WEBVTT 00:00:01.030 --> 00:00:01.550 beginner. 00:00:01.590 --> 00:00:02.831 Here's the intro graphic. 00:00:02.871 --> 00:00:09.117 Check this thing out. 00:00:09.157 --> 00:00:11.217 Michael Gross here with the 00:00:11.278 --> 00:00:12.839 Academy of Orthopedic Physical Therapy. 00:00:12.880 --> 00:00:13.099 Michael, 00:00:13.119 --> 00:00:14.101 thanks very much for coming on 00:00:14.281 --> 00:00:16.102 Orthostatic and recording this with us. 00:00:16.121 --> 00:00:16.343 My pleasure. 00:00:18.582 --> 00:00:20.003 uh people often nervous 00:00:20.042 --> 00:00:21.003 before we hit record we 00:00:21.042 --> 00:00:21.943 talked about knowledge 00:00:21.963 --> 00:00:23.803 being power and people in 00:00:23.844 --> 00:00:26.225 that uh that inquisitive 00:00:26.484 --> 00:00:28.525 points before deciding to 00:00:28.585 --> 00:00:30.905 do a residency should I do 00:00:30.986 --> 00:00:32.487 it where should I do it why 00:00:32.527 --> 00:00:33.466 am I doing it in the first 00:00:33.506 --> 00:00:34.307 place they get a lot of 00:00:34.326 --> 00:00:34.987 these questions from 00:00:35.048 --> 00:00:35.968 colleagues from friends and 00:00:36.008 --> 00:00:38.048 family so the goal really 00:00:38.268 --> 00:00:40.409 is you've got these seven 00:00:40.429 --> 00:00:41.390 things you need to check 00:00:42.557 --> 00:00:45.439 before we apply for that PT residency, 00:00:45.478 --> 00:00:47.021 or a checklist, I should say. 00:00:47.060 --> 00:00:48.722 We see these lists in 00:00:49.383 --> 00:00:50.743 supermarket checkout counters. 00:00:50.764 --> 00:00:51.664 The seven things you should 00:00:51.685 --> 00:00:53.146 do to get that beach body, right? 00:00:53.485 --> 00:00:55.247 So we're gonna throw the beach body out. 00:00:55.268 --> 00:00:55.868 We're gonna look at the 00:00:55.908 --> 00:00:56.609 things that you need to 00:00:56.628 --> 00:00:58.289 check before applying for 00:00:58.329 --> 00:01:01.633 that PT residency program, all right? 00:01:01.673 --> 00:01:03.854 So why don't I, we'll kick it off. 00:01:03.895 --> 00:01:04.775 The first thing that you 00:01:04.796 --> 00:01:05.656 think on the list is, 00:01:06.296 --> 00:01:07.778 You got to do your due diligence, 00:01:07.977 --> 00:01:09.299 accreditation and credentials. 00:01:09.539 --> 00:01:10.579 That's got to be off the 00:01:10.599 --> 00:01:11.260 that's off the bat. 00:01:11.280 --> 00:01:12.221 That's the very first thing 00:01:12.240 --> 00:01:13.621 you've got to do, according to you. 00:01:13.682 --> 00:01:14.242 Why is that? 00:01:14.262 --> 00:01:15.362 I mean, it seems obvious, but. 00:01:16.924 --> 00:01:21.027 Well, you know, so it's a big decision, 00:01:21.566 --> 00:01:22.048 number one, 00:01:22.087 --> 00:01:24.969 because they if they're a new graduate. 00:01:26.090 --> 00:01:29.612 They could go out and get a 00:01:29.653 --> 00:01:32.594 great job with a full salary. 00:01:34.081 --> 00:01:36.343 So they're thinking of, 00:01:36.603 --> 00:01:37.924 they're possibly thinking 00:01:37.944 --> 00:01:39.424 of doing a residency where 00:01:39.444 --> 00:01:40.906 they're not gonna get a full salary. 00:01:42.167 --> 00:01:43.748 They've had to go through an 00:01:43.847 --> 00:01:46.370 undergraduate program, right? 00:01:46.829 --> 00:01:47.930 And they may have taken out 00:01:48.010 --> 00:01:48.751 loans for that. 00:01:49.411 --> 00:01:51.393 They've gone to physical therapy school. 00:01:52.332 --> 00:01:53.834 If they've taken out loans for that, 00:01:54.754 --> 00:01:56.034 they may have a huge 00:01:56.256 --> 00:01:58.236 financial debt on their hands. 00:01:59.715 --> 00:02:02.516 So to be prepared 00:02:03.438 --> 00:02:04.837 academically at this point 00:02:05.698 --> 00:02:07.099 as a new graduate to go out 00:02:07.200 --> 00:02:08.439 and make a full salary, 00:02:08.879 --> 00:02:10.661 and now they're thinking of 00:02:11.260 --> 00:02:12.681 not getting a full salary 00:02:13.241 --> 00:02:16.324 because they want some further education. 00:02:16.343 --> 00:02:18.844 Now that's a big decision. 00:02:20.251 --> 00:02:22.072 So really a self-assessment 00:02:22.111 --> 00:02:23.312 sounds like it's first, which is, 00:02:23.372 --> 00:02:24.752 do you understand the 00:02:24.853 --> 00:02:26.554 physics of this game and what, 00:02:26.633 --> 00:02:27.455 what you're doing, 00:02:27.534 --> 00:02:28.495 what it's going to entail, 00:02:28.775 --> 00:02:30.695 what it's going to cost in terms of money, 00:02:30.776 --> 00:02:32.637 time, effort, things like that. 00:02:32.657 --> 00:02:33.418 So really it sounds like it 00:02:33.457 --> 00:02:34.937 starts with the person, the self. 00:02:35.378 --> 00:02:35.639 Yeah. 00:02:35.658 --> 00:02:36.799 They may not realize that 00:02:36.838 --> 00:02:37.599 they're not going to make a 00:02:37.639 --> 00:02:39.320 full salary when they do a residency. 00:02:39.341 --> 00:02:40.221 You know, 00:02:40.241 --> 00:02:42.062 a lot of times it's like two 00:02:42.102 --> 00:02:44.383 thirds salary or, or something like that. 00:02:44.703 --> 00:02:45.984 You don't want sticker shock that way. 00:02:46.661 --> 00:02:47.360 No, no. 00:02:48.102 --> 00:02:50.402 So then, you know, 00:02:50.423 --> 00:02:51.524 if they're going to go if 00:02:51.544 --> 00:02:53.004 they're going to make that sacrifice, 00:02:53.044 --> 00:02:55.687 that financial sacrifice, and they're, 00:02:55.806 --> 00:02:58.087 you know, they're, they haven't, 00:02:58.247 --> 00:03:01.270 they haven't just felt like, okay, 00:03:01.370 --> 00:03:03.110 I cannot go to school anymore. 00:03:03.670 --> 00:03:04.012 Right? 00:03:04.352 --> 00:03:04.831 They're gonna, 00:03:04.891 --> 00:03:05.992 they're gonna punish 00:03:06.032 --> 00:03:07.913 themselves with some more education. 00:03:09.852 --> 00:03:10.733 They want to know that the 00:03:10.772 --> 00:03:12.092 program is accredited 00:03:12.173 --> 00:03:14.473 because for most of them, 00:03:14.813 --> 00:03:17.194 the end goal is to sit for 00:03:17.295 --> 00:03:18.376 the orthopedic 00:03:18.675 --> 00:03:20.356 certification specialty exam. 00:03:21.519 --> 00:03:26.161 And they need to go through a, well, 00:03:26.260 --> 00:03:27.921 one of the routes to enable that, 00:03:27.981 --> 00:03:29.002 it's not the only route, 00:03:29.782 --> 00:03:32.704 is to have completed an 00:03:32.764 --> 00:03:38.145 accredited orthopedic residency program. 00:03:39.326 --> 00:03:40.848 They want to know that it's accredited. 00:03:41.288 --> 00:03:41.568 Sure. 00:03:41.647 --> 00:03:42.508 And how can they do that? 00:03:42.527 --> 00:03:44.128 I know they can ask, right? 00:03:44.149 --> 00:03:45.550 They can ask the program, 00:03:45.569 --> 00:03:46.930 but a lot of times they'll have that. 00:03:46.969 --> 00:03:47.811 That's one of the things 00:03:47.830 --> 00:03:48.730 that a program will have on 00:03:48.770 --> 00:03:50.431 its website in the materials, correct? 00:03:51.362 --> 00:03:51.943 They'll have it. 00:03:52.424 --> 00:03:53.123 And then if they want to 00:03:53.144 --> 00:03:54.705 know there's truth in advertising, 00:03:56.064 --> 00:03:57.765 they can go to the APTA 00:03:57.825 --> 00:04:00.668 website and see who are the 00:04:00.707 --> 00:04:03.688 accredited orthopedic residency programs. 00:04:03.709 --> 00:04:04.430 All right. 00:04:04.449 --> 00:04:05.389 So that's off the bat. 00:04:05.469 --> 00:04:06.030 Number one, 00:04:06.090 --> 00:04:07.290 accreditation and credentials 00:04:07.330 --> 00:04:07.871 of the program. 00:04:07.890 --> 00:04:08.771 You want to understand it's 00:04:08.812 --> 00:04:09.472 fully accredited. 00:04:09.951 --> 00:04:11.173 Recognize so that you don't 00:04:11.193 --> 00:04:12.633 get to the end and realize that... 00:04:14.167 --> 00:04:15.068 you hitched your wagon to 00:04:15.087 --> 00:04:16.168 the wrong program because 00:04:16.187 --> 00:04:16.949 it wasn't accredited. 00:04:16.968 --> 00:04:18.288 So understanding what you're 00:04:18.309 --> 00:04:19.290 getting into and 00:04:19.350 --> 00:04:20.129 understanding who you're 00:04:20.149 --> 00:04:22.630 getting into it with is number one. 00:04:24.192 --> 00:04:25.831 Next on your list is faculty 00:04:25.932 --> 00:04:27.392 and mentor profiles. 00:04:27.473 --> 00:04:28.273 Why is that important? 00:04:29.514 --> 00:04:29.793 Okay. 00:04:30.293 --> 00:04:30.574 Well, 00:04:31.014 --> 00:04:33.656 some of the orthopedic residencies 00:04:33.716 --> 00:04:35.757 have a relatively small faculty. 00:04:35.797 --> 00:04:39.218 It might be a clinic-based program, 00:04:39.358 --> 00:04:40.439 and you may have... 00:04:41.423 --> 00:04:44.466 one, two, three mentors through that? 00:04:45.728 --> 00:04:47.029 What are their qualifications? 00:04:47.069 --> 00:04:48.170 What are their experience? 00:04:48.211 --> 00:04:49.391 What are you going to gain 00:04:49.512 --> 00:04:50.632 out of interacting with 00:04:50.653 --> 00:04:51.514 those individuals? 00:04:54.045 --> 00:04:55.805 Or is it a relative? 00:04:56.526 --> 00:04:59.406 Are the the cadre of mentors? 00:05:00.047 --> 00:05:01.487 Is it relatively large? 00:05:01.726 --> 00:05:02.387 And to those? 00:05:02.867 --> 00:05:04.728 How much experience do those people have? 00:05:05.067 --> 00:05:05.947 Are they nationally 00:05:06.088 --> 00:05:07.509 recognized internationally 00:05:07.569 --> 00:05:09.269 recognized as having 00:05:09.428 --> 00:05:11.689 expertise in their areas? 00:05:12.709 --> 00:05:14.430 So what you know who are 00:05:14.471 --> 00:05:15.990 going to be your mentors? 00:05:16.630 --> 00:05:17.531 Are you looking? 00:05:18.411 --> 00:05:21.952 Perhaps you feel strong as as an entering 00:05:23.439 --> 00:05:25.519 Perhaps you feel strong as 00:05:25.839 --> 00:05:26.761 in certain areas, 00:05:27.141 --> 00:05:28.440 but you're really looking 00:05:28.480 --> 00:05:31.903 for advanced expertise in certain areas. 00:05:32.822 --> 00:05:33.863 Are you going to get that? 00:05:34.264 --> 00:05:35.603 Are the mentors there that 00:05:35.624 --> 00:05:36.845 are going to provide that for you? 00:05:38.307 --> 00:05:39.069 This makes me think of 00:05:39.189 --> 00:05:40.769 Sesame Street in that song, which says, 00:05:40.829 --> 00:05:42.471 who are the people in your neighborhood? 00:05:42.531 --> 00:05:43.812 Make sure you understand who 00:05:43.892 --> 00:05:45.293 are the people in your neighborhood. 00:05:45.733 --> 00:05:47.235 These also feel like just really, 00:05:47.555 --> 00:05:49.497 I feel like if a potential 00:05:49.596 --> 00:05:50.898 applicant were asking these 00:05:50.918 --> 00:05:51.619 questions during an 00:05:51.658 --> 00:05:52.939 interview or even before that, 00:05:53.641 --> 00:05:54.601 it sort of makes you stand 00:05:54.622 --> 00:05:55.201 out a little bit because 00:05:55.221 --> 00:05:58.084 you're asking the right questions. 00:05:58.103 --> 00:05:59.345 What makes them stand out? 00:05:59.786 --> 00:06:01.547 Because we interview 00:06:02.827 --> 00:06:04.550 applicants for the residency program. 00:06:05.785 --> 00:06:08.146 And so if that's part of the process, 00:06:08.286 --> 00:06:09.625 what makes them stand out 00:06:09.886 --> 00:06:12.146 is have they done their homework? 00:06:13.166 --> 00:06:15.288 Have they gone to the website? 00:06:15.827 --> 00:06:17.009 Have they investigated? 00:06:17.108 --> 00:06:20.449 Who are the mentors going to be? 00:06:21.089 --> 00:06:24.250 And what expertise, what experience, 00:06:24.610 --> 00:06:25.971 what kind of reputation do 00:06:25.990 --> 00:06:26.692 these folks have? 00:06:26.951 --> 00:06:29.153 Have they published in their 00:06:29.273 --> 00:06:30.452 areas of expertise? 00:06:31.533 --> 00:06:32.574 Go ahead and look at some of 00:06:32.613 --> 00:06:33.533 their publications. 00:06:34.757 --> 00:06:34.958 Yeah, 00:06:35.077 --> 00:06:38.141 that always impressed me when we've 00:06:38.180 --> 00:06:39.341 interviewed folks who want 00:06:39.382 --> 00:06:41.124 to enter our residency program. 00:06:41.384 --> 00:06:43.725 Have they done their homework about, 00:06:43.745 --> 00:06:44.526 you know, 00:06:44.726 --> 00:06:48.069 what their goals are and do 00:06:48.170 --> 00:06:50.952 their goals match our goals 00:06:51.432 --> 00:06:53.254 for who we want our 00:06:53.314 --> 00:06:55.536 residents to be when they 00:06:55.557 --> 00:06:56.398 finish the program? 00:06:57.644 --> 00:06:59.507 So we've talked about the self-assessment, 00:06:59.586 --> 00:07:00.208 understanding this. 00:07:00.228 --> 00:07:01.588 We talk about the program as 00:07:01.608 --> 00:07:02.610 a whole and their credentials, 00:07:02.670 --> 00:07:04.312 the people involved, the mentors, 00:07:04.333 --> 00:07:04.872 the people that will 00:07:04.913 --> 00:07:05.694 actually be instructing. 00:07:06.394 --> 00:07:08.817 Next up on the list is a 00:07:08.858 --> 00:07:10.499 natural fit in terms of time progression. 00:07:10.680 --> 00:07:13.182 Alumni and the network who 00:07:13.221 --> 00:07:14.142 has gone through this 00:07:14.202 --> 00:07:15.805 program is a good thing to look into too. 00:07:15.824 --> 00:07:16.425 I don't know if I would have 00:07:16.446 --> 00:07:16.805 thought of that, 00:07:16.826 --> 00:07:18.127 but that's a good thing on your list. 00:07:18.964 --> 00:07:22.567 Yeah. 00:07:22.867 --> 00:07:27.011 We try to have the 00:07:27.071 --> 00:07:29.572 applicants have available 00:07:29.632 --> 00:07:33.475 to them conversations with current, 00:07:33.916 --> 00:07:35.077 not just the alumni, 00:07:35.637 --> 00:07:37.819 but current residents and 00:07:38.160 --> 00:07:39.440 what is the experience like, 00:07:40.101 --> 00:07:43.764 and also have access to alumni 00:07:44.644 --> 00:07:46.208 of the residency program. 00:07:46.968 --> 00:07:48.130 What did you like about it? 00:07:48.190 --> 00:07:49.232 What didn't you like? 00:07:50.795 --> 00:07:52.576 I'm looking for this in the program. 00:07:52.617 --> 00:07:54.860 Do you think I'm going to 00:07:54.880 --> 00:07:57.384 get that from being in the program? 00:07:57.524 --> 00:07:57.644 Yeah. 00:07:58.459 --> 00:08:00.040 Good questions to ask and a 00:08:00.079 --> 00:08:00.961 good audience to ask 00:08:00.980 --> 00:08:01.901 because a lot of times 00:08:01.920 --> 00:08:03.923 you're going to get a real honest answer. 00:08:03.963 --> 00:08:04.423 You're going to get a 00:08:04.502 --> 00:08:05.944 different answer than if you ask, 00:08:06.064 --> 00:08:06.663 I'm imagining, 00:08:06.985 --> 00:08:08.485 than if you ask someone from the program. 00:08:08.505 --> 00:08:08.946 You're going to get 00:08:09.086 --> 00:08:09.906 different perspectives. 00:08:09.925 --> 00:08:10.786 And that's what you're looking for. 00:08:10.807 --> 00:08:12.028 You're going to kick the tires on this. 00:08:12.528 --> 00:08:12.827 Sure. 00:08:13.389 --> 00:08:14.889 We'd like to say to the applicant, 00:08:15.089 --> 00:08:16.129 don't trust us. 00:08:18.192 --> 00:08:20.012 You know, 00:08:20.052 --> 00:08:21.793 maybe we think we're better than 00:08:21.834 --> 00:08:22.675 we actually are. 00:08:23.314 --> 00:08:24.415 Talk to people. 00:08:25.009 --> 00:08:27.151 who have gone, who are in the program, 00:08:27.471 --> 00:08:28.432 talk to people who've gone 00:08:28.471 --> 00:08:29.413 through the program. 00:08:30.494 --> 00:08:32.596 What do they see as the strengths? 00:08:32.655 --> 00:08:34.256 What do they see as the weaknesses? 00:08:35.477 --> 00:08:38.801 So if you're thinking of 00:08:39.182 --> 00:08:42.804 being a resident and access 00:08:42.865 --> 00:08:44.265 to those individuals is not 00:08:44.846 --> 00:08:46.107 offered to you upfront, 00:08:47.230 --> 00:08:49.993 then you should ask, you should say, 00:08:50.793 --> 00:08:51.714 is there any way that I 00:08:51.754 --> 00:08:52.875 could talk to current 00:08:52.916 --> 00:08:54.037 residents and some of the 00:08:54.076 --> 00:08:54.777 residents who have 00:08:54.817 --> 00:08:55.999 graduated from the program? 00:08:57.340 --> 00:09:01.043 And if in response to that request, 00:09:02.131 --> 00:09:03.493 No, no. 00:09:03.513 --> 00:09:03.993 It's a red flag. 00:09:04.013 --> 00:09:06.195 You don't want to go there. 00:09:06.215 --> 00:09:06.695 What are you hiding? 00:09:06.715 --> 00:09:07.615 What are you not showing? 00:09:07.655 --> 00:09:07.775 Well, 00:09:07.816 --> 00:09:11.158 we are really in an age of upfront 00:09:11.217 --> 00:09:12.798 social proof, right? 00:09:12.899 --> 00:09:14.940 I mean, as we record today, 00:09:15.440 --> 00:09:16.760 it is Amazon Prime Day. 00:09:16.821 --> 00:09:18.042 While we buy things online 00:09:18.081 --> 00:09:19.802 or we decide what restaurant to eat at, 00:09:20.302 --> 00:09:22.024 we are, whether we like it or not, 00:09:22.063 --> 00:09:23.684 looking at what our fellow 00:09:23.725 --> 00:09:24.926 humans are thinking or 00:09:24.985 --> 00:09:26.126 saying about these things 00:09:26.167 --> 00:09:27.126 before we make that 00:09:27.147 --> 00:09:28.768 commitment to buy or go somewhere. 00:09:28.788 --> 00:09:29.428 And I think this is... 00:09:29.989 --> 00:09:31.610 It's a pretty large commitment, time, 00:09:31.690 --> 00:09:33.551 effort, energy, as well as money. 00:09:34.052 --> 00:09:35.873 So asking those things is a good thing. 00:09:36.133 --> 00:09:37.833 Yeah. 00:09:38.014 --> 00:09:38.354 All right. 00:09:38.514 --> 00:09:40.535 After alumni success in the network, 00:09:40.836 --> 00:09:42.096 now we get on something a 00:09:42.116 --> 00:09:44.538 little bit more specific, 00:09:44.577 --> 00:09:46.038 but not to be overlooked. 00:09:46.078 --> 00:09:46.318 Again, 00:09:46.339 --> 00:09:48.921 you don't want to get into a program 00:09:48.961 --> 00:09:50.601 and realize that, well, 00:09:50.621 --> 00:09:51.341 this isn't actually what 00:09:51.363 --> 00:09:52.363 they're focused on. 00:09:52.403 --> 00:09:53.803 So your next on your list is 00:09:54.443 --> 00:09:55.725 ask about or look into the 00:09:55.784 --> 00:09:58.307 program focus and specializations. 00:10:00.293 --> 00:10:02.374 Okay, so, you know, 00:10:02.614 --> 00:10:05.274 an orthopedic residency program should, 00:10:06.354 --> 00:10:08.134 should entail the 00:10:08.215 --> 00:10:09.975 acquisition of advanced 00:10:10.195 --> 00:10:12.696 knowledge across the 00:10:12.836 --> 00:10:16.096 spectrum of orthopedic physical therapy. 00:10:17.356 --> 00:10:18.836 It shouldn't be, hey, 00:10:18.876 --> 00:10:20.857 we're specializing in dry 00:10:20.937 --> 00:10:24.399 needling or whatever, right? 00:10:24.639 --> 00:10:28.000 It should cover the gamut of 00:10:28.159 --> 00:10:29.779 orthopedic physical therapy. 00:10:33.092 --> 00:10:35.413 So having said that, again, 00:10:36.534 --> 00:10:38.735 the applicant may be 00:10:38.796 --> 00:10:41.336 interested in some really specific thing. 00:10:41.797 --> 00:10:43.018 Oh, I want to get good at this. 00:10:43.878 --> 00:10:46.200 So they might be interested 00:10:46.320 --> 00:10:47.279 in addition to being 00:10:47.320 --> 00:10:50.841 prepared as an advanced 00:10:51.001 --> 00:10:52.503 generalist in physical therapy. 00:10:53.322 --> 00:10:55.244 I'm going to have as one of my mentors, 00:10:55.583 --> 00:10:57.365 somebody who's really good 00:10:58.105 --> 00:10:59.966 in whatever it is that I'm interested in. 00:11:01.534 --> 00:11:02.274 So there's that, 00:11:02.355 --> 00:11:04.635 but then there are 00:11:04.676 --> 00:11:05.756 additional things that 00:11:05.856 --> 00:11:07.897 might be involved in the 00:11:07.937 --> 00:11:09.118 orthopedic residency. 00:11:09.857 --> 00:11:11.979 Is there an opportunity to 00:11:12.019 --> 00:11:14.139 get involved in a little bit of research? 00:11:14.159 --> 00:11:17.760 Okay, is that something that's there? 00:11:18.140 --> 00:11:21.062 It can't be a great amount 00:11:21.101 --> 00:11:22.001 because you just don't have 00:11:22.042 --> 00:11:23.602 the time for that, but a little bit, 00:11:23.643 --> 00:11:23.863 yeah. 00:11:24.582 --> 00:11:27.384 Is there an opportunity to 00:11:27.464 --> 00:11:29.825 be a clinical instructor 00:11:31.229 --> 00:11:33.250 be a clinical mentor now we 00:11:33.331 --> 00:11:34.851 offer that at our program 00:11:35.371 --> 00:11:38.355 we have physical therapy 00:11:38.534 --> 00:11:40.196 students in our doctor 00:11:40.216 --> 00:11:41.277 physical therapy program 00:11:41.636 --> 00:11:43.018 who come and spend time in 00:11:43.057 --> 00:11:44.580 our clinics and we mentor 00:11:44.620 --> 00:11:47.442 them for like sixty hours 00:11:48.403 --> 00:11:50.244 so our residents get to 00:11:50.364 --> 00:11:53.667 function in the role of a 00:11:53.767 --> 00:11:56.308 clinical instructor and a 00:11:56.369 --> 00:11:57.750 lot of them are looking for 00:11:58.110 --> 00:11:58.971 they haven't had that 00:11:59.010 --> 00:12:00.272 opportunity and they're looking for 00:12:01.851 --> 00:12:03.773 Is the applicant looking for 00:12:03.793 --> 00:12:05.333 the opportunity to do some 00:12:05.394 --> 00:12:08.355 classroom teaching in an 00:12:08.475 --> 00:12:09.556 academic program? 00:12:10.277 --> 00:12:10.437 Well, 00:12:10.456 --> 00:12:11.636 if you're going to a residency 00:12:11.677 --> 00:12:13.038 program that's clinically based, 00:12:13.238 --> 00:12:14.158 you're not gonna get that. 00:12:15.259 --> 00:12:18.221 But if you're gonna engage 00:12:18.421 --> 00:12:20.302 in a orthopedic residency 00:12:20.341 --> 00:12:24.063 program that is either 00:12:24.124 --> 00:12:26.845 fully academically based or 00:12:26.965 --> 00:12:29.167 partially academically clinically based, 00:12:29.980 --> 00:12:32.041 then those opportunities may 00:12:32.100 --> 00:12:36.524 exist to go in and do some 00:12:36.844 --> 00:12:38.085 face-to-face classroom 00:12:38.125 --> 00:12:41.226 teaching with your clinical 00:12:41.307 --> 00:12:42.827 mentors and your academic 00:12:42.888 --> 00:12:44.489 mentors in the room, 00:12:45.048 --> 00:12:46.789 giving you feedback on how 00:12:46.870 --> 00:12:50.292 well you are engaging the 00:12:50.351 --> 00:12:52.453 students in clinical instruction. 00:12:52.594 --> 00:12:53.114 And a lot of 00:12:53.785 --> 00:12:55.506 A lot of people who are 00:12:55.527 --> 00:12:56.467 looking at orthopedic 00:12:56.508 --> 00:12:59.990 residency programs have in 00:13:00.049 --> 00:13:01.932 mind that in the end, 00:13:01.991 --> 00:13:03.673 as part of their professional development, 00:13:04.453 --> 00:13:05.735 they would like to be 00:13:05.855 --> 00:13:10.477 involved in face-to-face 00:13:10.518 --> 00:13:12.339 teaching in an academic program. 00:13:13.580 --> 00:13:16.581 And most all of our students 00:13:16.662 --> 00:13:18.504 take advantage of that opportunity. 00:13:19.004 --> 00:13:20.205 Most all of our residents 00:13:20.245 --> 00:13:21.725 take advantage of that opportunity. 00:13:22.212 --> 00:13:23.094 It sounds like it just comes 00:13:23.114 --> 00:13:24.335 back to that self-assessment. 00:13:24.394 --> 00:13:25.174 What are you looking for? 00:13:25.195 --> 00:13:27.456 There are a lot of differences, 00:13:27.476 --> 00:13:27.976 but there's a lot of 00:13:28.017 --> 00:13:29.418 similarities and crossover, 00:13:29.458 --> 00:13:30.479 but it sounds like there's 00:13:30.499 --> 00:13:31.419 a lot of differences. 00:13:31.460 --> 00:13:32.380 And if you're looking for 00:13:32.461 --> 00:13:34.101 something and it's not available there, 00:13:34.121 --> 00:13:35.582 that's a missed opportunity. 00:13:35.743 --> 00:13:37.164 If you didn't know that that 00:13:37.205 --> 00:13:38.905 wasn't available in a particular program. 00:13:39.566 --> 00:13:40.326 I would say, you know, 00:13:40.447 --> 00:13:41.567 one more thing that we 00:13:41.668 --> 00:13:43.188 offer to our residencies is 00:13:43.288 --> 00:13:45.150 we have a pro bono clinic 00:13:46.451 --> 00:13:48.894 where we provide free services to, 00:13:49.053 --> 00:13:50.634 to folks who don't have insurance. 00:13:51.635 --> 00:13:51.875 Um, 00:13:52.403 --> 00:13:54.267 And our faculty, 00:13:54.366 --> 00:13:56.089 our mentors for our 00:13:56.129 --> 00:13:57.451 physical therapy students 00:13:58.030 --> 00:13:59.692 who are engaged in that, 00:14:00.193 --> 00:14:02.116 we have the oldest 00:14:03.398 --> 00:14:06.461 student-run pro bono clinic 00:14:06.741 --> 00:14:08.544 in the United States at the 00:14:08.725 --> 00:14:09.946 University of North Carolina. 00:14:11.126 --> 00:14:13.648 And we have physical therapy 00:14:14.948 --> 00:14:17.931 offered at that clinic, medicine, 00:14:18.490 --> 00:14:20.172 so medical students are there, 00:14:21.172 --> 00:14:22.332 pharmacy is there, 00:14:22.472 --> 00:14:23.734 and a few other disciplines. 00:14:24.474 --> 00:14:26.975 And the students run the clinic, 00:14:29.537 --> 00:14:30.677 and our faculty are there 00:14:30.777 --> 00:14:32.077 to provide mentorship. 00:14:33.179 --> 00:14:35.221 So that's another thing that 00:14:35.261 --> 00:14:38.104 has attracted some of our 00:14:38.264 --> 00:14:41.547 applicants to our residency program. 00:14:43.369 --> 00:14:43.649 Again, 00:14:43.688 --> 00:14:45.431 what you've said about what are you 00:14:45.451 --> 00:14:45.890 looking for? 00:14:46.270 --> 00:14:47.893 And maybe they're not looking for that, 00:14:47.913 --> 00:14:49.974 but when they hear that's available, 00:14:49.994 --> 00:14:51.956 they go, oh, 00:14:52.596 --> 00:14:54.038 I'd like to become involved in that. 00:14:56.710 --> 00:14:58.311 I've heard that there are 00:14:58.350 --> 00:14:59.650 three L's in real estate. 00:14:59.671 --> 00:15:01.032 It's location, location, location. 00:15:01.052 --> 00:15:01.471 But Michael, 00:15:01.491 --> 00:15:02.493 you say the next thing on your 00:15:02.533 --> 00:15:03.572 list is two L's. 00:15:03.793 --> 00:15:06.335 It's location and lifestyle. 00:15:06.634 --> 00:15:07.936 So it's where you are, but really, 00:15:08.436 --> 00:15:09.515 what is that place in the country? 00:15:09.535 --> 00:15:10.476 Because you're going to be 00:15:10.496 --> 00:15:11.537 spending a significant 00:15:11.557 --> 00:15:12.418 amount of time there, 00:15:12.477 --> 00:15:13.538 depending on the program. 00:15:13.977 --> 00:15:15.139 You should understand not 00:15:15.178 --> 00:15:16.240 only what you're getting into, 00:15:16.279 --> 00:15:17.419 but where you're getting into. 00:15:17.559 --> 00:15:18.620 Location and lifestyle. 00:15:19.260 --> 00:15:20.562 Sure. 00:15:20.942 --> 00:15:23.364 Just to be clear and to be 00:15:23.403 --> 00:15:24.224 straightforward here, 00:15:25.164 --> 00:15:27.125 I had two lists of seven 00:15:27.186 --> 00:15:29.307 questions that were sent to me. 00:15:29.587 --> 00:15:30.408 Oh. 00:15:30.489 --> 00:15:31.609 And it was a forced choice. 00:15:31.629 --> 00:15:32.909 I had to pick, well, 00:15:32.950 --> 00:15:34.250 which list would you like 00:15:34.331 --> 00:15:38.214 to address in this opportunity? 00:15:38.594 --> 00:15:39.315 All right. 00:15:39.355 --> 00:15:42.056 So the next item on the list 00:15:42.216 --> 00:15:44.317 that I selected, right, 00:15:44.778 --> 00:15:47.279 was location and lifestyle. 00:15:48.660 --> 00:15:51.682 So, so yeah, it's like, 00:15:53.004 --> 00:15:55.445 I've always wanted to live in that area. 00:15:56.245 --> 00:15:58.407 Okay, there's a residency available there. 00:15:58.907 --> 00:16:01.889 I have family there. 00:16:02.028 --> 00:16:03.450 I'd like to be there to have 00:16:03.470 --> 00:16:05.510 a like a support system or 00:16:05.551 --> 00:16:07.672 to be able to engage more 00:16:07.731 --> 00:16:08.932 easily with my family. 00:16:10.395 --> 00:16:12.456 And then what's lifestyle? 00:16:12.496 --> 00:16:13.878 What's my quality? 00:16:14.238 --> 00:16:15.958 It's gonna be at least a 00:16:16.019 --> 00:16:18.799 year long experience, 00:16:18.980 --> 00:16:19.899 maybe a little bit longer. 00:16:20.100 --> 00:16:21.660 I'm not sure about how long 00:16:21.681 --> 00:16:24.182 some of the other programs are. 00:16:24.221 --> 00:16:25.722 What's my life gonna be like 00:16:26.003 --> 00:16:34.826 outside of the clinic? 00:16:35.126 --> 00:16:36.607 Can I get, do I like the beach? 00:16:36.628 --> 00:16:38.109 Do I like the mountains? 00:16:39.124 --> 00:16:43.006 Do I want cultural opportunities? 00:16:46.168 --> 00:16:50.152 So that could enter into the equation. 00:16:50.653 --> 00:16:52.193 It went into the calculations, 00:16:52.234 --> 00:16:54.796 but I did get into PT school somewhere. 00:16:54.836 --> 00:16:55.515 I won't say where, 00:16:55.535 --> 00:16:56.736 but it did have a 00:16:56.817 --> 00:16:57.837 significant amount of snow. 00:16:57.878 --> 00:16:59.298 And I had done that in undergrad. 00:16:59.339 --> 00:17:00.559 So when I got into another 00:17:00.600 --> 00:17:01.900 program that was a little 00:17:01.921 --> 00:17:03.542 bit south of the Mason-Dixon line, 00:17:03.902 --> 00:17:05.163 I went that way because I said, 00:17:05.262 --> 00:17:06.364 I've experienced this. 00:17:06.463 --> 00:17:07.625 If I'm gonna do a program 00:17:07.644 --> 00:17:08.365 for a couple of years, 00:17:08.925 --> 00:17:10.008 I'd like it to be a little warmer. 00:17:10.028 --> 00:17:11.068 But hey, if you want to ski, 00:17:11.088 --> 00:17:12.150 you've got to go where the snow is. 00:17:12.170 --> 00:17:13.571 And if you want to be in the warm, 00:17:13.592 --> 00:17:14.553 you've got to go where the warm is. 00:17:15.875 --> 00:17:19.157 You're going to have at least one winter. 00:17:19.199 --> 00:17:19.759 That's correct. 00:17:19.939 --> 00:17:22.162 What is winter like and how 00:17:22.182 --> 00:17:23.282 do you like winter? 00:17:23.503 --> 00:17:24.345 That's a good question. 00:17:25.965 --> 00:17:27.988 Um, next, uh, on the list, 00:17:28.048 --> 00:17:30.169 it sounds like we talked about it earlier, 00:17:30.209 --> 00:17:31.509 but feedback and reviews, 00:17:31.529 --> 00:17:32.609 this is like insights from 00:17:32.650 --> 00:17:33.270 past residents. 00:17:33.290 --> 00:17:34.471 We sort of touched on that already. 00:17:34.531 --> 00:17:36.813 So, you know, I think that's on the list. 00:17:36.972 --> 00:17:37.814 We sort of mentioned it 00:17:37.933 --> 00:17:40.134 under asking alumni networks, but that's, 00:17:40.255 --> 00:17:40.694 it's good. 00:17:40.714 --> 00:17:41.675 It's saying, um, 00:17:41.855 --> 00:17:43.156 asking smart questions to 00:17:43.217 --> 00:17:43.957 people who've already 00:17:44.076 --> 00:17:45.959 experienced that particular, uh, 00:17:46.078 --> 00:17:48.119 program and what did they maybe like or, 00:17:48.359 --> 00:17:48.500 or, 00:17:48.619 --> 00:17:50.020 or get out of that and see if that 00:17:50.060 --> 00:17:51.201 matches your expectations. 00:17:51.221 --> 00:17:51.321 Yeah. 00:17:51.945 --> 00:17:53.528 Yeah, and you might also ask, 00:17:53.847 --> 00:17:55.269 as you're talking to those folks, 00:17:55.289 --> 00:17:58.753 current residents and 00:17:58.993 --> 00:18:02.397 alumni of the program, you might ask, 00:18:02.478 --> 00:18:06.462 how responsive is the program, 00:18:06.702 --> 00:18:08.644 the mentors and the program in general, 00:18:08.684 --> 00:18:11.449 how responsive are they to feedback? 00:18:13.696 --> 00:18:14.518 that they receive, 00:18:14.778 --> 00:18:17.778 do they request feedback? 00:18:17.817 --> 00:18:19.118 Do they even request feedback? 00:18:19.719 --> 00:18:20.038 We do, 00:18:20.098 --> 00:18:23.859 we always do X in interviews and we 00:18:23.880 --> 00:18:25.480 gather feedback and we try 00:18:25.519 --> 00:18:27.240 to make changes if we think 00:18:27.480 --> 00:18:28.641 the changes are appropriate 00:18:28.681 --> 00:18:29.622 based on that feedback. 00:18:30.142 --> 00:18:33.623 So did you have, ask those folks, 00:18:33.643 --> 00:18:34.643 did you have an opportunity 00:18:34.663 --> 00:18:36.682 to provide feedback about the experience? 00:18:37.503 --> 00:18:38.903 Did you get the impression 00:18:40.127 --> 00:18:41.749 that the program in general 00:18:41.909 --> 00:18:43.069 and the mentors were 00:18:43.130 --> 00:18:44.510 receptive to that feedback 00:18:45.031 --> 00:18:47.314 and made changes based on 00:18:47.653 --> 00:18:50.215 the feedback that they received. 00:18:50.655 --> 00:18:52.597 Yeah, that's a great thing to ask. 00:18:52.617 --> 00:18:52.938 And again, 00:18:52.978 --> 00:18:54.078 I think asking these questions 00:18:54.098 --> 00:18:55.819 as an applicant is going to set you apart, 00:18:55.839 --> 00:18:56.881 shows that you did your homework. 00:18:57.402 --> 00:18:57.682 Yes, 00:18:57.721 --> 00:18:59.143 who knew watching a video or listening 00:18:59.182 --> 00:19:00.324 to a podcast can actually 00:19:00.344 --> 00:19:01.204 be considered doing a 00:19:01.244 --> 00:19:02.085 little bit of homework and 00:19:02.205 --> 00:19:04.227 checking into programs. 00:19:04.948 --> 00:19:06.669 Last thing we have on this list, 00:19:06.909 --> 00:19:07.450 this list, 00:19:07.970 --> 00:19:08.690 Yes. 00:19:08.710 --> 00:19:09.570 This also touched on 00:19:09.611 --> 00:19:11.152 location and lifestyle a little bit, 00:19:11.172 --> 00:19:12.412 but that's compatibility 00:19:12.893 --> 00:19:14.053 with personal commitments. 00:19:14.073 --> 00:19:15.034 I had a friend of mine who 00:19:15.074 --> 00:19:17.474 did a residency while his 00:19:17.555 --> 00:19:18.776 wife was pregnant, 00:19:19.135 --> 00:19:20.195 and she brings that up 00:19:20.317 --> 00:19:21.436 often as he was traveling a 00:19:21.477 --> 00:19:23.377 lot to a faraway land to 00:19:23.417 --> 00:19:24.259 complete his residency. 00:19:24.278 --> 00:19:25.679 But that is one thing to think about. 00:19:26.119 --> 00:19:27.240 What kind of other stresses 00:19:27.259 --> 00:19:28.060 or other things in your 00:19:28.141 --> 00:19:29.882 life commitments do you have going on? 00:19:29.922 --> 00:19:30.701 Something to ask yourself. 00:19:32.526 --> 00:19:34.866 Yeah, 00:19:35.027 --> 00:19:37.228 those are things to ask if there are 00:19:37.347 --> 00:19:40.269 any special set of 00:19:40.329 --> 00:19:42.730 circumstances that the 00:19:42.790 --> 00:19:44.491 applicant thinks would 00:19:44.751 --> 00:19:48.034 impact their participation 00:19:48.074 --> 00:19:52.375 in the program and need accommodations. 00:19:53.884 --> 00:19:56.164 How receptive does the 00:19:56.204 --> 00:19:59.685 program seem to that 00:19:59.726 --> 00:20:02.646 request or request for accommodations? 00:20:04.987 --> 00:20:06.528 If they feel like they need 00:20:06.567 --> 00:20:07.528 the experience to be 00:20:07.587 --> 00:20:10.208 extended slightly longer 00:20:10.868 --> 00:20:12.229 than what things are set, 00:20:14.509 --> 00:20:17.369 the lockstep approach of the schedule. 00:20:18.130 --> 00:20:20.132 of the residency, you know, 00:20:20.211 --> 00:20:22.394 or are those accommodations, 00:20:22.713 --> 00:20:27.097 can those accommodations be met? 00:20:27.137 --> 00:20:28.259 Certainly a good question to 00:20:28.459 --> 00:20:30.140 ask at the time of 00:20:30.840 --> 00:20:33.502 investigation and interview. 00:20:33.522 --> 00:20:34.923 All right. 00:20:34.963 --> 00:20:36.305 What didn't make the list? 00:20:36.365 --> 00:20:37.546 Because we had this seven 00:20:37.566 --> 00:20:38.586 list set up for you and you 00:20:38.606 --> 00:20:39.607 knocked them down for us. 00:20:39.647 --> 00:20:41.048 What didn't make the list? 00:20:41.088 --> 00:20:43.090 What's on your secret list? 00:20:44.284 --> 00:20:44.483 Well, 00:20:44.503 --> 00:20:45.684 what I'm going to do first is I'm 00:20:45.704 --> 00:20:49.167 going to look at the other list. 00:20:49.188 --> 00:20:49.669 There you go. 00:20:49.949 --> 00:20:50.628 How long have you been 00:20:50.749 --> 00:20:51.789 working with residents at 00:20:51.849 --> 00:20:52.891 University of North Carolina? 00:20:52.911 --> 00:20:53.652 What's the timeline? 00:20:53.672 --> 00:20:57.095 We didn't set that up for the audience. 00:20:57.115 --> 00:20:59.056 Oh, I'd have to go back and look at my CV. 00:20:59.135 --> 00:21:00.897 I want to say we've been in 00:21:00.978 --> 00:21:04.621 existence about twelve years. 00:21:04.921 --> 00:21:08.743 And I think Sharon Klinsky, who's the 00:21:10.182 --> 00:21:13.442 I think associate editor of, yeah. 00:21:14.023 --> 00:21:15.124 She asked me to do this in 00:21:15.144 --> 00:21:17.204 the first place because I 00:21:17.305 --> 00:21:20.266 have been the lead mentor 00:21:21.547 --> 00:21:26.249 for one of the modules of our program, 00:21:26.729 --> 00:21:28.308 which requires that our 00:21:28.388 --> 00:21:29.910 residents submit for 00:21:29.990 --> 00:21:33.030 publication a case report. 00:21:34.372 --> 00:21:34.551 Yeah. 00:21:36.663 --> 00:21:39.125 And we feel, and so she asked me, you know, 00:21:39.164 --> 00:21:40.125 would you be willing to 00:21:40.226 --> 00:21:41.946 talk about why you think 00:21:41.967 --> 00:21:42.846 that's important? 00:21:43.207 --> 00:21:44.347 So that wasn't on the list. 00:21:45.028 --> 00:21:46.509 Well, so why is a case report important? 00:21:46.608 --> 00:21:47.490 Why do you think that's- Well, 00:21:47.589 --> 00:21:48.710 that's a good question. 00:21:48.750 --> 00:21:50.010 Thank you for asking me that. 00:21:50.330 --> 00:21:51.692 Thank you for telling me what to ask. 00:21:51.711 --> 00:21:54.032 I like that. 00:21:54.093 --> 00:21:58.675 So we hope that graduates of 00:21:58.736 --> 00:22:02.377 our residency program will be leaders in 00:22:02.951 --> 00:22:03.771 in the area of 00:22:03.872 --> 00:22:06.613 musculoskeletal physical therapy. 00:22:07.972 --> 00:22:08.893 And as part of that, 00:22:09.952 --> 00:22:12.193 if they're working in the clinic, 00:22:12.253 --> 00:22:13.413 which most all of them 00:22:13.473 --> 00:22:14.614 wanna continue to do, 00:22:14.733 --> 00:22:15.773 whether they're doing some 00:22:15.834 --> 00:22:16.974 academic teaching or not, 00:22:17.295 --> 00:22:18.394 they wanna be in the clinic, 00:22:19.674 --> 00:22:22.195 we want them to be capable 00:22:23.336 --> 00:22:25.596 to communicate with the 00:22:25.695 --> 00:22:28.076 rest of the musculoskeletal 00:22:28.096 --> 00:22:29.616 physical therapy community, 00:22:30.979 --> 00:22:33.619 about special cases that 00:22:33.680 --> 00:22:35.900 they have seen that maybe 00:22:35.960 --> 00:22:40.881 other therapists would would see rarely. 00:22:42.121 --> 00:22:44.741 So that so that they are 00:22:44.801 --> 00:22:46.761 residents can can educate 00:22:47.343 --> 00:22:49.423 the community on, hey, 00:22:50.603 --> 00:22:51.804 this is something you may 00:22:51.844 --> 00:22:53.104 not see very often. 00:22:53.364 --> 00:22:53.943 And and 00:22:54.741 --> 00:22:56.383 And I've really dug into the 00:22:56.462 --> 00:22:59.525 literature and the literature, you know, 00:23:00.026 --> 00:23:01.866 I use the literature to 00:23:02.067 --> 00:23:03.607 base my clinical reasoning 00:23:03.728 --> 00:23:08.511 on to achieve hopefully a good outcome. 00:23:09.853 --> 00:23:12.575 We want them to be leaders in that regard. 00:23:13.174 --> 00:23:14.076 We don't want them to just 00:23:14.115 --> 00:23:17.198 be leaders in the clinic. 00:23:18.653 --> 00:23:20.493 or in the classroom, 00:23:20.513 --> 00:23:23.395 but we want them to be able 00:23:23.435 --> 00:23:24.316 to demonstrate some 00:23:24.375 --> 00:23:26.457 leadership in that regard. 00:23:27.077 --> 00:23:27.938 And if you've never gone 00:23:27.958 --> 00:23:31.880 through the publication process, 00:23:33.060 --> 00:23:34.121 there's a learning curve 00:23:34.141 --> 00:23:37.042 there in terms of writing it up, 00:23:38.124 --> 00:23:41.065 writing up the report and being able to, 00:23:42.605 --> 00:23:43.425 they don't even realize 00:23:43.486 --> 00:23:44.626 what's involved in the 00:23:44.666 --> 00:23:46.107 process before doing this. 00:23:47.352 --> 00:23:49.834 So here's how you write it up. 00:23:49.894 --> 00:23:50.954 You need to follow the 00:23:51.455 --> 00:23:52.696 instructions to authors. 00:23:53.376 --> 00:23:55.179 It's not going to be accepted like that. 00:23:55.578 --> 00:23:56.680 Never, never. 00:23:57.641 --> 00:23:58.981 How do you respond to 00:23:59.082 --> 00:24:00.242 feedback of the reviewers? 00:24:00.262 --> 00:24:00.462 Yeah. 00:24:02.505 --> 00:24:04.445 And how do you, in the end, 00:24:04.605 --> 00:24:07.929 achieve success and get the information, 00:24:07.969 --> 00:24:09.710 success being get that 00:24:09.769 --> 00:24:11.571 information out to people, 00:24:13.032 --> 00:24:14.193 therapists and their 00:24:14.233 --> 00:24:15.555 patients who may benefit 00:24:15.575 --> 00:24:16.476 from that information. 00:24:17.425 --> 00:24:20.587 So, you know, maybe you want to ask, 00:24:20.708 --> 00:24:22.128 is there an opportunity for that? 00:24:23.230 --> 00:24:24.490 I talked before about, you know, 00:24:24.570 --> 00:24:25.432 is there an opportunity to 00:24:25.451 --> 00:24:26.893 engage in research? 00:24:27.834 --> 00:24:29.335 Maybe you're just, you know, 00:24:29.355 --> 00:24:31.195 an extra set of hands in 00:24:31.215 --> 00:24:33.176 the lab and you're helping 00:24:33.938 --> 00:24:35.219 with data acquisition. 00:24:35.979 --> 00:24:36.900 But there's not much more 00:24:36.940 --> 00:24:38.721 time for things like that. 00:24:39.162 --> 00:24:40.423 But here's an opportunity. 00:24:40.462 --> 00:24:41.743 You're going to be a clinician. 00:24:42.784 --> 00:24:44.085 We're trying to train you to 00:24:44.204 --> 00:24:46.426 be an elite clinician. 00:24:48.286 --> 00:24:50.188 And we think part of your 00:24:50.228 --> 00:24:51.469 responsibility in that 00:24:51.509 --> 00:24:54.070 regard is you see something 00:24:54.131 --> 00:24:57.433 special and you figure it out, right, 00:24:57.713 --> 00:24:59.355 based on the literature and 00:24:59.375 --> 00:25:00.736 you achieve a good outcome. 00:25:01.576 --> 00:25:02.718 Help other people learn. 00:25:03.936 --> 00:25:05.117 By doing the report. 00:25:05.718 --> 00:25:07.719 Can you communicate, 00:25:07.960 --> 00:25:10.381 which is a very valuable skill. 00:25:10.421 --> 00:25:13.041 Oh, yeah. 00:25:13.222 --> 00:25:15.644 Scientific writing is a different animal. 00:25:16.104 --> 00:25:16.944 Yes, absolutely. 00:25:17.345 --> 00:25:19.726 My mantra, I don't have any tattoos, 00:25:19.766 --> 00:25:21.707 Michael, but if I had one, it would say, 00:25:21.866 --> 00:25:23.067 science isn't finished 00:25:23.288 --> 00:25:24.509 until it's understood. 00:25:25.148 --> 00:25:26.349 Meaning just because you saw 00:25:26.430 --> 00:25:26.930 something and you 00:25:26.970 --> 00:25:28.310 understood it and you got a good outcome, 00:25:28.631 --> 00:25:29.671 if you can't communicate it, 00:25:29.691 --> 00:25:30.672 that it dies with you. 00:25:30.711 --> 00:25:32.252 And I think that's a shame if it does. 00:25:32.752 --> 00:25:33.212 It is. 00:25:33.873 --> 00:25:35.513 It is. 00:25:35.933 --> 00:25:37.434 It's almost a professional 00:25:37.515 --> 00:25:41.017 obligation to share that information. 00:25:41.596 --> 00:25:41.957 Agreed. 00:25:42.257 --> 00:25:43.178 When I first came back to 00:25:43.198 --> 00:25:44.939 graduate school after 00:25:45.598 --> 00:25:47.279 working as a PT for a year and a half, 00:25:47.940 --> 00:25:48.941 one of the courses I took 00:25:48.980 --> 00:25:50.381 was scientific writing. 00:25:51.701 --> 00:25:53.363 It was a humbling experience. 00:25:54.839 --> 00:25:57.842 I jumped in in ninth grade 00:25:57.942 --> 00:25:59.624 English and I took technical writing. 00:25:59.644 --> 00:26:00.324 And the very first 00:26:00.364 --> 00:26:01.505 assignment was explain how 00:26:01.525 --> 00:26:02.405 to make a peanut butter and 00:26:02.425 --> 00:26:03.046 jelly sandwich. 00:26:03.066 --> 00:26:04.067 And of course, the teacher, 00:26:04.867 --> 00:26:06.148 when you said take the bread, 00:26:06.308 --> 00:26:07.390 he took the bread and left 00:26:07.549 --> 00:26:08.691 because you said take the bread. 00:26:09.131 --> 00:26:10.471 He didn't say where to take the bread. 00:26:10.672 --> 00:26:12.153 But his example was make 00:26:12.173 --> 00:26:13.473 sure your words matter and 00:26:13.513 --> 00:26:14.694 be careful with what words 00:26:14.714 --> 00:26:16.036 you're choosing because the 00:26:16.096 --> 00:26:17.857 reader might not interpret them that way. 00:26:19.330 --> 00:26:22.511 What else wasn't on the original list? 00:26:22.692 --> 00:26:24.031 Some of the things we've talked about, 00:26:24.112 --> 00:26:26.712 some of the things on the other list, 00:26:29.554 --> 00:26:30.753 we've talked about, 00:26:31.894 --> 00:26:36.674 what are my long-term career goals? 00:26:36.855 --> 00:26:38.895 We always want to see that. 00:26:38.935 --> 00:26:41.517 When we interview, we want to hear it. 00:26:42.376 --> 00:26:43.317 We're always asking, 00:26:43.717 --> 00:26:46.198 five years down the road, 00:26:46.238 --> 00:26:47.117 what do you want to be doing? 00:26:48.657 --> 00:26:50.720 so is there a good match 00:26:51.940 --> 00:26:53.801 between what your goals are 00:26:54.663 --> 00:26:58.025 down the road and and what 00:26:58.045 --> 00:26:59.165 this what you see this 00:26:59.226 --> 00:27:02.387 program offering uh and so 00:27:02.407 --> 00:27:03.628 you you can look at the 00:27:03.669 --> 00:27:05.029 face of it what does it 00:27:05.109 --> 00:27:06.030 seem like they're offering 00:27:06.510 --> 00:27:08.532 but the other thing that we 00:27:08.553 --> 00:27:09.993 talked about where are the 00:27:10.034 --> 00:27:12.836 alumni are those are some 00:27:12.875 --> 00:27:14.936 of those alumni where you 00:27:14.957 --> 00:27:16.699 would like to be right 00:27:17.449 --> 00:27:19.230 five years down the road. 00:27:19.410 --> 00:27:20.651 They were able to do it. 00:27:20.830 --> 00:27:22.071 Okay. 00:27:22.251 --> 00:27:24.193 Maybe I can do it as well. 00:27:24.713 --> 00:27:25.314 Let me ask you this. 00:27:25.434 --> 00:27:27.496 Is it a red flag if you ask an applicant, 00:27:27.536 --> 00:27:28.777 where do you want to be in five years? 00:27:28.797 --> 00:27:29.217 And they say, 00:27:29.277 --> 00:27:30.538 I'm not a hundred percent sure. 00:27:30.758 --> 00:27:32.239 Is that a reason to say that 00:27:32.259 --> 00:27:33.359 this isn't right for you? 00:27:33.640 --> 00:27:36.342 Or what's your thoughts on that? 00:27:37.603 --> 00:27:39.544 Well, I can only speak for myself. 00:27:39.784 --> 00:27:40.003 Right. 00:27:40.023 --> 00:27:40.964 And that's okay. 00:27:41.184 --> 00:27:42.006 I would probably say 00:27:43.702 --> 00:27:44.824 I'm not sure you're ready. 00:27:45.064 --> 00:27:46.045 Come back when you're 00:27:46.085 --> 00:27:47.906 prepared to answer that question. 00:27:48.326 --> 00:27:49.268 Because it's a really big 00:27:49.288 --> 00:27:50.949 commitment financially, time-wise, 00:27:51.028 --> 00:27:52.830 all those time, effort, money. 00:27:53.030 --> 00:27:54.152 It's another year. 00:27:54.853 --> 00:28:00.057 Now the advantage, a big advantage here, 00:28:00.096 --> 00:28:00.218 big. 00:28:00.518 --> 00:28:03.099 Some people would argue that 00:28:03.599 --> 00:28:06.702 a new graduate one year 00:28:06.762 --> 00:28:10.365 down the road is comparable 00:28:11.299 --> 00:28:12.760 to a new graduate who's gone 00:28:12.800 --> 00:28:15.163 through a one-year residency program. 00:28:16.483 --> 00:28:16.703 Now, 00:28:16.864 --> 00:28:19.226 I would say if they've gone through a 00:28:19.465 --> 00:28:21.086 one-year residency program 00:28:21.448 --> 00:28:22.828 that's a really good program, 00:28:23.328 --> 00:28:24.930 that's targeted toward 00:28:25.009 --> 00:28:28.772 their specific needs, I would say no way. 00:28:30.614 --> 00:28:31.875 I'd like to use stronger language, 00:28:31.934 --> 00:28:37.078 but this is an open communication here, 00:28:37.118 --> 00:28:37.558 so I won't. 00:28:38.500 --> 00:28:39.441 I would say no way. 00:28:40.441 --> 00:28:42.662 Because if you go through a residency, 00:28:42.721 --> 00:28:46.304 a good residency, 00:28:46.324 --> 00:28:48.826 then the mentors who are 00:28:48.945 --> 00:28:50.046 operating that program, 00:28:51.186 --> 00:28:53.848 they have expertise in all these areas. 00:28:55.950 --> 00:28:58.111 They have created didactic 00:28:58.750 --> 00:29:01.893 modules where you read what 00:29:01.952 --> 00:29:03.013 they think are the most 00:29:03.094 --> 00:29:06.756 important papers in each area. 00:29:08.374 --> 00:29:10.434 And you contrast that with a 00:29:10.474 --> 00:29:11.555 new graduate who's on their 00:29:11.634 --> 00:29:12.435 own for one year, 00:29:13.675 --> 00:29:16.297 who has to struggle to find those papers. 00:29:16.376 --> 00:29:18.298 Did they really find the 00:29:18.357 --> 00:29:19.759 most important information? 00:29:20.219 --> 00:29:22.180 The didactic stuff is like 00:29:22.559 --> 00:29:24.681 organized for you. 00:29:24.740 --> 00:29:26.961 It's like a gift. 00:29:27.041 --> 00:29:29.383 Here you are, here's the, we think. 00:29:29.782 --> 00:29:30.722 Now, 00:29:31.143 --> 00:29:34.045 let's assume it's a large cadre of 00:29:34.164 --> 00:29:34.605 mentors. 00:29:35.486 --> 00:29:36.906 who are really experienced. 00:29:37.287 --> 00:29:38.268 And you can tell that by 00:29:38.307 --> 00:29:41.369 looking at their CVs and all of that. 00:29:42.069 --> 00:29:45.271 Okay, these people know their stuff. 00:29:45.992 --> 00:29:47.653 They've published some of 00:29:47.693 --> 00:29:48.954 the important information 00:29:49.335 --> 00:29:50.355 in all these areas. 00:29:51.036 --> 00:29:51.997 They should know what's 00:29:52.057 --> 00:29:53.798 important and they're gonna 00:29:53.857 --> 00:29:56.118 prepare it all for me and 00:29:56.179 --> 00:29:57.059 give it to me and I don't 00:29:57.079 --> 00:29:59.480 have to go looking for it. 00:29:59.500 --> 00:30:01.242 That is a huge plus. 00:30:01.722 --> 00:30:02.742 And you need, that's why, 00:30:03.692 --> 00:30:05.253 know we talked earlier that 00:30:05.273 --> 00:30:06.915 was one of the seven things 00:30:06.955 --> 00:30:08.877 that you know you you you 00:30:08.917 --> 00:30:10.880 pushed my way you know so 00:30:11.421 --> 00:30:12.461 are the are those the 00:30:12.501 --> 00:30:13.803 people who are are the 00:30:13.843 --> 00:30:15.484 mentors in this program or 00:30:15.565 --> 00:30:16.906 is it like two or three 00:30:16.946 --> 00:30:19.710 clinicians some of whom are 00:30:19.809 --> 00:30:20.830 you know two three years 00:30:20.951 --> 00:30:23.794 out from from uh their just 00:30:24.035 --> 00:30:25.016 being a new graduate 00:30:26.221 --> 00:30:29.903 Yeah, that's a great opportunity, 00:30:30.644 --> 00:30:32.365 and maybe you decide a 00:30:32.445 --> 00:30:35.847 two-thirds salary is worth 00:30:35.887 --> 00:30:39.029 it to get that opportunity 00:30:39.391 --> 00:30:40.592 for all that knowledge. 00:30:40.771 --> 00:30:41.852 All right, 00:30:41.872 --> 00:30:43.453 I didn't prepare you for this question, 00:30:44.034 --> 00:30:45.835 but what's a good question 00:30:45.894 --> 00:30:47.415 an applicant has asked you 00:30:47.455 --> 00:30:49.238 before that made you say, oh, wow, 00:30:49.258 --> 00:30:50.338 that's a really good – I'm 00:30:50.378 --> 00:30:51.740 impressed by that question? 00:30:54.741 --> 00:30:54.942 Yeah. 00:30:56.675 --> 00:30:57.836 A good question is, 00:30:58.676 --> 00:31:00.836 what are you looking for in 00:31:00.876 --> 00:31:01.957 a new resident? 00:31:02.458 --> 00:31:04.938 Ah, there you go. 00:31:05.738 --> 00:31:10.259 So it's like, okay, see what they say, 00:31:11.680 --> 00:31:12.900 and then ask yourself, 00:31:13.099 --> 00:31:14.020 are you that person? 00:31:14.201 --> 00:31:14.701 Is that me? 00:31:14.760 --> 00:31:16.740 Right, right, right, right, right. 00:31:16.840 --> 00:31:17.701 It reverses it. 00:31:18.261 --> 00:31:19.662 Describe your perfect candidate, 00:31:19.761 --> 00:31:20.762 and you're asking yourself, 00:31:21.583 --> 00:31:22.462 am I that candidate? 00:31:23.470 --> 00:31:24.750 Yeah. 00:31:24.770 --> 00:31:25.451 Another question. 00:31:25.791 --> 00:31:26.012 Yeah. 00:31:26.073 --> 00:31:27.473 So what are you looking for? 00:31:27.773 --> 00:31:29.476 And, you know, or like, 00:31:30.076 --> 00:31:31.538 what kind of person has 00:31:31.637 --> 00:31:36.221 good success in this program? 00:31:36.282 --> 00:31:38.464 Now, it's kind of the same question, 00:31:38.545 --> 00:31:38.744 right? 00:31:40.048 --> 00:31:43.250 But it's an opportunity for, okay, 00:31:43.690 --> 00:31:45.049 do a self-assessment. 00:31:45.529 --> 00:31:46.891 Am I that kind of person? 00:31:47.550 --> 00:31:49.330 Because maybe you ask that 00:31:49.351 --> 00:31:51.392 same question in an 00:31:51.451 --> 00:31:53.051 interview at another residency, 00:31:53.672 --> 00:31:54.952 and the answer you get is 00:31:55.012 --> 00:31:56.752 something different. 00:31:56.792 --> 00:31:58.753 We're looking for this kind of person. 00:31:59.854 --> 00:32:01.874 And so we're always 00:32:01.933 --> 00:32:03.934 interested in the match. 00:32:05.854 --> 00:32:08.076 Is there a good match for 00:32:09.237 --> 00:32:11.678 how we think this person can learn, 00:32:12.558 --> 00:32:14.440 what this person's goals are? 00:32:14.460 --> 00:32:15.480 We talked about that. 00:32:16.342 --> 00:32:17.803 What we have to offer. 00:32:19.183 --> 00:32:21.244 The last thing we want is a 00:32:21.325 --> 00:32:22.365 resident to go through the 00:32:22.405 --> 00:32:23.446 program and they're 00:32:23.487 --> 00:32:26.368 disappointed because they 00:32:26.409 --> 00:32:27.609 didn't get what they wanted. 00:32:28.891 --> 00:32:30.192 We want a good match. 00:32:32.061 --> 00:32:34.544 Everybody, when everybody achieves success, 00:32:34.604 --> 00:32:36.025 it's a good match for the program. 00:32:36.045 --> 00:32:37.105 It's a good match for the resident. 00:32:37.125 --> 00:32:37.665 That's the measure. 00:32:37.685 --> 00:32:39.406 Yeah. 00:32:39.446 --> 00:32:39.708 All right. 00:32:39.788 --> 00:32:40.688 Last thing we do on 00:32:41.128 --> 00:32:43.911 orthostatic is called words of wisdom. 00:32:45.107 --> 00:32:47.869 Is there a particular piece of advice, 00:32:47.890 --> 00:32:49.390 a quote that maybe resonated with you? 00:32:49.410 --> 00:32:51.790 Or what's one set of words 00:32:51.830 --> 00:32:52.791 of wisdom you'd want to 00:32:52.811 --> 00:32:54.051 leave with someone who's 00:32:54.112 --> 00:32:56.252 going through these steps and saying, 00:32:56.313 --> 00:32:56.532 okay, 00:32:56.574 --> 00:32:57.433 these are the things I'm going to 00:32:57.453 --> 00:32:58.114 ask these questions. 00:32:58.513 --> 00:32:59.375 What would you say to that 00:32:59.414 --> 00:33:00.474 person who's deciding, 00:33:00.575 --> 00:33:08.959 do I do a residency or not? 00:33:09.038 --> 00:33:10.059 It's a lot of what we've 00:33:10.099 --> 00:33:10.980 already talked about. 00:33:11.000 --> 00:33:12.861 It's like, 00:33:14.229 --> 00:33:15.349 What are you looking for? 00:33:17.471 --> 00:33:22.875 Does this program have all 00:33:23.435 --> 00:33:24.537 things that would help you 00:33:24.656 --> 00:33:26.117 get where you want to be? 00:33:27.118 --> 00:33:28.160 Otherwise, don't do it. 00:33:29.941 --> 00:33:30.922 Can you get where you want 00:33:30.961 --> 00:33:33.324 to be on your own with experience? 00:33:34.875 --> 00:33:35.875 because you're so 00:33:35.935 --> 00:33:39.178 self-motivated that you're 00:33:39.218 --> 00:33:40.578 gonna chase down all the 00:33:40.618 --> 00:33:43.240 information in the literature? 00:33:46.061 --> 00:33:51.525 Or do you feel like you need assistance? 00:33:51.705 --> 00:33:53.145 And not just the assistance 00:33:53.326 --> 00:33:55.167 of the knowledge, 00:33:56.290 --> 00:33:59.192 but the hands-on skills. 00:33:59.212 --> 00:34:00.253 A lot of people are looking, 00:34:00.314 --> 00:34:01.335 they're new grads, 00:34:01.674 --> 00:34:02.375 they didn't have that much 00:34:02.434 --> 00:34:04.656 opportunity to learn the 00:34:04.777 --> 00:34:07.959 manual skills of intervention, 00:34:09.019 --> 00:34:12.762 the manual skills of doing the exam. 00:34:15.143 --> 00:34:17.806 And if you're feeling 00:34:17.925 --> 00:34:21.048 lacking in just about every, 00:34:21.688 --> 00:34:23.871 unless the new graduate is, 00:34:24.911 --> 00:34:26.771 just fooling themselves and 00:34:26.871 --> 00:34:28.652 doesn't have a realistic 00:34:29.753 --> 00:34:31.353 assessment of their own skills, 00:34:33.333 --> 00:34:35.833 they all feel like, you know, inadequate. 00:34:36.693 --> 00:34:41.195 They go, oh, I'm not good enough yet. 00:34:41.494 --> 00:34:43.036 I don't, you know, 00:34:43.115 --> 00:34:45.016 I just want to know so much more. 00:34:45.615 --> 00:34:47.916 But, you know, for a lot of them, 00:34:48.036 --> 00:34:49.976 it's like, okay, you went through four, 00:34:49.996 --> 00:34:51.056 you scratched and clawed 00:34:51.077 --> 00:34:52.277 four years of undergrad. 00:34:52.998 --> 00:34:54.038 You have financial debt. 00:34:56.715 --> 00:34:58.916 You went straight into a PT 00:34:58.956 --> 00:35:00.938 program for another three 00:35:00.978 --> 00:35:04.942 years and you're exhausted, 00:35:05.663 --> 00:35:08.045 just exhausted from being a 00:35:08.184 --> 00:35:10.867 student and you wanna break in that. 00:35:12.289 --> 00:35:13.909 A lot of times, 00:35:16.472 --> 00:35:17.773 I think it's a good idea 00:35:18.494 --> 00:35:21.096 for a new grad to go out 00:35:21.737 --> 00:35:24.458 and practice for a year or two. 00:35:26.990 --> 00:35:29.333 gives them an opportunity to 00:35:29.492 --> 00:35:32.855 learn what they don't know 00:35:34.715 --> 00:35:35.996 and to come up with 00:35:36.036 --> 00:35:39.539 clinical questions that are 00:35:39.599 --> 00:35:41.519 plaguing them for which 00:35:41.581 --> 00:35:42.740 they would like answers. 00:35:44.782 --> 00:35:46.503 And then it better prepares 00:35:46.523 --> 00:35:47.523 them to do the 00:35:47.623 --> 00:35:50.266 self-assessment of what I 00:35:50.286 --> 00:35:51.407 feel like I'm strong in, 00:35:52.469 --> 00:35:54.110 What am I looking for to 00:35:54.170 --> 00:35:57.951 advance my knowledge and 00:35:57.990 --> 00:36:00.391 hands-on skills and better 00:36:00.431 --> 00:36:01.992 prepares them to 00:36:02.072 --> 00:36:03.233 investigate the various 00:36:03.273 --> 00:36:05.074 residency programs to see 00:36:05.155 --> 00:36:07.576 which programs will meet those needs. 00:36:08.036 --> 00:36:09.076 There, that's it. 00:36:10.077 --> 00:36:11.777 I'm sorry it took me a while to get there. 00:36:12.057 --> 00:36:13.237 It's called words of wisdom. 00:36:13.257 --> 00:36:13.838 I didn't say how. 00:36:13.858 --> 00:36:15.039 Lots. 00:36:15.905 --> 00:36:16.985 Yeah. 00:36:17.005 --> 00:36:18.507 All right. 00:36:18.527 --> 00:36:18.626 Yeah. 00:36:18.646 --> 00:36:19.208 There we go. 00:36:19.228 --> 00:36:19.867 Thank you for running 00:36:19.887 --> 00:36:20.789 through that checklist. 00:36:20.829 --> 00:36:22.969 I know a lot of people, especially, 00:36:22.989 --> 00:36:23.170 you know, 00:36:23.190 --> 00:36:24.090 the next couple of months will 00:36:24.110 --> 00:36:25.251 be thinking about this. 00:36:25.271 --> 00:36:26.233 It's that time of year. 00:36:26.972 --> 00:36:28.134 I'm glad to have some 00:36:28.173 --> 00:36:29.856 insight from somebody like yourself, 00:36:29.876 --> 00:36:31.077 Dr. Michael Gross from the 00:36:31.297 --> 00:36:32.777 University of North 00:36:32.818 --> 00:36:33.818 Carolina School of Medicine, 00:36:33.858 --> 00:36:34.958 Department of Health 00:36:34.998 --> 00:36:36.199 Sciences and Physical Therapy. 00:36:36.501 --> 00:36:37.440 Appreciate you taking that 00:36:37.481 --> 00:36:38.402 time and sharing that 00:36:38.442 --> 00:36:39.242 knowledge and those words 00:36:39.262 --> 00:36:41.063 of wisdom with people about 00:36:41.324 --> 00:36:42.425 considering taking that 00:36:42.465 --> 00:36:43.425 leap for a residency. 00:36:44.501 --> 00:36:45.994 Jimmy, thank you for the opportunity.