Sunday, September 16, 2012

My Army Career


I wanted to post on this blog to inform you of my career and a career in the United States Army as a physical therapist.  I have been a physical therapist for almost 10 years and have spent all of those years working in the United States Army.  The first thing that attracted me to the Army was the fact that they paid for my initial physical therapy education and paid me as a 2nd Lieutenant in the US Army.  The Schooling was 2 years and provided me the ability to deliver care to the soldiers and their families.  There are differences between the practices of physical therapy in the Army and in the civilian sector that make Army Physical Therapy a valuable service to soldiers.

The first difference is that Army therapists are able to order limited medications necessary for management of the conditions referred to physical therapy.  This ability allows us to provide all the treatments necessary and does not requiring us to refer back to your physician, saving money and time.  This ability is given with extensive training and under supervision of an orthopedic surgeon and senior therapist.  The real advantage of this ability is being able to readily obtain medications for common rehabilitation treatments such as iontophoresis and phonophoresis.   

The next difference is that Army therapists are able to order imaging necessary for assessment of conditions referred to physical therapy further.  This ability allows us to order the necessary imaging without referral back to the PCM.  Extensive training on when to order, how to interpret, and where to refer patients with conditions not treatable by physical therapy occurs with regards to imaging.  Additionally, orthopedic surgeons provide supervision and mentorship.  Senior therapists provide additional supervision and guidance to newer therapist.

Finally, therapists in the Army are trained in emergency medical conditions, especially ones that may be encountered while deployed or in remote areas with Army units.  Emergency conditions include wound management, dislocations, broken bones, and concussions.  The training occurs over a 3-year period and final supervision is through an orthopedic surgeon.  The number of emergency medical conditions encountered varies but increases with deployments to war zones.

Army physical therapists are working in infantry brigades and have been providing care to deployed soldiers in OIF and OEF since the onset.  In most deployed settings, the physical therapy is the only orthopedic trained personnel that is available to see patients with orthopedic and sports injuries.  Therefore, the extensive training beyond skills of a civilian therapist is necessary in order to keep soldiers safe and able to continue to fight.  This training has also enabled therapist to help provide excellent care in the setting of universal healthcare present in the military for decades.  It has been my honor to serve my country in the capacity of the physical therapist and the Army has provided me with training that would cost an individual over 200,000 dollars.  The only cost I have had to pay is service to the Soldiers, Sailors, Marines, and Airmen of this country.