Rules and Regulations
Long ago in one of the many places I worked, a PT did not feel comfortable being a supervisor to PTAs. This did not create much of a problem because there were other PTs who took on that role in the department. I did some investigation recently into what would happen if a PT decided she did not want to be a supervisor to a PTA.
Most states in their rules and regulations clearly state the supervisory role a PT will take once licensed. So I asked some state licensing boards if a PT could refuse to take on that role. The answer was, "Yes." It came down to this - if a PT felt the PTA was not experienced enough or qualified enough in therapeutic techniques, the PT did not have to supervise the PTA. I can understand this since a PTA works under the direction and license of a PT. The situation can become a big responsibility if the PTA is not qualified to carry out the plan of care.
But, part of being licensed in a state is following its rules and regulations. My thought was that part of a PT being licensed in a particular state was to accept the fact that she will become a supervisor to the PTA for carrying out the POC. It seemed to me that when we are licensed in a state, we have to abide by the governing rules that regulate the profession. When a PT refuses to accept her role as a supervisor to PTAs and other staff, is she falling short by not following the state's practice act?