10. This website uses cookies so that we can provide you with the best user experience possible. An overwhelming majority90 percent of patientsof those who could benefit from physical therapy are not receiving it. 16. Boards also must look at research and data to see if sanctions are harsher for minorities. A good starting point would be greater understanding the factors and causes of the lack of diversity within the profession. Students who identified as having disadvantaged backgrounds were nearly equally impacted by factors related to values + interests as they were by personal experience in making their decisions to pursue a PT career. 2017;4(4):599-606. doi:10.1007/s40615-016-0263-7. The survey was then administered by APTA through the Formsite.com website. Strive to understand the feedback and implement it if possible or, if not, explain why the board cannot implement it to ensure that the speakers know the board is listening to them, they are being heard. "The lack of diversity in allied health fields is shocking less than 5% of physical therapists, occupational therapists, speech-language pathologists, and audiologists are Black. Unfortunately, its difficult to unshackle ourselves from our biases, and they can rear their heads at any time, even when were actively trying to be fair. The programs goal is to support potential physical therapists in overcoming the most common barrier to entry: tuition or the burden of student debt, as well as creating an empowering community that will allow these future therapists to see themselves as an integral part of this thriving industry. Position and Rationale. At the basic, fundamental level, we are talking about human interactions and relationships. 2010;199(3):348-353. doi:10.1016/j.amjsurg.2009.09.021. 2012;76:151. In determining the most significant challenges facing professional PT education relative to URM student recruitment and retention, the DTF conducted and reported on a survey of program directors of professional PT education programs.5 Forty-five programs responded to the online survey representing 21.02% of the professional PT education community at the time. This position paper continues important conversations about supporting URM students into the PT profession. Search for Similar Articles This definition was subsequently adopted by ACAPT in October 2013 and in June 2014 the American Physical Therapy Association (APTA) House of Delegates adopted an amended definition of URM that is specific only to physical therapy education, realizing that increased diversity in education will translate to an increase in diversity within the profession.5,6. The response rate to the survey was low. It is crucial to be proactive about inclusion. But we cannot let that paralyze us and allow the status quo to continue unchecked. Board members should actively invite those who are not at the table. The data is equally grim for rehabilitation-related allied health professionals in physical therapy 10, occupational therapy 11, and speech-language pathology. Jesus Dominguez is an assistant professor of clinical physical therapy in the Division of Biokinesiology and Physical Therapy at University of Southern California. Indeed, the strategic plans, visions, and missions of these organizations do not adequately address these issues. Abstract. However, wed be remiss if we didnt look below the surface of this gap in accessibility and recognize the contribution of racial inequity. That . To achieve this increased representation within the profession, PT education must recruit, admit, and retain a more diverse student body. It is postulated that potentially qualified . When this occurs, the true benefit of the PT profession can be realized and enjoyed equally by all. In 2018, 50% of Black and African Americans with a serious mental illness did not receive mental health treatment. Following the adoption of the URM definition, the DTF undertook the second part of its charge: to affirm a rationale for promoting a diverse PT student population. Phys Ther. Sandstrom R, Bruns A. The Century Foundation. Subscribe to NPQ's newsletters to have our top stories delivered directly to your inbox. BIPOC patients are subject to the lingering effects of systemic racism perpetrated by healthcare institutions and providers. A lack of diversity could prevent patients from feeling wholly comfortable in a medical setting, which could then prevent them from engaging in open dialogue with their providers, thereby preventing them from receiving the best possible care. Mental health includes our emotional, psychological, and social well-being. Underrepresented minority students reported high use of online resources and lower use of advisors and faculty in obtaining information about the profession and about preparing to apply to professional graduate education programs. She has been involved with the Federation of State Boards of Physical Therapy as a member of the FSBPT Membership Survey Task Force, a member of the FSBPT Resolutions Committee, the Chair of the FSBPT Re-entry to Practice Task Force, and a recipient of the FSBPT Outstanding Service Award in 2018. J Natl Med Assoc. As we strive to reach our goals in health justicehigher-quality, lower-cost, patient-centered care that is accessible to allinclusivity is imperative. In 2011-2012, African American and Hispanic faculty combined composed slightly more than 5% of all core faculty at CAPTE-accredited programs. 1. She served the national association as a member of the ethics document revision task force. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Defining. She also served on the County Health Emergency Assistance Resource Team (CHEART), an affiliate of the Public Health Task Force for the Georgia Emergency Management Agency (GEMA) in the North Central Health District. The topic in question? 5) URM students reported using online resources more than advisors and faculty to obtain information about preparing for and applying to DPT programs. Denise Wise is a professor emerita at the College of St. Scholastica. Acknowledging the critical partnership between boards and executives, and the impact of that partnership on overall organizational success, BoardSource helps nonprofit leaders invest in their leadership partnership by providing research, thought leadership, and practical supports that help transform board structures, dynamics, and perspectives. Ruggie practiced in various clinical settings including acute care, in-patient rehabilitation, nursing home and long-term care, and in-school pediatrics. To be able to achieve this goal, PT educators must be culturally competent as well. 12 Thus the profound lack of diversity in physical medicine treatment staff is not in alignment with the natural occurrence of racial and ethnic groups in the larger population. 1. PT Magazine. Her primary passion is being a key advocate for her patients and aiding to diminish health disparities among minority groups through avenues of mindfulness and optimizing health & wellness. Am J Prev Cardiol. 970), that would allow physical therapists to participate in a student loan payment program if they practice in rural or underserved areas. Dumas-Hines FA. However, a major drawback of ECT is its cognitive side effects. Perhaps one of the best ways to help improve the ability of Black Americans to enjoy the benefits PT has to offer is to provide education. Open codes were then compared and consolidated into categories or axial codes through four iterations. 2007;87:1181-1193. Brett Sears, PT, MDT, is a physical therapist with over 20 years of experience in orthopedic and hospital-based therapy. Additionally, URM students also identified patientPT relationships and inclusion + diversity as important in their decision-making. Biases arent just limited to race, ethnicity, and gender; they can crop up around religion, age, sexual orientation, or socioeconomic class. Personal experience was a strong influence for all groups, but is the primary influence for white students (Figure 2A). If you disable this cookie, we will not be able to save your preferences. Career assets were also influential for all groups, but URM students, and disadvantaged students in particular, differentially reported a strong influence of values + interests (Figure 2B). This study of the perceptions and experiences of physiotherapists identified a lack of ethnic diversity within the profession. She served the New Jersey Chapter as Secretary and President, and as a delegate and chief delegate to the House of Delegates. And, more often than not, these quiet, unconscious, implicit biases slip entirely under our radar and affect our hiring practices, even when we think were being totally fair. Age regression is when a person reverts to a younger state of mind. During perhaps one of the most memorable discussions I've been part of over the course of my four-year tenure as a Graham Sessions participant, we came to some difficult realizations about not only our industry, but also ourselves. Board report. Please address all correspondence to Victoria Moerchen. When navigating differences, people can be insecure; therefore, navigating them effectively requires vulnerability, humility, and courage. (Learn more here.) Regression is a normal and temporary condition for children, and it can be a coping mechanism for stress and untreated trauma in adults. J Phys Ther Educ. Consider this case study about the Boston Symphony Orchestra. Even if we have state-mandated initiatives, how the board adopts these initiatives can make a huge difference. Your email address will not be published. What is diversity? This leaves many patients of color unable to find a provider from their same racial or ethnic background, potentially resulting in worse health care outcomes . Research shows that this diversity gap prevents many BIPOC patients from finding providers who they perceive can identify with themand this can lead to differences in treatment outcomes. A special acknowledgment is given to Johnette Meadows, PT, MS, APTA Program Director for Minority and Women's Initiatives whose insights and enduring efforts helped inform the work of the DTF. Whereas this was the primary influence reported by white students, values and interests were equally impactful for disadvantaged students. 2802/S. Im going to say this outright: diversifying the therapist pool and making an active effort to combat our biases will not hurt us. Monahan B. Healthcare providers must take positive action to ensure barriers to care are removed, education about beneficial services is delivered, and racial bias in care is squashed. Ideally, recruitment needs to start before college or even high school. To date, this has not been achieved, and the diversity gap in professional PT education is widening. Additionally, two open-ended questions were designed to further our understanding of influences on students' decision to pursue PT education. The racial and ethnic distribution in the rehab therapy industry does not match the wider racial and ethnic distribution across the US. These data do not point to new insights, but instead confirm that recruitment is a comprehensive and long-term commitment.20 Additionally, fewer students from nonwhite and disadvantaged backgrounds identified making late career decisions to pursue PT. Nancy has been active in the American Physical Therapy Association since she was a student. 2. Institutional strategies to achieve diversity and inclusion in pharmacy education. Am J Pharm Educ. Some of that information is relevant, but often, it is not, and our brains have learned how to use shortcuts to filter, sort, and use that information the split second after we take it in. and B.W.Y.) met to extract themes from the responses and develop the coding scheme for the data. nsive definition of underrepresented minorities (URMs) in professional physical therapy education was recently expanded to include educational, economic, and geographic disadvantage in addition to race and ethnicity. Diversity Among Survey Respondents Compared to 20162017 CAPTE, Survey Respondents Report of Disadvantaged Background by Race, Age at Which DPT Students During 2015 Decided to Pursue PT as a Career Option, Sources of Support Used While Exploring Physical Therapy as a Career Option, Presented in Relative Order of Most Used to Least Used Based on the Data Collapsed Across All Respondents, Referral to DPT Program for Academic Planning by Race, Role of Minority Faculty in Decision to Apply to and/or Attend a DPT Program, Coding Schema that Emerged From Examining the Open-Ended Responses to the Question Please Describe Any Other Factors Affecting Your Decision to Pursue a Physical Therapist Career, Frequency of Axial Codes by Groups Within Selective Code Categories: (A) Experience and Influence, (B) Values and Fit. 1) With data collapsed across race and ethnicity, 34% of the sample reported educational disadvantage, 9.6% reported economic disadvantage, and 4.5% reported geographic disadvantage. Code development based on review of all responses resulted in 40 open codes that were condensed into 12 axial codes which were ultimately captured by two selective codes: Experience and Influence and Values and Fit (Table 7). Take a look at this table: It compares data from the US census, our 2019 industry survey, and the APTAs survey of its member demographics. Hispanic or Latino and Black or African American therapy professionals are especially underrepresented in our industry. Author Michele Wojciechowski reports how several PTs' diverse backgrounds have helped them offer person-centered care that is sensitive to patients' needs and beliefs. 16414 San Pedro Avenue Suite 805, San Antonio TX 78232 888.709.7096, 2023 Evidence in Motion, LLC. If thats not enough to sway your opinion, Im going to leave you with one last factual tidbit. Artificial Intelligence in Medicine and Physical Therapy, Using Claims Data to Identify Risks in PT Practice, Using the Board Assessment Resource (BAR) Tool as Part of Strategic Planning, A Discussion of Diversity in Physical Therapy Regulation, President's Perspective: Being Nimble in 2020 and Beyond, An Overview of Traumas Impact on Boundary Violation Investigations, Communicating with Key Stakeholders: Lessons from the Nevada Funeral and Cemetery Services Board, Overcoming Barriers to Participation in the ELDD, Setting the BAR: The Board self-Assessment Resource, An Impossible Dream? Journal of Physical Therapy Education32(3):209-217, September 2018. 2008;63(8):860-866. doi:10.1093/gerona/63.8.860, Leukhardt WH, Golob JF, McCoy AM, Fadlalla AMA, Malangoni MA, Claridge JA. Get new journal Tables of Contents sent right to your email inbox, Academy of Physical Therapy Education, APTA, http://www.aacp.org/governance/HOD/Documents/White%20Paper%20on%20Admissions%202015.pdf, http://www.acapt.org/docs/default-source/reports/diversity-task-force-final-report.pdf?sfvrsn=2, http://www.capteonline.org/uploadedFiles/CAPTEorg/About_CAPTE/Resources/Aggregate_Program_Data/AggregateProgramData_PTPrograms.pdf, http://www.ptcas.org/uploadedFiles/PTCASorg/About_PTCAS/PTCASApplicantDataRpt.pdf, http://www.acapt.org/images/AC-1-13_URM_Definition_PASSED.pdf, https://www.census.gov/quickfacts/table/PST045215/00#headnote-js-a, JOPTE_32_2_2018_03_05_MOERCHEN_JOPTE-D-18-00035_SDC1.pdf; [PDF] (162 KB), Purposeful Recruitment Strategies to Increase Diversity in Physical Therapist Education, Articles in PubMed by Victoria Moerchen, PT, PhD, Articles in Google Scholar by Victoria Moerchen, PT, PhD, Other articles in this journal by Victoria Moerchen, PT, PhD, Privacy Policy (Updated December 15, 2022). A 2016 study published in the Journal of Racial and Ethnic Health Disparities found that about 8% of Americans with self-reported arthritis have at least one in-office PT visit each year. We argue that this may be critical for efforts to increase recruitment and admission of URM students. Gain access to our exclusive library of online courses led by thought leaders and educators providing contextualized information to help nonprofit practitioners Ruggie continues his active role in regulation and public protection by serving as a public member on the Oregon Mortuary and Cemetery Board. Theres no denying it. These challenges may include organizational intent and leadership. He currently owns a private practice that has been operational since 2008 and also works per diem as a Home Health Physical Therapist in a local regional hospital.In 2011, Ruggie was appointed to the Oregon Physical Therapy Licensing Board and completed his second four-year term in 2019. Educational, socioeconomic, and/or geographic disadvantages were indicated by students from all racial categories. We cant ignore this problem any longer. The education community should go beyond just being intentional with recruitment and also provide additional services to students with different needs. United States Census Bureau. It has been shown that ethnically diverse students transform both the universities they attend and the health industries that they join post-college. Students who identified as white (alone or in combination with other categories) responded to the survey more than any other group; compared to white respondents, only 11.91% of respondents represented all other racial categories, alone or in combination. It is Moral Injury: Why Should Regulators be Concerned? Some groups experience difficulty in higher education because of systemic . Some error has occurred while processing your request. Adrienne D. Price, RN, BA, MSN, obtained her associates of science in nursing from Macon State College, her bachelor of arts degree from Mercer University, and her masters of science in nursing from the University of Phoenix. A workforce that is reflective of the population it serves can have greater cul In a recent incoming class at Rutgers University, 51 percent of students identified themselves as part of an underrepresented minority. At any given time on any given day, our brains are bombarded with millions of pieces of information. 8. Each communication included the link to the survey. She received the Lucy Blair Service Award and was elected a Catherine Worthingham Fellow from National APTA and received an Outstanding Service Award and the President's Award from the FSBPT. Although studies have examined factors predictive of graduation and licensure success of PT students including URMs, these studies have not specifically explored the extent to which diversity factors impact student recruitment.7-14, Three common initiatives to support the successful recruitment of URM students across medicine, dentistry, nursing, and pharmacy include student mentorship, pipelines, and enhancement programs. I recognize that this, all around, is a very tough topic to discuss, but its one that we absolutely cannot ignore, especially when the US in the midst of so much racial turmoil. Phys Ther. Additionally, a third reviewer (J.D. Importantly, unconscious bias and false stereotypes about pain levels and drug use have resulted in a deep mistrust of the healthcare system. Specifically, nine survey questions were closed-choice, asking students to select one or more responses from a predetermined list of options, and two questions were open-ended. It affects how we think, feel, act, handle stress, relate to others, and make choices. People of color tend to have worse outcomes when they are referred to physical therapy after an injury or illness that causes limited functional mobility. A 2016 study published in the Journal of Racial and Ethnic Health Disparities found that about 8% of Americans with self-reported arthritis have at least one in-office PT visit each year. Practice Advice in Physical Therapy Regulation, The 2018 FSBPT Membership Survey and the Building Blocks of Success, Leveraging Operational Metrics to Help Justify State Board Regulatory Decisions, Licensing Authorities Contact Information, NPTE Two-Year Ultimate Pass Rates by School, Presentation & Educational Materials for Members, Criminal History Record Information/Criminal Background Checks, Diagnostic and Procedural Imaging in PT Practice, Supervised Clinical Practice Evaluation Tool, Sexual Misconduct and Boundary Violations, 2020 Annual Meeting Webinar panel discussion, the disproportionately low racial and ethnicity data stands out, Physical Therapy Minimum Data Set (PTMDS), 2% identified as African-American or Black, 1% identified as American Indian or Alaskan Native, 1% identified as Pacific Islander or Native Hawaiian, 1% identified as African-American or Black, 0% identified as American Indian or Alaskan Native, 0% identified as Pacific Islander or Native Hawaiian. People of color attend PT less in outpatient therapy settings, inpatients settings, and in-home care. Many do not attend physical therapy in any setting, be it outpatient therapy, inpatient rehab, or home care physical therapy. The field's continued lack of diversity stems from educational barriers. Brett Sears, PT, MDT, is a physical therapist with over 20 years of experience in orthopedic and hospital-based therapy. Physical Therapy & Sexual Misconduct: What You Need to Know, Caring for a Loved One After Total Joint Replacement Surgery, Breast Cancer Treatment Barriers for Black Women, Mastectomy and Breast Reconstruction: Considerations for Black Patients, Benefits and Considerations for In-Home Physical Therapy, Breast Cancer Risk: Disparities That Affect Black Women, Physical Therapy for a Pectoralis Major Tear, Racial and Ethnic Health Disparities Exist in Every State, Report Finds, The Intergenerational Impact of Racism on Health, Type 2 Diabetes Management Barriers in People of Color, Physical Therapy for Post-Intensive Care Syndrome, Key facts on health and healthcare by race and ethnicity, Disparities in the COVID-19 pandemic: A clarion call for preventive cardiology, Rehabilitation services use and patient-reported outcomes among older adults in the United States, Race/ethnicity and outcomes following inpatient rehabilitation for hip fracture, Follow-up disparities after trauma: A real problem for outcomes research, Institutional racism in the health care system, Racism, inequality, and health care for African Americans, Disparities in access to outpatient rehabilitation therapy for African Americans with arthritis, CDC COVID-19 response health equity strategy: Accelerating progress towards reducing COVID-19 disparities and achieving health equity, Lack of availability of outpatient physical therapists who can meet the needs of Black Americans, Location of PT offices may affect accessibility for Black Americans, Hours of operation and ease of scheduling office visits for PT may not fit the needs of Black Americans, Family responsibilities, lack of time, or lack of child care, Federal government intervention to collect and analyze data and to ensure health and social programs address the needs of the Black community, The use of public health officials to connect providers, educators, transportation, and service organizations to help improve health access and outcomes in the Black community, The use of community organizations to connect people of color to appropriate medical services and to help remove barriers to those services, Education of healthcare providers to the specific needs of Black Americans and to create collaborative models of care across the healthcare spectrum.

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