Residency Pros and Woes for the Soon to be New Grad…

I have to admit that when Ben asked me to participate in posting on the Move It blog website, I was flattered and a little (ok a lot) intimidated. I spent a lot of time reading other posts, found them fascinating and then thought… “What in the world am I going to say before I’ve even entered the :Real World:?” (I am a 3^rd year PT student preparing to graduate in May.) But, alas, true to my extroverted personality, I realized I have a LOT to say, and even more to ask. I am honored to be in the presence of these amazing new professionals, and it gives me a lot of encouragement and inspiration as I embark on my journey into the professional world coming up here in May. It is exciting to see all of the opportunities available to me as a new graduate, between residency programs, research fellowships, and multitude of settings and specialties.

Again, however, that intimidating feeling returns. I have had many discussions with classmates of mine about our near (much nearer than we believe) future in this profession. We have spent 3 years of blood, sweat, and tears (well at least some tears for sure) pouring our brains and hearts into this profession we feel passionately about. Now our caffeine riddled, sleep deprived bodies face the reality: How do we put all of this information we’ve learned to its best use for our professional lives?Many students, including myself, are concerned with being “stuck” in an area of PT once they start out in it. What if we (Gasp!) don’t know if that’s definitely the track we want to be on for our entire professional career? While the opportunity for specializing in areas (NCS, OCS, WCS, etc) offer amazing enhancements to the profession, it also adds some pressure to decision making process. Should I specialize right away? If I do, what if I want to change career paths? If I don’t, am I not advancing my career the way I should? Many of the same questions arise regarding residency programs. Several friends of mine are pursuing residencies because of the unique and beneficial opportunities they present.

I myself am/was considering doing a Neurology residency. It would provide me with a wide knowledge base in advanced skills that would not have had the opportunity to master in PT school. I would be exposed to a variety of patients with many different neurologic diagnoses, and it is also attractive to think of being able to sit for my NCS after one year and seemingly “fast track” my career. However, some more practical notions come into my considerations that make me hesitant. This particular residency I am considering, for example, does not start until January. I graduate in May. Though I would be perfectly fine (and happy) to wait until July to begin working, I cannot wait until January secondary to financial pressures (student loans anyone?) and the desire to put my degree into practice! It has been offered as a suggestion to work prn somewhere, but I fear my own personal anxiety of not having a very stable work schedule/ income would make that 6 months quite tumultuous. In an ideal world, I would love to find a place where I could work full time, gain neuro experience, practice my skills, do the residency, and come back to my position. (I know, I’m a dreamer J ). Then there is the question of value for the profession. Residencies are fairly new to Physical Therapy, and have already been met with skepticism, not just from students, but from seasoned therapists. I have listened in on, and endured many “What’s the point?” conversations and have not myself had a very good answer to provide. Any thoughts and feedback (HELP!) would be very much appreciated for this soon to be new graduate DPT.

Pushing Practice

I've always been a little indecisive. When I was a kid and someone would ask me what my favorite color was I would say "All of them. No, wait, purple. No, shiny metallic blue. No, no purple with shiny sparkles! Final answer." Well, I guess I haven't changed much in the past 26 years, because it has dawned on me that this is the exact quality that is beginning to shape me as a physical therapist. And, I'm realizing that isn't such a bad thing. Throughout school I loved EVERY topic we covered... even the practice areas I never thought I'd be interested in. I always had trouble choosing sections to be a member of, courses to attend at conferences, and don't even get me started on considering a residency after graduation!

As we went through school, I kept thinking that I'd figure it out before graduation. Well, it didn't happen. So, I decided to create my own little unique experience for my first year of work (now that I think about it, its kinda funny that I was an interdisciplinary major in undergrad... ha ha... I never quite realized how in line that was with my personality!) Anyways, for my first year of work I worked 4 days a week in an outpatient orthopedic private practice, where I was given the opportunity to take my interests and run with them. Little did my boss know what he was getting himself into! The calm quiet orthopedic clinic in a very affluent Atlanta suburb was suddenly filled with dizzy people, kids scooting around on the scooter board that had only ever been used for the occasional balance exercise, Spanish being spoken across the gym, and the occasional screaming baby who just wasn't in the mood for therapy that day (in the newly converted baby treatment room in the back of the clinic.) Outside of my 4 days a week at the outpatient clinic, I worked PRN 1 day a week (theoretically just one day...) at a pediatric acute care hospital, where I got to cover ever floor from ortho to neuro to trauma to oncology to cardiac and even some wound care. I managed to weasel my way into just about every practice area I was interested in.

It was the hardest thing in the world for me when I decided to uproot my life and jobs that I loved to take a new opportunity recently that just kept clawing its way into my thoughts until I gave in. So, I put all of my stuff in storage, said a teary "see ya in a year!" to my wonderful friends in Atlanta, and headed out to Vegas to live the life of a showgirl!!! Well, sort of. I took a job as a physical therapist on a traveling Broadway show.... And we are currently in Vegas for a few months. I work nights, eat in the casino underground dining hall for employees every night, have crazy roommates (a pirate in the treasure island show, an acrobat in cirque du soliel, and a go go dancer!), and still don't believe that this is all actually happening. I've had alot of time to think out here... mostly cause I spend alot of time lying around resting my sore hands!!!! So, I've been reflecting on all the great experiences I've had already in my almost two years of practicing. I've started to realize that I may never fit clearly into a section or a clinical specialty or even any specific job that is out there.... and this has now started to create an idea in my head that keeps clawing its way into my thoughts! And we know how that goes! I know its a little ways off, but I now have this concept growing in my head of what I may want my own clinic to be someday. Somewhere that combines physical therapy, wellness, community, laughter, and life; a clinic I can make my own and push the normal practice patterns that are divided up for us in school.

I'd love to hear if any of you have ideas for pushing practice patterns, as well!!! I'm fascinated with this at the moment. Anyways, to conclude, I'm quite happy to say that once I set myself free of worrying about boundaries and of needing to decide in which area I belong, I am finding myself very much at peace with my identity as a physical therapist. And, also, quite happy that purple with shiny sparkles is still my favorite color. =)

Clinical Contemplation on Christmas

Just killing some time between inpatient visits at the hospital on Christmas afternoon and I began envying my private practice friends who are laying comfortably at home, probably enjoying various broiled meats and season-appropriate nogs. The question popped into my head, "When did I stop caring about working exclusively in outpatient?"

The truths are, it doesn't bother me all that much that I'm in the clinic on Christmas Day, I recently realized that the PT in my head that previously thrived on athletic injuries has found joy in a variety of areas, and my vision of my long term career path may be less clear than ever.

My first job out of school was with a private practice, my bread and butter. I never really assessed whether I would be happy in other practice areas. Private practice was what I always envisioned doing, and ultimately someday, I would work for my own private practice. Then, I started as a traveling PT. Originally I took all outpatient assignments but somewhere along the way I fell into assignments in other settings. Now, I haven't had an exclusively outpatient assignment in over 2 years. Somewhere in those two years I learned a lot about myself, here's a list of things I never expected:

-I like home care. Not necessarily the clinical side of it, but I like the lifestyle, the freedom, and being outdoors during the day.
-Prosthetic training is cool. Many of those people are highly motivated and won't reach their fullest potential without intensive physical therapy.
-Urgent Care is a life-changing experience. You will see stuff happen in an ER that you won't see anywhere else on earth.
-Inpatient has taught me a lot about every aspect of surgery, even if I don't do acute care long term, I've learned a lot from it.

I don't have a conclusion. Maybe I have attention deficit issues and what I really like isn't any one thing, but a constant variety. But, through trying different things, I've broadened my own personal scope of practice. Some day I think I'll have to focus a little and put more effort into one portion of the PT spectrum, but for now I like seeing it all.

Time to head back to the floor. Maybe my patient will get to go home for Christmas night because of what I do this afternoon, that's pretty cool.

James

Congrats to 2 of our own

Recently got a promo for this upcoming exciting course down at Emory U. Congrats to Nate and Ben for being speakers. Who better to discuss the future than two guys who will truly be paving the way along with some of the biggest names in the PT world. Wish I could make it down.

https://secure.www.alumniconnections.com/olc/pub/EMR/event/showEventForm.jsp?form_id=65281

Specializing

Firstly, obvious congrats to Ben for the nomination and all things moving forward.

Now my question to all of you... why specialize?

I will be taking my OCS exam, Ben will be taking his NCS and I know a few of the other NP's have already taken one of the specialist exams.
As NP's is it too soon or just the right time to etch out a specialty?
The field that we are in is so broad and diverse it can create a jack of all trades and a master of none situation. For me it was a simple choice because ortho/sports is where my passions lie and are so interspersed (plan to do SCS at some point). I am taking it to force me to sharpen my knowledge base and hopefully serve to make me more marketable in an otherwise saturated NYC market.
I am very curious what all your experiences have been. Has it made you more marketable? Did it actually help sharpen your skill set or was it just an affirmation of what you already knew?
The SCS is the only way a PT can legally (to my knowledge, or also having your ATC) cover sporting events on the sideline, has anyone taken advantage of that? Do other specialties provide you with other 'benefits'?
What was your approach for studying (obviously very personalized question, but good info for us in this boat)?

I apologize for just asking a lot of questions but I feel like this is the right group to ask and hopefully this will stimulate some good convo...
GO!

Ambitious Changes for Move It

Greetings NPs and all others! A new post is once again overdue and I apologize. I've been trying to get all of my ducks in a row for some changes to the blog. The reasons are threefold. One, I need to spend more time in the coming months a) preparing for the upcoming election and b) studying my butt off for the NCS exam. Two, my days as a New Professional are numbered and I need to find a mix of newer grads and experienced voices to carry the torch. And three, during the candidacy phase of the election cycle, it is important that Move It not come across as a campaign vehicle.

To that end, I have contacted a dynamic, diverse group of potential co-authors. Each of these individuals has the potential to contribute meaningfully in a vast number of ways. What I hope to see happen is an enriching of the online community for New Professionals. By expanding the scope of potential topics and by increasing the geographic range of word-of-mouth communication, more authors should lead to a better Move It.

Another change is the introduction of monthly themes. Though still under discussion regarding sequence and details, Practice, Training, Involvement, and Research will be the broad categories for the months of December through March. Posts on other subjects and events will very likely be woven in. But each month will have a theme and there will be weekly posts on some aspect or variation of that concept. For instance, Practice may include posts about Wound Care as an NP, Travelling, or how being an ATC or CSCS influences your clinical skills and decisions.

I would love to hear your feedback on this redesign. And I greatly look forward to seeing the concept behind Move It evolve and grow.

Cheers,
Ben

The Big News: New Professional slated for National Office

... and incidentally, it's me.

With the announcement of the slate today, I can finally, officially divulge that I am a candidate for APTA's Nominating Committee. I've been trying to wrap my head around what that really means for the better part of two weeks. So far I've made it just past "Yippee!" or something to that effect that sounds a bit more appropriate coming for a 29 year-old. I'm thrilled for myself, intimidated and nervous too, yes. But most of all I'm excited at the prospect of an NP (New Professional) serving the Association in a significant role during a time of change and growth. If successful, I may get to set a precedent for how dedicated and progressive the NP crowd can be. While happy for me, I'm pumped for us!

I have lots of thoughts on what the process may hold. Recently I've come to see the NomCom's mission as bringing ideas (specifically people with ideas) and skills (specifically people with skills) to the table. Members of APTA then get to decide which combination will best suit the needs of our profession. It's an exciting, though a bit daunting, opportunity to help facilitate this process. Sink or swim, how I perform in the election cycle will have a bearing on the expectations for and the perceived readiness of the New Professionals as a whole. I'm looking forward to representing our demographic well. Please let me know what you think and please considering participating on Move It!

Cheers,
Ben