With all the changes occurring in healthcare, physical therapists are required to be increasingly vigilant in accuracy of billing and services provided. Catchphrase words like "qualified", "necessary", and "skilled" are all but mandated in PT assessments and documentation so that services billed qualify (there it is again) for third-party reimbursement. As autonomous Doctors of Physical Therapy, we are expected to constantly improve and adjust and progress the treatments for our patients. The question "What makes this skilled?" must be answered with every chosen intervention.
Broad exercise protocols for all shoulder patients won't work anymore; simply watching patients go through their exercises won't, either.
It seems a majority of millennials (like me) aren't into the church thing. Getting up, heading to church and warming a pew while we watch the exercises on the stage... There's no thinking – just observing. No one bothers to answer the question, "What makes this skilled? What makes this beneficial?"; no one bothers to ask it, either. It's just a one-size-fits-all protocol that's rarely tailor made for anyone.
When your health is declining, you go to rehab. You ask someone to instruct you in concise, clear ways to progress and get better. It's an active process that requires planning and thought.
Church is rehab, too. An active, ongoing process that should result in progress and return of function. But it can't make any change if it can't actively and continually answer "Why is this intervention chosen? What makes this beneficial?" So it is with all areas of growth. Every deficit identified in your life requires a specific intervention.
Don't allow yourself to just watch a protocol; answer "What makes this skilled?"
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