2018-2019 Pitt-Marquette Challenge: Get On The List!
The Foundation for Physical Therapy Research, the only organization nationwide solely dedicated to funding physical therapy research, wants your school to be part of the 2018-2019 Pitt-Marquette Challenge!
The 2018-2019 Pitt-Marquette Challenge deadline is April 18, 2019.
Make your donation online today to be sure your school is on "The List." All participating schools will receive national recognition and the winners will be announced at the Foundation Awards Luncheon and Chicago PT Party hosted during APTA's NEXT conference on Thursday, June 13, 2019.
If mailing donation after April 18, 2019, send us an email and let us know.
Chicago: The Windy City, the City of Big Shoulders
Estimated Reading Time: 7 minutes
I've been lucky to call Chicago home for 7 years now, and I still find something new and exciting to do in this city nearly every week.
From some of our country's coolest museums and dynamite food to the splendor of the lakefront in the summer, Chicago has it all.
Fortunately, this June I'll share my beloved city with my profession for the 2019 NEXT Conference and Exposition.
Things to do and see
Summer in Chicago means baseball season, and we have 2 incredible stadiums to check out if you're a fan of America's favorite pastime. Unfortunately, during the conference the Cubs will be out of town, but the White Sox are hosting the Yankees during the weekend of NEXT. The White Sox play at Guaranteed Rate Field just south of downtown, which you can get to on the Red Line "L" train. Grab some tickets online, hop on the red line, and enjoy!
Not far from the Hilton Hotel where NEXT 2019 will be held is the museum campus, home to Shedd Aquarium, The Field Museum, and my personal favorite, the Museum of Science and Industry. All 3 have exhibits that are sure to interest you! The experience at the Museum of Science and Industry, for all my anatomy nerds out there, to Sue the T-Rex fossil at the Field Museum, who boasts nearly 53,000 Twitter followers, are all within walking distance from the Hilton, as is Soldier Field where the Chicago Bears play.
If you're looking to relax and reflect after days of learning and networking, Chicago has some of the most beautiful parks and attractions, such as Millenium Park, home of the iconic Bean, Maggie Daley Park, Buckingham Fountain, and Navy Pier.
If sightseeing and shopping are more your speed, look no further than The Magnificent Mile in the heart of Chicago's downtown. There are endless shopping opportunities, including the Water Tower Place, located on the northern end of the Mag Mile. Along the way, you can find the original Water Tower, the most iconic structure left in the wake of the Great Chicago Fire of 1871.
Catch some spectacular views of the city at the John Hancock Building, also located on the Mag Mile, which offers a 360° observatory view on the 94th floor. Another option includes the Sears Tower also known as the Willis Tower, which has a sky deck with just as impressive views.
If sightseeing from thousands of feet in the air isn't your thing, Chicago has a rich history of architecture that can be experienced through one of many boat tours along the Chicago River.
Outside of the museum campus, Chicago is home to the Art Institute located in Grant Park. Here at one of the nation's largest museums, you can explore many different exhibits, including the modern wing, the Renaissance era, the history of American art as well as paintings and sculptures from around the world—the Thorne Rooms are my favorite. If you go, I recommend that you visit the Impressionism works, where you can see the original pointillism painting that Cameron stares so deeply into in the movie Ferris Bueller's Day Off. The history housed in the Art Institute is incredible, but if you're looking for more up-to-date works, I suggest checking out the Museum of Contemporary Art.
If you're looking for your chance to see Hamilton, this might be your chance. Broadway in Chicago offers tickets to many different musicals and plays located at 5 different theaters throughout the city, bringing you only the best Off-Broadway. If comedy is more your thing, Second City puts on nightly improvisation and sketch comedy shows. Notable alumni of Second City company members include Steve Carell, Tina Fey, and Stephen Colbert, just to name a few.
If you're on a stringent entertainment budget, Chicago has plenty of free events offered in the summer. Located in Millenium Park, the Grant Park Music Festival offers free shows to the public in the beautiful Jay Pritzker Pavilion. You also can find free fitness at the Pavilion, and on Saturday mornings, public Pilates, yoga, tai chi, and Zumba are offered. Just be sure to bring your own mat!
A bit further north, the Lincoln Park Zoo charges no admission fee for you to explore animals from around the world. Some highlights of the zoo include the massive lion and gorilla habitats, the penguin cove, and the seal pool. Make sure to catch the nature boardwalk located at the zoo; it has one of the best skyline views. The Craft Brews at the Zoo festival is happening the same weekend as NEXT 2019. By purchasing a ticket to the festival, you have the choice of more than 120 craft beers to taste during your visit.
Getting around the city
As far as transportation goes, the first thing that has to be mentioned is the Lakefront Trail, an 18-mile long stretch encompassing Chicago's share of Lake Michigan, passing many of the city's attractions. You can pick it up near the hotel and take it past Soldier Field, the Museum Campus, or up to Navy Pier. Go for a walk, a run, or rent a Divvy bike to experience Chicago's beautiful lakefront.
If you want to travel to some of Chicago's other 77 neighborhoods, the public transit system can get you to where you need to go. Your access pass to the transit system is the Ventra Card. You can get a several-day pass or load a card with money at a variety of Ventra locations.
Chicago's neighborhoods are like small towns unto themselves—each with different feels, cultures, and attractions to see. While it's impossible to see them all in a short time, the West Loop is just a short jaunt west. West Town and Wicker Park are to the northwest, and Lincoln Park and Lakeview are to the north, all with plenty to eat, drink, and see.
Food and drinks
One of Chicago's biggest draws is our diverse and incredible bevy of restaurants. From our famous deep dish pizza to hot dogs to fine dining, Chicago has it all. I turned to one of my classmates, Spencer Fang, to provide an exhaustive list of restaurants at a variety of neighborhoods around the city. He has incredible taste, but I wouldn't miss getting a hot dog at one of our yellow and red hot dog stands, if you're looking for good food quick.
Of course, the Chicago Deep Dish. There are several options throughout the city, and you really can't go wrong with any of them (although if I'm honest, Lou Malnati's is my personal favorite!).
Portillos: Chicago style hot dogs and Italian beefs in a Chicago institution
Avec: Get here early for the bacon stuffed dates and truffle focaccia
Au Cheval: Upscale diner with one of the best burgers in Chicago, but expect to wait
Garrets Popcorn Shop: Different flavored popcorns to satisfy all taste buds
Near the NEXT conference
Mercat a la Planxa: Catalan tapas in an upscale modern space with great sangria
Devil Dawgs: Multiple different topped hot dogs right off the Roosevelt red line stop
Stan's Donuts: Delicious donuts and coffee – what more needs to be said?
Revival Food Hall: Modern food hall with a wide variety of restaurants to choose from
Nando's Peri Peri: Afro-Portuguese chicken in a fun environment
Cindy's: Drinks with an unmatched view of Millennium Park
Wicker Park/West Town
Paulie Gee's: Awesome Detroit style pizzas
Lula Café: Classic Midwestern cuisine, with focus on local ingredients
Daisies: Seasonal pastas and vegetables with a great selection of craft cocktails
Pretty Cool Ice Cream: Innovating popsicles
Fat Rice: Macau food that is one of a kind in the US
Twain: Midwest cuisine with a focus on Mark Twain's upbringing
- Field: Cool sports bar with chef crafted dishes and a giant patio
Chicago is the third largest city in the country and full of culture and life that reflects its size and its spirit.
I hope that everyone who comes to NEXT 2019 has the pleasure of experiencing even just a small sample of what it has to offer, and comes back to visit again soon!
Join us June 12-15, 2019, for NEXT 2019 in Chicago, Illinois. Early bird discounts end April 5.
Ryan Pawloski, SPT, is a student at the University of Illinois at Chicago. You can connect with Ryan on Twitter at @RyanPawloskiSPT.
Promoting a Culture of Health Within Business: PT Is Key
Estimated Reading Time: 5 minutes
We face a pivotal moment in the health of America—an inflection point.
Either we will change how we function as a society or we will face a growing decline in the health and well-being of Americans. Other countries continue to grow in life expectancy, while here in the United States (US) it has begun to drop.
In 2013 the National Research Council and Institute of Medicine detailed a "strikingly consistent and pervasive pattern of higher mortality and inferior health in the US beginning at birth."1 This pattern is called the US health disadvantage and affects all socioeconomic groups. Even upper income groups are in worse health compared with similar groups in other countries. And the gap is growing wider.
In the US the obesity epidemic is fueling this disadvantage. More than 1 in 3 adults and 1 in 6 children are obese, with $150 billion in added health care costs annually. More broadly, in 2012 about half of all US adults had 1 or more chronic diseases, and 7 of the top 10 causes of death are related to these chronic diseases.2
Over 70% of all premature deaths are attributable to 3 factors: how we use our feet (physical inactivity), our forks (diet), and our fingers (tobacco use).3
In 2016 the US spent more than $3 trillion on health care, about 18% of our gross domestic product.4 We continue to lose nearly $226 billion in productivity per year because of personal and family health issues. In fact, in 2016 the US spent over $10,000 on medical care for every man, woman, and child.4 That's 50% more than the second most expensive nation.
All of this is preventable.
The impact of US health disadvantage spread well beyond the health care sector.
Businesses are hurt by poorer health as well. A less healthy workforce is more expensive to insure. Individuals are more likely to be absent from work or come to work sick and possibly infect other employees. Poorer health reduces productivity in the workplace as well. If the community in which you seek employees is less healthy with less adequate housing or schools, this will negatively affect the bottom line.
On the other hand, we have growing evidence from around the nation and the world that business leaders who care about health can turn that into a positive business strategy.
For example, research demonstrates that high sustainability companies significantly outperform their business competitors over the long-term. These companies use performance reporting to their boards as an essential element of corporate governance. We also know that the share prices of companies that prioritize health outperform the S&P average on all tests.
So moving forward, increasingly health conscious consumers will drive companies to innovate their products and services to meet these new demands.
What we are really talking about is building a culture of health in our communities.
The Robert Wood Johnson Foundation defines a culture of health as one where individuals and social entities, such as households and businesses, can make healthy life choices within an environment that promotes options for health and well-being for everyone, and where the healthy choice becomes the valued and easy choice.5
Building a culture of health means improving American society so that everyone has the best chance to live a healthy life.
All around us today we see growing imbalance and disparities among Americans between those with resources and those without. Health is a highly important dimension of that broader disparity. A culture of health encourages an integrated approach, where your good health and that of your family are at the center of American life. This involves much more than just medical care. In addition, a healthy life for you, your family, and your business also involves things, such as financial protection, well-being, good education, and essential public services like clean water and clean air.
We know that these kinds of gains also help businesses to thrive and grow by improving productivity and increasing capital investments. The dollars that we waste in America on fixing poor health depress wages, reduce profits, divert money from other important investments, and create a cycle that further accelerates poor health outcomes.
America's good health is a major part of our wealth. This applies to all US businesses, so they can stay vibrant and competitive.
Businesses increasingly understand that good health across our entire US population is essential. Yet businesses can do more and need to do more to address health to improve their own companies and society at large. Please remember, every business is in the health business.
Where do physical therapists fit?
Physical therapists offer tremendous value in helping businesses transition to a culture of health.
Many employers are integrating physical therapists into in-house treatment teams to provide the right care to the right people at the right time.
Triaging and treating musculoskeletal complaints quickly and effectively can decrease the cost of health care for companies and improve the productivity and health of their employees.
An even larger opportunity exists in preventing the need for health care in the workplace. Working with employers means that we have to shift our mind-set away from "I treat the person in front of me" and toward "I work to manage limited resources in the best way possible."
Creating a culture of health means not just treating individuals when problems happen, but removing the need for care in the first place. Physical therapists are well positioned to assist in preventing health care needs through optimizing activity, nutrition, recovery, and overall health in the workforce.
Collaborating with businesses moves physical therapists out of clinics and into communities—an essential step to meeting our vision of transforming society.
Zachary Rethorn, PT, DPT, is owner of Rethorn Physical Therapy and Wellness, a telehealth concierge physical therapist practice. He is a board-certified orthopaedic clinical specialist, certified health coach, PhD student in health promotion and wellness, and faculty development resident at Duke University. You can connect with Zachary on Twitter @ZacharyRethorn or by email at email@example.com.
Woolf SH, Aron LY, eds. U.S. Health in International Perspective: Shorter Lives, Poorer Health. Washington, DC: The National Academies Press; 2013.
Jones DS, Podolsky SH, Greene JA. The burden of disease and the changing task of medicine. N Engl J Med. 2012;366(25):2333–2338.
Mokdad AH, Marks JS, Stroup DF, Gerberding JL. Actual causes of death in the United States, 2000. JAMA. 2004;291(10):1238–1245.
Keehan SP, Poisal JA, Cuckler GA, et al. National health expenditure projections, 2015-25: economy, prices, and aging expected to shape spending and enrollment. Health Aff (Millwood). 2016;35(8):1522–1531.
Chandra A, Acosta J, Carman KG, et al. Building a national culture of health: background, action framework, measures, and next steps. Rand Health Q. 2017;6(2):3.
Knowledge Gaps of the Physical Therapist With the Limb Salvage Recovery Process
Estimated Reading Time: 4 minutes
September 11, 2001, is a day that every single one of us can recall exactly where we were and what we were doing.
The tragedies that took place on this day were followed by 2 gruesome wars: Operation Iraqi Freedom (OIF) and Operation Enduring Freedom.
Due to our adversaries' use of improvised explosive devices, these wars brought with them mass casualties that we had never seen before.
US servicemen and women were returning home with missing limbs; something that we were not used to seeing.
The influx of mass causality called for immediate action to understand how to best rehabilitate the men and women.
My passion for this patient population began when my uncle reenlisted in the Army and entered OIF. I remember coming home from school every day and turning on the news to see updates from the war, praying that I would never see him on TV.
They would talk of warfighters returning home without limbs. The second-grade me did not understand how these men and women would ever walk again.
As years went by and the war went on, highlights from the National Naval Medical Center and Walter Reed Army Medical Center (now known as Walter Reed National Military Center) began to showcase the rehabilitation of these service members. They would show soldiers taking their first steps with their new legs and interview the rehab team. These stories were so powerful and so moving that I knew this was a line of work that I wanted to follow for the rest of my life.
We have come a long way since the early 2000s with our treatment of individuals with limb loss.
Prosthetic advancements have opened a whole new world to this population, such as the Paralympic Games and Invictus Games. There now exists a clinical practice guideline for amputation rehabilitation, and we are better suited to provide optimal care to this population.
But while we've made progress in amputation care, there seems to be a giant gap in our knowledge when it comes to limb salvage. In fact, we do not even have a solid consensus on what limb salvage even means.
I was invited to attend the 8th Department of Defense State-of-the-Science Meeting, focusing on limb salvage and recovery after blast-related injury, and had a sort of epiphany.
Throughout my time in physical therapy school, I have been focused on the wound management side of amputation (eg, postoperation incision management, blisters from poor socket fitting), and my only focus was that people with limb loss will have integumentary issues, so I better be an expert in wound management. It never really occurred to me that I may treat a patient one day after a severe trauma, who was able to keep their limb. With that realization, I was energized, curious, and eager to learn more.
This meeting had an array of professions represented, but from the rehab side of things, it was apparent that we had a huge gap in our knowledge for treating a patient whose limb was saved.
What is the proper rehab dosing for this population? What mode of rehab should we provide? When is it considered too early to weight bear? What type of frequency and intensity should we be working this population at?
The answer is we are not sure.
It seems like everyone else's major focus has been on the amputation side of things and that we missed out on the other side of traumatic limb injury: salvage. This is a crucial topic that we as physical therapists and physical therapist assistants need to understand.
As Joseph Caravalho, MD, MG (retired), president and CEO of the Henry M. Jackson Foundation for Military Medicine stated: "Our goal should be to make people want to keep their limb."
We need to identify outcome measures to use with this population to determine successful limb restoration, but also identify reasons leading to the transition of an amputation. We need to define a proper rehabilitation protocol to follow when working with limb salvage and make it applicable across all stages of rehab (acutely and long-term).
Managing this population certainly requires an interdisciplinary approach, and physical therapists should stand at the forefront—I know I will.
Michelle Jamin, SPT, is a student at Elon University. You can connect with Michelle on Twitter at @Michelle_Jamin.
Podcast: Financial Tips for Students and New Grads
Listening Time - 36:37
Pursuing a career in physical therapy is a significant investment—of time, emotion, and also money. When it comes to managing the financial cost of launching a physical therapy career, students and new grads often have the same questions—questions about credit ratings, debt burden, and loan repayments.
To help answer those questions, APTA offers the Financial Solutions Center, which includes a financial education program powered by Enrich, and a student loan refinancing program provided by Laurel Road. Joining us for this podcast are Kevin Soehner from Enrich and Alex Macielak from Laurel Road to help answer some of those common financial questions.
Here's our conversation with Kevin and Alex.
Episode coming April 2019
To explore more tools and information to help you make the best financial decisions possible, visit APTA's Financial Solutions Center, available to APTA members.
APTA Podcasts like this one are available on iTunes, Google Play, and Spotify, or visit APTA.org/Podcasts.
Spring 2019: Student Involvement Opportunities
PT and PTA students looking for involvement and engagement opportunities, get excited! APTA and the APTA Student Assembly have a bunch of volunteer positions and events coming up, and we want you to volunteer.
March 8, 2019: Core Ambassador Applications - Extended deadline
March 15, 2019: National Student Conclave Project Committee - Application deadline
"The NSC Project Committee was an incredible way for me to connect with other students and unite in planning my favorite conference- represent what appeals to students while contributing in the planning of this amazing event"
March 18, 2019: APTA Federal Advocacy Forum - Registration deadline
"All the federal level issues were laid out in a way that even a first-year student like me could understand. Walking into Senate and House offices as an advocate for physical therapy was an exhilarating experience that taught me even one voice can make a difference."
April 1, 2019: House of Delegates Usher - Application deadline
"No better way to learn about policy than to be right in the middle of it! LOVED volunteering as a House usher last year!"
April 5, 2019: APTA NEXT Conference registration - Early bird registration ends
Ongoing: Student Network For 2019 House of Delegates - Join in to make your voice heard!
"I'm so excited and proud that the new Student Policy Network is live! Having more student voices involved in the House of Delegates benefits the whole APTA- we really are #BetterTogether"
Ongoing: 2019 APTA National Advocacy Dinners
Ongoing: Present the APTA Value Talk - Share the value of APTA membership with PTs, PTAs, and students
Ongoing: Share your APTA Love Story
Ongoing: Write for the APTA Student blog (The Pulse)!
Don’t see anything of interest? Check out the student involvement guide and sign-up for the new APTA volunteer portal, APTA Engage.
Unsure how you want to get involved and engaged? We encourage you to contact Jacob Raecker, SPT, Nominating Committee Chair-Elect, APTA Student Assembly Board of Directors, or Sara Scarbro, SPT, Nominating Committee Member, APTA Student Assembly Board of Directors to find the best involvement opportunity for you and your schedule.
Head Over Heels for APTA
Estimated Reading Time: 1 minute
I am head over heels for APTA.
My love story started in Miami, Florida, at National Student Conclave (NSC) 2016.
I was riding the bus to a Special Olympics event, held as a Miami-Dade County chapter community service opportunity for NSC attendees. I was lucky enough to be involved in planning this event.
Naturally, as happens in love, there were some road bumps in the planning: the bus was late, the event time got moved up at the last minute, it literally rained on our parade, and some students weren't able to make the ride in time.
Nonetheless, there we were, a whole bus full of eager PT and PTA students ready to make a difference.
These student volunteers, who came to NSC from across the country, were as unique as jigsaw puzzle pieces, wondering what exactly they signed up for. And in all honesty, I really didn't know how this thing was going to go. I've been involved in my local Special Olympics chapter, but I'd never planned an event like this before. What in the heck did I think I was doing?
Right before my eyes, the random mish-mash of unique jigsaw pieces came together in a magnificent tapestry of humanity.
As a group, the student volunteers and I provided an event that allowed us to tap into our passions, while providing an incredible experience, fantastic companionship, and an endless memory to these Special Olympic athletes.
It was then that I felt it. The butterflies bursting in my chest. This was my home. Right here with these people, the very students that I would now go through life and into my career with to make a difference in our communities, country, and world.
I love APTA. We are APTA.
Domenic Fraboni, PT, DPT, is a practicing clinician in Minnesota. You can connect with Domenic on Twitter at @fraBONAFIDEdpt.
Want to share your APTA love story? Submit it here! Haven't had such an experience or moment? We encourage you to contact Kaylee Pobocik, SPT, Director of Membership, APTA Student Assembly Board of Directors to discover APTA value and opportunities.