The PTA Student Who Only Wants to Do Orthopedics
Last month we had a PTA student at my facility. The other PT was his CI because while schedule facilitates time at the barn, no one else wants to start work at 6 in the morning. From the beginning, the student made it clear he planned to work in an outpatient orthopedic clinic. I believe he had already lined up a job.
I didn't think much about it until a doctor wanted a functional assessment of an incomplete SCI patient. Because I'm the neuro person, the student asked me. I tried to explain the ASIS scale to him. He didn't know what it was, which didn't surprise me. What surprised me was his attitude. He didn't want to know. He said he was going to treat orthopedic patients so it wasn't that important.
My response was pointing out there will be an ASIA question somewhere on the exam. He will need to know it to pass his neurological course. I guess he plans on memorizing for the exam and then forgetting like everything else neurological.
It seems like all students want to either do orthopedics or pediatrics. But this is the first time I've heard anyone be so dismissive of neurological principles. The sad fact is, as much as I wouldn't want to, if a total joint patient rolled into the gym I could treat the patient. I wouldn't enjoy it but I could do it. If a stroke patient ends up at an ortho clinic, they are clueless. Unless it's someone with minimal impairment, they don't know what to do.
I didn't bother to give this guy an attitude adjustment. Sometimes you just have to let nature take its course. It's bad enough that wherever I go, I hear the DPT graduates aren't prepared for anything but to be called doctor. Now I've met this guy who seems to think a good part of physical therapy education isn't necessary.
Is the problem us? Is it the programs? Did he just not say anything to anyone previously? Had he been my student, I would have called the program. All of the previous students I've encountered have been told to keep biases to themselves and concentrate on the current setting. I hope this one was the exception to the rule.