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Tony Bare, PT, DPT, ATC, describes Bare Physical Therapy, his cash-pay private practice in Laramie, Wyoming, as "totally a primary care environment."

Primary Care

(In 1994, the National Academies of Sciences, Engineering, and Medicine's Health and Medicine Division, then known as the Institute of Medicine, defined primary care as "the provision of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing within the context of family and community."1)

Bare practices across the gamut of physical therapy—pediatrics to geriatrics, orthopedics to neurology. He fashions orthotics in his garage. He performs cranial therapy in a side gig as part of the concussion protocol team for the University of Wyoming's football team. He also volunteers twice a month at Laramie's Downtown Clinic, which offers comprehensive primary health care to low-income, uninsured residents. There, Bare works as part of a collective unit with physicians, pharmacists, nurses, social workers, and other providers.

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  1. Donaldson M, Yordy K, Vanselow N, eds. Defining Primary Care: An Interim Report. Washington, DC: National Academies Press; 1994. https://www.nap.edu/read/9153/chapter/2. Accessed September 17, 2018.
  2. Boissonnault WG. Primary Care for the Physical Therapist: Examination and Triage. Philadelphia, PA: Elsevier Saunders; 2004, 2011.
  3. American Physical Therapy Association. Annual Checkup by a Physical Therapist. http://www.apta.org/AnnualCheckup/. Accessed September 17, 2018.
  4. Ries E. Community health promotion: reaching beyond the clinic. PT in Motion. 2018;19(4):16-23.
  5. American Physical Therapy Association. Primary Care and the Physical Therapist: Lessons From the Military. http://www.apta.org/Blogs/PTTransforms/2018/9/11/MilitaryLessons/. Accessed September 17, 2008.
  6. Moore JH, McMillian DJ, Rosenthal MD, Weishaar MD. Risk determination for patients with direct access to physical therapy in military health care facilities. J Orthop Sports Phys Ther. 2005;35(10):674-678.

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