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Physical Therapists: Interprofessional Education Series

Core IM

Episode 4 of the CORE IM team's Interprofessional Series with the American College of Physicians focusing on learning from physical therapy experts.

First, listen to the podcast. After listening, ACP members can take the CME/MOC quiz for free.

CME/MOC:

Up to 0.5 AMA PRA Category 1 Credits ™ and MOC Points
Expires August 5, 2023   active

Cost:

Free to Members

Format:

Podcasts and Audio Content

Product:

Core IM

Welcome to Core IM, a virtual medical community! Core IM strives to empower its colleagues of all levels and backgrounds with clinically applicable information as well as inspire curiosity and critical thinking. Core IM promotes its mission through podcasts and other multimodal dialogues. ACP has teamed up with Core IM to offer continuing medical education, available exclusively to ACP members by completing the CME/MOC quiz.

  1. Pearl 1: Don’t forget to mobilize your inpatients
  2. Pearl 2: Tips on effective documentation 
    • Start by documenting what a patient’s baseline mobility level
      • How far could they walk?
      • Did they require any sort of assistive device?
      • Were they walking around only inside their house or around their community as well?
      • Do they require another person’s help to get around or are they independent?
      • Other diagnoses that may relate to ambulatory problems 
      • Symptoms that limit ambulation
    • Documenting a patient's change in functional status from admission in their discharge summaries is often neglected but very useful information for other providers and physical therapists when the patient follows up as an outpatient. 
    • Some hospitals may discourage physical therapists from recommending site specific locations to allow for more leeway amongst the discharge planners
    • If you don’t understand the physical therapy note or need more specific information about potential patient disposition it’s sometimes easiest to just ask them.
  3. Pearl 3: Don’t be afraid to escalate a patient’s physical therapy
  4. Pearl 4: Tips on ordering durable medical equipment
    • Examples of durable medical equipment (DME) include but aren’t limited to wheelchairs, walkers, hospital beds, power scooters, portable oxygen equipment, orthotics, and prosthetics
    • Rolling walkers are a good choice for patients with cardiopulmonary conditions because it allows them to brace themselves on their DME for a rest break if needed
    • If you are in a skilled nursing facility (SNF) or are a hospital inpatient, DME is covered under Medicare Part A. Otherwise, it is covered under Part B
    • Medicare will typically only cover 80% of the cost of DME so patients have to pay the other 20% which can become a financial barrier
    • Medicare does not cover:
      • Equipment mainly intended to help you outside the home
      • Most items intended only to make things more convenient or comfortable. This includes stairway elevators, grab bars, air conditioners, and bathtub and toilet seats
      • Modifications to your home, such as ramps or widened doors
    • We may sometimes neglect to document things like symptoms that limit ambulation, current assistive devices, or reasons why their current devices aren’t effective in assisting with their ability to perform ADLs.
    • Power Mobility Devices (PMD), which includes power scooters (~$800) and power wheelchairs ($1000-3000) are covered under the Medicare Part B Durable Medical Equipment benefit. 
      • To qualify for a POV:
        • The patient must have a mobility limitation that significantly impairs his or her ability to participate in one or more Mobility-Related Activities of Daily Living (MRADLs) in customary locations in the home
        • The patient can’t use cane or walker 
        • The patient does not have enough upper extremity function for a normal wheelchair
  5. Pearl 5: Tidbits about physical therapy reimbursement

Contributors

Shreya Trivedi, MD, MA - Executive Producer

Christopher Tan, DO - Producer

Jason R. Falvey, PT, DPT, PhD - Guest

Rachel Walton-Mouw, PT, DPT - Guest

Sharon L. Gorman, PT, DPTSc - Guest

Reviewers

Jennifer M. Ryan, PT, DPT, MS, CCS

Kim Levenhagen, PT, DPT, WCC, CLT, FNAP

Those named above unless otherwise indicated have no relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on, patients.

Release Date:  August 5, 2020

Expiration Date: August 5, 2023

CME Credit

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American College of Physicians and the Core IM.  The American College of Physicians is accredited by the ACCME to provide continuing medical education for physicians.

The American College of Physicians designates each enduring material (podcast) for 0.5 AMA PRA Category 1 Credit™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABIM Maintenance of Certification (MOC) Points

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.5 medical knowledge MOC Point in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program.  Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

How to Claim CME Credit and MOC Points

After listening to the podcast, complete a brief multiple-choice question quiz. To claim CME credit and MOC points you must achieve a minimum passing score of 66%. You may take the quiz multiple times to achieve a passing score.