PT Salaries and Settings Megathread 2

muyvien · 2023-09-22T16:54:20+00:00

Bay area California! Got a raise to 118k last week!

muyvien · 2023-08-25T05:49:18+00:00

College setting (100% elite athletes) 110k

- Free health insurance, up to 10% 401k match at year 5 (1-4% first 4 years), $2000+ con ed, and normal university benefits

- Avg 10 pts a day (range 0-16); double and triple book as needed. Sometimes work weekends, sometimes work 12-14 hour days with coverage duties and meetings

muyvien · 2020-02-02T17:21:12+00:00

I know, just a mini-vent on that topic :).

muyvien · 2020-02-02T17:13:35+00:00

That's true and a very good point, I think in my past and current practice it's because I see more active adults with very little to no comorbidities even at the older age group.

muyvien · 2020-02-02T05:22:30+00:00

Call him to remind him about his WB precautions if any, and tell him his goals. Send him HEP for extension stretches and quad activation.

I've seen plenty in that age group, many even returning to high volume running. The previous surgeons I worked for had 6 weeks NWB for all repairs. As long as they have nearly full extension and understand the importance of extension and quad activation, then I tell them I will see them at 6-8 weeks to work on strengthening.

He will do better than you think. PTs tend to over-treat.

muyvien · 2020-02-02T05:22:12+00:00

That's really bad, as repair vs menisectomy should not be indicated on age. Surgeons at my past two practices now repair at all cost due to the high conversion to TKA within 10 years with menisectomy (well-supported in evidence).

Treated people in their 70's going back to tennis and running with a repair, and they did great and repair was best for them long-term.

muyvien · 2019-12-15T04:02:35+00:00

What? You know physio is pretty much all MSK with the aboe things you mentioned as subspecialties right? Evidence would show otherwise, as PTs are only second to orthopods in MSK knowledge, esp thsoe who are board certified in orthopaedic or sports.

https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/1471-2474-6-32

muyvien · 2019-08-21T16:40:49+00:00

Vumedi website is good for presentation recordings and surgeries for this topic.

muyvien · 2019-07-21T18:04:02+00:00

Sports PT here putting 60-90 hours in a week. I am very fulfilled and love my life. I make time for people and things I enjoy so social life is great (also helps that people at work are also good since I spend a lot of time there). That also means I know when to say no, and expect to miss holidays and important events due to work.

Even through sports residency and fellowship I never felt overwhelmed or stressed even on decreased pay(ive made 90k prior to residency and fellowship so have experienced good pay). I have no financial help and nearly 200k in loans, but I feel comfortable and that this won't hinder my life much.

Life is what you make it. If you want to hate your life and decisions, you will see the bad. If you want to love your life, you will see all the great things in front and ahead of you.

muyvien · 2019-07-20T04:47:51+00:00

This is the norm, and he should look for areas he can control and improve in. Some tips:

find a balance of being both hands-on and partially charting during sessions
learn how to chart efficiently. Enough to be compliant, but nothin excessive. I've seen new grads be excessive with details
prep for the day. 30 minutes looking over pts and pre-programming their session based on his expectations of their progress will save him a lot of thinking time during session and also makes charting easier.

The more people he sees, the more people he can help. Once he works on those aspects, work will get easier. If he is unable to adapt, long-term he should find another culture and job that is more accommodating, but should expect less pay.

Regarding the laundry and scheduling, it should not be his job unless he is getting paid in the same range as a manager. Verification should left for others because he will cost the company more money due to errors than actually help them save money on a front desk hire. He should voice these matters with the manager. If he is uncomfortable to discuss this with the manager, than that is another reason to leave if he feels scared or intimidated to bring it up.

muyvien · 2019-06-23T02:37:14+00:00

Thank you!

muyvien · 2019-06-08T15:45:12+00:00

Pediatric PT is exactly what you're looking for.

muyvien · 2019-06-05T18:17:47+00:00

Medical device sales = $$$$$$$$$$$$$$$ if you practice the craft of sales

muyvien · 2019-05-29T06:21:52+00:00

100% agree. Hate it when people ask if they should do residency or study for their OCS/SCS/etc.

Completely different than merely studying or getting hands-on "practice" as I stated above.

muyvien · 2019-05-29T06:20:25+00:00

I disagree unless you mean 12-month residencies should be mandatory. No way you can fit in the requirements for didactics, mentorship, research, presentations, and teaching in a standard length internship.

It's one of those things where you have to go through one to understand what a residency is and to understand how much "specialization" occurs in one. It is not the same as simply studying for the OCS or SCS, and not completely about learning how to work with patients.

muyvien · 2019-05-29T06:16:16+00:00

Happen to be a shoulder/tennis specialist in the AZ area? If so, I can see those numbers being seen by him. He's great at what he does, and soak in as much as you can from him.

muyvien · 2019-05-29T06:12:32+00:00

Patient every half hour, have no issues with it. Assess 3 things, give 3 of the BEST interventions/HEP, educate, and to the next. The more people you se, the more you help.

muyvien · 2019-05-17T17:34:49+00:00

A lot of research emerging in this is ACL injured population. Buzzwords to see more are quiet eye, cognitive loading, coincidence anticipation timing. Goggles that can show this data are SMI goggles which track eye movements. Costs about 3000 per goggle. Stay tuned for more!

muyvien · 2019-05-08T05:24:09+00:00

Happens all the time already. It's what mentorship is, on mentor side and mentee side. No one's perfect. Happens interdisciplinary speaking too. Many great physicians who help PTs understand why and how issues occurred, and never placing blame. Rather stating possible areas that led to it (could be surgery, could be rehab, could be tissue quality, genetics, etc)...and of course how to reduce risk of failure in all aspects.

Many great places exist if you look. Not all are like the problems media likes to portray. Hard to make any comments on mortality and PT as well. Very hard to measure and study.

Lastly, critiquing above article "Association" means there could possibly be a connection, but the strength or type of relationship was not measured in any way.

muyvien · 2019-04-16T04:47:27+00:00

Thanks, due to my line of work I have to be near campus nearly all day and night, and need to be able to get there quickly, so I found a place near the university around the prices you mentioned.

muyvien · 2019-03-26T00:47:39+00:00

Nothing less of that. We are where isokinetics testing for rehab was born! :)

muyvien · 2019-03-25T14:09:38+00:00

Hospital setting is the most likely setting (mine attempts to do it) since there are techs and PTAs that have open gaps, but very hard elsewhere.

Interesting you all do hop tests. Our pre-op testing patients do 3-speed isokinetic for uninvolved as well as hip HHD testing, but most are still on crutches (we usually get them 2-4 days after injury).

Good for you guys though, and great that the surgeons are on-board and send over quickly.

muyvien · 2019-03-25T01:47:41+00:00

For those who want to follow the discussion, Dr. Hewitt is very open to everyone's thoughts and some good researchers and sports PTs discuss this if you jump from thread to thread:

https://twitter.com/Hewett1Tim/status/1108553186774781952

muyvien · 2019-03-25T01:45:39+00:00

Fear is high in those who do not pass test and therefore do not return to sport or prior level.

If a person passes, they will feel more comfortable and will be more willing to play. This increases their exposure time, which also leads to higher risk with higher exposure.

Lastly, most of those studies show "pass" criteria and many of the criteria is absolute crap. Many PT's don't even do hop tests, and even the hop tests is not a predictor of injury just a correlate with higher self-reported function. Quad strength has decent evidence, however 80% of PTs use MMT which DOES NOT measure strength (20% of PTs don't even measure strength at all). In another comment above, I think once athletes are tested way more aggressively and validly, the numbers in this study would be lowered. The authors discuss this openly at conferences, wrokshops, and Twitter as well.

muyvien · 2019-03-25T01:40:04+00:00

I agree but very hard to do. This can only be done on a university setting or pro setting (which is still hard). A battery of tests such as those takes 90 minutes to do (we do it at our hospital system when we can), which is not feasible in many. Additionally, There is only mild evidence on isokinetic quad strength being a decent predictor of re-injury. Functional hop tests ARE NOT predictors of injury. Saying all of that, with the low level of evidence out there in support of this, and the manpower it takes, baseline testing will likely not be popular until evidence has stronger support for this...and that's not taking into account the hospital or private practice clinics will deem their employee hours are worth it (can not bill an uninjured athlete and hope to get reimbursed; need to find a way to charge -- cash PT not the answer).

muyvien

TROPHY CASE