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Physical Therapist Checklist

AREAS OF EXPERTISE * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
General Acute Care
Rehabilitation Hospital
Sports Medicine Clinic
Children's Hospital
School System
Home Health Care
Physician's Office
Skilled Nursing Facility
Management Duties
Outpatient
Assisted Living Facility
AREAS OF EXPERTISE *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
General Acute Care
Rehabilitation Hospital
Sports Medicine Clinic
Children's Hospital
School System
Home Health Care
Physician's Office
Skilled Nursing Facility
Management Duties
Outpatient
Assisted Living Facility
DIAGNOSTIC * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Cerebrovascular Accident/Stroke
Neurologic
Orthopedic
Head Trauma
Burns
Head injuries
Sports injuries
Amputees
Spinal Cord Injury
Cardiac Rehab
Pulmonary Rehab
DIAGNOSTIC FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Cerebrovascular Accident/Stroke
Neurologic
Orthopedic
Head Trauma
Burns
Head injuries
Sports injuries
Amputees
Spinal Cord Injury
Cardiac Rehab
Pulmonary Rehab
ORTHOPEDICS * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Total Hip
Total Knee
Hip Fractures
Total Joint Replacement
Back Syndrome
Hand injury
TMJ Dysfunction
Arthritis Programs
Mobilization Techniques
Gait Training
Neck injury
ORTHOPEDICS *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Total Hip
Total Knee
Hip Fractures
Total Joint Replacement
Back Syndrome
Hand injury
TMJ Dysfunction
Arthritis Programs
Mobilization Techniques
Gait Training
Neck injury
NEUROLOGIC * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Stroke Rehabilitation
Head Trauma
Coma Management
Spinal Cord injury
NEUROLOGIC * FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Stroke Rehabilitation
Head Trauma
Coma Management
Spinal Cord injury
SPORTS MEDICINE * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Bracing Joint Immobilization
Biodex
Cybex
Lido
Nautilus/Eagle
Orthotron
Taping/Strapping
Strength and Endurance Training
SPORTS MEDICINE *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Bracing Joint Immobilization
Biodex
Cybex
Lido
Nautilus/Eagle
Orthotron
Taping/Strapping
Strength and Endurance Training
MODALITIES/MANUAL SKILLS * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Acuscope
Biofeedback
Continuous Passive Motion Machine
Craniosacral Therapy
Cryotherapy
Diathermy
Electro-acupuncture
Extremity mobilization
Fluidotherapy
Hot/Cold Packs
Ultrasound
Paraffin Bath
Massage
Cervical Traction
Lumbar Traction
Wound Dressing
Hubbard Tank
Therapeutic Pool
Whirlpool
Myofacial Release Techniques
Vasopneumatic Devices
MODALITIES/MANUAL SKILLS *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Acuscope
Biofeedback
Continuous Passive Motion Machine
Craniosacral Therapy
Cryotherapy
Diathermy
Electro-acupuncture
Extremity mobilization
Fluidotherapy
Hot/Cold Packs
Ultrasound
Paraffin Bath
Massage
Cervical Traction
Wound Dressing
Hubbard Tank
Therapeutic Pool
Whirlpool
Myofacial Release Techniques
Vasopneumatic Devices
PROSTHETICS/ORTHOTICS * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Above Knee Prosthetics
Upper Extremities Prosthetics
Orthoplast
Resting Splints
Ankle-Foot Orthosis
Static Splints
Dynamic Splinting
Serial/Inhibitory Casting
PROSTHETICS/ORTHOTICS *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Above Knee Prosthetics
Upper Extremities Prosthetics
Orthoplast
Resting Splints
Ankle-Foot Orthosis
Static Splints
Dynamic Splinting
Serial/Inhibitory Casting
OTHER * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Seating Wheelchair
Ordering Wheelchair
Burn Management
Cardiac Rehabilitation
Chest Physiotherapy
Geriatrics
OTHER * FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Seating Wheelchair
Ordering Wheelchair
Burn Management
Cardiac Rehabilitation
Chest Physiotherapy
Geriatrics
ELECTRONIC DOCUMENTATION * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Allscripts
Care360
Cerner
CPSI
eClinicalWorks
Eclipsys
EPIC
MACLAB
McKesson/Paragon
Meditech
PACS
Quadramed
ELECTRONIC DOCUMENTATION * FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Allscripts
Care360
Cerner
CPSI
eClinicalWorks
Eclipsys
EPIC
MACLAB
McKesson/Paragon
Meditech
PACS
Quadramed
AGE SPECIFIC COMPETENCIES * SKILL

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler (1-3 years)
Preschooler (3-5 years)
School age children (5-12 years)
Adolescents (12-18 years)
Young adults (18-39 years)
Middle adults (39-64 years)
Older adults (64-79 years)
Elderly adults (80+ years)
AGE SPECIFIC COMPETENCIES *FREQUENCY

PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS: Proficiency I have never done the stated task. I have performed the task/skill infrequently; I require more experience/practic
Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler (1-3 years)
Preschooler (3-5 years)
School age children (5-12 years)
Adolescents (12-18 years)
Young adults (18-39 years)
Middle adults (39-64 years)
Older adults (64-79 years)
Elderly adults (80+ years)