i 4.00 Hours

Course Overview

Physical therapy professionals are constantly confronted with a variety of ethical and moral dilemmas. Their decisions, and even their failures, to make decisions, can have long-range effects professionally and personally for providers, patients, healthcare entities, and for society as a whole. Why does one value win out over another? What does the decision process involve? How do these decisions impact those involved? irected to Physical Therapists (PT) and Physical Therapist Assistants (PTA), this 4-credit entry-level course will address ethical and moral dilemmas, the decision processes, and posit multiple ethical case studies. This course aims to assist the PT professional in understanding their ethical responsibilities as well as regulations that govern PT practice in the state of Tennessee.

About the Course Author

Andrea Salzman, MS, PT graduated from the University of Alabama at Birmingham with a Masters degree in physical therapy. Between 1996-2017, Salzman has instructed 100+ live instructions related to aquatic therapy and over 25 online courses related to geriatric therapy, ethics, and aquatic therapy. Her interest in topics related to scope of practice and ethics boundaries began in PT school where she served on a student-led honor council in a model which required its members to pass judgements on multiple ethics violations by peers. Between 1995-1998, Salzman served as Editor-in-Chief of an APTA section journal related to aquatic therapy, probing ethical topics within her Editor's column, such as "shading minutes" or refusing to allow patients to refuse PT in order to maintain Medicare Part A coverage. Between 1995-2002, Salzman served as a Lead Therapist and a PT Manager in both skilled nursing and hospital settings, roles which required her to provide inservice training as mandated by Joint Commission, including the use of the case study as a decision-making tool. In 2002, Advance for PT Magazine asked Salzman to create, referee and publish a series of point:counterpoint argumentative columns devoted to exploring hot button topics related to the ethical practice of physical therapy. Within this monthly column, "We Debate: You Decide", Salzman created a venue for 2 PT professionals to argue the merits of diametrically-opposed ethical stands on PT-related topics. In 2005, Salzman began serving as Vice President of 10K Rehab Corps, a temporary staffing company with an emphasis on providing on-call staff for the SNF and home health settings. One of her initial roles for this start-up company was the creation of policies on ethical standards for hiring and practice in the field. In 2009, Salzman began serving as the Director of Programming for Aquatic Therapy University (ATU) and in that role, has created over 500 hours of live instructionals for the post-graduate therapist. Salzman has spearheaded ATU's move towards obtaining PT continuing education credits through the Federation of State Boards of Physical Therapy, a move which required her to ensure the company met the intellectual property, ethical, disability access and diversity standards established by FSBPT. In 2010, Salzman received one of the highest honors given to a physical therapist from the American Physical Therapy Association, the Judy Cirullo Leadership Award. In 2012, Salzman began creating continuing education courses for Care2Learn, including discussions on the unintended ethical consequences of the Affordable Care Act (aka Obamacare) and rehospitalization risks for COPD, MI and CHF. Beginning in 2013, Salzman began creating Relias Learning online trainings related to medical errors and ethics and to perform critical reviews of existing CE courses, including reviews of Ethics and Jurisprudence courses, in order to ensure these courses met the standards required by the FSBPT and/or individual states. In addition to these roles, Salzman has served as: • Adjunct Faculty, College of St. Catherine's PT program: • Functional Design Consultant for facilities building aquatic centers; • Author, 5 physical therapy-related texts; • Monthly columnist, Aquatics International, Advance for PTs, Onsite Fitness, Ausmed.com Andrea Salzman MS, PT discloses the following potential conflict of interests/commercial interests with: Relevant Non-Financial Relationship with Aquatic Therapy University as (Owner); Relevant Non-Financial Relationship with Aquatic Resources Network as (Owner); Relevant Non-Financial Relationship with Consultant Business as Consultant; Relevant Financial Relationship with No Entities Exists as (N/A).

Get started now and your first course is free!

Become a member today and enjoy instant savings on all courses

Accreditation Information

Certificates provided by accrediting body (1 Match)

  • Tennessee Physical Therapy Association


    Tennessee Physical Therapy Association Approval Number 2021-104 for Class 1 Continuing Competency Requirement. Presenter(s): Andrea Salzman This course is approved for 4.0 contact hours.

Course Details
  • Course Code:

  • Hours:

  • Type:

    Online Course
  • Release Date:

  • Expiration Date:

  • Learning Objectives:

    Apply elements of the American Physical Therapy Association’s Core Ethical documents to 2 case studies to resolve mock ethical dilemmas.; Articulate 2 distinctions between morals, ethics, and the law as related to the physical therapy profession.; Articulate the supervision standards for physical therapist assistants, aides, students, and volunteers in the state of Tennessee.; Define at least 2 main theories and principles of healthcare ethics, as described in the course.; Define “Direct Access” as it relates to the provision of physical therapy in Tennessee.; Describe 2 methods PT professionals employ to help resolve ethical situations.; Describe 3 changes in the professional, reimbursement, or legal landscapes that affect PTs and PTAs.; Describe 3 types of Advance Directives and briefly explain how each is designed to reduce moral, ethical, and legal dilemmas.; Describe at least 5 services related to the practice of physical therapy.; Describe requirements for continuing competency for both PT and PTA providers, including the total hours required and online hours permitted.; Describe the rules related to performance of “dry needling” by PTs in the state of Tennessee as outlined in Rule 1150-01-.22.
  • Outline:

    Section 1: Introduction
    About This Course
    Learning Objectives
    Section 2: New Frontiers
    Growing Pains
    Case Study #1
    Professional Challenges
    Presenting Self as DPT
    Practicing PT with Autonomy
    Operating under Constrained Models
    Implementing Electronic Medical Records
    Implementing PQRS Reporting
    Implementing the Affordable Care Act
    Section 3: Morals, Ethics & Law
    Ethics vs. Morals
    Healthcare Ethics
    Common Ethical Themes in Physical Therapy
    APTA’s Core Values for the Physical Therapist
    Professional Duty
    Socially Responsible
    APTA’s Core Values for the Physical Therapist
    Ethics vs. Law
    When it All Comes Together
    Section 4: Ethical Theories and Principles
    Case Study #2
    Main Ethical Theories
    Methods to Resolve Ethical Dilemmas
    Long-View Implementation of Ethical Training
    How Would These Play Out?
    8 Steps to Resolve an Ethical Dilemma
    Case Study #3
    Active Engagement Method of Resolving Ethical Situations
    Case Study #4
    Ethical Lens Grid Method of Resolving Ethical Situations
    Section 5: Code of Ethics
    Codifying Ethics
    Mock Case Scenarios
    Section 6: Tennessee Regulations, Statutes, & Rules Governing Physical Therapy
    Practice Act
    General Rules Governing the Practice of Physical Therapy
    1150-01-.02(1) Scope of Practice
    1150-01-.02(2) Practice of Physical Therapy
    Electromyography and Manual Therapy
    1150-01-.02(c) Substandard Care
    1150-01-.02 (2) Supervision
    1150-01-.03 Necessity of Licensure
    1150-01-.04 Qualifications for Licensure
    Requirements for Electrophysiologic Studies
    1150-01-.05 Procedures for Licensure
    1150-01-.07 Application Review, Approval, and Denial
    1150-01-.08 Examinations
    1150-01-.09 Renewal of License
    1150-01-.10 Provisional License
    1150-01-.11 Retirement and Reactivation of License
    1150-01-.12 Continuing Competence
    1150-01-.13 Advertising
    1150-01-.14 Code of Ethics
    1150-01-.15 Disciplinary Actions, Civil Penalties, Assessment of Costs, and Screening Panels
    1150-01-.16 Duplicate (Replacement) License
    1150-01-.17 Change of Address and/or Name
    1150-01-.18 Mandatory Release of Client Records
    1150-01-.19 Board Meetings, Officers, Consultants, Records, and Declaratory Orders
    1150-01-.20 Consumer Right-to-Know Requirements
    1150-01-.21 Professional Peer Assistance
    1150-01-.22 Dry Needling
    Section 7: Relevant Policy Statements
    Criminal Convictions
    Continuing Education
    Fingerstick Policy
    Physical Therapy Clinical Students Performing Dry Needling
    Consent Forms Without Referral
    Physical Therapy Discharge
    Direct Access to Physical Therapy
    Monitoring of Home Health Aides
    Lapsed Licenses
    Approved Dry Needling Courses
    Other Policies
    Section 8: Conclusion
    Course Contributor

  • Target Audience:

    The target audience for this course is: Entry level Physical Therapists; in the following settings: Rehabilitation Settings.
  • Course Delivery Method and Format:

    Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
    Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
    If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
    All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
    Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
    All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
    To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
  • Accommodations:

    If you require special accommodations to complete this module, please contact Relias Customer Support here.
  • Disclosures:

    Expert Reviewers, Instructors, and Staff Writers disclosures will be listed above after the individuals' biographical paragraph. All other members involved within the planning of this educational activity have declared no conflict of interest exists when planning and developing this course.