education (CCCEs), and support personnel who copy, send, or file Clinicians student records. What are students’ rights under FERPA? • Eligible students have the right to inspect and review their educa- tion records. • Eligible students have the right to request that their records be cor- rected. • Schools must have written permission from an eligible student to release information from the student’s record except under certain conditions. Information can be released to school officials with a legitimate educational interest in the student’s record.

What are schools’ rights under FERPA? Schools can disclose “directory information” to third parties with- out notice. “Directory information” is information that would not gen- erally be considered harmful or an invasion of privacy if disclosed, such as name, address, telephone listing, date and place of birth, participation in officially recognized activities and sports, and dates of attendance. Schools must publicly disclose the types of information considered as directory information and provide an opportunity for students to limit the disclosure of such information.

linicians are familiar with HIPAA and its provisions to pro- As a clinical instructor, I would like to know about a student’s tect the confidentiality of patient’s medical records. Clinical past educational record before they begin the clinical experi- Ceducators are encouraged to become familiar with FERPA ence. What can I be told about a student’s record? since it protects confidentiality of student records. Following are some Student education records are open to school officials who have FAQs about FERPA that should be helpful for clinical educators. a legitimate educational interest in the information contained in the records. School officials are employees or other agents of the school, What is FERPA? or people or companies with whom the school has contracted to carry FERPA is the Family Educational Rights and Privacy Act (FERPA). out a function on its behalf. It protects the privacy of student education records and provides par- When serving as CIs, physical therapists and physical therapist ents and eligible students with certain rights with respect to education assistants are agents of the school. They have a legitimate educational records. interest in the information in a student’s record when the information is needed to perform effectively as a CI. Most often, someone from Who are eligible students? the school will determine what the CI needs to know, discuss with the Before students are age 18 or begin attending a postsecondary student the importance of sharing that information, and obtain the school, FERPA provides parents with rights regarding their child’s student’s consent to disclose to the CCCE and CI. The CCCE and education records. The privacy rights protected by FERPA transfer CI cannot disclose the information with anyone who does not have to students when they reach age 18 or when they are attending a a “legitimate educational interest” in the information. Only directory school beyond the high school level. information can be given to third parties without a student’s written consent. What are educational records? Educational records are any records directly related to a student, such I am a clinical instructor and have received a phone call from as written documents, computer media (PT CPI Web), photographs, the parent of my current physical therapist student. Can I dis- and video or audiotapes. Records NOT considered as educational cuss the student’s progress with the parent? records include private notes taken by faculty and medical records. Clinicians are familiar with HIPAA – records from Student Health Continues on page 10.

9 PT Priority • October/November 2008

FERPA from page 9. for provision of accommodations and protection from discrimination. If a student has consented to disclose the disability, academic and Before speaking with the parent, contact the school for assistance. clinical faculty who will be involved in providing accommodations Parents’ rights under FERPA transfer to students when they are in can be notified. Some students may choose not to disclose their dis- postsecondary institutions. A school may disclose information from an ability to anyone, and students who have chosen to disclose a disabil- “eligible student’s” records to the parents, without the student’s consent, ity to academic faculty may choose not to disclose to clinical faculty if the student is a dependent for tax purposes. Most schools have a pro- because of a fear of stigma. Students who do not disclose a disability cess to follow to ensure that the student is a dependent and for disclosing to clinical faculty are not eligible to receive accommodations in the information to parents. Students who are not dependents must provide clinical setting. consent for information to be disclosed to their parents. What’s the bottom line? I have been asked to provide a reference for a physical thera- Protect student educational information as carefully as you protect pist aide in my facility who is applying to a physical therapist patient information! Carefully consider who has a legitimate edu- program. The waiver to release information from the reference cational reason to know anything related to a student’s educational has not been signed. What does that mean? record, including their performance during a clinical experience. If To ensure the confidentiality of references, a reference form may you have questions related to disclosure of student information, con- include a waiver relinquishing the students’ right of access to the tact a representative from the school. n document. Waivers cannot be required. If not signed, the student may view the reference form. If signed, the waiver applies only for a spe- cific purpose, ie., application for admission, and the student cannot Resources view the reference. Even if the waiver to view a reference is signed, Francis NJ, Salzman A, Polomsky D, Huffman E. (2007). Accommodations for a stu- dent with a physical disability in a professional physical therapist education program. students can be told the names of those supplying references and view Journal of Physical Therapy Education, 21(2):60-65. all other items in their academic record. Northwestern University. (2008). FERPA: Students Right to Access Records – Release of Student Information Policy. Retrieved 8/29/08 from the Northwestern University I am a faculty member. A physical therapist student in our Web Site: http://www.registrar.northwestern.edu/ferpa/ferpapol.htm. entry-level program has a disability and has been grant- U. S. Department of Education. Family Educational Rights and Privacy Act (FERPA). ed reasonable accommodations under the Americans with (2007). Retrieved 8/29/08 from the U. S. Department of Education Website: Act. What can I disclose about the disability to http://ed.gov/print/policy/gen/guid/fpco/ferpa/index.html. clinical educators? Van Dusen, William R., Jr. (2004). FERPA: Basic Guidelines for Faculty and Staff a Simple Step-by-Step Approach for Compliance. Retrieved 8/29/08 from Students must disclose the nature and have documented evidence the NACADA Clearinghouse of Academic Advising Resources Web site: of disability to receive reasonable accommodation. Disclosure allows http://www.nacada.ksu.edu/Resources/FERPA-Overview.htm.

Northern Illinois University (NIU) College of Health and Human Sciences, School of Allied Health and Communicative Disorders invites applications for a 9-month, tenure-track faculty position in our Master of Physical Therapy Program. Rank and salary will be commensurate with experience and qualifications. The transition to entry-level DPT is in process. Opportunities for research are expanding with newly funded equipment and space. Responsibilities include teaching, scholarship, academic and research advising, and service. Qualifications: Candidates are required to have PhD or equivalent post-professional doctoral degree and agree to secure physical therapy licensure in Illinois. Orthopedic clinical specialization and/or athletic training certification are preferred, however, other areas of expertise will be considered. Teaching and/or clinical experience preferred. Applicants with doctoral candidacy are encouraged to apply. Candidates with post-professional master's degree may be considered for a non tenure-track position.

NIU is among the nation's premier regional public universities and is located in one of the most dynamic regions of the country 65 miles west of Chicago in DeKalb. This provides the opportunity to enjoy the benefits of a small town being close to a great city. NIU is a comprehensive teaching and research institution with a diverse and international student body of more than 25,000. Opportunities for interdisciplinary education and research are available and encouraged. Additional information can be obtained from our website at www.niu.edu

Interested applicants must send a cover letter and curriculum vita with three references to: Meri Goehring, PhD, PT, Search Committee Chair School of Allied Health and Communicative Disorders Physical Therapy Program Northern Illinois University DeKalb, Il 60115 Phone: 815-753-6246 email: [email protected]

Review of complete applications will begin immediately and will continue until the position is filled.

Northern Illinois University does not discriminate on the basis of race, color, religion, national origin, sex, sexual orientation, age, disability, or status as a Vietnam-era veteran in admission and access to, or treatment and employment in its programs and activities. NIU is an affirmative action/equal employment opportunity institution that recognizes dual career issues. Women and minorities are encouraged to apply.

10 Welcome New Members... Illinois Physical Therapy Association • www.ipta.org Kelly Marie Abel, SPT Sarah Ann Thoele, SPT Sharl William Abraham, PT Shannon Marie Van Vleet, SPT Stephen Patrick Baynai, SPT Leslie Nichole Wilkens, SPT MaryClare Heraty Birmingham, SPT Agnieszka Adamczyk, SPT Kathleen Rose Bowen, SPT Cristina Apostu, SPT Mark Andrew Buettner, SPT Grant Scott Arthur, SPT Nicole Renee Burkett, SPT Sarah Jean Ash, SPT Joseph B. Byrnes, SPT Amy Lauren Bauer, SPT Bernt Alexander Carlson, SPT Amy Denise Bender, SPT Steve John Chmielewski, SPT Debra Marie Beyer, PT Elliot Phillip Cohee, SPT Jamie Marie Blakesley, SPT Bethany Ann Cole, SPTA Becky Jo Boll, PT Michelle Dalo, SPTA Jonna Borgdorff, PT Barbara A. Danks, PT Keri Lynn Buchheit, SPT Dirk Ashley Dawson, SPT ERin Marie Cavaiani, SPT Joann Barrameda Duka, PT Jo Anna Cheshareck, SPT John Rudolph Flickinger, SPT Andre Llaveria Couto, SPT Bridget Marie Fowler, SPT Brennon Christian Deike, SPT Barbara Mary Gutierrez, PT, DPT Kent Hamilton Do, PT Heather Ann Hall, SPT Elisa Louise Fasano, PT Leah Lynn Haverhals, PT Dennis Lawrence Frawley, SPT Sara Anne Hennessy, SPT Nicole Marie Gogolew, SPT Michael J. Herlihy, SPT Emily Ann Gonzalez, SPT James J. Holway, PT Alexander Sangmo Han, SPT Kyle Joseph Johnson, SPT Brett Grieve Hinkle, SPT Jason Richard Kart, SPT Kristofer Michael Johnsen, PT Steven P. Keegan, PT Cynthia Ann Joyce, PTA Michael Alan Klonowski, PT Matthew Robert Kelling, SPT Amy Louise Kronas, SPT Dennis Michael Kelly, PT Cassandra Lee Mallery, SPT Victoria Anna Krol, SPT Ann Kathleen Martin, PT Brittany Marie Kimiko Kusch, SPT June Ellen McCallister, PT Taryn E. Lewis, SPT Martin Joseph Moloney, SPT Andrea Nicole Lindeman, SPT Elizabeth Marie Mosley, PT Michelle Brianne Long, SPT Margaret Omole, SPT Amy Dawn Medley, SPT Kristie Nicole Ottesen, SPT Natalie Renee Menick, SPT Claire Elizabeth Parmenter, PT Timothy Alan Millikan, PT Heather Thiry Paulis, PT Christopher Ngoc Nguyen, SPT Sarah Anne Peipert, SPT Charles Richard Olin, SPT Ashlee Nichelle Pierson, SPT Renee Leigh Pedersen, SPTA Michelle E. Poska, PT Courtney Kristina Peters, SPT Krystian Posnik, PT Daniel Crispin Phelps, SPT Terrance Pyron, PT Jillian Therese Schafer, SPT Steven Reiter, SPT Holly Renee Shoesmith, SPTA Jessica Jader Rhodes, SPT Allyssa Ann Snyder, SPT Amy Marie Scales, SPT Aimee Loree Stunkel, PT Visit www.ipta.org Keith Michael Scott, SPT Jason Aaron Thompson, PT The website of the Illinois Physical Therapy Association Aruna Setty, SPT Torrey Michael Welsch, PT Donna Maria Sula, SPT Annie Quinn Winstanley, SPT 11 PT Priority • October/November 2008

12 Illinois Physical Therapy Association • www.ipta.org

13 PT Priority • October/November 2008

Calendar of Events OCTOBER 7 IPTA Member Services Work Group Conference Call 9-13 IPTA Office Closed for Relocation 10 IPTA 2008 Election: Ballot return deadline 17 APTA Student Conclave (San Jose, CA) 18 Western District CE: Know When to Say When 21 IPTA Executive Committee Conference Call 22 IPTA District Chairs Conference Call 31-11/2 APTA Preview 2020

NOVEMBER 1 Northern District CE: Craniocervicofacial Dysfunction 4 IPTA Member Services Work Group Conference Call 12 IPTA Board of Directors Conference Call 15 2008 PT/PTA Career Day (Naperville, IL) Sponsors: IPTA & Chicagoland Physical Therapy Directors’ Forum

More information (including registration information) can be found at: www.IPTA.org for Illinois Chapter & District Events www.APTA.org for National Events

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PT Priority • October/November 2008

DATELINE

Date Course Title Location Contact CE Specialty Credit 1/1/08 - 12/31/08 Dementia Therapy: Self study, Kris Palazzi 11 Geriatrics Achieving Positive Continuous (636) 527-8448 Outcomes for the Offering http://www.dementiacarespecialists. Person with Dementia com/home/default.aspx Sponsor: Dementia Care Specialists, Inc. 1/1/08 - 12/31/08 Informed Consent: Self study, IPTA 1 Administration What Does It Mean for Continuous 630-571-1400 PT Practice Offering Fax 630-571-1406 Sponsor: Illinois Physical Therapy Association

1/1/08 - 12/31/08 Monochromatic Self study, Trish Levy 1 Acute Care Infrared Therapy Continuous 1-800-237-7285 Sponsor: Offering http://www.naccme.com/ North American Center for Continuing Medical Education

1/1/08 - 12/31/08 Wheelchair Athletics: Self study, Joyce Rathfon 9.5 Sport Considerations Continuous 540-942-8041 for the Healthcare Offering Professional Sponsor: Taproot Continuing Education LLC

10/11/08 - 10/12/08 Comprehensive Various Cities Ann Crandall 15 Orthopedics 11/1/08 - 11/2/08 Treatment of the Foot 419-865-4690 12/6/08 - 12/7/08 and Ankle www.glseminars.com Sponsor: Great Lakes Seminars

10/11/08 - 10/12/08 Comprehensive Various Cities Ann Crandall 14 Orthopedics, Treatment of the Knee 419-865-4690 Manual Sponsor: www.glseminars.com Therapy Great Lakes Seminars

10/14/08 - 10/15/08 Total Control Program Chicago, IL Cody McSellers-McCray 14 Pelvic Health Sponsor: 773-305-8205 Women’s Health www.womenshealthfoundation.org Foundation

10/11/2008 Jumping into the Oak Brook, IL Scott Zeller 5 Professional Industrial Rehab Ring 312-640-0329 Development Sponsor: ww.acceleratedrehab.com Accelerated Rehabilitation Centers

16 Illinois Physical Therapy Association • www.ipta.org

DATELINE

10/17/2008 Knowledge to Action: Chicago, IL Michelle Bulanda, PT 4 Orthopedics The Challenge of Neck 312-355-2517 Treatment www.oce.uic.edu Sponsor: UIC Dept of Physical Therapy

10/25/08 & 11/1/08 Orthopedic Des Plaines, IL Mary DeNotto 15 Orthopedics Management of the 847-635-1857 Hip [email protected] Sponsor: Oakton Community College 11/8/08 - 11/9/08 Treatment of Common Various Cities Ann Crandall 15 Orthopedics 11/22/08 - 11/23/08 Extremity Dysfunction 419-865-4690 through Mobilization www.glseminars.com Sponsor: Great Lakes Seminars

11/8/08 - 11/9/08 Back to the Spine, An Park Ridge, IL Andrew Nowak 15 Orthopedics Ortho Review Course 708-256-7375 Sponsor: [email protected] Andrew Nowak, PT, CLT- LANA

                                                                          

                                           

                 

                 

17 PT Priority • October/November 2008

Books... Goldsmith J.A., Komlos J., Schine Gold P. The Chicago Guide to Your Academic Career: A Portable Mentor from Graduate School through Tenure The University of Chicago Press, 2001 This book is written as an informal conversation among three colleagues. It outlines the path that graduates would take if they wish to pursue a career in academics, taking them from graduate school, through the process of seeking out, applying and interviewing for a position in academia, and once in that position what to expect. The authors frankly discuss the good and the bad of working in academia.

Shell R. G.1 Bargaining for Advantage: Negotiation Strategies for Reasonable People Penguin Books, 2006. A useful book to help guide anyone through any negotiation, but a valuable read for people preparing for interviews and negotiating for salary and other employment packages. Self help tools help you decide what type of negotiator you are and how best to present yourself in different situations. n PT Priority_half 4c 7-08 7/8/08 10:19 PM Page 1

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• The most comprehensive package of • Expert Physician lectures on Diagnosis, study materials available anywhere incl. Differential Diagnosis and Treatment of Chicago (Elgin), Illinois the Textbook of Lymphology by Profs. M. Lymphedema February 9 - 21, 2009 Foeldi and E. Foeldi, Limb Volume Calculation Software, complete set of • Ongoing postgraduate phone and e-mail Lymphedema Bandage Materials, support (help with difficult to treat patients) Boulder, Colorado Lymphatic System Posters, Lymphedema DVD’s and much more. • Free Therapist Directory (Website) listing March 2 - 14, 2009 Courses are approved for continuing education by IDFPR, provider number 216.000176. This course meets the requirements to sit for the LANA exam. CONTINUING EDUCATION COURSES These courses provide an excellent opportunity to advance your CDT treatment skills, collect continuing education credits as well as network with other experienced therapists. 1369 Forest Park Circle, Suite 101 Our course offerings include: • Wound Care for Lymphedema Lafayette, Colorado 80026 • Elastic Sports Taping for Toll free: 866-621-7888 • Head & Neck Lymphedema Lymphedema Telephone: 303-245-0333 Guenter Klose Management • CDT Advanced and Review Fax: 303-245-0334 Executive Director • Edema Management Essentials (EME) • Breast Cancer Rehabilitation E-mail: [email protected] MLD/CDT Certified Instructor (since 1987) www.klosetraining.com

18 IT’S CERTAINLY A JOB, BUT IT WON’T FEEL LIKE WORK. With a wide range of services at 47 Chicago-area locations, AthletiCo is full of opportunities to discover your niche and learn from the best. WE OFFER: U Competitive salaries U Generous sign-on, quarterly, and annual bonuses U Full-time and part-time positions available U Flextime, compressed workweeks, and job sharing U Paid time off for both full-time and part-time employees U Choice of two comprehensive medical and dental plans U Tuition reimbursement, continuing education, and seminars U Orthopedic residency and orthopedic manual physical therapy fellowship

REGISTER FOR THE ATHLETICO CAREER FAIR TODAY! 9AM-12PM, SATURDAY, OCTOBER 11TH, 2008 REGISTER AT CAREERFAIR.ATHLETICO.COM OR CALL 630.575.6280. PT Priority • October/November 2008 NEWS FLASH...

From IPTA: APTA and FSBPT Discuss How to Better Collaborate Michael Zumpano Promoted to IPTA eadership from APTA and the Federation of State Boards of Member Services Coordinator Physical Therapy (FSBPT) met late in August with a facilita- he Illinois Physical Therapy Association is pleased to announce Ltor to identify and discuss the issues that have clouded the Tthe promotion of Michael Zumpano to the position of Member relationship between the two organizations in recent years. Concerns Services Coordinator. Michael joined the IPTA Chapter Office five from both organizations were acknowledged, and discussion occurred years ago. During those five years Michael has worked closely with around the contribution that each organization has made to each the membership and has continually contributed to the success of concern. Suggestions for improving APTA and FSBPT’s working the Chapter Office. Please join us in congratulating Michael on his relationship while serving members of the physical therapy profes- promotion and in wishing him continued success with IPTA. sion also were brought forth. “Actions were identified that would enhance communication, promote and invite collaboration, and demonstrate respect for the The Illinois Chapter is Moving! mission and purpose that each organization serves and for the indi- viduals within the organizations,” said APTA President Scott Ward, The IPTA office will be close its Oak Brook office on Wednesday, PT, PhD. October 9, 2008 and open its new office in Naperville on Tuesday, Look for updates in PT Bulletin Online as APTA and FSBPT move October 14, 2008. Staff will be available via email during the transi- forward in this effort.. tion; however phone service may not be available. The new IPTA headquarters are located in the heart of downtown Naperville, conveniently located just steps from the Metra Train ‘Know Your Costs’ Before Setting Station. ILLINOIS PHYSICAL THERAPY ASSOCIATION Fees, Accepting Contracts 300 East 5th Avenue Station, Suite 430 nderstanding your practice’s costs — direct and indirect, Naperville, IL 60563 fixed, semi-fixed, and variable — is necessary to determine Uhow much to charge for your services, or whether a contract offered by a payer is fiscally acceptable. One approach to estimating From APTA: costs looks at procedure codes, treatment sessions, and staffing needs for common diagnoses seen in your practice. APTA’s Know Your APTA Urges Medicare to Improve Costs Web page provides more information on this approach and the Fee Schedule Rule for 2009 various types of costs associated with physical therapy practices.

PTA urged the Centers for Medicare & Medicaid Services last week to strengthen Medicare policies to eliminate abusive OIG Report Calls for Increased DME referral-for-profit practice arrangements, clarify and improve A Documentation Review conditions of participation for rehabilitation agencies, and increase opportunities for physical therapists to use registries and electronic report released last week on Medicare’s durable medical health records to qualify for bonus payments by reporting quality equipment (DME) program calls for Comprehensive Error measures. ARate Testing (CERT) contractors to review all medical The Association’s comments on the proposed rule for the 2009 records, which could include documentation by physical therapists, Medicare physician fee schedule also called on the agency to revise necessary to determine medical necessity of DME and additional conditions of participation to allow critical access hospitals to con- training for physicians that focuses on improving their documentation tract independently with physical therapists and other rehabilitation to support ordered DME items. providers rather than require them to be hospital employees. The The Department of Health and Human Services Office of Inspector final rule for the 2009 fee schedule is expected to be released around General’s report details two reviews by KePRO, an independent November 1. medical review contractor, of 363 claims from the CERT sample of 7,955 claims used in determining the FY 2006 DME error rate. KePRO’s first review, which used the same procedures and limited

20 Illinois Physical Therapy Association • www.ipta.org medical records that the CERT contractor used, found that the CERT contractor’s review was adequate for 324 of the 363 sampled claims. However, KePRO identified 39 errors that the CERT contractor had not identified. KePRO’s second review, using additional medical records from health care providers and, in some cases, information obtained from beneficiary and provider interviews, confirmed 20 of the 23 errors that the CERT contractor had found and identified 73 errors that the CERT contractor had not found. Those discrep- ancies, says Inspector General APTA’s Defensible David Levinson in the report, are attributed to the “CERT Documentation resource contractor’s reliance on clinical inference rather than additional provides information medical records available from Speak Your Mind health care providers.” uring the fall and winter district meetings or via the IPTA on the CERT program APTA’s Defensible website’s many communities of interest, all members are Documentation resource pro- encouraged to raise and discuss issues they feel are important and CERT reports. vides information on the CERT D to bring to the IPTA’s Assembly of Representatives on April 18, 2009. program and CERT reports. Is there a change of direction you think the IPTA should make? Do Launched today, Defensible the current bylaws allow the IPTA to accomplish its mission? To Documentation: Practical Tools to Ensure Compliance, Minimize which current issues should the Chapter respond? And how? Risk, and Maximize Payment (0.3 CEUs) is a fully interactive, online YOU, the grassroots member, supply the great ideas. The Assembly course designed to help you become familiar with some of the Officers and elected Representatives can assist you with the mechanics guidelines, tools, and resources for creating effective and appropriate of bringing the issues to the Assembly. clinical documentation. Go to www.apta.org/continuingeducation for Get involved in the governance of the IPTA. For more information, n more information. visit our website, www.ipta.org/governance. n

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21 PT Priority • October/November 2008 Student Portfolios By Fran Wedge PT DScPT GCS

tudent portfolios can have several purposes: to organize and reflect on experiences during college years, to demonstrate to Sfaculty that a student has mastered a particular topic and to serve as a supplement to the written resume when seeking employ- ment. Students who start work on a portfolio during their academic years will find that they have material readily available to present to prospective employers. When developing a portfolio it is important to identify the primary purpose. A career portfolio will look different to “In general most portfolios one developed to showcase mastery of a concept to a tutor. have more than one purpose What is a portfolio and what form should it take? A portfolio is a collection of material that showcases student and as such the contents achievement during their college years. It should tell a story about accomplishments and experiences, focusing on significant events and will be wide reaching.” reflecting on how those events have led them to where they are now. If the focus of the portfolio is marketing to prospective employers, the student might use the portfolio to reflect on the events that led them to seek a position in a particular field of Physical Therapy. Portfolios may take several forms. They could be Web based, on a CD-ROM, video or on paper. A web-based portfolio will clearly be accessible to a wide audience, but care must obviously be taken with the informa- adapted before it is presented to a potential employer! tion presented. A CD-ROM, video or paper based portfolio will only Within the portfolio, consider including samples of exemplary reach the targeted audience, but personal safety will be enhanced. academic work, information on volunteer service, study abroad Links to examples of electronic portfolios are listed at the end of this experiences, clinical affiliations, research undertaken, leadership article. positions on campus and in student organizations, any awards that may have been received and any presentations or publications made. What should the portfolio contain? The portfolio should also include reflection on these experiences In general most portfolios have more than one purpose and as such and how they have helped develop and shape the individual. If the the contents will be wide reaching. Development portfolios help stu- portfolio is for job seeking, do not make the reflection too wordy, be dents reflect on the material that they have studied and make connec- concise, the employer may not have time to read much detail. Use tions between academic work and other areas of professional educa- media to supplement the written word, photos, videos and music can tion such as internships and volunteer activities. Assessment portfolios all be used effectively in an electronic portfolio. A career portfolio, contain samples of work and other artifacts to support achievement while often looked on as an “electronic resume” should supplement of learning goals. The career portfolio can contain examples from the paper resume and not replace it. It is always a good idea to have both of these types of portfolio as well as letters of recommendation, an independent individual review the portfolio before finalizing the transcripts and personal and career goals. The career portfolio should material. Websites dedicated to development of electronic portfolios present material in a professional manner and should have substance. are listed at the end of this article. Thus, a portfolio developed during the college years may have to be Remember when developing a portfolio identify the purpose, know who the target audience will be, determine if the portfolio will be presented in print or some form of electronic media. When these issues have been identified the content can be determined and rel- evant materials gathered. It is then time to bring all of the information together to tell an individualized story of achievement and growth during the college years. n

Suggested sites for examples of portfolios and information on development of electronic portfolios: http://www.nursing.umich.edu/facultyresources/ePort/stuPfolios.html www.cornellcollege.edu/education/portfolios.shtml http://newali.apple.com/ali_sites/ali/exhibits/1000156/ http://electronicportfolios.com/

22 Illinois Physical Therapy Association • www.ipta.org

Why Are You a Member of APTA?

Let’s be honest here. Finances are tight when you’re a student. Sometimes that extra $160, well, is it really worth it? What does the APTA and IPTA do for me? Ohio Chapter student member Nancy Fike shares her experience and what she came to recognize.

My Experience at the State Government Affairs Forum By Nancy Fike, SPTA “As each day passed, I became more and more hen I decided to enter the Ohio Chapter’s (OPTA) essay contest for a trip to the 2005 State Government Affairs aware of the significance of WForum in Annapolis, Maryland, I never imagined the becoming and being an active impact that three days could have on my life both academically and professionally. I believed that through my classroom education I member in the association.” was well informed in all aspects of the physical therapy profession and looked at the possibility of traveling to Annapolis as more of a mini vacation, with a few seminars thrown in, rather then as an no longer have classes to attend or a future job to look forward to. I educational experience. I could not have been more wrong or more finally had the answer to the most asked question concerning student surprised. membership, “If I am going to spend $90.00 on a membership to the Spending three educational, informative, and fun filled days with APTA, what exactly am I going to get for my money?” The answer members of the physical therapy profession, seeing their dedication was simple. A FUTURE. and commitment to making the profession better, and learning that It was at that moment that I took up the fight, and although I am in although I may be a student, my voice and opinion is still greatly school and my schedule is tight, I have made it my responsibility to valued and needed, has influenced my desire to be an active APTA/ promote membership in the association. I continue to diligently press OPTA member. During my three days at the forum I learned about the issue with my fellow classmates and with the first year physical the importance of direct access, the fight for referral for profit legisla- therapy assistant students. tion, the ins and outs of lobbying, how grassroots advocacy plays an The future of the physical therapy profession depends on the com- important roll in having the voice of the physical therapy profession mitment of not only its current professionals but also its future pro- heard, and the meaning and importance of Vision 2020. fessionals. By attending the State Government Affairs Forum, I was As each day passed, I became more and more aware of the signifi- given the opportunity to see not only the concerns but also the hopes cance of becoming and being an active member in the association. On and dreams of the profession. It was an experience that I will never the third day of the forum, while I was waiting for my shuttle to the forget and an eye opener to what I should never take for granted. n airport, everything clicked. I slowly realized that without the diligent This article is a reprint and the original article by Nancy Fike can be found on the APTA website, efforts of the APTA and the OPTA, I could wake up one morning and Student Events & Activities.

23 PT Priority • October/November 2008

IPTA’s New Communities of Interest... Find Your Match!

The following communities are now active: Join now and share information and resources with others interested in these specialty areas, • GERIATRICS populations and networking groups.

• CARDIOPULMONARY Additional areas of special interest are now • FACULTY & CLINICAL EDUCATORS forming, and the IPTA is currently seeking • FOR PTA’S moderators for several forums. If you are interested in moderating a forum, contact • NEW PROFESSIONALS Colleen Flannery at [email protected].

24 Illinois Physical Therapy Association • www.ipta.org Keeping You Connected Your Navigation to www.IPTA.org

IPTA Open Forum Have a question? Need a referral? This is the main forum for shar- ing information among IPTA members. 5 Things Communities of Interest New forums for discussion are being added. Remember to sub- You’ll Find Online This Month scribe your areas of interest so that you will receive email alerts about new topics for discussion. 1. IPTA Election 2008. Learn more about the candidates for IPTA office. Your District 2. Fall Conference in Review. Highlights from this year’s Looking to connect with a member of your district, or communi- conference plus information about IPTA’s 2009 conference cate quickly with many district members? This is the place. Make plans! sure you subscribe to stay connected to your primary IPTA com- 3. PT Priority Archive. Go green and recycle past issues. munity! Past issues can be accessed online. Get involved! 4. Online CE Tracker. PTs, start this renewal cycle off right Committees and workgroups communicate through the www. by downloading and recording your CE info in your personal IPTA.org. Don’t let distance or schedule conflicts keep you from CE tracker. PTAs, get an early start on organizing your CE participating in matters that are important to you. Contact the IPTA for license renewal in 2010. for more information about committees and volunteerism. (Maybe 5. What’s Happening. Stay current on issues by checking some kind of person with a computer graphic here? What do you IPTA news. think?) n 25 PT Priority • October/November 2008

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26 Illinois Physical Therapy Association • www.ipta.org

Pediatric Myofascial Release

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PhysioTherapy Color bleed Ad_08.1 1 1/7/08 12:09:20 PM Illinois Physical Therapy Association • www.ipta.org Frequently Asked Questions

he IPTA fields questions from members daily on a variety of I took the board exam and unfortunately missed passing by one topics. Here’s a few recent questions – and answers! question. I know that I have to wait 15 days to schedule to retake the exam...My question is, once I receive the second authorization to I hired a fantastic new grad who passed the boards with test letter, can I practice under the supervision of a therapist and co- Tflying colors. She and I have made sure that I am supervis- signatures as previously? ing her and scheduled at the same time treating patients up to this point. She received a letter in the mail yesterday saying she passed the The answer to your question is no, and is found in Sec. 2,(2) of the exam and our understanding was that she is now able to treat on her PT Act. Unfortunately the only way you can work in the PT environ- own without me in the clinic to act as a license. But, the letter ment during the period between failing the exam and passing does not seem to say the same. So, the question is: Can she it on a 2nd or 3rd try, is as a clerical person or a PT aide. treat independently at this time, or does she need to wait And you must be paid according to those pay scales, not until she has the actual paper license in her hands? at the rate of a new grad PT. I urge you to review Sec. 1, 2, 12, and 17 of the PT The answer to your question can be found in the Act as well as Sec. 1340.30 and 1340.40 of the Rules. Rules for the Administration of the Illinois Physical Act. Alongside much other useful information, you will A therapist is not licensed until the state has issued a license, so discover what happens if a candidate were to fail three she must continue to practice under the supervision of a licensed times. PT. The Illinois Department of Financial and Professional You are about to join a great profession! I hope you are not Regulation, division of Professional Regulation, updates its too discouraged. One of the finest young therapists I know failed licensing information daily on its website ww.idfpr.com, under three times before passing on the fourth. She is very happy she license look up. Your new grad’s licensure information will stuck with the process and loves her profession! The fact that she appear here before receipt of the actual paper license. Once had to fight so hard to get her license has made her all the more the state has issued the license (based on the website information appreciative of its value. — print it out), your new grad may practice without supervision. Her Good luck and best wishes! n paper license should follow in 5-10 business days.

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29 PT Priority • October/November 2008 Guidelines for Student Finance

ith the skyrocketing costs of education, students are look- ing beyond traditional loans and scholarships for financial Wassistance. At the same time, employers are struggling to find physical therapists and physical therapist assistants and are offer- ing students financial assistance as an employment incentive. The APTA offers the following caveats of consideration for both employers and students in discussing student financial assistance in exchange for a promise of future employment.

GUIDELINES: STUDENT AND EMPLOYER CONTRACTS HOD G06-92-14-28 (Program 60)

Guidelines for fairness in offering student financial assistance in exchange for a promise of future employment: 1. Notification by the employer if the place of employment may be in an isolated area or as a solo practitioner such that the new graduate will not have ready access to mentoring and regular col- legial relationships or any resources for professional growth and development. 6. It should be understood that the school is not a party to the agree- 2. Disclosure by the employer “The agreement must ment and is not bound to any conditions of the agreement. of ownership of the prac- tice. not, in any way, interfere 7. There should be a clearly delineated, fair, and reasonable buy-out with the process and provision in which the student understands the legal commitment 3. Notification by the employ- to pay back the stipend with reasonable interest in the event that er to the student if the prac- planning of the student's there is dissatisfaction or reason for release from the contract on tice is involved in any situ- professional education.” the student's part at any time during the term of the agreement. ation in which a referring practitioner can profit as a 8. A no-penalty bailout provision should be provided in the event of result of referring patients/clients for physical therapy and notifi- change of ownership, but the student may be required to adhere cation that the American Physical Therapy Association (APTA) is to a reasonable payback schedule. opposed to such situations. 9. Avoidance of noncompete clauses is recommended, but if there is 4. Student awareness of any potential future tax obligations that may a reasonable limitation of time and distance, one should be incor- be incurred upon graduation as the result of deferred income. porated. 5. The agreement must not, in any way, interfere with the process 10. A student's interests may best be served by obtaining appropriate and planning of the student's professional education. counsel prior to signing the contract. n

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Why Employment CR with Creative Rehab? 222 South Greenleaf St. Suite # 101 Gurnee, Illinois 60031 Love what you do and do what you Who We Are… love. We do! Special Points Creative Rehab was founded in high level of patient follow-through. 1998 as a home based clinic. Rapid of Interest... Our patients are scheduled without growth has brought us to our double booking, allowing us to focus xPhysical Therapist owned current state of the art facility with our attention on each patient. This xHigh quality 1:1 patient pool, sports simulation room, patient focused care improves our evaluation & treatment climbing wall, private treatment outcomes and frequently reduces xOnly licensed physical rooms and work simulation station. our sessions required for return of therapists in patient care We are conveniently located in function. x1 hour treatment sessions Gurnee, Illinois mid-way between Milwaukee and Chicago. xState of the art facility with sport and work simulation areas Our private Our mission is to provide premier xMentoring program physical therapy services within a treatment 1:1 evaluation and treatment rooms and x Patient & Community programs model. We emphasize spacious xOpportunities for professional comprehensive patient education gyms growth & development and customized function based support our individualized xExcellent benefits programs. Our individualized care functional approach to evaluation xDiverse/strong referral base and treatment. is provided only by licensed PTs x99+% patient satisfaction which is critical to achieve our Check out our programs and clinic For more information contact : xCross consultation & successful outcomes and our online: www. creativerehab.net co-treatment with other staff

Jennifer Weber, Senior PT, MPT xOver 70 years of staff experience E-mail [email protected] Fax 847.599.9124 Phone 847.599.9171 What We Do… xSports Injuries www.creativerehab.net xPost xWork Injuries 9 Us out! Summary of Benefits... xPain Conditions xHealth Club Benefit xWomen’s Health xCompetitive Compensation xAPTA Dues xVestibular Rehab xBonus Program xClinical Ladder x xGenerous Paid Time Off Post Accident Rehab xClinical Liability Insurance xMaternity Leave Options xSports Screens & xHealth/Dental Insurance Clinics xShort Term Disability xContinuing Education xTerm Life Insurance xAquatic Therapy xFlexible Schedules x401K Safe Harbor xCorporate Safety xProgram Development xStudent Education Opportunities Opportunities