“We Read the Receipts.” The Truth About PT Student Debt

WEBVTT

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And you don't have to watch that.

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We're just going to, oh, there it is.

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Look at that little fly over the beach

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line from Anaheim.

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All right.

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I'll do the intro now.

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Policy doesn't feel personal until it

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shows up in your documentation,

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your reimbursement,

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or your ability to care for the patients

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the way you believe is right.

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I feel like reimbursement,

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people talk about that a lot in the

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hallways.

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Sure do.

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Amy Faria here, live from Anaheim.

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Live from Anaheim.

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A pitching wedge away from...

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mickey's house yeah i mean i knew we

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were close i went to see him the

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other day i would you would you see

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what would you do uh well so i'm

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a disney world girl because i'm an east

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coast girl okay um so i had to

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do some of the classics uh like space

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mountain big thunder um and i had to

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do the matterhorn because we don't have

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that on the east coast so that was

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pretty great um and we also did pirates

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of the caribbean got it again classic um

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and i had to have a dole whip

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A what?

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A Dole Whip.

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I don't know what that is.

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Oh, my goodness.

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You might have to go to downtown Disney

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just to get one.

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So it is dairy-free,

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ice cream-like consistency frozen

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pineapple.

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Oh, Dole.

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Yes.

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Cool.

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Dole plus Cool Whip.

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Got it.

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Yes, but there's no...

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It's like soft serve ice cream,

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but there's no dairy.

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It's a fascinating substance,

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and it's also delicious.

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Love it.

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Yeah.

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All right,

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so we were supposed to talk at Graham

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Sessions.

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We were.

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Which is a secret meeting that we tell

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everybody we were at.

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Not really sure how that works.

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It's not so much secret as it's invite

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only.

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Right,

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and I remember I put out a video

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after that, and people were like...

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Well, then, oh, yeah?

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What'd you guys solve?

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And I'm like, I don't know, man.

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It was a meeting.

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We're not launching a missile here.

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We're just trying to change the things

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that you want us to change.

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It's just funny when people...

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I get it, though.

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People, this is important.

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It is.

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And it's a pain in the ass.

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It's not right.

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Yep.

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But I've never, I said this last night,

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maybe after a couple of drinks,

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I've never heard anybody at APTA say,

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if you join APTA,

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we're just going to solve all your

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problems.

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Like, they don't say that.

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Correct.

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You say, like,

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we are working to solve the problems.

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If you join us.

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We'll collaborate with you.

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That would be great.

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And that would give us more people to

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help solve the problem.

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And also we depend on you sometimes to

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bring the problems to us.

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What are you seeing in clinical practice?

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What are you seeing in payment or lack

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thereof?

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We need those boots on the ground.

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Not only do we need your grassroots when

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it matters,

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but also we need to know what you're

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experiencing.

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Yes.

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Some of us aren't in the clinic.

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And I never knew this enough.

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I've been in the profession for ten years.

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I never realized there was so much

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difference from state to state.

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Very much.

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So much different from state to state.

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I had no idea.

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So which puts back on the importance of

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being involved in a local state chapter

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level.

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All right,

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what's a problem or topic that you're most

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excited to see?

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This is going back to when we were

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at Graham Sessions.

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What were the things,

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because now we can ask like post-post,

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what were you most looking forward to see?

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What did you see and left excited?

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What were you lacking?

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What were you like, oh,

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I wish there was more about that?

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I was super excited to see us talking

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about the cost of education.

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And I felt like in a different way

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than I had heard us talk about it

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before.

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It was very honest.

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It was very vulnerable from all sides.

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They brought a student who graduated

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twenty minutes before that,

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and she read her receipts.

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Yes,

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we had a student with receipts from her

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loans.

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We had academic administrators.

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We had deans who are physical therapists.

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We had really the people at the heart

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of those decisions.

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Except that, we also discussed

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They don't really get to make those

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decisions.

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Those people, we were on a set.

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We were at APTA headquarters on a

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Saturday.

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People making those decisions were not

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there.

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They're in a different...

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I feel like they're in darkened rooms in

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large leather chairs.

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Yeah,

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but what I walked away from that

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conversation with was hope that...

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that the folks that are academic

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administrators who are physical therapists

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are starting to push and are starting to

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have those conversations.

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I was really excited to hear that

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collaborative discussion and some kind of

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like, all right,

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we're all in this together and we're gonna

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work through this together, right?

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And that collaboration really is, I mean,

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you and I were saying in the beginning,

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right?

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Like that's really what we need.

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I see an enormous opportunity for us to

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band together as a profession to advocate

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against, um,

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what the department of education has,

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you know, put in their proposed rule.

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Right.

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And that had just come out like just

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before, just come out right before that.

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And, and you know,

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That's not necessarily the way to lower

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the cost of education.

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That's going to create a bottleneck,

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right?

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That's going to cut us off.

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So to hear folks talking about, okay,

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well, what are some other strategies,

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right?

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We had an administrator talking about how

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he actually has some control over the cost

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of the PT education.

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costs, right?

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The PT program costs.

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And can we inspire more folks to have

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those discussions and push back in those

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negotiations?

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What can we do to support that?

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That was what I walked away with is

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that there was some hope there.

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And I think we all felt it in

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the room.

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And you're right, though.

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We didn't say here's the one single

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solution.

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Right.

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That's not what that's about.

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But it's about inspiring people to walk

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away from that and go, OK,

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what can I do to contribute?

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What policy change needs to happen?

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What advocacy strategy do we need?

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And I see an excitement to get behind,

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you know,

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getting the DOE to change their minds on

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that proposed rule.

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And then where do we go with the

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momentum from that?

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We decide what that next step is together.

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It was good to see so many people

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angry at the same thing.

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Right, for once.

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You're going to see people angry.

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Yeah.

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It was a little known thing.

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When you see photos online of people going

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to their state chapters,

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I went to Hill Day in DC.

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What you don't see a lot of times

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is the day before that, APTA trains you.

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Absolutely.

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So it's like, hey, I'm here at DC.

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I'm going to knock on my congressman's

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door.

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What do I do?

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They train you.

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Absolutely.

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You're empowered to go in there and

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advocate for specific, you know,

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specific policies, specific changes that,

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you know,

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APTA wants to see or that is really

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important to patients in your area of

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practice or in your state.

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because you're talking to them about what

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your patients are seeing or what you as

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a PT and PTA,

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for me in New Hampshire,

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what are we seeing?

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What are our patients seeing?

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That's what we go to the Hill to

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talk about.

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But APTA does empower you to how to

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have that conversation,

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how to hug a porcupine,

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because let's face it, it's not that easy.

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I like the visual.

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What wasn't on the docket that you were

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like, oh man, I mean, listen,

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you can't put fifty things.

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You can put ten things, maybe.

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What wasn't on the list that you're like,

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I hope it's there next year,

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I hope we'll talk about it before next

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year?

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Yeah, so next year,

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I really think we need to talk about

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AI.

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We need to talk about technology and

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healthcare.

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Because it's listening right now.

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Because it's listening right now.

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And also, like,

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we're doing some incredible work at APTA.

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You know, our first network,

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we have the new AI task force.

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There's going to be a report back to

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the House of Delegates, you know,

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the end of this year or the beginning

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of next year.

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That's the perfect time.

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Next year's Graham Sessions,

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perfect time to say, okay,

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we've got all this information.

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We've got all this data.

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What are the people in this room going

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to do about it?

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What are we going to inspire all of

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the people outside of this room to do

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about it?

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I really think that's the direction we

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should go in.

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It's everywhere.

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It's being whispered about.

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And people were surprised it wasn't on the

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list this year.

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Someone said, did you go a year before?

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Someone said it was on the list then.

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Yeah.

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Okay.

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Yeah, but in more of a conceptual way,

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right?

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And now we've got a lot more of

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it in practice.

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Oh, it's not.

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Yeah.

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It's there.

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Agreed, a hundred percent.

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What do you do when it comes?

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I'm like, my man,

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people are using it on label or off

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label, whether in workflows,

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you might as well lean into it.

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Absolutely.

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Yep.

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And have the right guardrails and policies

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and protections in place to make sure

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you're using it the right way.

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Yeah.

00:08:20.812 --> 00:08:22.535
Well, we are live at CSM.

00:08:22.975 --> 00:08:23.435
Fifteen,

00:08:23.536 --> 00:08:25.077
sixteen thousand of our colleagues here.

00:08:25.117 --> 00:08:25.838
It's fantastic.

00:08:25.858 --> 00:08:26.559
But mathematically,

00:08:26.579 --> 00:08:27.939
there's a lot more people who aren't here.

00:08:28.040 --> 00:08:28.180
Yep.

00:08:28.420 --> 00:08:30.362
What would you say to someone who has

00:08:30.403 --> 00:08:32.063
never been or hasn't been in a while?

00:08:32.225 --> 00:08:33.205
And next year, you know,

00:08:33.225 --> 00:08:35.226
I don't want to end up and this

00:08:35.246 --> 00:08:35.947
CSM in Anaheim yet,

00:08:35.967 --> 00:08:37.288
but we're going back to the East Coast.

00:08:37.308 --> 00:08:38.890
We're going absolutely dilly dilly in

00:08:38.931 --> 00:08:39.871
Philly Philly next year.

00:08:40.111 --> 00:08:41.373
What would you say to someone of why

00:08:41.413 --> 00:08:43.115
they should come next year,

00:08:43.154 --> 00:08:44.535
why they should make it a point to

00:08:44.576 --> 00:08:44.996
come next year?

00:08:45.221 --> 00:08:45.422
Yeah,

00:08:46.062 --> 00:08:47.423
so all of the folks that I run

00:08:47.464 --> 00:08:49.206
into that are here for the first time

00:08:49.865 --> 00:08:51.467
are saying to me,

00:08:53.149 --> 00:08:55.932
I had no idea how awesome this is.

00:08:56.599 --> 00:08:58.740
and how much I was going to feel

00:08:59.120 --> 00:09:00.419
like I was with my people.

00:09:01.041 --> 00:09:02.500
Because in our small clinics,

00:09:03.662 --> 00:09:05.302
for a long time in my clinical practice,

00:09:05.402 --> 00:09:06.962
I was the only PT onsite.

00:09:07.822 --> 00:09:09.663
I had to go to APTA to find

00:09:09.744 --> 00:09:11.744
my community because it wasn't coming to

00:09:11.783 --> 00:09:12.024
me.

00:09:12.544 --> 00:09:13.924
And so I think for me,

00:09:13.965 --> 00:09:15.105
that's what CSM is.

00:09:16.306 --> 00:09:17.625
this is where my people are.

00:09:18.025 --> 00:09:21.226
I feel so at home here with everyone.

00:09:21.407 --> 00:09:23.006
And so what I would love is for

00:09:23.086 --> 00:09:25.447
everybody to be able to experience that.

00:09:26.128 --> 00:09:26.967
And yeah, I mean,

00:09:27.008 --> 00:09:28.488
the beauty of CSM is that it moves

00:09:28.528 --> 00:09:28.847
around.

00:09:29.467 --> 00:09:30.207
So, you know,

00:09:30.248 --> 00:09:32.668
maybe flying six hours across the country

00:09:32.928 --> 00:09:34.448
from Boston is not your jam.

00:09:35.129 --> 00:09:35.629
But, you know,

00:09:35.869 --> 00:09:37.169
driving from Boston to Philly,

00:09:37.190 --> 00:09:39.190
like you can maybe swing that, right?

00:09:39.250 --> 00:09:40.250
And it's great.

00:09:40.330 --> 00:09:41.289
You're on the board of directors.

00:09:41.690 --> 00:09:42.431
Maybe you slip this in there.

00:09:42.671 --> 00:09:44.510
I like the, I wrote a headline recently.

00:09:44.846 --> 00:09:46.167
or a tagline for CSM,

00:09:46.547 --> 00:09:48.388
see future versions of yourself

00:09:48.868 --> 00:09:49.587
everywhere.

00:09:49.648 --> 00:09:51.249
Because that's really what, like,

00:09:51.509 --> 00:09:52.729
it really is cool watching.

00:09:53.109 --> 00:09:53.850
They don't walk alone.

00:09:53.889 --> 00:09:55.389
They walk in packs of at least five,

00:09:55.769 --> 00:09:56.950
which is students, five or more.

00:09:57.409 --> 00:10:00.191
And they are sort of like doing this.

00:10:00.250 --> 00:10:01.991
But I remember mine ten years ago here.

00:10:02.552 --> 00:10:04.432
And I described it as it's a circus

00:10:04.471 --> 00:10:05.852
with eighteen circuses in it.

00:10:06.712 --> 00:10:07.773
the expo hall is one thing,

00:10:07.793 --> 00:10:08.653
but then you're walking around the

00:10:08.714 --> 00:10:10.234
sessions and you're just like, wow,

00:10:10.653 --> 00:10:11.014
get a watch.

00:10:11.033 --> 00:10:11.714
You don't hurt your neck.

00:10:11.734 --> 00:10:12.833
Cause it just keeps spinning around.

00:10:13.375 --> 00:10:14.975
It's, it's really inspiring.

00:10:15.095 --> 00:10:18.696
And also, um, you know, for, for me,

00:10:18.816 --> 00:10:21.576
APTA service is like what makes me feel

00:10:21.615 --> 00:10:24.116
connected to the PT that I am because

00:10:24.336 --> 00:10:25.657
my job is in admin, right?

00:10:25.697 --> 00:10:28.337
It's not in direct clinical care anymore.

00:10:28.778 --> 00:10:32.698
Um, but everyone I have encountered, um,

00:10:33.099 --> 00:10:35.681
in my APTA service has either opened a

00:10:35.721 --> 00:10:38.743
door for me or showed me an opportunity.

00:10:39.062 --> 00:10:41.264
And I would not be a board member

00:10:41.684 --> 00:10:43.885
if not for all of the people that

00:10:44.846 --> 00:10:46.567
mentored me and guided me along the way.

00:10:46.847 --> 00:10:48.769
So this is also where you find those

00:10:48.808 --> 00:10:50.389
people that are going to hold your hand

00:10:50.429 --> 00:10:51.571
and say, hey, come along with me.

00:10:52.030 --> 00:10:52.850
Come to this meeting.

00:10:52.951 --> 00:10:54.572
Come to the business meeting for your

00:10:54.611 --> 00:10:54.873
section.

00:10:54.893 --> 00:10:55.812
Most of the time they're just going,

00:10:55.852 --> 00:10:56.734
they're pushing.

00:10:56.754 --> 00:10:57.413
Go, go.

00:10:57.474 --> 00:10:58.294
Well, the funny part is like,

00:10:58.894 --> 00:11:02.037
I was talking to Melanie Brennan from

00:11:02.278 --> 00:11:03.798
Minnesota, and she said,

00:11:03.899 --> 00:11:05.740
I was a student usher at something in

00:11:05.759 --> 00:11:07.380
Minnesota, and I was a runner.

00:11:07.861 --> 00:11:08.381
And how cool is it?

00:11:10.464 --> 00:11:11.965
she was probably shoved into that position

00:11:12.004 --> 00:11:12.585
by someone.

00:11:12.605 --> 00:11:13.966
Now she's the president of the state.

00:11:13.985 --> 00:11:16.366
That's got to feel full circle.

00:11:16.447 --> 00:11:16.927
It's amazing.

00:11:17.248 --> 00:11:17.508
Actually,

00:11:17.528 --> 00:11:19.149
I was at the student networking breakfast

00:11:19.168 --> 00:11:21.791
yesterday talking to a student who had

00:11:21.890 --> 00:11:24.951
applied to be an usher in Portland,

00:11:24.991 --> 00:11:25.753
Oregon this summer.

00:11:25.793 --> 00:11:27.714
She's still waiting to see, but she said,

00:11:28.094 --> 00:11:29.014
even if I don't get to be a

00:11:29.034 --> 00:11:29.575
student usher,

00:11:29.754 --> 00:11:30.895
I'm going to figure out how to get

00:11:30.956 --> 00:11:32.996
to Oregon and be in the gallery for

00:11:33.037 --> 00:11:35.138
House of Delegates because she's already

00:11:35.177 --> 00:11:36.918
figured out that's where I'm going to find

00:11:37.220 --> 00:11:37.820
my community.

00:11:38.200 --> 00:11:39.020
She's lamenting

00:11:39.740 --> 00:11:41.221
graduating right she's a third year

00:11:41.241 --> 00:11:42.602
student she's like I'm gonna be done I'm

00:11:42.623 --> 00:11:45.083
gonna this community that I've been a part

00:11:45.163 --> 00:11:47.745
of my school community I have to walk

00:11:47.785 --> 00:11:49.746
away from that and and she's like you

00:11:49.767 --> 00:11:51.067
know I'm a little nervous about it and

00:11:51.488 --> 00:11:52.707
and you know we got to talk about

00:11:52.727 --> 00:11:54.708
like all right well what's cool is that

00:11:54.729 --> 00:11:56.890
you're gonna find your next APTA community

00:11:56.990 --> 00:11:58.311
right you're gonna find that next group of

00:11:58.331 --> 00:11:59.971
people that that are gonna support you and

00:11:59.991 --> 00:12:01.653
lift you up and you know when you've

00:12:01.673 --> 00:12:02.894
had a hard day you can send someone

00:12:02.933 --> 00:12:04.414
a text and say man this was a

00:12:04.455 --> 00:12:06.076
rough one right no the same gripes

00:12:06.655 --> 00:12:08.479
and then gone through those days and like

00:12:08.938 --> 00:12:09.799
sometimes you're not looking for a

00:12:09.820 --> 00:12:11.462
solution you're looking to pitch it

00:12:11.503 --> 00:12:12.764
someone who knows what you're going

00:12:12.803 --> 00:12:14.466
through yeah and then just nod and go

00:12:14.506 --> 00:12:16.009
okay well now i'll go back to solving

00:12:16.028 --> 00:12:17.931
right we're all in this together yeah

00:12:17.971 --> 00:12:19.192
every episode we do we have a parting

00:12:19.212 --> 00:12:22.857
shot um maybe we're just watching a

00:12:22.937 --> 00:12:23.798
walking vagina walk by

00:12:24.198 --> 00:12:24.779
As one does.

00:12:25.360 --> 00:12:26.620
As it happens here at CSM.

00:12:26.660 --> 00:12:26.880
Good.

00:12:27.660 --> 00:12:28.322
Your parting shot.

00:12:28.841 --> 00:12:32.083
What's one thing that you're super focused

00:12:32.144 --> 00:12:34.865
on the APTA doing or changing before

00:12:34.884 --> 00:12:36.566
you're done on the board of directors?

00:12:36.586 --> 00:12:38.006
There's something that you're like,

00:12:38.648 --> 00:12:40.328
there's my BHAG, my big, hairy,

00:12:40.369 --> 00:12:40.869
audacious goal.

00:12:41.857 --> 00:12:44.499
I am super duper excited about the

00:12:44.538 --> 00:12:48.240
strategic framework in as much as it is

00:12:48.820 --> 00:12:52.240
inspiring our technological advancement.

00:12:52.260 --> 00:12:54.780
So I got to talk about remote therapeutic

00:12:54.821 --> 00:12:56.162
monitoring twice yesterday in two

00:12:56.182 --> 00:12:57.042
different sessions.

00:12:57.922 --> 00:12:59.062
I am obsessed with it.

00:12:59.241 --> 00:13:01.582
I am so excited about the opportunities

00:13:01.623 --> 00:13:06.004
that we have and knowing that APTA is

00:13:06.663 --> 00:13:08.664
embracing that opportunity along with us

00:13:08.784 --> 00:13:10.804
and supporting us in those technological

00:13:10.845 --> 00:13:13.285
advances and making it part of the

00:13:13.306 --> 00:13:14.186
strategic framework,

00:13:14.546 --> 00:13:16.006
saying the quiet part out loud,

00:13:16.067 --> 00:13:18.567
we are going to do this together.

00:13:18.748 --> 00:13:19.268
Yeah.

00:13:19.288 --> 00:13:21.609
That I'm so excited to be a part

00:13:21.849 --> 00:13:22.708
of making that happen.

00:13:22.808 --> 00:13:23.308
Love that.

00:13:23.629 --> 00:13:24.629
Amy, appreciate your time here.

00:13:24.649 --> 00:13:25.830
We're doing a little quick hits here at

00:13:25.850 --> 00:13:26.049
CSN,

00:13:26.210 --> 00:13:28.510
but you probably have forty seven things

00:13:28.530 --> 00:13:29.791
you need to do now as part of

00:13:29.811 --> 00:13:30.431
the board of directors.

00:13:30.451 --> 00:13:31.111
Appreciate your time now.

00:13:31.152 --> 00:13:31.652
Yeah, thank you.