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History of the Program

Physical therapy education has had a long and illustrious history at Columbia University, graduating 2200 students since its establishment in 1942. During its early years (1942-1960) the program offered a Certificate of Proficiency in Physical Therapy at a time when few people knew about physical therapy, much less understood the potential of the profession. A pioneering faculty recognized the need to initially prepare physical therapists in rehabilitation of those injured during the time of war. In 1960 the program evolved to offer the Bachelor of Science degree as well as continue to offer the professional certificate. During these early years, the program was housed on Columbiais Morningside Campus; in 1946 it moved to the Medical Center campus as part of the Faculty of Medicine.

In 1979, when the House of Delegates, American Physical Therapy Association, adopted a resolution calling for entry-level education at the post-baccalaureate level, Columbia University was one of the first programs to respond. The professional level Master of Science degree was established in 1980, making it the second oldest MS program in the United States. In 2003, changing trends in practice resulted in the creation of the present Doctor of Physical Therapy degree. Throughout its history, the Program in Physical Therapy has drawn on the resources of a major Ivy League research university, giving students access to eminent professors and cutting-edge research and practice.

Physical Therapy Profession

Physical therapy is a dynamic profession, which incorporates a well-established theoretical base and widespread clinical application in the preservation, development, and restoration of physical function. As essential practitioners in the health delivery system, physical therapists assume roles in rehabilitation services, prevention and health maintenance programs, and professional and community programs. Physical therapists are also advocates for the development of health policy and appropriate standards of care to assure patient/client availability, accessibility and excellence. Physical therapists supervise support personnel and serve as consultants to other health care personnel, families, and caregivers, participate in the administration of services, and conduct clinical research.

As a science, physical therapy examines human motion at the tissue, organ, and systems levels. It brings together theories of the basic and behavioral sciences that help explain normal and dysfunctional motor behavior. Physical therapy offers a unique synthesis of biological and behavioral theories and examines the interplay of physical and psychological factors on human motion.

Provision of physical therapy services includes clinical decision-making that underlies the individualized evaluation and treatment process to achieve desired goals and outcomes. The role of the physical therapist includes, but is not limited to patient/client:

Problem identification
Examination
Evaluation
Diagnosis
Prognosis
Intervention

Physical therapy may be provided individually, in groups or through social systems. Physical therapists enter the profession as generalist practitioners but often work with specialized patient populations such as orthopedic/sports, pediatric, adult neurological and geriatric immediately post-graduation. Depending on the setting and each patient's/client's needs, physical therapists work in consultation with physicians, dentists, nurses, occupational therapists, speech-language pathologists, psychologists, social workers, vocational counselors and teachers. Practice settings include: hospitals, rehabilitation centers, pediatric centers, hospices, nursing homes, schools, private practice settings, sport facilities and industry. With clinical experience, advanced academic and continuing education and specialty certification, physical therapists progress to specialist status, administrators, educators and researchers.

Program Facts
Students
Class of 2008 47
Class of 2009 43
Class of 2010 53
Faculty: Student Ratios
Lecture: 1:43-53
Lab: 1:7 - 1:9
Seminars: 1:22-1:27
Capstone Project
(depending on nature of project)
1:1-1:4
Faculty
Full-time 10
Part-time
3
Adjunct: Master clinicians
(serve as guest lecturers, lab instructors and teach elective courses)
34
Awards and Publications
Research 3
Teaching 2
Leadership 1
Average number of publications per year
8
Publications in the Following journals
Physical Therapy
Physical and Occupational Therapy in
   Geriatrics
Pediatric Physical Therapy
Journal of Orthopedic and Sports
   Physical Therapy
Archives of Physical Medicine and
   Rehabilitation
Journal of Rehabilitation Research and
   Development
Journal of Musculoskeletal Pain
Journal of Neurological Physical Therapy
Society of Neuroscience Abstracts
Experimental Brain Research
Journal of Neurophysiology
Arthritis Care and Research
Clinical Rehabilitation
Movement Disorders
Neurosurgery
Journal of Geriatric Physical Therapy
Gait and Posture
Practice Sites
Nation-wide 440


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Mission and Philosophy of the Program

The mission of the Faculty of Medicine, Columbia University, in the 21st century is to provide a deep, broad, challenging education, beyond the acquisition of information and marketable skills, encouraging the desire for understanding and the quest for enduring values. Columbia's Program in Physical Therapy adheres to this mission by:

Offering diversity and breadth of educational opportunity to enable faculty, students and graduates to meet the needs of society in an ever-changing health care environment. Faculty is devoted to academic excellence, through imparting knowledge and directing research, which provides evidence in support of physical therapy practice. Students are guided to become compassionate, responsible practitioners who are critical thinkers and lifelong learners capable of integrating knowledge and skill with the art and ethics that a skilled physical therapy practitioner demonstrates.

As an integral part of the College of Physicians and Surgeons, the physical therapy curriculum emphasizes the relationship of the health care provider and patient/client in the context of family, community and society. In addition to foundational and clinical sciences, the faculty focuses on critical exploration, professional development, practice issues and health care systems and management. The physical therapy curriculum provides a climate for learning that reduces memorization, enhances and rewards problem-solving, thus developing the skills for life-long learning. Students are prepared to promote and maintain development across the life-span, promote and maintain health, foster adaptation, prevent dysfunction and promote wellness. The Program in Physical Therapy accomplishes these outcomes through implementation of adult learning principles. These principles promote intellectual curiosity, critical thinking skills, research skills and an appreciation for evidence-based practice.

The faculty in developing the curriculum recognizes that physical therapy is a complex profession in which answers are context dependent. The philosophy of Columbia University's physical therapy curriculum is designed to develop competent clinicians who can embrace this complexity. Physical therapists practicing in today is clinical arena need to exhibit multifaceted reasoning skills and be committed to lifelong learning in order to apply appropriate knowledge and skills in an ever-changing environment. To this end, the curriculum is based upon a dynamic framework that defines the profession of physical therapy. The elements of this framework include:

Physical therapy as defined by:
  • Guide to Physical Therapist Practice                                   
  • Normative Model of Physical Therapist Professional Education
  • To meet the objectives set-forth in a. and b., physical therapists must have the requisite clinical strategies and techniques as well as pragmatic and interpersonal skills in order to communicate, collaborate, implement and coordinate services within a variety of health care settings.

Clinical decision-making

  • Provision of physical therapy services includes clinical decision-making underlying the individualized evaluation and treatment process.  This includes, but is not limited to, patient/client problem identification, examination, evaluation, diagnosis, prognosis and intervention.  Students must become familiar with the components of these processes in both a generic and specialized sense.
  • Recognizing that clinical decision-making occurs on a continuum from the novice to the experienced practitioner, the curriculum must provide the didactic, integrative seminars and clinical education experiences to foster this development.
  • To address the dissonance the students experience between the “espoused theory” learned in the academic setting and actual clinical education experiences, learning must emphasize reconciliation between pragmatic and theoretical considerations.

Adult learner

  • Students are mature adults who have previously demonstrated the ability to participate in a broad undergraduate education and may have demonstrated knowledge and skill in the work place.
  • Students at the graduate level are adults with different needs and approaches to learning.  The curriculum should move beyond traditional teaching tactics to adjust to the diverse needs of the learner.
  • Adult learners can assume varying degrees of responsibility for their own learning.  The curriculum should facilitate this process through faculty role-modeling, and by activities that facilitate ways of accessing and using information.
  • Adult students enter graduate education as motivated learners with a self-selected career goal.  The curriculum needs to progress from the simple to the complex to allow students to use new and well-established skills to address novel, unexpected and increasingly complex situations.
  • Adult learners are consumers of their educational system and must be included in formulation and evaluation of the system.

Professional education        

  • Physical therapy has a unique body of knowledge that must be transmitted within a limited time frame to those who are entering the profession. Students must learn to manage their time in order to meet content requirements as well as analysis, synthesis and integration.
  • Education of practice must include making connections across professions, placing the profession of physical therapy in a larger context.  Students must be provided with opportunities for interdisciplinary learning.
  • Professional education must include ample time and opportunity to apply theories and skills to actual practice.
  • The learning environment must include a variety of role-models who embody those qualities that are valued by the profession.
  • The faculty is comprised of experienced practitioners who assume responsibility for transmitting the social values of the profession to the student.  This requires a collegial environment in which the teacher assumes the role of facilitator and mentor rather than the student’s only source of knowledge.

Service context

  • Traditional health care facilities are no longer the only arenas of practice for physical therapists.  Students need to become familiar with a variety of existing and emerging practice settings.
  • Health care is ever changing.  Students must become familiar with change as an environmental reality. In response, they learn ways of anticipating, planning for and responding to change.
  • Physical therapists must engage in and respond to the varying demands of different situations.  Students must be prepared to translate physical therapy principles to provide both direct and indirect services.
  • In the midst of reforms in health care, professional education must prepare students to respond to fiscal realities.  These realities demand that physical therapists be prepared to balance the issues of quality and quantity of service through evidence-based practice.

Society

  • Membership in a profession carries privileges and responsibilities assigned to that profession by society.  These responsibilities include, but are not limited to, a need for adherence to ethical standards, which requires familiarization by the student.
  • Students must acknowledge that the profession has made a covenant with society to approach every patient/client with the highest degree of integrity, to provide humane care to persons under their care and to respect the cultural diversity of individuals.
The program utilizes the university's enormous resources of equipment and clinical experiences, and builds its curriculum to educate future physical therapists who will serve at the forefront of health care as competent clinicians, consultants, administrators, educators and researchers.

Graduates of the program are eligible to sit for the national licensing examination under the auspices of the Federation of State Boards of Physical Therapy Education. All states require licensure to practice and these licenses are based on the results of the national examination that is given at testing centers year round throughout the country. Columbia students are well prepared for the licensure examination and have consistently scored above the New York State and national averages. To learn more about the federation, go to http://fsbpt.org.

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