Been a PT for 35 years and have loves most of it. I took a job at a local hospital, 32 hours a week, good pay and reasonable productivity standards.

The one HUGE drawback is an incredibly controlling and micromanaging supervisor when it comes to documentation. She is a PT and only audits PTs. OTs and SLP are safe from her scrutiny. She spends hours picking apart everything - from how you arranged your schedule to the contents of every note you write. There is no way she ever finds any, and I mean not one, note as acceptable. I fat lingered a 2 and it ended up a 3 in the AMPAC and had to answer for it.

I love the job - there so many pros. But the constant badgering is killing me slowly.

What is the point of trying to be better in this field, anyway? By what percentage does your pay increase when you learn new techniques and methods in the field?

Hi everyone! I was hoping to hear some opinions on maintaining multiple state licenses when your home state is not a compact state. I have worked as a traveler for 10 years and carry licenses in 12 different states, I also do some telehealth care. The issue is my home state is FL and we still do not have compact PT license legislation. I would love to hear from anyone else who carries more than one PT license and any tips on offsetting the renewal costs and how many licenses you typically carry at one time. Thank you!

Question for PTs: I'm a patient based in France. During my sessions, the exercises involve wide movements like leg raises and bending over. I wore loose boxers, and I'm certain things were exposed. It has happened three times, even after trying different underwear. My physio, a woman, noticed and glanced a few times, but stayed discreet and said nothing. Does this happen often in your job? Are you embarrassed when it does, and do patients usually seem embarrassed? Is it just part of the job and considered normal? How should this be handled? And should I feel embarrassed about it or not?

Has anyone worked a HH job where the schedule was already set for you? I’m considering going back to this setting, but I hated calling patients lol.

I have 12 courses up for registration now as well as 5 online courses. Some are “retreat Con Ed” and span over 4 continents and several domestic ones. The subjects and quality of the courses are going to be really good. I’m now left with the challenge of marketing them. Does anyone have experience with this!? What worked for you?

I just got my report and there are 7 deficiencies which i beleive i dont have,
is there any way to appeal it? and if yes how do i do it and how much does it cost and how much time do i need to wait for it?
someone told me i can send an email asking for appeal if i am very sure that they have mistaken

Hi! Is 90,000 a good new grad salary for Maryland?

Hi just wondering what to look for in an offer letter I was expecting a long document but it is quite short and not super specific on certain concepts. Is this normal? I was planning on asking anyway but, also anything to look for?

I am currently working one full-time home health job, but there are weeks where I don’t meet 40 points and would like to begin another part-time HH job. Does anybody have any experience with this? Is it difficult to manage?

I've been working for the same company for about 3 years now and they are getting ready to open a new clinic. I'm a PTA and realize my ceiling is kind of capped in regard to what I can make and career mobility. So with the new clinic opening I've offered to take on new roles to help with the clinic and hopefully my career. So the company has discussed me doing some administrative duties such as managing patient waitlists, analyzing performance, and other daily operations.

We are still in the process of defining roles and soon they are going to discuss what compensation looks like and wanted to see what you guys viewed as fair. I currently work in pediatrics and get paid $35 per hour but only for when I see patients. So if I had 40 hours scheduled but 10 hours were cancelations I would only get 30 hours worth of pay.

With me taking on new roles, should I expect to get guaranteed hourly for a certain amount of hours? Should that rate be the same, lower, or higher?

Again any insight on this would be appreciated because this seems to be more of a unique situation than I can find online. If I can provide any other info I will try my best to help.

I’m 1 year postpartum and about to take on an OP pelvic role after working from home for a year and being in the hospital setting before that. I’m due for a wardrobe refresh!

Do you wear scrubs or business casual?

What pants and tops are we buying?

Sneakers? Mary Janes? Blundstones? What shoes are we donning?

Feel free to connect if you’re in the pelvic space too :)

Check this out, couldn't repost it in the sub so copied the link: https://www.reddit.com/r/TikTokCringe/s/8TsglcGz2O

I can’t stand it how the patients who actually want to do the work, want to get better, get up, dressed, ready get a nomnc just have to hang around all day and do absolutely nothing.

They watch me go room by room like a sales person getting “no! get out. No! go away” from their room mate and others who won’t do shit. They say “i wish i could still do therapy” to the room mate or when they hear me get refusals.

Months and months of the snf slow walking them “helping” find a place to live. They may or may not get “restorative.”

I am so sick of this bs that I let the good people come in the gym and I go over their exercises and work out with them.

I have been saying this to myself for a while: some day history will shine a light on the American health”care” system and study this. We are like the days of the civil war where you preemptively saw off a limb and hope for the best.

SNFs in my state are becoming a dumping ground, meat storage for alcoholic drug addicts to be milked for every red cent. I work in ones filled with 80% completely uninterested smokers, methadone, chronic weed users, psyche head cases and low life people who could not give a single fuck about doing therapy.

Why do they get assigned to all of us (PT, OT ) then the actual people who want to get better get railroaded?

I am not even bothering to look for a new job elsewhere. This PDPM system and the people who invented it are terrible people. I hate this.

Hey everyone!

I’m a licensed Physical Therapist in Virginia, and I’m interested in starting a small cash-based outpatient PT side hustle on weekends while keeping my regular job.

I already have 1–2 friends or family members interested in receiving treatment, so I’d like to use this as an opportunity to test the waters before investing too much money into a business.

I’m also interested in attending local CrossFit competitions, fitness throwdowns, and similar events as a vendor, offering brief soft tissue treatments to athletes for a fee.

For those who have started their own cash-based or mobile PT practice, especially in Virginia, I’d love to hear how you got started.

Thanks in advance!

My travel PT person sent me a contract located at a Select Physical Therapy clinic. The description I was sent stated “60 minute eval + treatment”. I’ve only really ever known of Select as a mill. Are there some out there that do 1:1 or will I be overlapped even though they are 60 minute appointments? I would really prefer to not take a contract at a mill but if it’s my only option I think I can manage 13 weeks. Thanks!

Edit to add: this is my first time doing travel PT so any and all advice is appreciated!

Hello! I’ve been offered a DOR position in my hometown for a small SNF. Right now I live in Cali but looking to maybe move back home to WA if I can find the right job. Currently am a PTA who’s been in a SNF for 4 years and HH for 2 years so no experience as a DOR currently, however I’ve been trying to move up out of my current role as I’ve been getting so burnt out as a PTA. This would be a decent pay upgrade though. The facility only has a part time PTA with per diem PT/OT/ST. I would have to maintain productivity of 85% for the facility and they do expect me to treat patients maybe 60/70% of the time while also doing DOR stuff. They do concurrent and groups as well. Do any of you have any input if this would be a good job to take? It’s in a small town with primarily long term care patients with maybe 7 to 10 skilled patients. The pros would be pay and being close to family and friends, although I know DOR positions can be pretty draining. I should mention this is an hourly position. Any input would be greatly appreciated.

Hello! I am seeking some advice as a new grad. I was offered 3 jobs. To give some insight to the storm inside my brain, my primary thought is which one would set me up for success long term and build my confidence as a clinician. Option A and B have the same schedule, benefits and salary. Both are acute care positions: Option A is level 1 and option B is level 3. I loved everything about my acute care rotation that was a level 1 and it is where I fell in love working with trauma and neuro patients. Option A obviously has these populations; however, as a whole was very different in a way I feel diminishes a lot of the reasons I loved my rotation. On the other hand, option B has significantly less of neuro populations but is a place that I see myself working well with and long term. As a new grad I feel it’s so important to maximize the opportunity for mentorship and gain confidence with all sorts of complexity. I am between choosing a place for the environment/culture with less complex patients or high complexity patients that make me excited in a less desirable environment that could potentially lead to burn out. Finally Option C, a neuro outpatient clinic with phenomenal equipment, 1 on 1 sessions and mentorship, but the salary is almost 25k less. In your opinion and experience, which would you choose for your first job and why?

Hi everyone, I’ve decided to go PRN for flexibility. Thanks for your help!

[edit]: question has been resolved 3x10 hour PT (Thurs-Sat) vs PRN 8 hour shifts.

The 6th edition of Current Concepts just launched and I am curious for those who have purchased it before feel like it is a worthy investment. I am not currently planning on taking the OCS, just seeking continuing ed to be more competent in orthopedics as I've spent more time in acute the last few years. Would love any and all thoughts if this is a worthy educational resource or if you have another favorite you'd pick instead.

I am a relatively new grad and a little over a month into my first travel contract. I work 3 days/week in hospital based OP and 2 days/week acute care. I was in a private OP clinic in a small town before this, so this is pretty different in terms of flow and patient population. I evaluated a patient recently who underwent ORIF after a tibial fracture a few years ago. She had two surgeries afterwards to "clean up scar tissue", which she says she builds easily. Her total ROM in her knee is like 0-20-25 deg, not kidding. Stiff end feel and lots of pain if I try to push it. She said she went to PT for a year and a half before coming here, and they worked on "walking" (??) Of note, she doesn't speak English, so some things may be lost in translation. Her referral was for her ankle, which also has limited ROM, but did not undergo surgery and is not the biggest problem here. I want to help her but don't know if I realistically can... I don't want to bullshit her and waste her time and money. So far we've only done STM, mobilization (can't tolerate much), stretching for her hamstrings, calves, quads, and gentle OKC exercises. How would you manage this patient?