How to migrate to USA as a physical therapist

USA Migration process for Physiotherapist

We all studies from good physiotherapy colleges and universities so it is obvious that we deserve a good life. We need good resources to live and recognition in society so most of us headed towards USA. It is not that much easy to work in USA, as requirements to practice physiotherapy in USA is very different as compare to other countries. If you want to make your dream true to work in USA as a physical therapist you have to go through given below steps. 

STEP 1:  Practice Licence

Practice Licence in USA is provided by state in which you wish to practice. There is no policy like national physical therapist licence, you have to choose one state in which you wish to work than apply for the licence.
Different states have different licencing authorities which have different criteria  to which you have to clear before practice. There are also a variation between the scope of the physiotherapist in states like you can practice dry needling in some states but not in New York So you have to fulfill different requirements to work for different states..

Although state rules are very similar but they are not identical. 
There are important notable differences.

1. The most common is the H1B visa, which requires:

2. The Healthcare worker Certificate

You will need a healthcare worker certificate depending upon the type of visa you are seeking. The requirements for a physical therapist seeking a healthcare worker certificate include:

The FCCPT

Gather information about your would be state’s license process. The best point of contact is the Federation of State Boards of Physical Therapy’s website.

Apply as a new applicant. 

Requirements for US physical therapy practice

1. Complete an application.

2. Receive verification of substantial equivalency to US first professional degree in physical therapy or state requirements.

3. Receive authorization to test for the National Physical Therapy Examination (NPTE).

4. Most important pass the NPTE this is the golden pass to USA.

Some states may also require:

1. Verification of eligibility to practice in country of education.

2. TOFEL (English knoweledge).

3. A period of board-approved, supervised practice may also be there sometime before or after the licencing.

4. A United States Social Security Number. (SSN)
5. Background verification check.

Step 2. Credentialing Process

Find a credentialing agency like FCCPT that meets your needs and is accepted by the state in which you wish to practice. The FCCPT  can assist you in this endeavor to meet the requirements of license and/or immigration.

FCCPT is a credentialing agency that authenticates and verifies all educational and regulatory documents. FCCPT also provides educational credential reviews for jurisdictional licensure and CMS provider requirements.

1. FCCPT has been authorized by USCIS to issue the healthcare worker certificate.

2.. FCCPT does not evaluate or equate work experience.

Please note: Credentialing does not include review of continuing education taught outside of the college or university system.

 The FCCPT offers a service called the Planned Learning and Assistance Network (PLAN). This service helps you interpret your report, and develops options for you to choose from to meet the requirements for equivalency.
Website you need to visit for this is http://www.fccpt.org/. 

Notification from FCCPT September 30, 2016 
Important change to USCIS Requirements for Health Care Worker Certification 
USCIS now requires the following to obtain a Type I Health Care Worker Certificate: 
1. Master’s degree or higher in Physical Therapy, and 
2. 202.1 semester credits minimum 
In response to USCIS' requirements, FCCPT has implemented the following requirements on the Comprehensive Credentials Review (Type 1 Review) Service: 
New Type I Review applications received on or after September 15, 2016 Must possess a Master's Degree or higher in Physical Therapy. 
If you submit an application and your degree title is a Bachelors degree, your service will be cancelled and your application fee will be refunded. 

Step 3. Immigration

 Immigration is a very important step to understand first of all clearly understand the type of visa or immigration process you will fall under in order to work in USA. 

The United States Citizenship and Immigration Services (USCIS) website (www.uscis.gov) provides insight into the requirements for immigration. 
foreign national will need a visa that allows them to work in the US as a non-US citizen.
Important things:
Keep your  healthcare worker certificate ready.
Passage of the TOEFL examinations is necessary to migrate in US.

Before immigration and issuance of VISA you need to ensure a sponsor and an employer.

Your personal appearance at the US embassy is also required at the fixed dates. 

You can also choose to apply for permanent resident status (PR, green card) or citizenship, depending upon your personal needs and eligibility in US. 
Student or Dependent/Spouse visas may have restrictions on work, so be certain that you understand the restrictions related to this.

For further information and helps you can email me at 

dr.vijayguleria@hotmail.com

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Is there any requirement of Second opinion in Physiotherapy practice

Second opinion in Physiotherapy practice?

Definition:  Second opinion is the seeking of another medical (professional including same field) opinion to verify or validate what the first doctor had diagnosed or advised to the patient.

Second opinion is important in all medical  branches

Second opinion is often  proved a valuable step in healthcare delivery so we as a physiotherapists should not hesitate in this. For example if you advise your patient that you have GB syndrome or muscular dystrophy or ligament tear which need  expansive laser procedure he and his family may like to verify the test results, explore if there are other management options, weigh the pros and cons, and particularly in our country, see if they can get the treatment at more affordable rates, before they decide to start.

The diagnosis of Spinal stenosis, Herniated disc, Sciatica are another such situations. It often comes as a shock and evokes a sense of disbelief and denial in patients with thoughts like “it just can’t be true, I just had symptoms of back pain” or “it cannot be happening to me”. 
A second evaluation by a competent doctor re-confirming the diagnosis helps the patient to accept the unpleasant truth.Thus it is very much important.

Good physiotherapists often advise their patients to consult a physician or orthopedics so as to get convinced of the unpleasant diagnosis and then return with greater motivation to embark on a treatment that is challenging.

Although, Our physiotherapists and physician are not that much good they behave badly and irresponsibly in cases of second opinion: most end up contradicting the previous one with an attitude of one-showmanship, change the treatment protocols in a fresh prescription, and try to win over and grab the patient rather than sending him back to the first one. this will lead the patient in to more confusion.

The line that divides second opinion from doctor shopping is however a thin and blurred one.

Doctor shopping is quite similar to what we do while buying vegetables and groceries, going from one grocer to another inquiring the rates of vegetables, seeing their shapes, size, color, and at times bargaining, before making our final purchase. 

There are people who in their bad habit of seeking the cheapest, they will inquire about the cost of laser therapy in 5 different physiotherapy centers before going in for one. 
It may not always be the price, but the popularity of the Physiotherapist or the market-stature of the clinic instead which could be the choice determinant.
Now a days patients have multiple options so they can choose their best.So as a physical therapists we should also not put our steps back to take second opinion in order to provide the best treatment.


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BPT colleges and admissions process

Take an overview before getting admission to a Physiotherapy collage

Bachelor of Physiotherapy courses are offered by various universities in India. In order to achieve world class quality the BPT courses are designed to meet the international standards and is recognized by the IAP (Indian association of physiotherapists) and accepted by regulatory bodies like WCPT in abroad.

The courses should be taught by qualified faculty and has a balanced exposure of both academic and clinical training to students. 

The recognized undergraduate program is for four years plus a half year compulsory rotatory internship with a well-organized curriculum.

The treatment delivery modes emphasizing on evidence based practices so it is very important to recognize such excellent colleges which are very few.

If you are taking admission in relatively new collage make sure that college is connected to a good hospital for practical exposure.

CAREER OPPORTUNITIES IN INDIA AND ABROAD:

Physiotherapists play an integral part in the healthcare system and hence are required in all hospitals starting from PHC to tertiary care. Clinics and holistic healthcare setups have also need of well trained physiotherapists from good colleges.

Industries (industrial health) Special schools Health and fitness clinics, centers Multinational companies for fitness of their employees, wherever people are at risk of injury from their occupation ergonomics or activities.

Role of Physiotherapy in healthcare:

Outpatients

Orthopedics

Neurological rehabilitation

Cardiac disorders

Mental illness

Learning difficulties

Occupational health

Terminal illness

Pulmonary disorders

Postoperative care

Intensive care

Pediatrics

Women's health

Care of the elderly.

Duration of BPT Course:

Most of the universities run four years plus a half year compulsory rotatory internship with a well-organized curriculum.

Eligibility for admission in Bachelor of Physiotherapy:

Candidates over 17 years of age are eligible to apply. The candidate must have passed 10+2, A Level, IB, American 12th Grade or equivalent with Physics, Chemistry, English and Biology with a minimum of 50% marks taken together in Physics, Chemistry and Biology.

Please Note: Candidates can apply both under General and Foreign/NRI categories.

Indian nationals can apply for general and reserved seats but and Foreign/NRI categories are also there in all of the colleges.

Admission procedure:

There is no Entrance Test for this course in most of the universities only your percentage is enough to get you admission through Merit List.

Some gold standard institutes and Universities do conducts entrance test for admissions.

How the Merit List prepared:

Based on the marks obtained in Physics, Chemistry, Biology or Mathematics at 10+2, respective University will declare a list of candidates in the order of merit in their website. Candidates with Mathematics as subject in10+2 will be given separate rank based on PCM marks in the merit list. In case of two or more candidates obtaining equal marks in the merit list, the inter-se merit of such candidate will be determined respectively on the basis of English marks and total marks at the qualifying examination.

For further details about BPT/ MPT courses  in India and other queries you can comment in given below box.

I will be more than happy to help you.

Your,

Dr. Vijay Guleria
vijayguleria80@gmail.com

(BPT, MPT orthopadics) MSW, D.Project management.

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Top 20 reasons to date a physiotherapist

You must have listen to this in India that a physio should never marry a Physio (Physio ko physio se shaadi nahi karni chahiye.

Being a physiotherapist and having a physiotherapist life partner with whom I am dating since my college days gives me thousands of reasons to tell, why you should date a physiotherapist.

I am going to tell you top 20 reasons to date a physiotherapist.

Physiotherapists are cute lovely charming, passionate, dashing, disciplined and hard-working medical professionals.
 Your life becomes full of happiness and excitement if they entered into your life.

1. Caring loving person in your life:
 Physiotherapists are very caring and loving healthcare professionals they are filled with love and care, so if a physiotherapist is in your life clearly means your life is going to be full of bliss and love.

2. Physiotherapists are healthcare professionals who can take care of most of your ailments:

In today's world everyone is suffering from joint pains, back pains, unhealthy lifestyle and posture related diseases. If you are dating a physiotherapist, no reason is there that you will suffer from these stuffs. If any they will help you to stay away from these conditions.
Time to time your lover will alert you about your posture, lifestyle, habits and can give you relief in suffering.

3. Dating a physiotherapist can help your parents:
 Age related degenerative changes starts at 40 plus age, if you are dating a physiotherapist in your 20s that time your parents are in their 40s or 50s, so your dating partner physiotherapist will surly help your parents in these ailments prevention and cure so it is easy to introduce your dating partner to your family and chances are quite higher for their acceptance in family.

4. Physiotherapists have more patience:
Physiotherapists take care and treat patients who takes more time to heal and to come back to normal life so they develop a sense of patience in them, they won't get irritated easily.
If you are dating a physiotherapist you have more chances to get a lovely and charming partner who don't get irritated easily.

Two quotes are famous for physiotherapists:

A. All cute, charming and beautiful girls are not actresses some of them are physiotherapists.

B. All Handsome and tough guys are not hero some of them are physiotherapists.

6.  Physios are good listeners:
 Patients complain to them all the time about their pain and other problems.

7. Disciplined and regular:
Physiotherapists provide continue medical treatments to their patients they want a regular and disciplined patient to have good results, in order to this they also develops a habit of self-discipline. If you are dating a physiotherapist chances are there that you will also got induced with their good habits.

8. Attractive: 
Physios are usually fit n fine, athletic, and sporty. Which make them very attractive.
It is for sure that if your dating partner is a physiotherapist everyone will going to jealous with you!

9. PTs are compassionate:
Physical therapy is a noble profession: They really care about their patients.
It is a fact Nurses graduating with a bachelor of science sometimes make more than PTs graduating with a doctorate. Physical Therapists do what they do because they want to help people get better.

10. Physios are well educated:
Almost all physical therapists in the world are graduate with a Bachelor, masters or a doctorate degree now.

11. They tell simple and great exercises:
though they are probably sick of people asking them for exercises in family and relative circle. Date a physio and stay fit.

Don't ask exercises

12. Smartness overloaded:
In order to become licensed, they take a ridiculously hard board exam called the NPTE. Their curriculum rival that of medical doctors. Sometimes, physical therapists are smarter than medical doctors and have better bedside manners, hands down.


13. Availability:
Physiotherapist will be available for you, they don’t work crazy hours or odd shifts, normally just the standard nine to five timings they serve in hospitals mostly.

14. Physiotherapists are logical:
They’re logical, practical, and objective because they have habit to work on evidence-based practice.

15. Financially sound:
Physiotherapist are financial sound as they don’t have ridiculous study loans to repay. Their schooling is shorter than allopathy doctors.

16. Cool and calm:
Physiotherapists are trained not to go under stress easily. They make patients feel better and see results at almost every treatment session. They find their happiness in patient’s happiness if someone have such a lovely and great heart you can think how much love your dating partner can give you.

17. Great Patience:
They deal with silly requests from other clinicians specially orthopedics all the time. Even some patient also so irritating but physiotherapists handle them all. Physio patients are generally take treatments for long time so physios have to show great patience in their work.

18. Physiotherapists are great in chitchatting and chirping:
 To be a good therapist, you have to know how establish good rapport with patients so you are trained in your medical school how to communicate effectively with your patients, so if you are in the relation with a physiotherapist you can imagine how much they can share with you so improve your listening power.


19. Creative Ideas:
they are very creative so they take you on creative dates. Physios are always thinking of creative ways to treat their patients. Their innovations and creativity can change your life.

20. Caring :
Physio will take care of you, keep you healthy, fit, and treat you when you get hurt. All sports injuries of yours can be treated by your dating partner. It is a surety that you can’t go wrong with dating a physical therapist.

Physio  can take you in and out of the bed! Let’s date a Physio!





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