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PTA Blog Talk

The Director of Rehab

Published September 22, 2010 8:27 PM by Jason Marketti

I have been promoted to DOR. Now when something goes wrong with therapy (minutes not being met, coverage, squabbles etc.) I am held accountable. The bulls-eye on my back just grew. This arrangement should not change how I perceive patients and pay sources but it does. I will emphasize that quality patient care should take precedence over insurance and pay source but it can skew my vision about what a good financial steward should be. Sometimes tough decisions should not have to be made.

On my first day, I wanted to come in like chef Gordon Ramsay and start to change the place to fit my view of how therapy should look. But I have been employed as a therapist long enough to know it doesn't work like that. I have also witnessed too many newbies do that very same thing only to have a department crumble. My first objective was to figure out how to do my job in a new role. I think it will take longer than I anticipated. There does not seem to be enough time in a day to accomplish everything I need to or want to at work. Time management will be my BFF.

And to top it off I continue with my caseload of patients (Do I sound like I am complaining?). Actually I enjoy the new challenge to organize my day in such a way to get as much done as possible and put off decisions that do not need immediate attention. The only thing I really need to find out is where to file all the reports and paperwork. Then I remembered Doug. He was straightening his desk and I gave him a written report about patients I had seen one weekend. While we were talking, he inadvertently picked up my report and stuffed it in the shredder.


I am looking for information on PTA's in supervisory or Director roles. My company is interested however would like statistics.

Thank you,


Debbie Lines, Home Care - Lead, MMC March 16, 2011 1:43 PM
Roseburg OR


Congratulations on your promotion!  Your first step was a wise one and will undoubtedly serve you well.

Having followed your blog for sometime now, I look forward to reading your posts as you view your department through a new lens and have the authority to influence the way the department runs.  There is no better advocate for patients than a manager who can wisely balance clinical needs and administrative demands.

Best to you on your new journey!

Janey Goude September 26, 2010 12:03 AM

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September 24, 2010 8:01 AM

Jason Congratulations on your promotion to DOR.I am sure it will be trying at times but I know you will keep things in perspective and will do what is best for all.

Cathy September 23, 2010 6:15 PM

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About this Blog

    Jason J. Marketti
    Occupation: Physical Therapist Assistant
    Setting: San Jacinto, CA
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