Re: TO DPT or not to DPT

[Guest guest]

I agree with you Dr. Normington. The same has occurred with me in my

community. The physicians are happy to refer the patients to me as well as my

patients having a greater respect for me. They have always wanted to call me

Doctor

because of the level of knowledge that I possessed as well as the ability to

heal them. We are the experts in our field and no one should look any other

place for their physical therapy needs but a physical therapist. We must be

looked at as the authoritarian in our own field of practice. If everyone else

can claim physical therapy and that they can do what we do then we will never

become autonomous practitioners. When I speak with medical residents they

look to me as the expert. With a Doctorate they feel I am the expert when it

comes to physical therapy thus my lecture is valid. It is okay if one is

content with the level of education they have but I am not one of those people.

I

may be retired before I see the full benefits of the DPT movement but I will

feel that I had a hand to play in the progression of the profession. This

is with any case, some people do not like change but if we thought like this

the United States would no be a world power today. Once I graduated from my

DPT program I had a party with over 450 people to include professional

football players, congressmen, state reps and senators, judges, many physicians

of

different specialties as well as other health care providers. I do believe

that there are many people who support our movement towards autonomous practice

and becoming a doctoring profession however ,it seems to me, we are our own

worse enemy.

Onuwa Terry,PT,DPT

Doctor of Physical Therapy

Terry Physical Therapy

1918 E. Parkway

Mission TX 78572

W

F

_www.terrypt.com_ (http://www.terrypt.com/)

[Guest guest]

The reprinted article by Mr. contains many arguments commonly

advanced by those in opposition to the concept of the DPT degree. While those

that

pertain to essentially political issues, such as the perceptions of external

healthcare providers and PT's relationship with them, may have some merit, and

concerns regarding the increased schooling costs for entry-level students

are certainly legitimate ones, Mr. falls victim to a common

misconception when he disparages the transitional programs because many are

online.

I have to admit that I, too, held the belief (prior to entering my program)

that online education is inherently inferior to the classroom experience.

Much of that perception came from anticipating the t-DPT program to be just an

extension of my entry-level education, with similar types of courses and

learning experiences. I discovered that it was an entirely different

educational paradigm, with emphasis on independent evidence-based learning and

problem-solving approaches. The online experience, in fact, lent itself quite

nicely

to this model in ways that I believe are at least equal to, if not in some

aspects superior, to the classroom model.

My experience is apparently not atypical. I would refer anyone interested to

peruse (it's quite long – I'll disclose that I did not read it in great

detail…) a paper by Bernard et al (_DE vs. CE - meta analysis_

(http://scholar.google.com/scholar?hl=en & lr= & ie=UTF-8 & q=cache:JHon3Rnd4e0J:doe.c\

oncordia.ca/cslp/a

ssets/pdfs/1-RER-Master-Jan11b-04.pdf+author: " Bernard " +intitle: " How+does+dista

nce+education+compare+to+classroom+... " +) ), a meta-analysis comparing

distance education with classroom education. The most pertinent finding in

the

study for me was the superiority of asynchronous DE over CE. This format

allows for exactly the kind of educational framework I described earlier that I

experienced in my t-DPT program.

Gabe Yankowitz, PT

Syracuse, NY

[Guest guest]

Perhaps some valid points, but there are obviously two sides. I received a

higher pay, a better job, as well as increased respect from the medical

staff of the hospital I work for. This is in conjunction with the benefit of

(and daily clinical use of) the radiology, pharmacology, and other

coursework that I received beyond my masters education.

I think the DPT is a personal choice that will work for some and not for

others. As a professional, I support the trend. As a person who hires PT's,

I support the trend. As a clinician, the trend has supported me.

Normington PT, DPT

Director Physical Medicine/Rehabilitation

Cherokee Regional Medical Center

300 Sioux Valley Drive

Cherokee, IA. 51012

TO DPT or not to DPT

Just an interesting letter to the editor in the most recent Advance

Magazine. I'll reprint it as well as provide the web address.

http://physical-therapy.advanceweb.com/common/EditorialSearch/AViewer.aspx?A

N=PT_06nov6_ptp6.html & AD=11-06-2006

Vol. 17 •Issue 24 • Page 6

Letters to the Editor

A DPT Doesn't Buy Respect

To the Editor:

A big thank you to Mark Bartlett, PT, for his response to the article

" In-House Doctors " in the July 3, 2006 issue ( " DPT: Just Alphabet Soup? "

Letters, Sept. 11). He was right on.

The system is broken and a lot of gullible people are going to get sucked in

to an even bigger debt than PT school previously caused.

I love being a PT and am glad I chose this profession. I did not choose this

profession because I wanted a title, but because I enjoy working with

people. I enjoy having a career that allows me to touch others in a positive

way. I [couldn't] care less about being called " doctor. "

Even if you convince your 75-year-old patient she should call you " doctor "

because of an online degree, you aren't going to be considered a " doctor " by

the health professionals you work with. I have done the hiring for the last

two companies I work for and I don't pay more money to therapists with DPTs.

In my opinion it is experience, skills and attitude toward patients and

co-workers that matters.

The only people who truly benefit from the DPT program boom are those

getting paid to produce the additional education. This is simply a way to

make the schools more money by extending the time it takes to become a PT. I

have seen the extra classes needed to become a DPT at several programs,

including the joke of an online program. None of this would make me a better

therapist. Honestly, the present system of a master's-level degree with

quality clinicals, followed by a continuing education requirement, works

best.

Therapists should continue to take courses that interest them (and benefit

those in their care) for the duration of their careers. Cramming an extra

year of research-based classes onto their initial education does not make

them better therapists. Experience with a good mentor, and quality

continuing education courses, coupled with time, make one a better

therapist.

The current DPT push is a recipe for disaster for our profession. We are

making physical therapy [school] more difficult to afford and a longer

educational commitment, shrinking our graduating classes of quality

American-trained therapists.

The result I'm seeing is a growing trend toward foreign-trained PTs. Do we

want to " outsource " our evaluations to foreign therapists and push American

students into PTA programs [because that will be] all they can afford?

I second the motion proposed by Mr. Bartlett: " I advise all PTs to refuse

the DPT, especially online. " I would take this suggestion a step further and

advise prospective PT students to look at schools still offering

master's-level programs. When you are done [school], you will have no

problem obtaining a great career helping people. You will have less debt,

will start getting paid a year earlier, and can take continuing education

courses that interest you and make you a better therapist.

In the end, it is the impact you have on patients that determines what

people think about you. Respect is earned by acts, not by purchasing the

title " doctor. "

M. , PT

Just thought it had some valid points.

Mike McClain

City, TN

_________________________________________________________________

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to PTManager.

[Guest guest]

Obviously we all want respect with our positions and expertise. Just

last week I had a patient with severe cervical problems who began

having a radiating " headache " pain behind his eye. His Dr. couldn't

figure out what the cause was and sent him for an eye exam that was

negative. I told the Dr. that it could possibly be from irritation

of the C3 nerve in the neck...completely consistant with this

patient's history and trauma. The Dr. told me that could never

happen and someone who " knows so much less than him should not be

making suggestions. " By the way, I was right.

With all of this talk of DPT and respect it seems to me this is

respect we should already have, even with those who have a BS

degree. So why don't we? Is all it takes to get respect is to put a

D in front of PT? Are we sending out new DPTs with slightly more

coursework and misleading people into thinking that there is

substantially more knowlege with a DPT than a PT? I teach several

hundred pre-PT students and we are having an intense discussion about

this now. I would love to hear more opinions!

Amy Marshall, PT

JMU

biapt000@...

>

> I agree with you Dr. Normington. The same has occurred with me in

my

> community. The physicians are happy to refer the patients to me as

well as my

> patients having a greater respect for me. They have always wanted

to call me Doctor

> because of the level of knowledge that I possessed as well as the

ability to

> heal them. We are the experts in our field and no one should look

any other

> place for their physical therapy needs but a physical therapist. We

must be

> looked at as the authoritarian in our own field of practice. If

everyone else

> can claim physical therapy and that they can do what we do then we

will never

> become autonomous practitioners. When I speak with medical

residents they

> look to me as the expert. With a Doctorate they feel I am the

expert when it

> comes to physical therapy thus my lecture is valid. It is okay if

one is

> content with the level of education they have but I am not one of

those people. I

> may be retired before I see the full benefits of the DPT movement

but I will

> feel that I had a hand to play in the progression of the

profession. This

> is with any case, some people do not like change but if we thought

like this

> the United States would no be a world power today. Once I

graduated from my

> DPT program I had a party with over 450 people to include

professional

> football players, congressmen, state reps and senators, judges,

many physicians of

> different specialties as well as other health care providers. I do

believe

> that there are many people who support our movement towards

autonomous practice

> and becoming a doctoring profession however ,it seems to me, we

are our own

> worse enemy.

>

> Onuwa Terry,PT,DPT

> Doctor of Physical Therapy

>

> Terry Physical Therapy

> 1918 E. Parkway

> Mission TX 78572

> W

> F

> _www.terrypt.com_ (http://www.terrypt.com/)

>

>

>

>

>

[Guest guest]

From what I see, the DPT is coming out of school with more loans and asking for

more pay. The bottom line is that they still see the came amount of patients as

the Masters prepared therapist. The people we need to convince are Medicare.

We are looking at a 10% pay cut next year. Until we get the money we deserve it

will not matter what the degree is.

kenneth Muller

>

> From: ONUWA@...

> Date: 2006/11/21 Tue PM 01:09:42 EST

> To: PTManager

> Subject: Re: TO DPT or not to DPT

>

> I agree with you Dr. Normington. The same has occurred with me in my

> community. The physicians are happy to refer the patients to me as well as my

> patients having a greater respect for me. They have always wanted to call me

Doctor

> because of the level of knowledge that I possessed as well as the ability to

> heal them. We are the experts in our field and no one should look any other

> place for their physical therapy needs but a physical therapist. We must be

> looked at as the authoritarian in our own field of practice. If everyone else

> can claim physical therapy and that they can do what we do then we will never

> become autonomous practitioners. When I speak with medical residents they

> look to me as the expert. With a Doctorate they feel I am the expert when it

> comes to physical therapy thus my lecture is valid. It is okay if one is

> content with the level of education they have but I am not one of those

people. I

> may be retired before I see the full benefits of the DPT movement but I will

> feel that I had a hand to play in the progression of the profession. This

> is with any case, some people do not like change but if we thought like this

> the United States would no be a world power today. Once I graduated from my

> DPT program I had a party with over 450 people to include professional

> football players, congressmen, state reps and senators, judges, many

physicians of

> different specialties as well as other health care providers. I do believe

> that there are many people who support our movement towards autonomous

practice

> and becoming a doctoring profession however ,it seems to me, we are our own

> worse enemy.

>

> Onuwa Terry,PT,DPT

> Doctor of Physical Therapy

>

> Terry Physical Therapy

> 1918 E. Parkway

> Mission TX 78572

> W

> F

> _www.terrypt.com_ (http://www.terrypt.com/)

>

>

>

>

>

[Guest guest]

As a full-time PT clinician with more than a decade of clinical experience in a

wide variety of practice settings/specialization areas, an academic doctorate,

and (most recently) a post-professional clinical doctorate, I feel that I have

an obligation, as a uniquely credentialed physical therapist, to make a few

points on this subject. Besides, it's been a while since I've written a " dicey "

listserve message that got everyone self-examining, or at least talking . . .

While I agree with several points made by , both and the author of

the editorial in PT advance fails to realize several points:

First, just as experienced PT’s constantly remind the novice that education is

no substitute for experience . . . experience is similarly no substitute for

education. There is a hypocritical double-standard occurring within many

experienced clinicians in our profession on this point. One simply can't judge

the value of education with respect to radiology, updated/current pharmacology,

and medical screening unless one has “walked the walk.” Experienced PT’s, in my

opinion, no longer have a right to waive the banner of “experience,” and

demanding the respect that they believe should (and it should) follow, unless

they are also willing to accept the fact that physical therapy school is BETTER

than it was as little as 10 years ago (it is), and that new-graduate DPT’s may

have something to bring to the table too (such as clinical doctoring

portal-of-entry skills). At minimum, they loose significant credibility in the

eyes of the evidence-based new-graduate DPT who has read articles by Childs, et

al. that strongly suggest that, at least with respect to manipulation/manual

therapy, that the value of experience may be over-rated with respect to

diagnosis and treatment of the “bread and butter” musculoskeletal evaluation and

treatment as well.

Second, the DPT and t-DPT graduating today IS NOT intended to be the DPT of

vision 2020. They are expected to understand the acculturation of today’s

students, the development of physical therapy into a portal-of-entry

clinical-doctoring profession, and TRAIN/SUPPORT the DPT of vision 2020. The

tragedy, in my opinion, is that many new graduates, full of passion (or piss and

vinegar depending upon your perspective) have not been informed of this as their

role . . . leaving many embittered. This is truly unfortunate and will have

dramatic unintended consequences with respect to physical therapy “arriving” in

this regard.

Third, the debate on the subject of what is more important, the DPT or clinical

experience is childish at best, and a prostitution of one’s professional

responsibilities at worst. Patient’s shouldn’t have to choose between the

virtues of character implicitly defined by the author of the PT Article

editorial, and current minimum standards for clinical doctoring portal-of-entry

physical therapy practice. BOTH should be expected . . . AND DELIVERED. It is

for this reason, that in my opinion, that experienced clinicians have a

responsibility to at least consider the DPT --- not with respect to personal

remuneration --- but with respect to the value of the stewardship of the

profession.

I truly believe that the decision of an experienced PT to purse (or not) a DPT

is a personal choice that should be respected by the rest of us. That said, the

vocal rants of experienced, out-of-touch, angry, and hypocritical therapists

like the one in PT Advance, leave me wondering where loyalties and personal

ethics of most rank-and-file clinicians really rest. If this guy is any

indication, sadly it doesn’t appear to be with the patient, and it certainly

isn’t with the profession. If that's the norm, maybe we should begin to ask

ourselves not if we as individuals should or should not get the DPT . . . but

rather if our profession DESERVES the DPT.

M. Ball, PT, DPT, MBA/PhD

Doctor of Physical Therapy - Lake Norman Rehabilitation, sville, NC

Associate Faculty - University of Phoenix, Charlotte, NC

________________________________

> To: PTManager

> From: jeremy.normington@...

> Date: Tue, 21 Nov 2006 10:31:14 -0600

> Subject: RE: TO DPT or not to DPT

>

> Perhaps some valid points, but there are obviously two sides. I received a

> higher pay, a better job, as well as increased respect from the medical

> staff of the hospital I work for. This is in conjunction with the benefit of

> (and daily clinical use of) the radiology, pharmacology, and other

> coursework that I received beyond my masters education.

> I think the DPT is a personal choice that will work for some and not for

> others. As a professional, I support the trend. As a person who hires PT's,

> I support the trend. As a clinician, the trend has supported me.

> Normington PT, DPT

> Director Physical Medicine/Rehabilitation

> Cherokee Regional Medical Center

> 300 Sioux Valley Drive

> Cherokee, IA. 51012

> TO DPT or not to DPT

> Just an interesting letter to the editor in the most recent Advance

> Magazine. I'll reprint it as well as provide the web address.

> http://physical-therapy.advanceweb.com/common/EditorialSearch/AViewer.aspx?A

> N=PT_06nov6_ptp6.html & AD=11-06-2006

> Vol. 17 •Issue 24 • Page 6

> Letters to the Editor

> A DPT Doesn't Buy Respect

> To the Editor:

> A big thank you to Mark Bartlett, PT, for his response to the article

> " In-House Doctors " in the July 3, 2006 issue ( " DPT: Just Alphabet Soup? "

> Letters, Sept. 11). He was right on.

> The system is broken and a lot of gullible people are going to get sucked in

> to an even bigger debt than PT school previously caused.

> I love being a PT and am glad I chose this profession. I did not choose this

> profession because I wanted a title, but because I enjoy working with

> people. I enjoy having a career that allows me to touch others in a positive

> way. I [couldn't] care less about being called " doctor. "

> Even if you convince your 75-year-old patient she should call you " doctor "

> because of an online degree, you aren't going to be considered a " doctor " by

> the health professionals you work with. I have done the hiring for the last

> two companies I work for and I don't pay more money to therapists with DPTs.

> In my opinion it is experience, skills and attitude toward patients and

> co-workers that matters.

> The only people who truly benefit from the DPT program boom are those

> getting paid to produce the additional education. This is simply a way to

> make the schools more money by extending the time it takes to become a PT. I

> have seen the extra classes needed to become a DPT at several programs,

> including the joke of an online program. None of this would make me a better

> therapist. Honestly, the present system of a master's-level degree with

> quality clinicals, followed by a continuing education requirement, works

> best.

> Therapists should continue to take courses that interest them (and benefit

> those in their care) for the duration of their careers. Cramming an extra

> year of research-based classes onto their initial education does not make

> them better therapists. Experience with a good mentor, and quality

> continuing education courses, coupled with time, make one a better

> therapist.

> The current DPT push is a recipe for disaster for our profession. We are

> making physical therapy [school] more difficult to afford and a longer

> educational commitment, shrinking our graduating classes of quality

> American-trained therapists.

> The result I'm seeing is a growing trend toward foreign-trained PTs. Do we

> want to " outsource " our evaluations to foreign therapists and push American

> students into PTA programs [because that will be] all they can afford?

> I second the motion proposed by Mr. Bartlett: " I advise all PTs to refuse

> the DPT, especially online. " I would take this suggestion a step further and

> advise prospective PT students to look at schools still offering

> master's-level programs. When you are done [school], you will have no

> problem obtaining a great career helping people. You will have less debt,

> will start getting paid a year earlier, and can take continuing education

> courses that interest you and make you a better therapist.

> In the end, it is the impact you have on patients that determines what

> people think about you. Respect is earned by acts, not by purchasing the

> title " doctor. "

> M. , PT

> Just thought it had some valid points.

> Mike McClain

> City, TN

> __________________________________________________________

> All-in-one security and maintenance for your PC. Get a free 90-day trial!

> http://clk.atdmt.com/MSN/go/msnnkwlo0050000002msn/direct/01/?href=http://clk

> .atdmt.com/MSN/go/msnnkwlo0050000001msn/direct/01/?href=http://www.windowson

> ecare.com/?sc_cid=msn_hotmail

> Please identify yourself, your discipline and your location in all messages

> to PTManager.

> Sick of working for someone else?

> Tired of fighting against POPTS?

> Ready to quit the corporate nonsense of large organizations?

> Visit www.InHomeRehab.com.

> PTManager encourages participation in your professional association. Join

> APTA, AOTA or ASHA and participate now!

> Please identify yourself, your discipline and your location in all messages

> to PTManager.

>

[Guest guest]

,

You said, " Until we get the money we deserve it will not matter what

the degree is. " Ouch. If we are basing the integrity of our

professional degree by what we are getting paid, that's concerning to

me, whether it's a BSPT, MSPT, or DPT. I don't understand why so much

energy has been spent debating this issue. The APTA has set a goal for

all PT's to achieve doctorate level education by 2020. It seems like

any dissent toward this position would be much more usefully directed

toward the APTA.

Thanks,

Curtis

>>> k_muller@... 11/21/06 02:09PM >>>

From what I see, the DPT is coming out of school with more loans and

asking for more pay. The bottom line is that they still see the came

amount of patients as the Masters prepared therapist. The people we

need to convince are Medicare. We are looking at a 10% pay cut next

year. Until we get the money we deserve it will not matter what the

degree is.

kenneth Muller

>

> From: ONUWA@...

> Date: 2006/11/21 Tue PM 01:09:42 EST

> To: PTManager

> Subject: Re: TO DPT or not to DPT

>

> I agree with you Dr. Normington. The same has occurred with me in my

> community. The physicians are happy to refer the patients to me as

well as my

> patients having a greater respect for me. They have always wanted to

call me Doctor

> because of the level of knowledge that I possessed as well as the

ability to

> heal them. We are the experts in our field and no one should look any

other

> place for their physical therapy needs but a physical therapist. We

must be

> looked at as the authoritarian in our own field of practice. If

everyone else

> can claim physical therapy and that they can do what we do then we

will never

> become autonomous practitioners. When I speak with medical residents

they

> look to me as the expert. With a Doctorate they feel I am the expert

when it

> comes to physical therapy thus my lecture is valid. It is okay if one

is

> content with the level of education they have but I am not one of

those people. I

> may be retired before I see the full benefits of the DPT movement but

I will

> feel that I had a hand to play in the progression of the profession.

This

> is with any case, some people do not like change but if we thought

like this

> the United States would no be a world power today. Once I

graduated from my

> DPT program I had a party with over 450 people to include

professional

> football players, congressmen, state reps and senators, judges, many

physicians of

> different specialties as well as other health care providers. I do

believe

> that there are many people who support our movement towards

autonomous practice

> and becoming a doctoring profession however ,it seems to me, we are

our own

> worse enemy.

>

> Onuwa Terry,PT,DPT

> Doctor of Physical Therapy

>

> Terry Physical Therapy

> 1918 E. Parkway

> Mission TX 78572

> W

> F

> _www.terrypt.com_ (http://www.terrypt.com/)

>

>

>

>

>

[Guest guest]

I have a couple of points from the previous posts:

I do see a considerable amount of difference between the knowledge

base, especially in the areas of finding, understanding and applying

evidence based medicine between when I graduated PT school (most of the

programs were bachelors degrees) and the new grads I hire now with

DPT's. Though I can't for sure attribute this to the " D " of the DPT vs

other curriculum changes over the past 10 or so years.

The nice part about the DPT students and new grads I work with now are

that they are much more savvy about and independent in finding the

evidence if they have a clinical question. I very much appreciate a new

grad that comes to me with a clinical question having already looked to

see if anyone has researched the issue or what medical literature is out

there on the topic. It makes for a much more dynamic conversation and

learning on both our sides, where we can discuss the various merits of

different research articles, if they can be extrapolated to the pt in

question, and what weight to give them if they differ from intuition or

anecdotal experiences. I have not observed the same to be true of many

of the therapists that I have worked with who graduated before or with

me. Again this may have more to do with changing practice and

curriculum rather than any particular initials after their name, but

whatever seems to be causing it, we're moving in the right direction.

I also have great concerns about relying on our current continuing

education from non-formalized programs to be the primary source for

education beyond the basic entry level degree. The first few years I

was a PT, I went to lots of courses that sounded interesting or were

recommended by others and found them, for the most part, to be a waste

of my time and money. Very often they had little to no evidence base

and/or the instructors had a definite bias to " selling " their particular

techniques/books/products or the course was at such a superficial level

that it didn't really offer me the opportunity to grow. I found the

most increase in my skills and knowledge to have come from attending an

advanced degree curriculum (not a transitional DPT), moving to a large

teaching hospital where there were expert therapists to mentor from, and

doing lit reviews on my own as topics of interest come up.

I'm a little concerned about deciding if further education is warranted

by how many pt's a therapist can see or how much revenue a therapist can

generate rather than by the therapist's ability to provide effective,

efficient care and being able to adjust their skills as new knowledge

and evidence becomes available

The last thing I will say is that respect (and often remuneration) is

earned, not given willy nilly or demanded when the justifications for it

are not present. I don't hold all physicians in the same regard. From

working with them I know which ones do good work and which ones don't.

I'm sure there are a few who do it intuitively, but most are highly

skilled from having continued their education through formal courses,

residencies, certifications, and keeping up to date with current

literature. I respect those that provide high quality care that is

efficient and effective and meets the needs of myself and my patients.

I'd bet that the physicians are pretty much the same with how they think

of us.

Becky White, PT, CCS

>>> 11/21/2006 3:09 PM >>>

From what I see, the DPT is coming out of school with more loans and

asking for more pay. The bottom line is that they still see the came

amount of patients as the Masters prepared therapist. The people we

need to convince are Medicare. We are looking at a 10% pay cut next

year. Until we get the money we deserve it will not matter what the

degree is.

kenneth Muller

>

> From: ONUWA@...

> Date: 2006/11/21 Tue PM 01:09:42 EST

> To: PTManager

> Subject: Re: TO DPT or not to DPT

>

> I agree with you Dr. Normington. The same has occurred with me in my

> community. The physicians are happy to refer the patients to me as

well as my

> patients having a greater respect for me. They have always wanted to

call me Doctor

> because of the level of knowledge that I possessed as well as the

ability to

> heal them. We are the experts in our field and no one should look any

other

> place for their physical therapy needs but a physical therapist. We

must be

> looked at as the authoritarian in our own field of practice. If

everyone else

> can claim physical therapy and that they can do what we do then we

will never

> become autonomous practitioners. When I speak with medical residents

they

> look to me as the expert. With a Doctorate they feel I am the expert

when it

> comes to physical therapy thus my lecture is valid. It is okay if one

is

> content with the level of education they have but I am not one of

those people. I

> may be retired before I see the full benefits of the DPT movement but

I will

> feel that I had a hand to play in the progression of the profession.

This

> is with any case, some people do not like change but if we thought

like this

> the United States would no be a world power today. Once I

graduated from my

> DPT program I had a party with over 450 people to include

professional

> football players, congressmen, state reps and senators, judges, many

physicians of

> different specialties as well as other health care providers. I do

believe

> that there are many people who support our movement towards

autonomous practice

> and becoming a doctoring profession however ,it seems to me, we are

our own

> worse enemy.

>

> Onuwa Terry,PT,DPT

> Doctor of Physical Therapy

>

> Terry Physical Therapy

> 1918 E. Parkway

> Mission TX 78572

> W

> F

> _www.terrypt.com_ (http://www.terrypt.com/)

>

>

>

>

>