Ethics and Jurisprudence: Tennessee Physical Therapy Providers

Ethics and Jurisprudence: Tennessee Physical Therapy Providers 

Physical therapy professionals are constantly confronted with a variety of ethical and moral dilemmas. Their decisions, and even their failures, to make decisions, can have long-range effects professionally and personally for providers, patients, healthcare entities, and for society as a whole. Why does one value win out over another? What does the decision process involve? How do these decisions impact those involved? irected to Physical Therapists (PT) and Physical Therapist Assistants (PTA), this 4-credit entry-level course will address ethical and moral dilemmas, the decision processes, and posit multiple ethical case studies. This course aims to assist the PT professional in understanding their ethical responsibilities as well as regulations that govern PT practice in the state of Tennessee.


Hours: 4.00


Certificates provided by accrediting body (1 Match)

Tennessee Physical Therapy Association


Tennessee Physical Therapy Association Approval Number 2020-161 for Class 1 Continuing Competency Requirement.
Presenter(s): Andrea Salzman
This course is approved for 4.00 contact hours.

Course Details

Course Code: REL-RTS-0-EJTPTP
Hours: 4
Type: Online Course
Content Expiration Date: 6/30/2022
Learning Objectives:
Describe 3 changes in the professional, reimbursement, or legal landscapes that affect PTs and PTAs.
Articulate 2 distinctions between morals, ethics, and the law as related to the physical therapy profession.
Describe 3 types of Advance Directives and briefly explain how each is designed to reduce moral, ethical, and legal dilemmas.
Define at least 2 main theories and principles of healthcare ethics, as described in the course.
Describe 2 methods PT professionals employ to help resolve ethical situations.
Apply elements of the American Physical Therapy Association’s Core Ethical documents to 2 case studies to resolve mock ethical dilemmas.
Articulate the supervision standards for physical therapist assistants, aides, students, and volunteers in the state of Tennessee.
Describe at least 5 services related to the practice of physical therapy.
Define “Direct Access” as it relates to the provision of physical therapy in Tennessee.
Describe requirements for continuing competency for both PT and PTA providers, including the total hours required and online hours permitted.
Describe the rules related to performance of “dry needling” by PTs in the state of Tennessee as outlined in Rule 1150-01-.22.


Section 1: Introduction

About This Course

Learning Objectives

Section 2: New Frontiers

Growing Pains

Case Study #1

Professional Challenges

Presenting Self as DPT

Practicing PT with Autonomy

Operating under Constrained Models

Implementing Electronic Medical Records

Implementing PQRS Reporting

Implementing the Affordable Care Act




Section 3: Morals, Ethics & Law

Ethics vs. Morals

Healthcare Ethics

Common Ethical Themes in Physical Therapy

APTA’s Core Values for the Physical Therapist






Professional Duty

Socially Responsible

APTA’s Core Values for the Physical Therapist

Ethics vs. Law

When it All Comes Together



Section 4: Ethical Theories and Principles



Case Study #2




Main Ethical Theories

Methods to Resolve Ethical Dilemmas

Long-View Implementation of Ethical Training

How Would These Play Out?

8 Steps to Resolve an Ethical Dilemma

Case Study #3

Active Engagement Method of Resolving Ethical Situations

Case Study #4

Ethical Lens Grid Method of Resolving Ethical Situations



Section 5: Code of Ethics

Codifying Ethics

Mock Case Scenarios



Section 6: Tennessee Regulations, Statutes, & Rules Governing Physical Therapy


Practice Act

General Rules Governing the Practice of Physical Therapy

1150-01-.02(1) Scope of Practice

1150-01-.02(2) Practice of Physical Therapy

Electromyography and Manual Therapy

1150-01-.02(c) Substandard Care

1150-01-.02 (2) Supervision

1150-01-.03 Necessity of Licensure

1150-01-.04 Qualifications for Licensure

Requirements for Electrophysiologic Studies

1150-01-.05 Procedures for Licensure

1150-01-.07 Application Review, Approval, and Denial

1150-01-.08 Examinations

1150-01-.09 Renewal of License

1150-01-.10 Provisional License

1150-01-.11 Retirement and Reactivation of License

1150-01-.12 Continuing Competence

1150-01-.13 Advertising

1150-01-.14 Code of Ethics

1150-01-.15 Disciplinary Actions, Civil Penalties, Assessment of Costs, and Screening Panels

1150-01-.16 Duplicate (Replacement) License

1150-01-.17 Change of Address and/or Name

1150-01-.18 Mandatory Release of Client Records

1150-01-.19 Board Meetings, Officers, Consultants, Records, and Declaratory Orders

1150-01-.20 Consumer Right-to-Know Requirements

1150-01-.21 Professional Peer Assistance

1150-01-.22 Dry Needling



Section 7: Relevant Policy Statements

Criminal Convictions

Continuing Education

Fingerstick Policy

Physical Therapy Clinical Students Performing Dry Needling

Consent Forms Without Referral

Physical Therapy Discharge

Direct Access to Physical Therapy

Monitoring of Home Health Aides

Lapsed Licenses

Approved Dry Needling Courses

Other Policies



Section 8: Conclusion


Course Contributor





Instructor: Andrea Salzman MS, PT
Andrea Salzman, MS, PT graduated from the University of Alabama at Birmingham with a Masters degree in physical therapy. Between 1996-2017, Salzman has instructed 100+ live instructions related to aquatic therapy and over 25 online courses related to geriatric therapy, ethics, and aquatic therapy. Her interest in topics related to scope of practice and ethics boundaries began in PT school where she served on a student-led honor council in a model which required its members to pass judgements on multiple ethics violations by peers. Between 1995-1998, Salzman served as Editor-in-Chief of an APTA section journal related to aquatic therapy, probing ethical topics within her Editor's column, such as "shading minutes" or refusing to allow patients to refuse PT in order to maintain Medicare Part A coverage. Between 1995-2002, Salzman served as a Lead Therapist and a PT Manager in both skilled nursing and hospital settings, roles which required her to provide inservice training as mandated by Joint Commission, including the use of the case study as a decision-making tool. In 2002, Advance for PT Magazine asked Salzman to create, referee and publish a series of point:counterpoint argumentative columns devoted to exploring hot button topics related to the ethical practice of physical therapy. Within this monthly column, "We Debate: You Decide", Salzman created a venue for 2 PT professionals to argue the merits of diametrically-opposed ethical stands on PT-related topics. In 2005, Salzman began serving as Vice President of 10K Rehab Corps, a temporary staffing company with an emphasis on providing on-call staff for the SNF and home health settings. One of her initial roles for this start-up company was the creation of policies on ethical standards for hiring and practice in the field. In 2009, Salzman began serving as the Director of Programming for Aquatic Therapy University (ATU) and in that role, has created over 500 hours of live instructionals for the post-graduate therapist. Salzman has spearheaded ATU's move towards obtaining PT continuing education credits through the Federation of State Boards of Physical Therapy, a move which required her to ensure the company met the intellectual property, ethical, disability access and diversity standards established by FSBPT. In 2010, Salzman received one of the highest honors given to a physical therapist from the American Physical Therapy Association, the Judy Cirullo Leadership Award. In 2012, Salzman began creating continuing education courses for Care2Learn, including discussions on the unintended ethical consequences of the Affordable Care Act (aka Obamacare) and rehospitalization risks for COPD, MI and CHF. Beginning in 2013, Salzman began creating Relias Learning online trainings related to medical errors and ethics and to perform critical reviews of existing CE courses, including reviews of Ethics and Jurisprudence courses, in order to ensure these courses met the standards required by the FSBPT and/or individual states. In addition to these roles, Salzman has served as: • Adjunct Faculty, College of St. Catherine's PT program: • Functional Design Consultant for facilities building aquatic centers; • Author, 5 physical therapy-related texts; • Monthly columnist, Aquatics International, Advance for PTs, Onsite Fitness, Disclosure: Andrea Salzman MS, PT discloses the following potential conflict of interests/commercial interests: Relevant Non-Financial Relationship with Aquatic Therapy University as (Owner) Relevant Non-Financial Relationship with Aquatic Resources Network as (Owner) Relevant Non-Financial Relationship with Consultant Business as Consultant Relevant Financial Relationship with No Entities Exists as (N/A)
Target Audience:
The target audience for this course is: Physical Therapists; in the following settings: Rehabilitation Settings.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
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