APTA Future of Rehab Therapy Summit: PREVIEW

WEBVTT

00:00:05.831 --> 00:00:06.472
She's Katie Sutton.

00:00:06.492 --> 00:00:07.171
I'm Jimmy McKay.

00:00:07.432 --> 00:00:08.753
And we're giving a future of

00:00:08.772 --> 00:00:11.015
rehab therapy summit preview.

00:00:11.074 --> 00:00:12.516
We're both I'm in D.C.

00:00:12.596 --> 00:00:13.377
You will be in D.C.

00:00:13.416 --> 00:00:13.797
shortly.

00:00:14.538 --> 00:00:15.999
And this is an event that

00:00:16.039 --> 00:00:17.160
this is the first time they're doing it.

00:00:17.179 --> 00:00:18.561
They've done some things like this,

00:00:18.580 --> 00:00:20.283
like innovative talks.

00:00:20.323 --> 00:00:22.324
You were on stage for one.

00:00:22.463 --> 00:00:22.864
What was that?

00:00:22.905 --> 00:00:23.425
What was that one?

00:00:23.524 --> 00:00:23.824
Oh, yeah,

00:00:23.885 --> 00:00:25.126
that was the future of physical

00:00:25.146 --> 00:00:26.608
therapy at the Centennial.

00:00:29.414 --> 00:00:30.435
So that was a couple years ago.

00:00:30.675 --> 00:00:32.338
But the idea is get a bunch

00:00:32.357 --> 00:00:33.859
of people in the room who

00:00:33.939 --> 00:00:34.920
all have a vested interest

00:00:34.979 --> 00:00:37.481
in what the future is going to look like.

00:00:37.881 --> 00:00:38.722
Let's put some people in the

00:00:38.743 --> 00:00:40.503
room who might have some ideas.

00:00:41.104 --> 00:00:42.345
They're going to present those ideas.

00:00:42.686 --> 00:00:43.326
And then the future is

00:00:43.466 --> 00:00:45.408
actually going to be something close,

00:00:45.448 --> 00:00:46.709
but not exactly what these

00:00:46.728 --> 00:00:47.249
people predict.

00:00:47.729 --> 00:00:48.549
If you look at history,

00:00:48.731 --> 00:00:49.851
that's sort of the way it works.

00:00:49.911 --> 00:00:50.212
Probably.

00:00:50.631 --> 00:00:50.951
Yeah.

00:00:50.991 --> 00:00:53.014
So let's set the stage here.

00:00:53.293 --> 00:00:54.875
So we're entering a future,

00:00:54.896 --> 00:00:55.957
I was doing some research,

00:00:56.017 --> 00:00:58.158
where more people will need therapy.

00:00:58.338 --> 00:00:59.840
And we're purposefully

00:00:59.880 --> 00:01:00.841
saying therapy and not

00:01:01.000 --> 00:01:02.061
physical therapy because

00:01:02.762 --> 00:01:04.162
this is the future of rehab therapy.

00:01:04.222 --> 00:01:07.445
So the president, the CEO,

00:01:07.506 --> 00:01:09.447
presidents of the APTA,

00:01:09.468 --> 00:01:11.750
but also AOTA and ASHA,

00:01:11.769 --> 00:01:12.829
which is occupational

00:01:12.870 --> 00:01:13.790
therapy and speech therapy,

00:01:14.031 --> 00:01:14.531
will be there.

00:01:14.792 --> 00:01:15.552
So we're sort of looking at

00:01:15.572 --> 00:01:16.393
this and saying, like,

00:01:16.993 --> 00:01:17.713
we're going to be affected

00:01:17.733 --> 00:01:18.814
by the same things.

00:01:19.256 --> 00:01:19.516
Yeah.

00:01:20.623 --> 00:01:21.983
our successes or failures

00:01:22.024 --> 00:01:23.245
will be tied together how

00:01:23.265 --> 00:01:24.646
will we solve this so more

00:01:24.686 --> 00:01:25.927
people will need therapy

00:01:25.947 --> 00:01:26.947
than ever before going into

00:01:26.966 --> 00:01:28.308
the future every single day

00:01:28.408 --> 00:01:29.989
more people will be over

00:01:30.009 --> 00:01:31.189
the age of sixty five and

00:01:31.230 --> 00:01:32.191
under eighteen or some

00:01:32.230 --> 00:01:34.012
statistic I saw aging

00:01:34.052 --> 00:01:35.093
populations chronic

00:01:35.153 --> 00:01:37.433
conditions and also in a

00:01:37.453 --> 00:01:38.575
good way a growing area of

00:01:38.635 --> 00:01:40.996
interest of of movement

00:01:41.037 --> 00:01:41.977
health like people are

00:01:42.137 --> 00:01:43.959
trying to be healthier

00:01:44.418 --> 00:01:46.579
healthier than ever yeah I

00:01:46.599 --> 00:01:47.301
was actually looking you

00:01:47.320 --> 00:01:48.462
can find it anywhere you

00:01:48.481 --> 00:01:50.222
know it's at everyone's fingertips now

00:01:50.905 --> 00:01:51.105
Right.

00:01:51.305 --> 00:01:52.286
I was looking at a statistic

00:01:52.346 --> 00:01:54.268
of the average like

00:01:54.308 --> 00:01:55.347
drinking use and it's

00:01:55.388 --> 00:01:57.430
declined every year since

00:01:57.489 --> 00:01:58.271
nineteen ninety one.

00:01:58.331 --> 00:02:00.611
Like the average age of when

00:02:00.632 --> 00:02:01.593
people like start drinking

00:02:01.612 --> 00:02:03.394
and how much they drink has declined,

00:02:03.435 --> 00:02:03.935
which is like.

00:02:05.656 --> 00:02:06.677
It just shows the

00:02:07.697 --> 00:02:08.899
ineffectiveness of telling

00:02:08.919 --> 00:02:10.060
people not to do something

00:02:11.219 --> 00:02:11.980
when you have to just

00:02:12.020 --> 00:02:13.301
create the culture around

00:02:13.361 --> 00:02:15.563
it of why we don't we don't do that.

00:02:16.569 --> 00:02:18.971
and I'm using air quotes, like we do this,

00:02:19.050 --> 00:02:19.771
we don't do that.

00:02:20.092 --> 00:02:21.552
So if you want people to stop smoking,

00:02:21.693 --> 00:02:22.293
you need to create a

00:02:22.332 --> 00:02:23.074
culture around it where

00:02:23.093 --> 00:02:24.754
that's not what we do.

00:02:25.594 --> 00:02:26.936
Not finger wagging or

00:02:26.975 --> 00:02:28.016
putting restrictions or

00:02:28.037 --> 00:02:29.317
making cigarettes more expensive,

00:02:29.336 --> 00:02:30.157
that stuff doesn't work.

00:02:30.598 --> 00:02:32.218
So more and more people will need this.

00:02:32.818 --> 00:02:35.540
And yet, dun, dun, dun, plot twist.

00:02:36.061 --> 00:02:38.122
fewer and fewer people are

00:02:38.162 --> 00:02:40.424
choosing to become physical therapists,

00:02:40.463 --> 00:02:41.663
physical therapist assistants.

00:02:42.525 --> 00:02:43.866
I'm not actually sure if

00:02:43.925 --> 00:02:45.986
it's the same for OTAs or

00:02:46.007 --> 00:02:46.847
speech therapists.

00:02:47.048 --> 00:02:47.247
Yeah.

00:02:47.467 --> 00:02:47.668
I mean,

00:02:47.728 --> 00:02:48.889
from the trends that I've heard in

00:02:48.929 --> 00:02:51.069
higher education, it's across the board.

00:02:51.129 --> 00:02:53.731
It's not just a PT issue

00:02:53.752 --> 00:02:54.671
that we're going to be dealing with.

00:02:54.692 --> 00:02:55.872
This is across the board.

00:02:55.913 --> 00:02:58.213
This is definitely we're

00:02:58.234 --> 00:02:59.275
seeing it in health care.

00:02:59.354 --> 00:03:00.254
And maybe that's because

00:03:00.294 --> 00:03:01.376
we're so close to it that

00:03:01.415 --> 00:03:02.396
we feel a little more

00:03:02.516 --> 00:03:04.078
anxious about the fact that there's

00:03:04.858 --> 00:03:05.938
going to be less humans to

00:03:05.979 --> 00:03:06.740
fill these roles in the

00:03:06.780 --> 00:03:08.861
future but I think across

00:03:08.901 --> 00:03:10.163
the board in general in

00:03:10.203 --> 00:03:11.884
higher education again if

00:03:11.905 --> 00:03:13.485
there's the less people to

00:03:13.526 --> 00:03:15.008
put butts in the seats in

00:03:15.247 --> 00:03:16.829
universities and colleges

00:03:16.868 --> 00:03:17.949
then we're simply going to

00:03:17.969 --> 00:03:19.050
have less people graduating

00:03:19.111 --> 00:03:20.872
so I mean yes definitely a

00:03:20.913 --> 00:03:22.274
health care problem but

00:03:22.395 --> 00:03:24.676
also a higher education problem period

00:03:25.301 --> 00:03:26.522
Well, those two things are tied together.

00:03:26.663 --> 00:03:28.623
And then the rudimentary

00:03:28.663 --> 00:03:30.405
math is demand is going up,

00:03:31.284 --> 00:03:32.665
but supply is going down.

00:03:32.686 --> 00:03:35.067
So you're in higher education.

00:03:35.086 --> 00:03:36.307
You're paying attention to this.

00:03:36.388 --> 00:03:37.229
Let's start there, then.

00:03:37.989 --> 00:03:39.909
Why are less people who are

00:03:39.909 --> 00:03:41.131
– I'm going to use air quotes again.

00:03:41.251 --> 00:03:42.451
Why are less smart people

00:03:42.931 --> 00:03:45.032
choosing these things to go into?

00:03:45.152 --> 00:03:46.813
They're not even entering

00:03:46.894 --> 00:03:49.616
sort of the conveyor belt of –

00:03:48.675 --> 00:03:49.695
choosing this as a major,

00:03:49.776 --> 00:03:51.796
going through education, graduating,

00:03:51.856 --> 00:03:53.078
and then figuring out what

00:03:53.177 --> 00:03:54.419
part of the professions

00:03:54.438 --> 00:03:55.000
they want to be in.

00:03:55.360 --> 00:03:56.360
Why are they just simply not

00:03:56.401 --> 00:03:57.161
making this choice?

00:03:57.200 --> 00:03:58.521
What have you seen and heard?

00:03:59.423 --> 00:04:00.644
Well, I think it's varied.

00:04:00.864 --> 00:04:01.944
And I don't know that my

00:04:01.985 --> 00:04:02.966
problems are the same as

00:04:03.006 --> 00:04:03.906
the problems that somebody

00:04:03.925 --> 00:04:05.146
is having in a different state.

00:04:06.027 --> 00:04:07.169
But to me,

00:04:08.210 --> 00:04:10.510
I think students are just sharp and wise.

00:04:11.292 --> 00:04:12.752
They have more information

00:04:12.793 --> 00:04:13.774
at their fingertips than ever.

00:04:13.813 --> 00:04:15.335
And we say this all the time, right?

00:04:15.735 --> 00:04:15.955
I mean,

00:04:16.014 --> 00:04:17.697
so this is true in their

00:04:17.817 --> 00:04:19.158
educational process as well,

00:04:19.218 --> 00:04:21.720
but they can find other things to do.

00:04:22.680 --> 00:04:23.942
People are choosing to not

00:04:23.961 --> 00:04:25.083
go to college altogether.

00:04:25.223 --> 00:04:25.483
I mean,

00:04:25.903 --> 00:04:27.685
there's influencers that are making

00:04:27.786 --> 00:04:30.288
way more money than you can being a PTA,

00:04:30.447 --> 00:04:30.708
you know?

00:04:30.728 --> 00:04:32.329
So like there's a lot of

00:04:32.350 --> 00:04:33.271
different reasons why

00:04:33.670 --> 00:04:34.372
somebody is going to look

00:04:34.432 --> 00:04:36.192
at any profession and say, well,

00:04:37.394 --> 00:04:37.975
unpacking,

00:04:38.235 --> 00:04:39.036
you were talking about

00:04:39.136 --> 00:04:41.158
unpacking not that long ago, right?

00:04:41.278 --> 00:04:42.399
About unpacking a job.

00:04:42.439 --> 00:04:42.598
Like

00:04:42.963 --> 00:04:43.605
You go through,

00:04:43.987 --> 00:04:45.029
you kind of look at all the

00:04:45.471 --> 00:04:47.076
nitty gritty details of that job.

00:04:47.137 --> 00:04:48.240
And is this something I

00:04:48.321 --> 00:04:49.182
really want to do for the

00:04:49.202 --> 00:04:49.985
rest of my life?

00:04:50.569 --> 00:04:52.410
And this is the wage I'm going to earn.

00:04:52.810 --> 00:04:54.831
And this is the trajectory of the career.

00:04:55.130 --> 00:04:56.130
So people are looking at

00:04:56.170 --> 00:04:57.230
these things and it's not

00:04:57.310 --> 00:04:58.851
always attracted to everybody.

00:04:59.351 --> 00:04:59.651
Now,

00:05:00.213 --> 00:05:02.093
I think that people who really do

00:05:02.132 --> 00:05:03.233
desire to have that true

00:05:03.254 --> 00:05:05.173
connection with a patient

00:05:05.274 --> 00:05:08.254
and I want to help people,

00:05:08.675 --> 00:05:10.315
I want to give them a

00:05:10.355 --> 00:05:12.117
future and function and things like that.

00:05:12.156 --> 00:05:13.437
I think those people who are

00:05:13.497 --> 00:05:15.218
truly in it for that stay.

00:05:17.096 --> 00:05:18.237
So let's talk about unpacking.

00:05:18.257 --> 00:05:18.817
I don't know if that's

00:05:18.836 --> 00:05:19.697
something we talked about.

00:05:20.257 --> 00:05:21.798
I think we talked about it just offline.

00:05:22.197 --> 00:05:23.959
But unpacking was this article I found.

00:05:23.978 --> 00:05:25.360
It was actually called Face It,

00:05:25.480 --> 00:05:26.439
You're a Crazy Person.

00:05:26.600 --> 00:05:27.341
And I sent it to you.

00:05:28.000 --> 00:05:28.860
Did you think I was calling

00:05:28.880 --> 00:05:29.822
you a crazy person when you

00:05:29.862 --> 00:05:30.562
first saw the title?

00:05:30.682 --> 00:05:32.142
Yeah.

00:05:32.223 --> 00:05:32.262
No.

00:05:32.283 --> 00:05:34.704
I'm not really sure why he

00:05:34.923 --> 00:05:37.365
Adam Mastriani titled it Face It,

00:05:37.384 --> 00:05:38.185
You're a Crazy Person.

00:05:38.665 --> 00:05:39.646
But he said he meets a lot

00:05:39.665 --> 00:05:40.906
of people who don't like their jobs.

00:05:41.860 --> 00:05:43.242
Or when he asks them what

00:05:43.262 --> 00:05:44.524
they'd rather be doing, they,

00:05:44.685 --> 00:05:46.406
seventy five percent say something.

00:05:46.526 --> 00:05:47.829
And did you have you have

00:05:47.848 --> 00:05:48.629
you ever said this?

00:05:49.331 --> 00:05:50.211
They've said, I don't know.

00:05:50.591 --> 00:05:51.612
I would love to run a little

00:05:51.653 --> 00:05:52.654
coffee shop or something.

00:05:53.875 --> 00:05:55.896
And it's just weird how that

00:05:55.937 --> 00:05:57.418
or bed and breakfast or

00:05:57.497 --> 00:05:59.860
something always comes up.

00:05:59.940 --> 00:06:00.940
And I think people,

00:06:01.482 --> 00:06:02.262
for a couple of reasons,

00:06:02.723 --> 00:06:03.903
I've said this because I

00:06:03.944 --> 00:06:05.305
like going to coffee shops.

00:06:05.545 --> 00:06:05.826
Yeah.

00:06:05.925 --> 00:06:06.766
I think people like it

00:06:06.786 --> 00:06:07.968
because it seems like a big

00:06:08.007 --> 00:06:08.927
enough business that you

00:06:08.947 --> 00:06:09.928
can make a living on it,

00:06:10.129 --> 00:06:11.189
but not so huge that you

00:06:11.230 --> 00:06:14.132
can't sort of see other parts of it.

00:06:14.392 --> 00:06:14.774
Not going to be a

00:06:14.874 --> 00:06:15.995
multinational corporation.

00:06:16.295 --> 00:06:17.096
No one says I want to start

00:06:17.115 --> 00:06:17.956
the next Starbucks.

00:06:18.216 --> 00:06:20.759
What they say is they want a coffee shop.

00:06:20.798 --> 00:06:20.858
One.

00:06:21.358 --> 00:06:22.759
They feel like coffee is

00:06:22.800 --> 00:06:24.461
something a lot of people like,

00:06:25.021 --> 00:06:26.141
feel like they need.

00:06:26.341 --> 00:06:27.423
So there's demand.

00:06:28.223 --> 00:06:29.524
And if you provide the supply,

00:06:29.584 --> 00:06:30.845
you can make a business off that.

00:06:31.245 --> 00:06:33.047
It feels like it's net positive.

00:06:33.607 --> 00:06:34.887
Like no one, you know,

00:06:34.968 --> 00:06:36.709
outside of like multinational,

00:06:36.728 --> 00:06:37.750
like Starbucks or something

00:06:37.769 --> 00:06:38.589
where people like don't

00:06:38.629 --> 00:06:39.511
like how they're everywhere.

00:06:39.990 --> 00:06:40.812
A coffee shop.

00:06:40.851 --> 00:06:41.072
No,

00:06:41.132 --> 00:06:43.173
no one's protesting a coffee shop

00:06:43.233 --> 00:06:43.492
opening.

00:06:43.512 --> 00:06:45.834
You feel good in a coffee shop.

00:06:47.077 --> 00:06:48.639
And when you leave, people are like,

00:06:48.680 --> 00:06:50.521
so it makes me think of this image,

00:06:50.540 --> 00:06:51.661
which I've talked about before,

00:06:51.701 --> 00:06:52.663
which is Aikigai,

00:06:53.023 --> 00:06:55.165
which is a Japanese concept

00:06:55.204 --> 00:06:56.024
of reason for being.

00:06:56.065 --> 00:06:57.406
So you need four things.

00:06:57.487 --> 00:06:58.807
So I feel like the coffee shop,

00:06:58.968 --> 00:07:00.449
why I want to become a

00:07:00.608 --> 00:07:02.350
barista or own a coffee shop,

00:07:02.651 --> 00:07:04.271
it checks off four of these,

00:07:04.291 --> 00:07:05.173
I was going to say boxes,

00:07:05.213 --> 00:07:05.992
but really they're circles.

00:07:06.314 --> 00:07:07.675
So it's do what you love.

00:07:08.973 --> 00:07:09.853
what the world needs,

00:07:10.115 --> 00:07:11.036
what you can be paid for

00:07:11.096 --> 00:07:11.877
and what you're good at.

00:07:12.098 --> 00:07:13.740
So here's the problem that

00:07:13.901 --> 00:07:16.124
Adam actually unpacks or

00:07:16.324 --> 00:07:18.067
asks people to unpack when they say,

00:07:18.528 --> 00:07:19.569
I wanna do something like,

00:07:20.230 --> 00:07:21.531
I wanna open a coffee shop.

00:07:22.461 --> 00:07:23.541
He says, I asked them,

00:07:23.701 --> 00:07:25.723
what kind of coffee mug is the best?

00:07:26.302 --> 00:07:28.124
How much does a La Marzacoa

00:07:28.704 --> 00:07:30.146
espresso machine cost?

00:07:30.766 --> 00:07:31.346
Would you bake your

00:07:31.365 --> 00:07:32.526
blueberry muffins in house

00:07:32.567 --> 00:07:33.807
or would you buy them from a third party?

00:07:34.028 --> 00:07:35.189
What software would you use

00:07:35.209 --> 00:07:36.028
for your point of service?

00:07:36.269 --> 00:07:37.310
And none of these are things

00:07:37.329 --> 00:07:38.310
that people talk about when

00:07:38.331 --> 00:07:40.091
they want to open a coffee shop.

00:07:40.831 --> 00:07:43.012
what he's displaying is the

00:07:43.153 --> 00:07:44.074
outcome or the thing that

00:07:44.093 --> 00:07:45.694
you can see the sign of a

00:07:45.735 --> 00:07:46.896
coffee shop the smell of

00:07:46.915 --> 00:07:48.416
the beans is not actually

00:07:48.437 --> 00:07:49.377
what most of the job is

00:07:49.398 --> 00:07:51.379
about most of it is about

00:07:51.439 --> 00:07:52.240
decisions that have nothing

00:07:52.261 --> 00:07:53.300
to do with coffee it's

00:07:53.401 --> 00:07:55.043
staffing people what

00:07:55.083 --> 00:07:55.884
happens when your best

00:07:55.923 --> 00:07:57.504
barista calls in stick or

00:07:57.524 --> 00:07:59.807
quits like that's the job

00:08:00.067 --> 00:08:00.968
so that's where we went on

00:08:00.987 --> 00:08:02.189
a little tangent of like

00:08:04.747 --> 00:08:06.168
So he talks about unpacking,

00:08:06.389 --> 00:08:08.689
like take apart the job

00:08:08.829 --> 00:08:09.569
because we've been asked

00:08:09.589 --> 00:08:11.831
this since you were five years old.

00:08:11.891 --> 00:08:12.091
Right.

00:08:12.170 --> 00:08:13.071
What do you want to be when you grow up?

00:08:14.451 --> 00:08:16.232
And people just I did just

00:08:16.271 --> 00:08:17.973
instinctively answered to make the big,

00:08:18.012 --> 00:08:20.494
tall adult person happy or

00:08:20.514 --> 00:08:21.293
leave me alone.

00:08:21.314 --> 00:08:22.153
And then you're asked that

00:08:22.173 --> 00:08:23.093
when you go to college.

00:08:23.634 --> 00:08:24.154
So I think.

00:08:25.163 --> 00:08:26.524
Now that we understand unpacking,

00:08:26.644 --> 00:08:27.464
if you had a student

00:08:27.485 --> 00:08:28.225
sitting in front of you

00:08:28.264 --> 00:08:29.125
that was going to apply to

00:08:29.146 --> 00:08:31.047
your PTA program and says,

00:08:31.567 --> 00:08:32.629
I want to be a PTA,

00:08:33.048 --> 00:08:34.169
that's perfectly in line with,

00:08:34.350 --> 00:08:35.530
I want to run a coffee shop.

00:08:36.171 --> 00:08:37.052
How would you help them

00:08:37.111 --> 00:08:39.413
unpack what a day and a

00:08:39.453 --> 00:08:41.615
career as a PTA looks like?

00:08:41.735 --> 00:08:42.416
How would you, like,

00:08:42.456 --> 00:08:43.495
what would you need them?

00:08:43.797 --> 00:08:45.177
Because what I know about

00:08:45.217 --> 00:08:46.258
you is what you don't want

00:08:46.399 --> 00:08:48.340
is to get that kid,

00:08:48.360 --> 00:08:49.980
we call them kids because they're adults,

00:08:50.000 --> 00:08:50.400
but they're kids.

00:08:50.421 --> 00:08:51.162
Way younger than me.

00:08:51.182 --> 00:08:52.043
Way younger than me.

00:08:53.183 --> 00:08:53.945
you don't want to get that

00:08:53.965 --> 00:08:55.326
kid signed up and then ten

00:08:55.346 --> 00:08:56.469
years down the line realize

00:08:56.509 --> 00:08:58.892
that the unpacking that needed to be done,

00:08:59.072 --> 00:09:00.494
what the job was actually like,

00:09:00.934 --> 00:09:02.376
didn't look like the name or the title.

00:09:02.716 --> 00:09:05.301
So how do you unpack being a

00:09:05.321 --> 00:09:06.802
physical therapist assistant for people?

00:09:07.745 --> 00:09:08.845
Well, first of all,

00:09:09.024 --> 00:09:09.885
I think this is something

00:09:09.905 --> 00:09:11.005
that anybody listening to

00:09:11.025 --> 00:09:12.005
this podcast right now is

00:09:12.025 --> 00:09:13.527
going to recognize is that

00:09:13.567 --> 00:09:16.268
there's this perception,

00:09:16.488 --> 00:09:17.607
and maybe we'll talk about

00:09:17.868 --> 00:09:19.369
that a little bit later on,

00:09:19.729 --> 00:09:20.788
that we only work with

00:09:20.828 --> 00:09:22.049
certain populations or that

00:09:22.070 --> 00:09:24.409
we only do aftercare or

00:09:24.450 --> 00:09:26.591
that we're only following

00:09:26.650 --> 00:09:28.511
that injury or that surgery

00:09:28.532 --> 00:09:29.331
or something like that.

00:09:29.371 --> 00:09:30.773
So there's definitely that

00:09:30.832 --> 00:09:31.692
public perception.

00:09:32.192 --> 00:09:33.294
that somebody thinks I'm

00:09:33.315 --> 00:09:35.017
going to go into physical therapy.

00:09:35.157 --> 00:09:36.599
I'm going to work with athletes.

00:09:37.039 --> 00:09:38.160
I was an athlete myself.

00:09:38.181 --> 00:09:39.884
Like that's the story that I

00:09:39.923 --> 00:09:42.106
hear a lot is I had PT myself.

00:09:42.206 --> 00:09:43.248
And so, you know,

00:09:43.288 --> 00:09:44.509
this is why I want to do it.

00:09:45.291 --> 00:09:46.192
Every once in a while,

00:09:46.211 --> 00:09:47.134
you'll have that person

00:09:47.173 --> 00:09:49.397
who's like my experience next to PT was

00:09:50.206 --> 00:09:51.447
a person who had had a

00:09:51.488 --> 00:09:53.448
stroke in their family or an older adult,

00:09:53.509 --> 00:09:54.830
and you might have them see

00:09:54.870 --> 00:09:55.990
that inpatient side,

00:09:56.409 --> 00:09:57.571
but typically it's more of

00:09:57.591 --> 00:09:58.511
the outpatient side that

00:09:58.552 --> 00:10:00.493
they are recognizing and

00:10:00.592 --> 00:10:01.852
understanding when they come in.

00:10:02.234 --> 00:10:04.754
And so to me, it's a conversation about,

00:10:04.815 --> 00:10:05.095
you know,

00:10:05.115 --> 00:10:06.816
you're going to see very sick people.

00:10:07.876 --> 00:10:08.836
I have this conversation

00:10:08.876 --> 00:10:09.937
with students who want to

00:10:09.957 --> 00:10:11.678
come in and do pediatrics.

00:10:11.719 --> 00:10:12.099
And I'm like,

00:10:12.759 --> 00:10:13.659
Kids get sick too.

00:10:14.140 --> 00:10:15.263
And it's not always pretty.

00:10:16.183 --> 00:10:17.605
You might be on the floor in

00:10:17.625 --> 00:10:19.128
the cafeteria and you might

00:10:19.227 --> 00:10:20.428
be crawling around on the

00:10:20.448 --> 00:10:21.331
gym floor and it's

00:10:21.530 --> 00:10:22.692
disgusting and gross and,

00:10:23.133 --> 00:10:23.734
and things like that.

00:10:23.754 --> 00:10:23.913
You know,

00:10:23.933 --> 00:10:25.456
like we have to kind of really

00:10:25.515 --> 00:10:27.619
dive into what it really looked

00:10:36.567 --> 00:10:37.508
smell good all the time.

00:10:37.528 --> 00:10:38.828
We work with things that are

00:10:38.889 --> 00:10:39.349
kind of gross.

00:10:39.408 --> 00:10:40.168
We touch feet,

00:10:40.190 --> 00:10:42.169
we touch all of these different, you know,

00:10:42.210 --> 00:10:44.250
parts of the human body and

00:10:44.291 --> 00:10:45.130
are very close to it.

00:10:45.171 --> 00:10:46.751
So I try to have those

00:10:47.491 --> 00:10:48.993
conversations with students

00:10:49.393 --> 00:10:51.173
when they're coming into the program.

00:10:51.293 --> 00:10:52.653
And I'm very clear about

00:10:52.693 --> 00:10:54.134
that in class as well.

00:10:55.014 --> 00:10:56.535
But I mean, is that enough?

00:10:56.716 --> 00:10:58.116
I don't know.

00:10:58.216 --> 00:10:58.576
I mean, you,

00:10:58.736 --> 00:11:00.076
it sounds like you fight club them.

00:11:00.256 --> 00:11:01.217
Have you seen fight club?

00:11:02.741 --> 00:11:03.022
Okay.

00:11:03.062 --> 00:11:04.023
Well, I know what it is,

00:11:04.283 --> 00:11:06.563
but so fight clubbing is somebody wants,

00:11:06.583 --> 00:11:06.744
you know,

00:11:06.764 --> 00:11:07.544
they create this club and

00:11:07.565 --> 00:11:08.304
someone wants to come into it.

00:11:08.325 --> 00:11:09.264
And they're essentially just

00:11:09.284 --> 00:11:10.405
trying to weed people out.

00:11:10.426 --> 00:11:11.245
They're trying to convince

00:11:11.427 --> 00:11:12.326
more people that this

00:11:12.506 --> 00:11:13.307
actually isn't what you

00:11:13.347 --> 00:11:15.128
want because what it looks

00:11:15.168 --> 00:11:17.068
like from the outside, it ain't it.

00:11:17.149 --> 00:11:18.289
This is a lot of hard work.

00:11:18.330 --> 00:11:19.171
This is all those things.

00:11:19.530 --> 00:11:20.410
I mean, you know,

00:11:20.431 --> 00:11:21.511
my former career in radio,

00:11:21.572 --> 00:11:22.312
people would just say like,

00:11:22.331 --> 00:11:23.072
that's awesome.

00:11:23.133 --> 00:11:24.133
You talk on the radio.

00:11:24.513 --> 00:11:25.014
That's the easiest.

00:11:25.033 --> 00:11:26.293
That's the greatest job in the world.

00:11:26.533 --> 00:11:27.534
That was a,

00:11:27.554 --> 00:11:29.076
that was a decent percentage of it.

00:11:29.676 --> 00:11:30.957
But what people didn't see,

00:11:31.138 --> 00:11:32.399
the feet or the covered in

00:11:32.438 --> 00:11:33.360
whatever or crawling on the

00:11:33.379 --> 00:11:34.682
floor was when you have a

00:11:34.741 --> 00:11:37.745
bad day in your life and you will,

00:11:38.186 --> 00:11:39.586
you had to not bring that

00:11:39.628 --> 00:11:41.249
bad day to you that you're

00:11:41.269 --> 00:11:42.571
having to work.

00:11:42.811 --> 00:11:44.173
And you had to sort of be up

00:11:44.192 --> 00:11:45.173
or when you don't want to do it,

00:11:45.214 --> 00:11:45.494
whatever.

00:11:46.254 --> 00:11:46.495
you know,

00:11:46.554 --> 00:11:47.956
I get to go to really cool concerts.

00:11:48.096 --> 00:11:49.457
Like for every really cool concert I got,

00:11:49.778 --> 00:11:51.658
I got to go to, got to go to,

00:11:52.038 --> 00:11:54.600
I had to go to events that

00:11:54.620 --> 00:11:55.861
were not that great, you know, or,

00:11:56.042 --> 00:11:57.384
you know, I wasn't in the mood.

00:11:57.443 --> 00:11:59.125
So unpacking those things and,

00:11:59.304 --> 00:12:00.145
and to be dead honest,

00:12:00.285 --> 00:12:01.066
I don't know that I

00:12:01.125 --> 00:12:02.366
unpacked becoming a

00:12:02.407 --> 00:12:04.269
physical therapist as much

00:12:04.308 --> 00:12:06.890
as I should have before I went into it.

00:12:07.010 --> 00:12:08.991
I mean, I did, I did the whole, you know,

00:12:09.032 --> 00:12:09.493
shadowing.

00:12:09.533 --> 00:12:10.452
I think that's number one.

00:12:11.354 --> 00:12:13.495
is asking yourself after the

00:12:13.916 --> 00:12:16.839
the sheen wears off is this

00:12:16.859 --> 00:12:17.879
something you want to do

00:12:18.179 --> 00:12:20.642
now uh seth godin is a

00:12:20.662 --> 00:12:21.962
writer he calls it the dip

00:12:22.403 --> 00:12:23.563
and he's like at any start

00:12:23.583 --> 00:12:24.725
of anything you start here

00:12:24.825 --> 00:12:25.566
and then every once in a

00:12:25.586 --> 00:12:26.586
while doesn't matter no

00:12:26.606 --> 00:12:27.567
doesn't matter what it is

00:12:27.947 --> 00:12:29.769
there will be a dip and he

00:12:29.788 --> 00:12:30.769
called like other people

00:12:30.789 --> 00:12:31.750
have called it the suck

00:12:32.030 --> 00:12:33.072
like there will be the dip

00:12:33.152 --> 00:12:34.052
or the suck that you have

00:12:34.072 --> 00:12:35.474
to get through and if you

00:12:35.533 --> 00:12:37.135
like the thing enough you

00:12:37.155 --> 00:12:38.297
can have enough momentum

00:12:38.996 --> 00:12:40.197
I always pictured driving a

00:12:40.258 --> 00:12:43.179
car through a creek or a river.

00:12:43.679 --> 00:12:45.421
It's like how much you like

00:12:45.461 --> 00:12:46.181
something is how much

00:12:46.221 --> 00:12:47.341
momentum the car has.

00:12:47.402 --> 00:12:48.582
Because when you hit that creek,

00:12:48.602 --> 00:12:49.624
it's going to slow a lot.

00:12:50.224 --> 00:12:51.304
How much do you like to keep

00:12:51.345 --> 00:12:52.804
kicking to get to the other

00:12:52.845 --> 00:12:54.426
side to make sure you can keep going?

00:12:54.886 --> 00:12:56.106
So I think number one,

00:12:56.226 --> 00:12:57.467
unpacking and understanding

00:12:57.528 --> 00:12:58.408
if it's right for you.

00:13:00.145 --> 00:13:02.528
Or can we also this is what

00:13:02.587 --> 00:13:03.749
people want to do in part

00:13:03.769 --> 00:13:04.690
of the rehab therapy,

00:13:04.730 --> 00:13:07.653
the future of rehab therapy summit.

00:13:08.413 --> 00:13:09.313
How do we change the

00:13:09.354 --> 00:13:11.495
profession or how do we change the jobs?

00:13:11.855 --> 00:13:12.096
You know,

00:13:12.136 --> 00:13:14.077
I've talked about in a recent live stream,

00:13:14.379 --> 00:13:16.460
one of my co-hosts, Anthony Meritato,

00:13:17.081 --> 00:13:22.465
Tony said PTAs are an unused weapon.

00:13:23.542 --> 00:13:25.023
Instead of the PT having to, quote,

00:13:25.043 --> 00:13:27.424
do everything, which would burn you out.

00:13:27.725 --> 00:13:31.048
Like, could you utilize PTAs more?

00:13:31.208 --> 00:13:32.590
Does it make business sense?

00:13:32.629 --> 00:13:33.811
Does it make human sense?

00:13:33.831 --> 00:13:35.111
Does it make quality sense?

00:13:35.913 --> 00:13:36.974
And he says, yes.

00:13:37.033 --> 00:13:38.014
And this is a guy who's run

00:13:38.274 --> 00:13:39.816
a PT clinic for years and

00:13:39.855 --> 00:13:40.496
years and years.

00:13:40.836 --> 00:13:42.317
This is the suck that he's

00:13:42.357 --> 00:13:43.359
decided to embrace.

00:13:43.698 --> 00:13:45.441
And he leans into PTAs and

00:13:45.461 --> 00:13:46.782
says they're not utilized enough.

00:13:47.081 --> 00:13:48.102
It makes sense for your business,

00:13:48.143 --> 00:13:48.864
sense for your patients,

00:13:49.183 --> 00:13:50.065
sense for your well-being.

00:13:51.687 --> 00:13:52.307
Yeah, I agree.

00:13:52.628 --> 00:13:53.528
And I think that we're going

00:13:53.548 --> 00:13:54.889
to see a lot more leaning

00:13:54.950 --> 00:13:57.731
into PTAs coming up here in the future.

00:13:58.592 --> 00:14:02.856
APTA just released a study, I think.

00:14:03.356 --> 00:14:04.457
Please don't quote me on that,

00:14:04.498 --> 00:14:06.339
but it wasn't that long ago.

00:14:06.600 --> 00:14:07.500
Podcast, we're quoting you.

00:14:07.539 --> 00:14:08.201
Keep going.

00:14:08.280 --> 00:14:08.581
Okay.

00:14:10.985 --> 00:14:13.927
on the shortage of PTs that are coming up.

00:14:13.947 --> 00:14:14.628
So there's going to be a

00:14:14.668 --> 00:14:15.908
shortage of physical therapists.

00:14:15.947 --> 00:14:16.828
And we already talked about

00:14:16.849 --> 00:14:18.029
there's less humans going

00:14:18.149 --> 00:14:20.692
into higher education and

00:14:21.211 --> 00:14:22.133
definitely in physical

00:14:22.173 --> 00:14:23.413
therapy and healthcare professions.

00:14:23.452 --> 00:14:25.294
So if we have a shortage coming up,

00:14:25.654 --> 00:14:27.015
how can we fix this, right?

00:14:27.436 --> 00:14:28.797
So we know we have this

00:14:28.856 --> 00:14:30.138
whole chunk of physical

00:14:30.177 --> 00:14:33.080
therapist assistants that could easily, I

00:14:34.921 --> 00:14:36.462
they can bridge or go

00:14:36.503 --> 00:14:37.803
through a traditional DPT

00:14:37.844 --> 00:14:38.644
program and become a

00:14:38.684 --> 00:14:40.746
physical therapist if they wanted to.

00:14:41.106 --> 00:14:43.490
But we've made it so complicated.

00:14:43.950 --> 00:14:44.171
I mean,

00:14:44.191 --> 00:14:45.272
you still have to get your

00:14:45.292 --> 00:14:46.873
bachelor's degree and then

00:14:46.893 --> 00:14:48.174
you still have to apply.

00:14:48.514 --> 00:14:50.496
And even if you go to a bridge program,

00:14:50.957 --> 00:14:52.798
it's not like it's any

00:14:53.220 --> 00:14:54.581
shorter or different.

00:14:54.681 --> 00:14:56.682
It's just you're in a cohort of

00:14:57.583 --> 00:14:59.366
PTAs that are becoming DPTs as well.

00:15:00.027 --> 00:15:02.129
And that's not to knock

00:15:02.230 --> 00:15:04.152
either type of program.

00:15:04.633 --> 00:15:05.634
But what I'm saying is,

00:15:06.075 --> 00:15:07.635
why can't we make this a

00:15:07.697 --> 00:15:08.417
little bit easier?

00:15:08.538 --> 00:15:10.019
We know we're going to have this problem.

00:15:10.379 --> 00:15:11.160
Can there not be a

00:15:11.221 --> 00:15:13.363
multi-entry type of system here?

00:15:13.563 --> 00:15:15.306
Can you come into...

00:15:15.745 --> 00:15:16.726
the profession as an

00:15:16.767 --> 00:15:19.389
associate's degree PTA or a

00:15:19.849 --> 00:15:21.671
bachelor's level PTA or a

00:15:21.791 --> 00:15:24.793
master's level PTA or PT?

00:15:25.092 --> 00:15:26.053
Is there something in

00:15:26.114 --> 00:15:27.774
between that maybe I don't

00:15:27.794 --> 00:15:29.416
become a doctor of physical therapy,

00:15:29.716 --> 00:15:32.239
but I can be a master in

00:15:32.298 --> 00:15:33.600
physical therapy instead or

00:15:33.679 --> 00:15:34.740
something like that so that

00:15:34.759 --> 00:15:35.880
we can kind of bridge that gap?

00:15:35.941 --> 00:15:37.562
I mean, nursing already does this.

00:15:38.302 --> 00:15:40.163
There's already a roadmap out there.

00:15:40.264 --> 00:15:40.804
Yep.

00:15:41.265 --> 00:15:43.407
So if we could somehow

00:15:43.767 --> 00:15:45.288
alleviate some of this

00:15:45.707 --> 00:15:47.109
restriction that we have on

00:15:47.469 --> 00:15:49.870
getting PTAs through this system,

00:15:50.649 --> 00:15:51.630
we might be able to fill

00:15:51.650 --> 00:15:53.091
that gap a little bit and

00:15:53.191 --> 00:15:54.631
maybe we can fix things

00:15:55.269 --> 00:15:55.870
to some extent,

00:15:56.270 --> 00:15:57.572
such as burnout and

00:15:57.611 --> 00:15:59.614
perception and things like that.

00:16:00.014 --> 00:16:00.955
I mean, your patient,

00:16:01.755 --> 00:16:02.635
when you're seeing it, and yeah,

00:16:02.937 --> 00:16:04.337
informed consent and all of these things,

00:16:04.398 --> 00:16:05.259
and you're going to make

00:16:05.278 --> 00:16:07.220
sure that you introduce yourself as a PTA,

00:16:07.259 --> 00:16:08.461
but my patient doesn't

00:16:08.581 --> 00:16:09.542
always understand that.

00:16:10.003 --> 00:16:10.623
So they're like, oh,

00:16:10.643 --> 00:16:11.484
you're physical therapy.

00:16:11.543 --> 00:16:12.985
They group me together.

00:16:14.105 --> 00:16:14.907
Most of the time they group

00:16:14.966 --> 00:16:16.729
us with like OT too, you know?

00:16:17.109 --> 00:16:18.710
So like in their mind,

00:16:19.951 --> 00:16:20.871
I'm a professional that's

00:16:20.892 --> 00:16:21.711
coming in to work with them

00:16:21.751 --> 00:16:22.652
for physical therapy,

00:16:22.871 --> 00:16:23.932
the same as you coming in

00:16:23.972 --> 00:16:27.553
to work with them for physical therapy.

00:16:27.573 --> 00:16:28.614
They're looking for the outcome,

00:16:28.875 --> 00:16:29.875
which is what we teach in

00:16:29.894 --> 00:16:31.115
communications and business,

00:16:31.134 --> 00:16:32.635
which is don't really sell the how,

00:16:32.676 --> 00:16:35.616
but we love in healthcare or science,

00:16:35.697 --> 00:16:36.937
we love selling the how.

00:16:37.077 --> 00:16:38.518
We love overselling the how.

00:16:38.798 --> 00:16:39.999
We love selling the features

00:16:40.458 --> 00:16:41.499
and less on the benefits.

00:16:42.240 --> 00:16:43.700
And we love turf.

00:16:44.279 --> 00:16:46.020
So talking about-

00:16:48.562 --> 00:16:49.922
we love it we love to show

00:16:50.001 --> 00:16:51.182
off what we what we know

00:16:51.342 --> 00:16:53.643
I'm guilty of it myself and

00:16:53.923 --> 00:16:55.604
we we we can't not talk

00:16:55.644 --> 00:16:56.403
about the elephant in the

00:16:56.443 --> 00:16:58.203
room which is how we're how

00:16:58.244 --> 00:16:59.945
we get paid or our value

00:16:59.985 --> 00:17:01.705
financially and this is we

00:17:01.725 --> 00:17:02.264
could have a whole

00:17:02.304 --> 00:17:03.105
different conversation

00:17:03.144 --> 00:17:04.586
about value being financial

00:17:04.605 --> 00:17:06.365
or non-financial our value

00:17:06.405 --> 00:17:07.626
is dictated by someone who

00:17:07.666 --> 00:17:09.346
is not in the room which is

00:17:09.366 --> 00:17:11.086
a system that is known as

00:17:11.126 --> 00:17:13.307
the third party payment system which is

00:17:14.178 --> 00:17:15.200
which should anger you,

00:17:15.319 --> 00:17:16.121
which I didn't understand

00:17:16.141 --> 00:17:17.303
it before I came to healthcare.

00:17:17.482 --> 00:17:18.184
And now that I'm here,

00:17:18.224 --> 00:17:19.606
I feel like I understand it even less.

00:17:20.587 --> 00:17:21.990
It is convoluted and

00:17:22.030 --> 00:17:24.253
confusing and values

00:17:24.315 --> 00:17:25.537
certain things over others.

00:17:27.542 --> 00:17:28.423
I think the more that we can

00:17:28.442 --> 00:17:30.263
understand the system that we're in, yeah,

00:17:30.284 --> 00:17:31.503
by all means, try to change it.

00:17:31.564 --> 00:17:33.105
But like realistically

00:17:33.125 --> 00:17:34.585
understanding like through our lifetime,

00:17:34.644 --> 00:17:36.484
it probably won't change a whole lot.

00:17:36.986 --> 00:17:38.205
So that the other route,

00:17:38.945 --> 00:17:39.905
because right now the only

00:17:39.945 --> 00:17:41.326
way to get paid more in a

00:17:41.366 --> 00:17:43.366
third party payment system, well,

00:17:43.386 --> 00:17:43.988
there's a couple of ways.

00:17:44.307 --> 00:17:45.087
One is see more patients.

00:17:46.088 --> 00:17:48.210
But nobody signed on to do

00:17:48.330 --> 00:17:49.771
more work because there's a

00:17:49.832 --> 00:17:51.313
law of diminishing returns, right?

00:17:51.452 --> 00:17:53.653
After X number of patients,

00:17:53.854 --> 00:17:56.415
X plus fifty percent is

00:17:56.455 --> 00:17:57.336
going to bring you fifty

00:17:57.356 --> 00:17:58.076
percent more money.

00:17:58.096 --> 00:17:58.897
But it's also going to it's

00:17:58.917 --> 00:17:59.518
going to kill you.

00:17:59.678 --> 00:18:00.679
Like you're going to hate

00:18:00.719 --> 00:18:01.579
doing what you're doing.

00:18:02.140 --> 00:18:03.300
The other route or one of

00:18:03.340 --> 00:18:05.362
the other routes is innovation.

00:18:05.422 --> 00:18:06.363
And I feel like that's a lot

00:18:06.403 --> 00:18:06.903
of people in the

00:18:06.923 --> 00:18:08.124
conversation at the future

00:18:08.545 --> 00:18:09.585
rehab therapy summit that

00:18:09.605 --> 00:18:10.486
we're going to this week.

00:18:10.786 --> 00:18:11.346
Agreed.

00:18:11.846 --> 00:18:13.087
Entrepreneurship and innovation.

00:18:13.107 --> 00:18:14.288
You're going to see a lot of people doing.

00:18:15.088 --> 00:18:16.329
different things or doing

00:18:16.349 --> 00:18:18.230
the same things different ways.

00:18:18.471 --> 00:18:18.692
Yeah.

00:18:19.451 --> 00:18:20.353
Um,

00:18:20.373 --> 00:18:22.934
those things could or should be viable

00:18:22.994 --> 00:18:24.936
paths for PTs and PTAs to

00:18:25.017 --> 00:18:25.957
financial freedom,

00:18:25.977 --> 00:18:26.998
because that is part of the

00:18:27.038 --> 00:18:28.278
math equate equation that

00:18:28.318 --> 00:18:28.940
people are doing.

00:18:31.260 --> 00:18:32.622
What are you excited to take a look at?

00:18:33.343 --> 00:18:34.604
In terms of like,

00:18:34.624 --> 00:18:35.585
who do you think is doing it?

00:18:35.605 --> 00:18:37.766
Well, who do I think is doing it?

00:18:37.806 --> 00:18:39.126
Well, like innovating,

00:18:39.166 --> 00:18:40.448
even if it's not something you want to do,

00:18:40.488 --> 00:18:41.128
like, who do you look at?

00:18:41.148 --> 00:18:41.648
And you go?

00:18:41.729 --> 00:18:42.910
Yeah, they're pretty innovative.

00:18:42.930 --> 00:18:43.730
They're pretty cutting edge.

00:18:44.178 --> 00:18:44.377
Well,

00:18:44.498 --> 00:18:45.940
I don't know that I can just throw

00:18:46.000 --> 00:18:46.681
out some names,

00:18:46.721 --> 00:18:48.241
but I think that the tech

00:18:48.261 --> 00:18:49.943
companies that are trying

00:18:50.124 --> 00:18:52.066
really hard to like get

00:18:52.145 --> 00:18:53.567
into health care and show

00:18:53.606 --> 00:18:54.828
the value and the benefit.

00:18:54.909 --> 00:18:56.569
I mean, you work for a health tech company,

00:18:56.589 --> 00:18:56.891
too.

00:18:57.471 --> 00:18:57.691
Right.

00:18:57.711 --> 00:18:57.951
You know,

00:18:57.971 --> 00:18:59.933
like I still hear so much

00:18:59.993 --> 00:19:01.976
pushback on some of these

00:19:02.036 --> 00:19:03.277
innovative technologies.

00:19:03.336 --> 00:19:03.557
Yeah.

00:19:03.636 --> 00:19:05.179
And I'm like, man, we got it.

00:19:05.219 --> 00:19:06.220
We've got to lean into this

00:19:06.259 --> 00:19:06.901
and leverage it.

00:19:07.685 --> 00:19:09.906
I will give there there is a

00:19:09.926 --> 00:19:11.586
lot of pushback right I

00:19:11.626 --> 00:19:13.926
will attempt to explain why

00:19:14.547 --> 00:19:16.028
I feel like because I've

00:19:16.067 --> 00:19:16.508
only been in this

00:19:16.528 --> 00:19:17.468
profession for less than

00:19:17.508 --> 00:19:20.568
ten years people have been

00:19:20.608 --> 00:19:23.608
pitched and promised for so

00:19:23.669 --> 00:19:25.269
long and they've been burnt

00:19:25.910 --> 00:19:27.710
so they are on guard which

00:19:27.769 --> 00:19:28.950
makes complete sense like

00:19:29.351 --> 00:19:30.671
of course when you're a bright-eyed

00:19:31.637 --> 00:19:34.160
bushy tailed new PTA or PT, you're like,

00:19:34.180 --> 00:19:35.260
look at this shiny new thing.

00:19:35.280 --> 00:19:36.020
And I remember bringing

00:19:36.040 --> 00:19:36.642
those things to my

00:19:36.682 --> 00:19:38.303
professors in PT school and

00:19:38.323 --> 00:19:38.823
having them like,

00:19:38.843 --> 00:19:41.525
sort of like take a breath, like,

00:19:41.766 --> 00:19:42.006
and like,

00:19:42.086 --> 00:19:43.826
look at the promises that is not before.

00:19:44.807 --> 00:19:46.568
And you're like, no, no, no, this is new.

00:19:46.608 --> 00:19:47.529
This is innovative.

00:19:47.690 --> 00:19:47.849
But,

00:19:48.089 --> 00:19:49.612
and then you watch how the cycles of

00:19:49.632 --> 00:19:50.531
innovation go.

00:19:51.272 --> 00:19:51.373
Um,

00:19:52.897 --> 00:19:54.519
But instead of looking for

00:19:54.558 --> 00:19:56.141
the things that's going to ten X,

00:19:56.280 --> 00:19:58.823
looking for the ten percent improvements.

00:19:59.002 --> 00:19:59.903
And that's where I think

00:19:59.923 --> 00:20:02.145
that if you're looking for a panacea,

00:20:02.766 --> 00:20:03.767
one solution that's going

00:20:03.787 --> 00:20:05.828
to absolutely change everything, don't.

00:20:05.929 --> 00:20:07.089
Anybody who promises you that,

00:20:07.670 --> 00:20:08.330
run away from it.

00:20:08.851 --> 00:20:10.112
Someone who's promising you

00:20:10.633 --> 00:20:11.794
ten percent improvement or

00:20:11.834 --> 00:20:12.954
improvement over time,

00:20:13.255 --> 00:20:13.836
that's a little more

00:20:13.875 --> 00:20:15.656
realistic and more likely to happen.

00:20:15.876 --> 00:20:17.157
And they're small increments.

00:20:17.218 --> 00:20:18.740
And that makes a difference, right?

00:20:18.940 --> 00:20:21.021
Over time.

00:20:21.102 --> 00:20:21.281
Yeah.

00:20:22.275 --> 00:20:23.576
I mean, we'll talk about the tech company.

00:20:23.596 --> 00:20:24.757
We don't have to give a pitch,

00:20:24.797 --> 00:20:27.118
but if clinicians are

00:20:27.159 --> 00:20:29.019
saying administrative burden,

00:20:29.359 --> 00:20:31.142
that phrase was everywhere like three,

00:20:31.182 --> 00:20:31.961
four years ago,

00:20:32.041 --> 00:20:32.643
and then all of a sudden

00:20:32.663 --> 00:20:33.884
something else replaced it, right?

00:20:33.923 --> 00:20:34.564
I believe it was just

00:20:34.604 --> 00:20:35.744
reimbursement and burnout.

00:20:37.535 --> 00:20:38.954
AI scribing technology is

00:20:38.976 --> 00:20:39.796
essentially saying, oh,

00:20:39.875 --> 00:20:40.796
I see your administrative

00:20:40.836 --> 00:20:42.916
burden and I raise you this

00:20:43.116 --> 00:20:44.817
application that you can use today.

00:20:45.238 --> 00:20:47.097
And yet so many people are still very,

00:20:47.157 --> 00:20:50.159
very, very skeptical about if it's you,

00:20:50.219 --> 00:20:51.559
if it's a good utility and

00:20:51.819 --> 00:20:53.059
good use of their time or not.

00:20:54.000 --> 00:20:55.240
I say go bang on one like

00:20:55.260 --> 00:20:56.500
there's there's fifty companies.

00:20:56.540 --> 00:20:57.141
Go try one.

00:20:57.161 --> 00:20:58.521
The one I want is great.

00:20:59.082 --> 00:21:00.182
Go test drive a bunch.

00:21:00.363 --> 00:21:01.884
Trust me, they'll love to have you.

00:21:02.743 --> 00:21:04.325
On the other end of that

00:21:04.345 --> 00:21:06.566
would be like automations,

00:21:06.786 --> 00:21:08.207
like using the technology

00:21:08.247 --> 00:21:09.228
to augment the thing that

00:21:09.327 --> 00:21:11.608
it can't replace you and say, okay,

00:21:11.788 --> 00:21:12.690
you're telling me your time

00:21:12.750 --> 00:21:14.030
is your most valuable asset.

00:21:14.070 --> 00:21:15.211
The only thing you can't replace,

00:21:15.791 --> 00:21:17.553
I can give you twenty percent again,

00:21:17.593 --> 00:21:18.373
not one hundred percent

00:21:18.673 --> 00:21:19.334
watch for someone who's

00:21:19.354 --> 00:21:20.153
going to promise you the world.

00:21:20.433 --> 00:21:20.973
I can give you twenty

00:21:21.015 --> 00:21:22.654
percent back and to still

00:21:22.694 --> 00:21:24.836
watch people be skeptical

00:21:24.856 --> 00:21:26.057
of it confuses me.

00:21:26.337 --> 00:21:27.938
And that to me explains the

00:21:27.978 --> 00:21:28.679
lack of progress.

00:21:29.058 --> 00:21:29.298
Yeah.

00:21:29.900 --> 00:21:30.079
Yeah.

00:21:30.140 --> 00:21:30.339
Well,

00:21:30.440 --> 00:21:32.161
and I'm looking at the list of

00:21:33.902 --> 00:21:34.741
industry partner

00:21:34.862 --> 00:21:36.482
presentations that are

00:21:36.502 --> 00:21:37.703
going to be there and all

00:21:37.763 --> 00:21:39.105
of them have some type of

00:21:39.164 --> 00:21:42.906
digital or online or AI

00:21:43.488 --> 00:21:47.009
type of EHR scribes, all of that,

00:21:47.049 --> 00:21:48.210
like all of those people

00:21:48.230 --> 00:21:49.270
that are going to be our

00:21:49.631 --> 00:21:52.532
partners are leaning into innovation.

00:21:53.252 --> 00:21:54.294
which is obviously,

00:21:54.653 --> 00:21:55.775
this is all about the

00:21:55.795 --> 00:21:57.736
future of rehab therapy, right?

00:21:58.916 --> 00:22:00.698
But all of these things are

00:22:01.597 --> 00:22:04.099
only going to give us that five percent,

00:22:04.140 --> 00:22:06.260
that ten percent, and that's enough.

00:22:06.300 --> 00:22:07.142
That's enough to help

00:22:07.221 --> 00:22:09.903
decrease burnout and help

00:22:10.523 --> 00:22:11.523
fill some of those gaps

00:22:11.544 --> 00:22:12.565
that we're dealing with in

00:22:12.605 --> 00:22:14.066
the profession.

00:22:14.266 --> 00:22:15.267
The funny part is,

00:22:15.507 --> 00:22:17.008
and this is where I get to like sort of

00:22:18.342 --> 00:22:19.583
hold my colleagues in

00:22:19.623 --> 00:22:20.502
healthcare accountable.

00:22:20.782 --> 00:22:21.584
If you were at a backyard

00:22:21.624 --> 00:22:22.585
barbecue and you were

00:22:22.605 --> 00:22:23.785
complaining about back pain

00:22:24.385 --> 00:22:26.047
to the guy who was hosting the party,

00:22:26.146 --> 00:22:26.747
who was grilling,

00:22:26.787 --> 00:22:28.107
who also happened to be a PT,

00:22:28.147 --> 00:22:29.087
the PT would, of course,

00:22:29.127 --> 00:22:30.868
lean in and be like, hey, listen,

00:22:31.028 --> 00:22:32.410
come to see me in my office on Monday.

00:22:32.470 --> 00:22:32.911
I can help you.

00:22:33.590 --> 00:22:34.371
And the person with back

00:22:34.411 --> 00:22:35.372
pain is standing there in

00:22:35.392 --> 00:22:36.272
the backyard and saying,

00:22:36.613 --> 00:22:38.173
I'll just Google a YouTube

00:22:38.193 --> 00:22:39.513
video or I'll figure it out.

00:22:39.555 --> 00:22:40.035
It'll get better.

00:22:40.555 --> 00:22:41.234
And that person,

00:22:41.395 --> 00:22:43.156
the PT would obviously be mad.

00:22:44.056 --> 00:22:45.997
pta would be mad like I have

00:22:46.017 --> 00:22:46.757
this knowledge and the

00:22:46.777 --> 00:22:47.998
ability to help you and

00:22:48.018 --> 00:22:50.117
you're just refusing at the

00:22:50.179 --> 00:22:51.598
same token I feel like

00:22:51.638 --> 00:22:54.059
healthcare for so long has

00:22:54.119 --> 00:22:55.161
pushed away on everybody

00:22:55.181 --> 00:22:56.260
you just mentioned which is

00:22:56.320 --> 00:22:59.981
like technology or or just

00:23:00.502 --> 00:23:01.982
any industry outside our

00:23:02.103 --> 00:23:03.144
own we just said we're

00:23:03.163 --> 00:23:04.564
going to solve it ourselves

00:23:04.983 --> 00:23:05.964
so we would do the exact

00:23:06.005 --> 00:23:06.904
same thing imagine the

00:23:06.924 --> 00:23:08.086
person with back pain was

00:23:09.182 --> 00:23:11.463
uh you know an engineer for

00:23:11.683 --> 00:23:13.265
for for a computer company

00:23:13.305 --> 00:23:14.125
where that PT could have

00:23:14.145 --> 00:23:15.727
said yeah if I hire you I

00:23:15.767 --> 00:23:17.008
could solve my problems

00:23:17.688 --> 00:23:18.528
it's it's well it's a

00:23:18.588 --> 00:23:20.730
Mexican standoff I think

00:23:20.869 --> 00:23:22.411
now people I I don't know

00:23:22.550 --> 00:23:23.372
maybe maybe it's just the

00:23:23.412 --> 00:23:24.432
moment that we're in I feel

00:23:24.452 --> 00:23:25.413
like people are more at

00:23:25.553 --> 00:23:26.953
least beginning to be more

00:23:27.074 --> 00:23:29.695
open to adopting the help

00:23:30.196 --> 00:23:31.336
or the ideas of things

00:23:31.416 --> 00:23:32.198
outside of health care

00:23:32.662 --> 00:23:34.323
We do not improve unless we do.

00:23:34.722 --> 00:23:35.644
I will die on that hill.

00:23:35.864 --> 00:23:36.503
Yeah, yeah.

00:23:36.625 --> 00:23:36.805
Well,

00:23:36.924 --> 00:23:38.566
I think our good friend Sky Donovan

00:23:38.586 --> 00:23:39.586
said that a long time ago.

00:23:39.685 --> 00:23:41.247
If we don't start looking

00:23:41.346 --> 00:23:42.468
outside the profession,

00:23:43.328 --> 00:23:44.869
we might be missing the boat.

00:23:46.038 --> 00:23:46.198
Yeah,

00:23:46.238 --> 00:23:47.578
I always like to play a game where like,

00:23:49.859 --> 00:23:50.059
Nike,

00:23:50.079 --> 00:23:51.121
Nike just launched a thing called

00:23:51.181 --> 00:23:52.280
Nike Strength Club.

00:23:52.481 --> 00:23:52.902
Essentially,

00:23:52.922 --> 00:23:55.343
they're like brick and mortar gyms,

00:23:55.383 --> 00:23:56.403
for lack of a better term,

00:23:56.864 --> 00:23:58.144
ten squat racks,

00:23:58.704 --> 00:23:59.965
with space for two people

00:24:00.006 --> 00:24:01.727
at each squat rack, three,

00:24:01.787 --> 00:24:03.528
four classes in the morning,

00:24:04.008 --> 00:24:04.968
and then like three,

00:24:05.008 --> 00:24:06.308
four classes in the afternoon.

00:24:07.349 --> 00:24:07.589
And

00:24:09.416 --> 00:24:11.018
you should be annoyed as an

00:24:11.137 --> 00:24:12.219
outpatient or a sports

00:24:12.259 --> 00:24:13.220
physical therapist that

00:24:13.240 --> 00:24:15.082
you're not doing this model.

00:24:15.122 --> 00:24:15.942
And I'm not saying nobody's

00:24:15.961 --> 00:24:16.663
doing this model,

00:24:17.323 --> 00:24:18.804
but what I'm getting at is

00:24:18.904 --> 00:24:19.924
instead of being mad at

00:24:19.964 --> 00:24:23.008
Nike for encroaching on our territory,

00:24:24.166 --> 00:24:25.207
Why didn't you do it before?

00:24:25.247 --> 00:24:27.288
You needed no permission whatsoever.

00:24:27.728 --> 00:24:28.788
So every time I see someone

00:24:28.827 --> 00:24:30.808
come into our turf,

00:24:30.848 --> 00:24:31.969
I was in a Facebook group,

00:24:32.009 --> 00:24:33.189
which is the worst place in

00:24:33.209 --> 00:24:34.309
the world you should ever be.

00:24:34.990 --> 00:24:35.730
And I was listening to

00:24:35.789 --> 00:24:37.411
someone or watching someone.

00:24:38.750 --> 00:24:40.010
They put up a screenshot of

00:24:40.530 --> 00:24:42.592
a personal trainer's ad or flyer.

00:24:44.041 --> 00:24:44.622
And they were saying,

00:24:44.863 --> 00:24:46.143
the personal trainer was saying, like,

00:24:46.202 --> 00:24:47.183
you know,

00:24:47.203 --> 00:24:49.266
prevent bone density loss and

00:24:49.346 --> 00:24:50.465
osteoporosis,

00:24:50.645 --> 00:24:52.047
like using those exact words.

00:24:52.688 --> 00:24:54.249
And the physical therapist was like,

00:24:54.288 --> 00:24:55.390
who do they think they are?

00:24:56.109 --> 00:24:57.310
And I just simply asked a

00:24:57.351 --> 00:24:58.892
question that was never answered,

00:24:58.932 --> 00:24:59.392
by the way,

00:24:59.471 --> 00:25:00.893
because it didn't fit the narrative.

00:25:01.233 --> 00:25:02.213
My question was simply,

00:25:02.334 --> 00:25:03.595
do we have some sort of

00:25:04.496 --> 00:25:06.416
ownership over osteoporosis?

00:25:06.436 --> 00:25:07.278
Like, do we get to...

00:25:08.233 --> 00:25:09.453
Do we get to own this?

00:25:09.874 --> 00:25:11.115
And I feel like a large

00:25:11.174 --> 00:25:12.474
majority of our profession would be like,

00:25:12.515 --> 00:25:13.755
well, of course we own that.

00:25:14.015 --> 00:25:14.394
You don't.

00:25:15.055 --> 00:25:16.516
You might have insight in how to treat it.

00:25:16.715 --> 00:25:18.875
It might be part of your professional duty,

00:25:19.276 --> 00:25:20.096
but you don't own it.

00:25:20.516 --> 00:25:22.057
So instead of being mad at that person,

00:25:22.096 --> 00:25:22.717
be like, wow,

00:25:23.156 --> 00:25:24.896
they said the thing by name.

00:25:25.297 --> 00:25:26.458
They went to those people

00:25:26.597 --> 00:25:27.718
and that person might run a

00:25:27.778 --> 00:25:29.397
profitable business doing

00:25:29.438 --> 00:25:30.178
something they love,

00:25:30.337 --> 00:25:31.419
actually running the coffee

00:25:31.439 --> 00:25:32.318
shop how they want.

00:25:32.939 --> 00:25:35.599
And our first instinct was to crap on it.

00:25:35.960 --> 00:25:38.019
And I find that defeating.

00:25:39.589 --> 00:25:39.769
Yeah.

00:25:40.450 --> 00:25:40.569
Yeah.

00:25:40.650 --> 00:25:42.330
I think that we think we own

00:25:42.371 --> 00:25:43.230
a lot of spaces.

00:25:44.191 --> 00:25:46.791
Yeah.

00:25:46.832 --> 00:25:48.971
The last big problem is PT

00:25:49.051 --> 00:25:50.531
has a perception problem.

00:25:51.192 --> 00:25:53.353
And this is something that I

00:25:53.373 --> 00:25:56.594
get on a personal soapbox

00:25:56.634 --> 00:25:57.554
about is people like to

00:25:57.614 --> 00:26:00.134
look and wag their finger at the APTA.

00:26:00.413 --> 00:26:01.634
I don't work for the APTA.

00:26:01.795 --> 00:26:03.055
I've been a member for a long time.

00:26:03.575 --> 00:26:03.835
Yeah.

00:26:04.727 --> 00:26:06.528
This isn't a perception problem.

00:26:07.048 --> 00:26:07.868
Just like we mentioned at

00:26:07.888 --> 00:26:09.009
the top of this conversation,

00:26:09.048 --> 00:26:09.990
twenty five minutes ago,

00:26:10.869 --> 00:26:11.770
to change culture and

00:26:11.810 --> 00:26:14.092
perception is not is not a

00:26:14.211 --> 00:26:14.951
one person thing.

00:26:16.133 --> 00:26:17.433
It's not like changing

00:26:17.594 --> 00:26:20.295
health behaviors in society

00:26:20.555 --> 00:26:21.496
doesn't happen overnight.

00:26:21.516 --> 00:26:22.635
It's not one organization.

00:26:22.776 --> 00:26:23.817
It's an everybody thing.

00:26:24.317 --> 00:26:25.096
People love to wave their

00:26:25.116 --> 00:26:26.238
finger at the APTA and say,

00:26:26.258 --> 00:26:27.239
how come they haven't solved this?

00:26:27.519 --> 00:26:27.979
They can't.

00:26:28.179 --> 00:26:29.680
Also, the APTA is a bunch of people,

00:26:30.039 --> 00:26:30.559
your people.

00:26:30.859 --> 00:26:32.721
If you haven't solved it, don't expect it.

00:26:32.740 --> 00:26:33.061
Exactly.

00:26:34.162 --> 00:26:35.222
but I think you can do it on

00:26:35.242 --> 00:26:36.542
a one-to-one level just as

00:26:36.603 --> 00:26:37.223
I mentioned with that

00:26:37.243 --> 00:26:38.344
personal trainer saying I

00:26:38.384 --> 00:26:39.444
help people prevent

00:26:39.484 --> 00:26:40.904
fractures from osteoporosis

00:26:40.944 --> 00:26:42.746
come to my class that's the

00:26:42.846 --> 00:26:44.326
only way it'll happen so

00:26:44.346 --> 00:26:45.247
you need to change how

00:26:45.287 --> 00:26:46.208
you're speaking who you're

00:26:46.248 --> 00:26:47.268
speaking to how often

00:26:47.288 --> 00:26:48.028
you're speaking in what

00:26:48.048 --> 00:26:49.308
ways you're speaking I

00:26:49.328 --> 00:26:49.829
think there's still a

00:26:50.029 --> 00:26:50.769
communications and a

00:26:50.809 --> 00:26:52.351
marketing problem that

00:26:52.530 --> 00:26:53.391
healthcare people think

00:26:53.411 --> 00:26:54.511
that they can out science

00:26:54.771 --> 00:26:55.992
I'll just explain to them

00:26:56.272 --> 00:26:57.232
that this is the best way

00:26:57.252 --> 00:26:58.594
and they'll do it and that

00:26:58.894 --> 00:26:59.874
in the history of the world

00:27:00.013 --> 00:27:00.994
has never really worked

00:27:01.351 --> 00:27:01.931
Not usually.

00:27:02.771 --> 00:27:04.192
How do you explain the

00:27:04.231 --> 00:27:06.093
difference or the value

00:27:06.153 --> 00:27:08.193
from a PTA's perspective?

00:27:09.115 --> 00:27:10.414
PTAs have notoriously been

00:27:10.454 --> 00:27:11.336
treated like third-class

00:27:11.355 --> 00:27:12.675
citizens in our own

00:27:12.715 --> 00:27:14.057
profession for the longest time.

00:27:14.777 --> 00:27:16.097
It must exhaust you and your

00:27:16.137 --> 00:27:18.439
colleagues having to prove

00:27:18.479 --> 00:27:19.400
yourself and prove your

00:27:19.440 --> 00:27:21.059
value to other people in

00:27:21.079 --> 00:27:22.181
and outside of your profession.

00:27:22.861 --> 00:27:24.241
What do you advise PTAs in

00:27:24.261 --> 00:27:25.122
your classes to do?

00:27:25.142 --> 00:27:25.682
You teach like a

00:27:25.863 --> 00:27:27.242
professional development class, right?

00:27:27.503 --> 00:27:28.163
Does this come up?

00:27:30.111 --> 00:27:30.872
Yeah, it does.

00:27:31.392 --> 00:27:34.873
I think that from my perspective,

00:27:35.153 --> 00:27:37.713
I've tried really hard to

00:27:38.894 --> 00:27:39.875
show the students the

00:27:39.914 --> 00:27:41.776
opportunities that I have had,

00:27:42.516 --> 00:27:43.895
but I also try to really

00:27:43.977 --> 00:27:46.116
recognize and tip my hat to

00:27:46.237 --> 00:27:47.397
the work that had been done

00:27:47.498 --> 00:27:49.318
in order to get us here.

00:27:49.378 --> 00:27:50.878
Students that graduate from

00:27:51.459 --> 00:27:52.500
the program that I work in,

00:27:53.519 --> 00:27:55.641
now will not understand or

00:27:55.701 --> 00:27:57.041
recognize the challenges

00:27:57.162 --> 00:27:58.883
that other PTAs had twenty

00:27:58.923 --> 00:28:00.364
years ago because it's

00:28:00.384 --> 00:28:01.284
already been solved.

00:28:02.105 --> 00:28:03.506
But it was solved because

00:28:03.546 --> 00:28:04.766
somebody continued to show

00:28:04.846 --> 00:28:06.567
up over and over and over

00:28:06.606 --> 00:28:08.969
again and ask questions and

00:28:09.788 --> 00:28:11.589
rub elbows with the right

00:28:11.609 --> 00:28:12.990
people at the right tables

00:28:13.131 --> 00:28:15.592
and create influence and

00:28:15.772 --> 00:28:17.212
create a culture change.

00:28:18.034 --> 00:28:19.253
So all of those things had

00:28:19.273 --> 00:28:20.714
to happen in order for my

00:28:20.734 --> 00:28:21.915
students to graduate now.

00:28:22.817 --> 00:28:23.637
And know that there's a

00:28:23.698 --> 00:28:24.818
possibility that they can

00:28:24.858 --> 00:28:26.019
run for APTA's board of

00:28:26.038 --> 00:28:28.519
directors in the future, maybe.

00:28:29.221 --> 00:28:30.701
These are the things that I

00:28:30.740 --> 00:28:32.402
like to try to show

00:28:32.461 --> 00:28:34.423
students is look at the history,

00:28:35.323 --> 00:28:36.343
look at what has changed.

00:28:36.583 --> 00:28:37.804
The perception is different.

00:28:39.263 --> 00:28:41.305
That's kind of like where I lean into.

00:28:42.105 --> 00:28:43.306
And that's not to like pat

00:28:43.326 --> 00:28:45.326
myself or anybody else on the back, but

00:28:46.227 --> 00:28:46.446
I mean,

00:28:46.946 --> 00:28:48.688
the opportunities that I had came

00:28:48.708 --> 00:28:50.689
because I showed up and I

00:28:51.108 --> 00:28:52.169
started asking questions.

00:28:52.868 --> 00:28:53.470
Why can't?

00:28:53.990 --> 00:28:55.971
Why shouldn't?

00:28:56.030 --> 00:28:56.550
Why can?

00:28:56.770 --> 00:28:57.191
Why should?

00:28:57.211 --> 00:28:59.852
All right.

00:29:00.392 --> 00:29:02.492
Let's do we're almost at a half hour.

00:29:02.512 --> 00:29:02.732
Okay.

00:29:03.442 --> 00:29:04.761
the future of Rehab Therapy Summit,

00:29:04.781 --> 00:29:06.182
by the time someone hears this,

00:29:06.762 --> 00:29:07.323
they're not gonna be able

00:29:07.343 --> 00:29:08.503
to come if they're not already on the way,

00:29:08.523 --> 00:29:10.084
which is fine.

00:29:10.124 --> 00:29:11.825
We're gonna be doing episodes onsite.

00:29:11.845 --> 00:29:12.765
So the next couple of weeks,

00:29:12.785 --> 00:29:13.404
you're gonna hear from

00:29:13.444 --> 00:29:14.704
people who are actually onsite.

00:29:15.326 --> 00:29:17.665
So let's do a parting shot,

00:29:17.705 --> 00:29:21.587
but do it in the form of a prediction.

00:29:21.627 --> 00:29:23.647
Three years from now, right?

00:29:23.988 --> 00:29:26.048
What are the things that you think,

00:29:26.068 --> 00:29:27.128
what's the one thing that

00:29:27.148 --> 00:29:28.329
you think will change the

00:29:28.430 --> 00:29:31.490
most in three years, in twenty,

00:29:31.590 --> 00:29:32.851
twenty eight?

00:29:34.226 --> 00:29:34.846
Hmm.

00:29:34.925 --> 00:29:35.205
Okay.

00:29:35.846 --> 00:29:37.467
So the things that I think,

00:29:37.567 --> 00:29:38.826
how many did I have to say?

00:29:38.926 --> 00:29:39.106
Three?

00:29:39.126 --> 00:29:40.448
You could do more than one,

00:29:40.468 --> 00:29:41.327
but you have to do at least one.

00:29:41.788 --> 00:29:43.429
I have to do at least one.

00:29:43.449 --> 00:29:43.528
Okay.

00:29:43.548 --> 00:29:45.568
So my prediction is that we

00:29:45.588 --> 00:29:47.589
are going to leave this

00:29:47.650 --> 00:29:50.190
summit filled to the brim with ideas,

00:29:50.589 --> 00:29:51.090
and then it's going to

00:29:51.191 --> 00:29:55.311
spark a fire in rehab therapy settings.

00:29:55.392 --> 00:29:56.432
And we are going to find

00:29:56.471 --> 00:29:58.272
creative ways to fill gaps.

00:29:58.792 --> 00:29:59.593
And this could look

00:30:00.702 --> 00:30:02.325
very different in whatever

00:30:03.506 --> 00:30:04.606
silo that we're in.

00:30:05.067 --> 00:30:06.549
But in my opinion,

00:30:06.569 --> 00:30:10.574
we're going to fill gaps with PTAs, CODAs,

00:30:11.015 --> 00:30:12.135
whoever needs to kind of

00:30:12.155 --> 00:30:14.317
step up into those roles to help fill.

00:30:14.417 --> 00:30:15.398
And I think we're going to

00:30:15.439 --> 00:30:16.480
start to see more of a

00:30:16.520 --> 00:30:17.461
trend leaning towards

00:30:17.902 --> 00:30:19.624
getting those ten percent

00:30:19.644 --> 00:30:21.266
those five percent um that

00:30:21.326 --> 00:30:22.086
remote therapeutic

00:30:22.126 --> 00:30:23.007
monitoring this is a

00:30:23.087 --> 00:30:24.868
perfect space for ptas

00:30:25.230 --> 00:30:26.411
perfect space just did an

00:30:26.451 --> 00:30:27.913
episode not that long ago I

00:30:27.932 --> 00:30:28.472
don't think it's been

00:30:28.512 --> 00:30:29.974
released yet but if it

00:30:30.015 --> 00:30:31.536
hasn't it'll be coming out

00:30:31.596 --> 00:30:33.198
soon that this is like

00:30:33.317 --> 00:30:35.701
prime prime area for pta so

00:30:36.521 --> 00:30:37.261
I think that there's going

00:30:37.281 --> 00:30:38.103
to be more of that coming

00:30:38.143 --> 00:30:38.644
out in the future.

00:30:38.663 --> 00:30:40.645
And again, this isn't to replace anything.

00:30:41.007 --> 00:30:44.171
We're not replacing our hands in that,

00:30:44.191 --> 00:30:45.772
that physical touch and physical therapy,

00:30:45.813 --> 00:30:47.094
but we are going to need to

00:30:47.153 --> 00:30:48.336
lean into things that are

00:30:48.355 --> 00:30:49.817
an adjunct that can get us

00:30:49.836 --> 00:30:50.637
that extra five and

00:30:56.262 --> 00:30:57.804
That I agree with a lot of what you say,

00:30:57.864 --> 00:30:59.045
but I disagree with it.

00:30:59.085 --> 00:31:00.085
Okay.

00:31:00.125 --> 00:31:00.506
Some of it.

00:31:00.586 --> 00:31:01.385
And here's what I think a

00:31:01.445 --> 00:31:02.906
lot of people will get energized.

00:31:03.607 --> 00:31:04.407
And a lot of people will

00:31:04.448 --> 00:31:05.528
hear the conversations that

00:31:05.548 --> 00:31:06.148
we're going to share.

00:31:07.049 --> 00:31:08.089
And then a bunch of people

00:31:08.109 --> 00:31:08.871
will still begin.

00:31:09.090 --> 00:31:10.271
Ninety percent of them will

00:31:10.291 --> 00:31:11.792
continue to do it the same way,

00:31:12.252 --> 00:31:13.713
but harder or the same way,

00:31:13.753 --> 00:31:15.414
but bigger or the same way, but green.

00:31:15.734 --> 00:31:16.895
they will just continue to

00:31:16.935 --> 00:31:18.435
do the same thing now I

00:31:18.455 --> 00:31:19.596
think ten percent will see

00:31:19.616 --> 00:31:20.876
the opportunity I mean it's

00:31:20.896 --> 00:31:21.797
just that's just how that

00:31:21.836 --> 00:31:23.278
math math's right it's just

00:31:23.317 --> 00:31:24.678
that's just how it'll go so

00:31:24.718 --> 00:31:25.519
I think the people that

00:31:25.578 --> 00:31:26.499
actually lean into the

00:31:26.679 --> 00:31:29.440
unsafe things the things

00:31:29.460 --> 00:31:30.560
that are not proven

00:31:32.409 --> 00:31:33.569
while keeping the guy like

00:31:33.609 --> 00:31:35.112
the north star in line like

00:31:35.291 --> 00:31:36.413
you know traditionally we

00:31:36.432 --> 00:31:37.534
haven't been good at at

00:31:37.653 --> 00:31:38.334
looking outside of our

00:31:38.375 --> 00:31:39.615
profession for solutions

00:31:39.955 --> 00:31:40.777
right I mean it took us the

00:31:40.797 --> 00:31:41.636
longest time to actually

00:31:41.657 --> 00:31:42.538
have an emr that was

00:31:42.577 --> 00:31:43.419
directed just towards our

00:31:43.459 --> 00:31:44.559
profession like decades

00:31:44.579 --> 00:31:46.761
right yeah one of the first

00:31:46.922 --> 00:31:48.042
opportunities someone saw

00:31:48.443 --> 00:31:49.625
so I think I think the

00:31:49.684 --> 00:31:51.246
future will be given and it

00:31:51.286 --> 00:31:52.406
will belong to the people

00:31:52.446 --> 00:31:53.327
who will lean into the

00:31:53.387 --> 00:31:54.769
spaces that aren't touched yet

00:31:55.705 --> 00:31:56.866
We're looking right now like

00:31:57.207 --> 00:31:58.327
an arms race on all these

00:31:58.347 --> 00:31:59.208
different categories.

00:31:59.667 --> 00:32:00.288
There are a couple of

00:32:00.308 --> 00:32:02.329
categories I don't think even exist yet.

00:32:02.690 --> 00:32:04.030
But when you see the opportunity,

00:32:04.050 --> 00:32:04.911
like maybe somebody will

00:32:04.931 --> 00:32:06.132
spark an idea at the summit,

00:32:06.771 --> 00:32:07.712
the people that actually

00:32:07.772 --> 00:32:09.453
the luck favors the bold is

00:32:09.513 --> 00:32:10.753
my is my parting shot.

00:32:10.894 --> 00:32:12.375
So I tell people just

00:32:12.394 --> 00:32:13.395
because someone isn't doing

00:32:13.476 --> 00:32:14.957
it doesn't mean they can't

00:32:14.977 --> 00:32:15.777
do it and be really,

00:32:15.817 --> 00:32:17.178
really successful at it.

00:32:17.218 --> 00:32:19.519
So you use that however you want,

00:32:19.818 --> 00:32:21.420
because in my opinion,

00:32:21.480 --> 00:32:22.421
those people will succeed.

00:32:23.141 --> 00:32:24.522
Yeah, I think you're right.

00:32:24.623 --> 00:32:25.243
There's going to be a

00:32:25.324 --> 00:32:26.185
percentage of people who

00:32:26.226 --> 00:32:27.847
are going to take what's

00:32:28.087 --> 00:32:29.289
discussed and run with it.

00:32:29.650 --> 00:32:30.471
And there's going to be a

00:32:30.531 --> 00:32:31.333
percentage of people that

00:32:31.373 --> 00:32:32.173
it stays in the back of

00:32:32.193 --> 00:32:32.815
their mind and they're

00:32:32.835 --> 00:32:34.277
going to sit on it for a long time.

00:32:34.707 --> 00:32:34.946
Yeah.

00:32:34.967 --> 00:32:35.567
They're going to sit on it

00:32:35.586 --> 00:32:36.606
until it's worthless.

00:32:36.666 --> 00:32:38.468
Like the first mover

00:32:38.508 --> 00:32:39.448
advantage is something

00:32:39.468 --> 00:32:40.488
that's talked about in technology.

00:32:40.508 --> 00:32:41.407
It's like the people who see

00:32:41.448 --> 00:32:43.249
it and go first have a better chance.

00:32:43.269 --> 00:32:44.189
Doesn't always mean success,

00:32:44.209 --> 00:32:45.909
but better chance at doing

00:32:45.929 --> 00:32:46.528
something like that.

00:32:46.568 --> 00:32:48.230
So I'm looking forward to

00:32:48.269 --> 00:32:49.789
hearing the side conversations.

00:32:49.950 --> 00:32:50.210
Yes.

00:32:50.430 --> 00:32:51.630
I'm all about the presentations.

00:32:51.891 --> 00:32:52.931
Most of the time I'm in the

00:32:52.971 --> 00:32:54.250
bar looking and waiting to

00:32:54.270 --> 00:32:55.351
hear people and being able

00:32:55.371 --> 00:32:57.711
to push people and ask them, oh,

00:32:57.771 --> 00:32:58.451
you want to do this?

00:32:58.491 --> 00:32:59.632
Just like opening a coffee shop.

00:32:59.912 --> 00:33:00.511
What about this?

00:33:00.531 --> 00:33:01.853
Have you thought about this?

00:33:01.972 --> 00:33:02.173
Yeah.

00:33:02.792 --> 00:33:03.532
Let's see where that goes.

00:33:05.015 --> 00:33:05.355
All right.

00:33:05.756 --> 00:33:06.576
More from DC.

00:33:07.077 --> 00:33:07.798
More from DC.

00:33:08.058 --> 00:33:08.259
Yeah.

00:33:08.380 --> 00:33:11.243
And like T minus like two days, right?

00:33:11.884 --> 00:33:12.086
Yeah.

00:33:12.566 --> 00:33:14.148
Wednesday, all the action starts.