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District of Columbia Physical Therapy — Requirements & Free Practice

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Physical Therapist License

District of Columbia license to practice physical therapy under D.C. Code § 3-1205.01 and 17 DCMR Chapter 67.

Licensing authority: Board of Rehabilitative Therapies · Application information

Licensure by endorsement
Board Approval
The District examination is taken after Board approval (17 DCMR 6709.3, 6709.4).
Education
Proof of education under 17 DCMR 6702.1; per the Endorsement Checklist, applicants who have practiced more than five years may give their FSBPT ID instead of the official transcript.
General Qualifications
General qualifications of D.C. Code § 3-1205.03 and a criminal background check.
License Elsewhere
A valid, unrestricted physical therapist license in good standing from another jurisdiction of the United States, with official verification of every license ever held (17 DCMR 6709.1, 6709.2(a); Endorsement Checklist).
National Exam Score
Official certified proof, from the body administering it, of having passed the Board-approved national licensure examination in physical therapy (17 DCMR 6709.2(b)).
Licensure by examination
Board Pre Approval
The applicant must have Board pre-approval before taking the national examination or the District jurisprudence examination; the two examinations may be taken in any order (17 DCMR 6704.2, 6704.4).
Education
Graduation from a professional physical therapy education program accredited by an agency recognized by the U.S. Department of Education or approved by the Board, with an official certified transcript and certificate of graduation (17 DCMR 6702; D.C. Code § 3-1205.04(j)(1)).
Foreign Educated
An applicant educated outside the United States must show substantially equivalent education through a Board-approved credentials evaluation (the Board's checklists require an FCCPT Type 1 Review), must pass the Board-approved English proficiency examination if the applicant's native language is not English, and may be interviewed by the Board (17 DCMR 6703).
General Qualifications
At least 18 years of age, no disqualifying conviction or discipline elsewhere, criminal background check, and the other general qualifications of D.C. Code §§ 3-1205.03 and 3-1205.22.
Retakes
Each retake after a failed first attempt needs Board approval; beyond three attempts the applicant must first complete Board-determined remediation (17 DCMR 6704.8). The Board's Re-Examination Checklist requires the initial application to be on file no more than one year before the re-examination application.
Reactivation of an inactive license
District of Columbia Jurisprudence Examination
Continuing Education
Without an active license elsewhere: 20 hours of approved continuing education per inactive year (maximum 100) within the prior two years plus 2 LGBTQ hours; with an active license elsewhere: current competency to the Board's satisfaction plus 2 LGBTQ hours (17 DCMR 6706.6, 6706.7).
Current Competency
The Board may require proof of current competency, which may include a re-entry plan (D.C. Code § 3-1205.11(c)).
Jurisprudence Examination
The District examination is required before reactivation only if the applicant has not previously taken it (17 DCMR 6704.3(b)).
Reinstatement of an expired license
District of Columbia Jurisprudence Examination
Competency
An applicant out of active practice more than 2 years may be required to show competency through training, testing or practice monitoring as the Board determines (D.C. Code § 3-1205.12(c)).
Continuing Education
20 hours of approved continuing education for each year the license was not valid, completed within two years before the application, plus 2 LGBTQ hours (17 DCMR 6706.8).
Jurisprudence Examination
The District examination is required before reinstatement only if the applicant has not previously taken it (17 DCMR 6704.3(c)).
Time Limit
Reinstatement must be applied for within 5 years after expiration; after 5 years the applicant must apply for a new license (D.C. Code § 3-1205.12(a)(1), (b)).
Renewal of a license
District of Columbia Jurisprudence Examination
Continuing Education
40 hours of approved continuing education in the two years before expiration, including no more than 20 internet hours, 10% in Director-designated public health priorities and 2 hours of LGBTQ continuing education; not required for the first renewal (17 DCMR 6706.2, 6706.4).
Jurisprudence Examination
The District examination is required before renewal only if the applicant has not previously taken it (17 DCMR 6704.3(a)).

Physical Therapist Assistant License

District of Columbia license to practice as a physical therapist assistant under D.C. Code § 3-1205.01 and 17 DCMR Chapter 82 (physical therapy assistants).

Licensing authority: board of rehabilitative therapies · Application information

Licensure by endorsement
Board Approval
The District jurisprudence examination is taken after Board approval (17 DCMR 8205.3).
Education
Proof of education under 17 DCMR 8202.1.
General Qualifications
General qualifications of D.C. Code § 3-1205.03 and a criminal background check.
License Elsewhere
A valid, unrestricted physical therapy assistant license in good standing from another jurisdiction of the United States (17 DCMR 8205.1, 8205.2(a)).
National Exam Score
Official certified proof, from the body administering it, of having passed the Board-approved national licensure examination for a physical therapy assistant (17 DCMR 8205.2(b)).
Licensure by examination
Board Pre Approval
Board pre-approval is required before taking any licensure examination; the national and District examinations may be taken in any order (17 DCMR 8204.2, 8204.4).
Education
Completion of an accredited physical therapist assistant education program, with an official certified transcript and certificate of graduation; only graduates of an accredited PTA program may be approved to take the licensure examination (17 DCMR 8202, 8204.2; D.C. Code § 3-1205.04(j)(2)).
Foreign Educated
An applicant educated outside the United States must show substantial equivalence through the Physical Therapist Assistant Educational Equivalency Review (PTA-EER) and pass the Board-approved English proficiency examination if the applicant's native language is not English (17 DCMR 8203).
General Qualifications
General qualifications of D.C. Code § 3-1205.03 and a criminal background check.
Retakes
Retakes after a failed first attempt need Board approval; beyond three attempts, remediation is required first (17 DCMR 8204.8).

Physical Therapist Licensure Examination

Provider
Federation of State Boards of Physical Therapy; delivered at Prometric testing centers
Format
Computer-based multiple-choice examination in five sections
Exam questions
225 total items: 180 scored items and 45 pretest items
Time limit
5 hours testing time; 5 hours 30 minutes total appointment time
Passing score
Scaled score of 600
Examination outline
  • CARDIOVASCULAR & PULMONARY SYSTEMS — published item ranges: Physical Therapy Examination 7-8; Foundations for Evaluation, Differential Diagnosis, & Prognosis 7-9; Interventions 8-10; total per system 22-27 — Physical Therapy Examination — This category refers to knowledge of the types and applications of cardiovascular & pulmonary systems tests/measures, including outcome measures, according to current best evidence, and their relevance to information collected from the history and systems review. The category includes the reaction of the cardiovascular & pulmonary systems to tests/measures and the mechanics of body movement as related to the cardiovascular & pulmonary systems. Information covered in these areas supports appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Foundations for Evaluation, Differential Diagnosis, & Prognosis — This category refers to the interpretation of knowledge about diseases/conditions of the cardiovascular & pulmonary systems according to current best evidence, in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to cardiovascular & pulmonary systems interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the cardiovascular & pulmonary systems of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Physical Therapy Examination — Cardiovascular & pulmonary systems tests/measures, including outcome measures, and their applications according to current best evidence
    • Physical Therapy Examination — Anatomy and physiology of the cardiovascular & pulmonary systems as related to tests/measures
    • Physical Therapy Examination — Movement analysis as related to the cardiovascular & pulmonary systems (e.g., rib cage excursion, breathing pattern)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Cardiovascular & pulmonary systems diseases/conditions and their pathophysiology to establish and carry out a plan of care, including prognosis
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Nonpharmacological medical management of the cardiovascular & pulmonary systems (e.g., diagnostic imaging, laboratory test values, other medical tests, surgical procedures)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — The impact of pharmacology used to treat the cardiovascular & pulmonary system on physical therapy management
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Differential diagnoses related to diseases/conditions of the cardiovascular & pulmonary systems
    • Interventions — Cardiovascular & pulmonary systems physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence
    • Interventions — Anatomy and physiology of the cardiovascular & pulmonary systems as related to physical therapy interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the cardiovascular & pulmonary systems from physical therapy interventions
    • Interventions — Adverse effects or complications on the cardiovascular & pulmonary systems from physical therapy interventions used on other systems
  • MUSCULOSKELETAL SYSTEM — published item ranges: Physical Therapy Examination 14-18; Foundations for Evaluation, Differential Diagnosis, & Prognosis 15-18; Interventions 15-18; total per system 44-54 — Physical Therapy Examination — This category refers to knowledge of the types and applications of musculoskeletal system tests/measures, including outcome measures, according to current best evidence, and their relevance to information collected from the history and systems review. The category includes the reaction of the musculoskeletal system to tests/measures and the mechanics of body movement as related to the musculoskeletal system. Information covered in these areas supports appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Foundations for Evaluation, Differential Diagnosis, & Prognosis — This category refers to the interpretation of knowledge about diseases/conditions of the musculoskeletal system according to current best evidence, in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to musculoskeletal system interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the musculoskeletal system of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Physical Therapy Examination — Musculoskeletal system tests/measures, including outcome measures, and their applications according to current best evidence
    • Physical Therapy Examination — Anatomy and physiology of the musculoskeletal system as related to tests/measures
    • Physical Therapy Examination — Movement analysis as related to the musculoskeletal system
    • Physical Therapy Examination — Joint biomechanics and their applications
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Musculoskeletal system diseases/conditions and their pathophysiology to establish and carry out a plan of care, including prognosis
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Nonpharmacological medical management of the musculoskeletal system (e.g., diagnostic imaging, laboratory test values, other medical tests, surgical procedures)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — The impact of pharmacology used to treat the musculoskeletal system on physical therapy management
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Differential diagnoses related to diseases/conditions of the musculoskeletal system
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — The impact of regenerative medicine (e.g., platelet rich plasma, stem cells) on physical therapy prognosis and interventions related to musculoskeletal diseases/conditions
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Connective tissue diseases/conditions and their pathophysiology to establish and carry out a plan of care, including prognosis
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Differential diagnoses related to diseases/conditions of the connective tissue
    • Interventions — Musculoskeletal system physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence
    • Interventions — Anatomy and physiology of the musculoskeletal system as related to physical therapy interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the musculoskeletal system from physical therapy interventions
    • Interventions — Adverse effects or complications on the musculoskeletal system from physical therapy interventions used on other systems
  • NEUROMUSCULAR & NERVOUS SYSTEMS — published item ranges: Physical Therapy Examination 13-16; Foundations for Evaluation, Differential Diagnosis, & Prognosis 13-16; Interventions 13-16; total per system 39-48 — Physical Therapy Examination — This category refers to knowledge of the types and applications of neuromuscular & nervous systems tests/measures, including outcome measures, according to current best evidence, and their relevance to information collected from the history and systems review. The category includes the reaction of the neuromuscular & nervous systems to tests/measures and the mechanics of body movement as related to the neuromuscular & nervous systems. Information covered in these areas supports appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Foundations for Evaluation, Differential Diagnosis, & Prognosis — This category refers to the interpretation of knowledge about diseases/conditions of the neuromuscular & nervous systems according to current best evidence, in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to neuromuscular & nervous systems interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the neuromuscular & nervous systems of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Physical Therapy Examination — Neuromuscular & nervous systems tests/measures, including outcome measures, and their applications according to current best evidence
    • Physical Therapy Examination — Anatomy and physiology of the neuromuscular & nervous systems as related to tests/measures
    • Physical Therapy Examination — Movement analysis as related to the neuromuscular & nervous systems
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Neuromuscular & nervous systems (CNS, PNS, ANS) diseases/conditions and their pathophysiology to establish and carry out a plan of care, including prognosis
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Nonpharmacological medical management of the neuromuscular & nervous systems (e.g., diagnostic imaging, laboratory test values, other medical tests, surgical procedures)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — The impact of pharmacology used to treat the neuromuscular and nervous systems on physical therapy management
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Differential diagnoses related to diseases/conditions of the neuromuscular & nervous systems (CNS, PNS, ANS)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — The impact of regenerative medicine (e.g., platelet rich plasma, stem cells) on physical therapy prognosis and interventions related to the neuromuscular and nervous systems
    • Interventions — Neuromuscular & nervous systems physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence
    • Interventions — Anatomy and physiology of the neuromuscular & nervous systems as related to physical therapy interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the neuromuscular & nervous systems from physical therapy interventions
    • Interventions — Adverse effects or complications on the neuromuscular & nervous systems from physical therapy interventions used on other systems
    • Interventions — Motor control as related to neuromuscular & nervous systems physical therapy interventions
    • Interventions — Motor learning as related to neuromuscular & nervous systems physical therapy interventions
  • INTEGUMENTARY SYSTEM — published item ranges: Physical Therapy Examination 2-3; Foundations for Evaluation, Differential Diagnosis, & Prognosis 3-4; Interventions 3-4; total per system 8-11 — Physical Therapy Examination — This category refers to knowledge of the types and applications of integumentary system tests/measures, including outcome measures, according to current best evidence, and their relevance to information collected from the history and systems review. The category includes the reaction of the integumentary system to tests/measures and the mechanics of body movement as related to the integumentary system. Information covered in these areas supports appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Foundations for Evaluation, Differential Diagnosis, & Prognosis — This category refers to the interpretation of knowledge about diseases/conditions of the integumentary system according to current best evidence, in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to integumentary system interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the integumentary system of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Physical Therapy Examination — Integumentary system tests/measures, including outcome measures, and their applications according to current best evidence
    • Physical Therapy Examination — Anatomy and physiology of the integumentary system as related to tests/measures
    • Physical Therapy Examination — Movement analysis as related to the integumentary system (e.g., friction, shear, pressure, and scar mobility)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Integumentary system diseases/conditions and their pathophysiology to establish and carry out a plan of care, including prognosis
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Nonpharmacological medical management of the integumentary system (e.g., diagnostic imaging, laboratory test values, other medical tests, surgical procedures)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — The impact of pharmacology used to treat the integumentary system on physical therapy management
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Differential diagnoses related to diseases/conditions of the integumentary system
    • Interventions — Integumentary system physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence
    • Interventions — Anatomy and physiology of the integumentary system as related to physical therapy interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the integumentary system from physical therapy and medical/surgical interventions
    • Interventions — Adverse effects or complications on the integumentary system from physical therapy interventions used on other systems
  • METABOLIC & ENDOCRINE SYSTEMS — published item ranges: Physical Therapy Examination not allocated; Foundations for Evaluation, Differential Diagnosis, & Prognosis 2-3; Interventions 2-3; total per system 4-6 — Foundations for Evaluation, Differential Diagnosis, & Prognosis — This category refers to the interpretation of knowledge about diseases/conditions of the metabolic & endocrine systems according to current best evidence, in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to metabolic & endocrine systems interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the metabolic & endocrine systems of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Metabolic & endocrine systems diseases/conditions and their pathophysiology to establish and carry out a plan of care, including prognosis
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Nonpharmacological medical management of the metabolic & endocrine systems (e.g., diagnostic imaging, laboratory test values, other medical tests, surgical procedures)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — The impact of pharmacology used to treat the metabolic and endocrine systems on physical therapy management
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Differential diagnoses related to diseases/conditions of the metabolic & endocrine systems
    • Interventions — Metabolic & endocrine systems physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence
    • Interventions — Anatomy and physiology of the metabolic & endocrine systems as related to physical therapy interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the metabolic & endocrine systems from physical therapy interventions
    • Interventions — Adverse effects or complications on the metabolic & endocrine systems from physical therapy interventions used on other systems
  • GASTROINTESTINAL SYSTEM — published item ranges: Physical Therapy Examination 1-2; Foundations for Evaluation, Differential Diagnosis, & Prognosis 1-2; Interventions 1-2; total per system 3-6 — Physical Therapy Examination — This category refers to knowledge of the types and applications of gastrointestinal system tests/measures, including outcome measures, according to current best evidence, and their relevance to information collected from the history and systems review. The category includes the reaction of the gastrointestinal system to tests/measures and the mechanics of body movement as related to the gastrointestinal system. Information covered in these areas supports appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Foundations for Evaluation, Differential Diagnosis, & Prognosis — This category refers to the interpretation of knowledge about diseases/conditions of the gastrointestinal system according to current best evidence, in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to gastrointestinal system interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the gastrointestinal system of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Physical Therapy Examination — Gastrointestinal system tests/measures, including outcome measures, and their applications according to current best evidence (e.g., bowel dysfunction impact questionnaires, Murphy test, Rovsing test, McBurney point sign)
    • Physical Therapy Examination — Anatomy and physiology of the gastrointestinal system as related to tests/measures
    • Physical Therapy Examination — Movement analysis as related to the gastrointestinal system (e.g., effects of muscular tension or trigger points, positioning for bowel movement)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Gastrointestinal system diseases/conditions and their pathophysiology to establish and carry out a plan of care, including prognosis
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Nonpharmacological medical management of the gastrointestinal system (e.g., diagnostic imaging, laboratory test values, other medical tests, surgical procedures)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — The impact of pharmacology used to treat the gastrointestinal system on physical therapy management
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Differential diagnoses related to diseases/conditions of the gastrointestinal system
    • Interventions — Gastrointestinal system physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence (e.g., positioning for reflux prevention, bowel programs)
    • Interventions — Anatomy and physiology of the gastrointestinal system as related to physical therapy interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the gastrointestinal system from physical therapy interventions
    • Interventions — Adverse effects or complications on the gastrointestinal system from physical therapy interventions used on other systems
  • GENITOURINARY SYSTEM — published item ranges: Physical Therapy Examination 0-1; Foundations for Evaluation, Differential Diagnosis, & Prognosis 1-2; Interventions 1-2; total per system 2-5 — Physical Therapy Examination — This category refers to knowledge of the types and applications of genitourinary system tests/measures, including outcome measures, according to current best evidence, and their relevance to information collected from the history and systems review. The category includes the reaction of the genitourinary system to tests/measures and the mechanics of body movement as related to the genitourinary system. Information covered in these areas supports appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Foundations for Evaluation, Differential Diagnosis, & Prognosis — This category refers to the interpretation of knowledge about diseases/conditions of the genitourinary system according to current best evidence, in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to genitourinary system interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the genitourinary system of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Physical Therapy Examination — Genitourinary system tests/measures, including outcome measures, and their applications according to current best evidence
    • Physical Therapy Examination — Anatomy and physiology of the genitourinary system as related to tests/measures
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Genitourinary system diseases/conditions and their pathophysiology to establish and carry out a plan of care, including prognosis
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Nonpharmacological medical management of the genitourinary system (e.g., diagnostic imaging, laboratory test values, other medical tests, surgical procedures)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — The impact of pharmacology used to treat the genitourinary system on physical therapy management
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Differential diagnoses related to diseases/conditions of the genitourinary system
    • Interventions — Genitourinary system physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence (e.g., bladder programs, biofeedback, pelvic floor retraining)
    • Interventions — Anatomy and physiology of the genitourinary system as related to physical therapy interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the genitourinary system from physical therapy interventions
    • Interventions — Adverse effects or complications on the genitourinary system from physical therapy interventions used on other systems
  • LYMPHATIC SYSTEM — published item ranges: Physical Therapy Examination 1-2; Foundations for Evaluation, Differential Diagnosis, & Prognosis 1-2; Interventions 2-3; total per system 4-7 — Physical Therapy Examination — This category refers to knowledge of the types and applications of lymphatic system tests/measures, including outcome measures, according to current best evidence, and their relevance to information collected from the history and systems review. The category includes the reaction of the lymphatic system to tests/measures and the mechanics of body movement as related to the lymphatic system. Information covered in these areas supports appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Foundations for Evaluation, Differential Diagnosis, & Prognosis — This category refers to the interpretation of knowledge about diseases/conditions of the lymphatic system according to current best evidence, in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to lymphatic system interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the lymphatic system of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Physical Therapy Examination — Lymphatic system tests/measures, including outcome measures, and their applications according to current best evidence
    • Physical Therapy Examination — Anatomy and physiology of the lymphatic system as related to tests/measures
    • Physical Therapy Examination — Movement analysis as related to the lymphatic system (e.g., compensatory movement, extremity range of motion)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Lymphatic system diseases/conditions and their pathophysiology to establish and carry out a plan of care, including prognosis
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Nonpharmacological medical management of the lymphatic system (e.g., diagnostic imaging, laboratory test values, other medical tests, surgical procedures)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Differential diagnoses related to diseases/conditions of the lymphatic system
    • Interventions — Lymphatic system physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence
    • Interventions — Anatomy and physiology of the lymphatic system as related to interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the lymphatic system from physical therapy interventions
    • Interventions — Adverse effects or complications on the lymphatic system from physical therapy interventions used on other systems
  • SYSTEM INTERACTIONS — published item ranges: Physical Therapy Examination not allocated; Foundations for Evaluation, Differential Diagnosis, & Prognosis 8-10; Interventions not allocated; total per system 8-10 — Foundations for Evaluation, Differential Diagnosis, & Prognosis — This category refers to the interpretation of knowledge about diseases/conditions involving system interactions according to current best evidence, in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Diseases/conditions where the primary impact is on more than one system (e.g., cancer, multitrauma, sarcoidosis, autoimmune disorders, pregnancy) to establish and carry out a plan of care, including prognosis
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Nonpharmacological medical management of multiple systems (e.g., diagnostic imaging, other medical tests, surgical procedures)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — The impact of pharmacology used to treat multiple systems, including polypharmacy, on physical therapy management
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Differential diagnoses related to diseases/conditions where the primary impact is on more than one system
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Impact of comorbidities/coexisting conditions on patient/client management (e.g., diabetes and hypertension; obesity and arthritis; dementia and hip fracture)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Psychological and psychiatric conditions that impact patient/client management (e.g., grief, depression, schizophrenia)
    • Foundations for Evaluation, Differential Diagnosis, & Prognosis — Dimensions of pain (acute or persistent) that impact patient/client management (e.g., psychological, social, physiological, neurological, mechanical)
  • EQUIPMENT, DEVICES, & TECHNOLOGIES — published total per nonsystem 5-6 items — This category refers to the different types of equipment, devices, & technologies, use requirements, and/or contextual determinants, as well as any other influencing factors involved in the selection and application of equipment, devices, & technologies, including consideration of current best evidence, in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Applications and adjustments, indications, contraindications, and precautions of assistive and adaptive devices/technologies (e.g., walkers, wheelchairs, adaptive seating systems and positioning devices, mechanical lifts)
    • Applications and adjustments, indications, contraindications, and precautions of prosthetic devices/technologies (e.g., lower-extremity and upper-extremity prostheses, microprocessor-controlled prosthetic devices)
    • Applications and adjustments, indications, contraindications, and precautions of protective, supportive, and orthotic devices/technologies (e.g., braces, helmets, taping, compression garments, serial casts, shoe inserts, splints)
  • THERAPEUTIC MODALITIES — published total per nonsystem 4-6 items — This category refers to the underlying principles for the use of therapeutic modalities as well as the justification for the selection and use of various types of therapeutic modalities, including consideration of current best evidence, in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Applications, indications, contraindications, and precautions of thermal modalities
    • Applications, indications, contraindications, and precautions of iontophoresis
    • Applications, indications, contraindications, and precautions of electrotherapy modalities, excluding iontophoresis (e.g., neuromuscular electrical stimulation (NMES), transcutaneous electrical nerve stimulation (TENS), functional electrical stimulation (FES), interferential therapy, high-voltage pulsed current)
    • Applications, indications, contraindications, and precautions of ultrasound modalities, excluding phonophoresis
    • Applications, indications, contraindications, and precautions of mechanical modalities (e.g., mechanical motion devices, traction devices)
    • Applications, indications, contraindications, and precautions of biofeedback
    • Applications, indications, contraindications, and precautions of intermittent compression
  • SAFETY & PROTECTION — published total per nonsystem 5-7 items — This category refers to the critical issues involved in patient/client safety and protection and the responsibilities of health-care providers to ensure that patient/client management and health-care decisions take place in a secure environment.
    • Factors influencing safety and injury prevention (e.g., safe patient handling, fall prevention, equipment maintenance, environmental safety)
    • Function, implications, and related precautions of lines, tubes, catheters, monitoring devices, and mechanical ventilators/oxygen delivery devices
    • Emergency preparedness (e.g., CPR, first aid, disaster response)
    • Infection control procedures (e.g., standard/universal precautions, isolation techniques, sterile technique)
    • Signs/symptoms of physical, sexual, and psychological abuse and neglect
  • PROFESSIONAL RESPONSIBILITIES — published total per nonsystem 4-5 items — This category refers to the responsibilities of health-care providers to ensure that patient/client management and health-care decisions take place in a trustworthy environment.
    • Standards of documentation
    • Patient/client rights (e.g., ADA, IDEA, HIPAA, patient bill of rights)
    • Human resource legal issues (e.g., OSHA, sexual harassment)
    • Roles and responsibilities of the physical therapist, physical therapist assistant, other health-care professionals, and support staff
    • Standards of professional ethics
    • Standards of billing, coding, and reimbursement
    • Obligations for reporting illegal, unethical, or unprofessional behaviors (e.g., fraud, abuse, neglect)
    • State and federal laws, rules, regulations, and industry standards set by state and accrediting bodies (e.g., state licensing entities, Joint Commission, CARF, CMS)
    • Risk management and quality assurance (e.g., policies and procedures, incident reports, peer chart review)
    • Cultural factors and/or characteristics that affect patient/client management (e.g., language differences, disability, ethnicity, customs, demographics, religion)
    • Socioeconomic factors that affect patient/client management
    • Applications and utilization of health information technology (e.g., electronic medical records)
    • The provision and utilization of telehealth (i.e., the use of telecommunication technologies to provide health care information and services)
  • RESEARCH & EVIDENCE-BASED PRACTICE — published total per nonsystem 3-5 items — This category refers to the application of measurement principles and research methods to make reasoned and appropriate assessment and to the interpretation of information sources and practice research to support patient/client management decisions fundamental to evidence-based practice.
    • Research methodology and interpretation (e.g., qualitative, quantitative, levels of evidence)
    • Data collection techniques (e.g., surveys, direct observation)
    • Measurement science (e.g., reliability, validity)
    • Techniques for accessing evidence (e.g., peer-reviewed publications, scientific proceedings, guidelines, clinical prediction rules)
    • Statistics (e.g., t-test, chi-square, correlation coefficient, ANOVA, likelihood ratio, effect size, confidence interval)
Examination sources

District of Columbia Jurisprudence Examination

Provider
Federation of State Boards of Physical Therapy (FSBPT), on behalf of the District of Columbia Board
Format
Computer-based written examination of multiple-choice questions on District of Columbia physical therapy law and rules
Exam questions
40 scored items per the DC Law Content Outline specifications
Passing score
Determined by the Board (17 DCMR 6704.7, 8204.7)
Exam fee
$65.00 FSBPT jurisprudence examination fee, plus Prometric fees
Examination outline
  • Legislative Intent & Definitions (15%)
    • Legislative intent (DC Law 3-1202.09)
    • Physical therapy; Practice of physical therapy (DC Law 3-1201.02(12)(A), 3-1205.09; DC Rules 6799, 8299)
    • Physical therapists; Physical therapist assistants; Physical therapy aides (DC Law 3-1201.02(12)(B); DC Rules 6710.18, 6711, 6712, 6799, 8299)
    • Types of licenses/certificates (restricted) (DC Law 3-1205.08, 3-1205.08a; DC Rules 6799, 8299)
    • Board/Department (DC Law 3-1202.09, 3-1202.19; DC Rules 6799, 8299)
  • Board of Physical Therapy Powers & Duties (12.5%)
    • Powers and Duties (DC Law 3-1204.08)
    • Fees (DC Law 3-1205.05)
    • Continuing Competence (DC Law 3-1205.10(b)(5); DC Rules 6706 to 6708, 8206 to 8208)
  • Licensure & Examination (17.5%)
    • Qualifications for licensure; Application; Exemptions (DC Law 3-1205.01 to 3-1205.03, 3-1205.04(j), 3-1205.05, 3-1205.22; DC Rules 6702 to 6704, 8202 to 8204; General Provisions 4001, 4004)
    • Examination/Re-examination (DC Law 3-1205.06; DC Rules 6704.2, 8204.3)
    • Licensure by endorsement (DC Law 3-1205.07; DC Rules 6709, 8205)
    • Renewal; Name changes; Display of license (DC Law 3-1205.10, 3-1205.13; DC Rules 6701.1, 8201.1; General Provisions 4005)
    • Restricted license; Inactive license; Reinstatement (DC Law 3-1205.11, 3-1205.12; DC Rules 6706.6, 6706.7, 6713.1, 8206.6 to 8206.8)
  • Patient Care Management (40%)
    • Lawful practice; Use of titles (DC Law 3-1210.01, 3-1210.02, 3-1210.03(m) & (m-1); DC Rules 6710, 8209)
    • Standards of Practice/Conduct (DC Law 3-1210.11; DC Rules 6710.1, 6714, 8209.11)
    • Components of care; Scope of Practice (DC Rules 6715, 6716)
    • Supervision (DC Rules 6710.11, 6710.15, 6712.2, 6712.3, 6799, 8209.2, 8299)
  • Disciplinary Actions/Procedures; Unlawful Practice (10%)
    • Investigative powers; Emergency action; Hearing officers (DC Law 3-1205.15; General Provisions 4101, 4106, 4118)
    • Hearings (DC Law 3-1205.19; General Provisions 4102 to 4104, 4109)
    • Reinstatement of suspended/revoked license (DC Law 3-1205.21)
    • Disciplinary actions; Penalties; Voluntary surrender of license (DC Law 3-1205.14, 3-1205.16 to 3-1205.18, 3-1205.23; DC Rules 6704.10, 8204.10)
    • Unlawful practice; Classification; Civil penalties; Injunctive relief (DC Law 3-1205.14(c), 3-1210.07, 3-1210.09, 3-1210.10)
    • Procedural due process (DC Law 3-1205.19, 3-1205.20; General Provisions 4102, 4105, 4107, 4108)
  • Consumer Advocacy (5%)
    • Substance abuse recovery program (DC Law 3-1205.14(b))
    • Voluntary surrender by impaired practitioner (DC Law 3-1205.18)
Examination sources

npte-pta

Provider
Federation of State Boards of Physical Therapy; delivered at Prometric testing centers
Format
Computer-based multiple-choice examination in four sections
Exam questions
180 total items: 140 scored items and 40 pretest items
Time limit
4 hours testing time; 4 hours 30 minutes total appointment time
Passing score
Scaled score of 600
Examination outline
  • CARDIOVASCULAR & PULMONARY SYSTEMS — published item ranges: Physical Therapy Data Collection 5-8; Diseases/Conditions that Impact Effective Treatment 7-9; Interventions 8-10; total per system 20-27 — Physical Therapy Data Collection — This category refers to knowledge of the types and applications of cardiovascular & pulmonary systems tests/measures, including outcome measures, according to current best evidence. The category includes the reaction of the cardiovascular & pulmonary systems to tests/measures and the mechanics of body movement as related to the cardiovascular & pulmonary systems. Information covered in these areas supports appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Diseases/Conditions that Impact Effective Treatment — This category refers to foundational scientific principles and knowledge of diseases and conditions of the cardiovascular & pulmonary systems to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to cardiovascular & pulmonary systems interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the cardiovascular & pulmonary systems of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Physical Therapy Data Collection — Cardiovascular & pulmonary systems tests/measures, including outcome measures, and their applications according to current best evidence
    • Physical Therapy Data Collection — Anatomy and physiology of the cardiovascular & pulmonary systems as related to tests/measures
    • Physical Therapy Data Collection — Movement analysis as related to the cardiovascular & pulmonary systems (e.g., rib cage excursion, breathing pattern)
    • Diseases/Conditions that Impact Effective Treatment — Cardiovascular & pulmonary systems diseases/conditions and their pathophysiology to carry out the established plan of care
    • Diseases/Conditions that Impact Effective Treatment — Nonpharmacological medical management of the cardiovascular & pulmonary systems (e.g., diagnostic imaging, laboratory test values, other medical tests, surgical procedures)
    • Diseases/Conditions that Impact Effective Treatment — The impact of pharmacology used to treat the cardiovascular & pulmonary system on physical therapy management
    • Interventions — Cardiovascular & pulmonary systems physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence
    • Interventions — Anatomy and physiology of the cardiovascular & pulmonary systems as related to physical therapy interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the cardiovascular & pulmonary systems from physical therapy interventions
    • Interventions — Adverse effects or complications on the cardiovascular & pulmonary systems from physical therapy interventions used on other systems
  • MUSCULOSKELETAL SYSTEM — published item ranges: Physical Therapy Data Collection 9-12; Diseases/Conditions that Impact Effective Treatment 10-13; Interventions 12-15; total per system 31-40 — Physical Therapy Data Collection — This category refers to knowledge of the types and applications of musculoskeletal system tests/measures, including outcome measures, according to current best evidence. The category includes the reaction of the musculoskeletal system to tests/measures and the mechanics of body movement as related to the musculoskeletal system. Information covered in these areas supports appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Diseases/Conditions that Impact Effective Treatment — This category refers to foundational scientific principles and knowledge of diseases and conditions of the musculoskeletal system to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to musculoskeletal system interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the musculoskeletal system of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Physical Therapy Data Collection — Musculoskeletal system tests/measures, including outcome measures, and their applications according to current best evidence
    • Physical Therapy Data Collection — Anatomy and physiology of the musculoskeletal system as related to tests/measures
    • Physical Therapy Data Collection — Movement analysis as related to the musculoskeletal system
    • Physical Therapy Data Collection — Joint biomechanics and their applications
    • Diseases/Conditions that Impact Effective Treatment — Musculoskeletal system diseases/conditions and their pathophysiology to carry out the established plan of care
    • Diseases/Conditions that Impact Effective Treatment — Nonpharmacological medical management of the musculoskeletal system (e.g., diagnostic imaging, laboratory test values, other medical tests, surgical procedures)
    • Diseases/Conditions that Impact Effective Treatment — The impact of pharmacology used to treat the musculoskeletal system on physical therapy management
    • Diseases/Conditions that Impact Effective Treatment — Connective tissue diseases/conditions and their pathophysiology to carry out the established plan of care
    • Interventions — Musculoskeletal system physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence
    • Interventions — Anatomy and physiology of the musculoskeletal system as related to physical therapy interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the musculoskeletal system from physical therapy interventions
    • Interventions — Adverse effects or complications on the musculoskeletal system from physical therapy interventions used on other systems
  • NEUROMUSCULAR & NERVOUS SYSTEMS — published item ranges: Physical Therapy Data Collection 8-10; Diseases/Conditions that Impact Effective Treatment 9-12; Interventions 10-13; total per system 27-35 — Physical Therapy Data Collection — This category refers to knowledge of the types and applications of neuromuscular & nervous systems tests/measures, including outcome measures, according to current best evidence. The category includes the reaction of the neuromuscular & nervous systems to tests/measures and the mechanics of body movement as related to the neuromuscular & nervous systems. Information covered in these areas supports appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Diseases/Conditions that Impact Effective Treatment — This category refers to foundational scientific principles and knowledge of diseases and conditions of the neuromuscular & nervous systems to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to neuromuscular & nervous systems interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the neuromuscular & nervous systems of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Physical Therapy Data Collection — Neuromuscular & nervous systems tests/measures, including outcome measures, and their applications according to current best evidence
    • Physical Therapy Data Collection — Anatomy and physiology of the neuromuscular & nervous systems as related to tests/measures
    • Physical Therapy Data Collection — Movement analysis as related to the neuromuscular & nervous systems
    • Diseases/Conditions that Impact Effective Treatment — Neuromuscular & nervous systems (CNS, PNS, ANS) diseases/conditions and their pathophysiology to carry out the established plan of care
    • Diseases/Conditions that Impact Effective Treatment — Nonpharmacological medical management of the neuromuscular & nervous systems (e.g., diagnostic imaging, laboratory test values, other medical tests, surgical procedures)
    • Diseases/Conditions that Impact Effective Treatment — The impact of pharmacology used to treat the neuromuscular and nervous systems on physical therapy management
    • Interventions — Neuromuscular & nervous systems physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence
    • Interventions — Anatomy and physiology of the neuromuscular & nervous systems as related to physical therapy interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the neuromuscular & nervous systems from physical therapy interventions
    • Interventions — Adverse effects or complications on the neuromuscular & nervous systems from physical therapy interventions used on other systems
    • Interventions — Motor control as related to neuromuscular & nervous systems physical therapy interventions
    • Interventions — Motor learning as related to neuromuscular & nervous systems physical therapy interventions
  • INTEGUMENTARY SYSTEM — published item ranges: Physical Therapy Data Collection 1-2; Diseases/Conditions that Impact Effective Treatment 1-3; Interventions 1-3; total per system 3-8 — Physical Therapy Data Collection — This category refers to knowledge of the types and applications of integumentary system tests/measures, including outcome measures, according to current best evidence. The category includes the reaction of the integumentary system to tests/measures and the mechanics of body movement as related to the integumentary system. Information covered in these areas supports appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Diseases/Conditions that Impact Effective Treatment — This category refers to foundational scientific principles and knowledge of diseases and conditions of the integumentary system to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to integumentary system interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the integumentary system of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Physical Therapy Data Collection — Integumentary system tests/measures, including outcome measures, and their applications according to current best evidence
    • Physical Therapy Data Collection — Anatomy and physiology of the integumentary system as related to tests/measures
    • Physical Therapy Data Collection — Movement analysis as related to the integumentary system (e.g., friction, shear, pressure, and scar mobility)
    • Diseases/Conditions that Impact Effective Treatment — Integumentary system diseases/conditions and their pathophysiology to carry out the established plan of care
    • Diseases/Conditions that Impact Effective Treatment — Nonpharmacological medical management of the integumentary system (e.g., diagnostic imaging, laboratory test values, other medical tests, surgical procedures)
    • Diseases/Conditions that Impact Effective Treatment — The impact of pharmacology used to treat the integumentary system on physical therapy management
    • Interventions — Integumentary system physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence
    • Interventions — Anatomy and physiology of the integumentary system as related to physical therapy interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the integumentary system from physical therapy and medical/surgical interventions
    • Interventions — Adverse effects or complications on the integumentary system from physical therapy interventions used on other systems
  • METABOLIC & ENDOCRINE SYSTEMS — published item ranges: Physical Therapy Data Collection not allocated; Diseases/Conditions that Impact Effective Treatment 2-3; Interventions 2-3; total per system 4-6 — Diseases/Conditions that Impact Effective Treatment — This category refers to foundational scientific principles and knowledge of diseases and conditions of the metabolic & endocrine systems to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to metabolic & endocrine systems interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the metabolic & endocrine systems of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Diseases/Conditions that Impact Effective Treatment — Metabolic & endocrine systems diseases/conditions and their pathophysiology to carry out the established plan of care
    • Diseases/Conditions that Impact Effective Treatment — Nonpharmacological medical management of the metabolic & endocrine systems (e.g., diagnostic imaging, laboratory test values, other medical tests, surgical procedures)
    • Diseases/Conditions that Impact Effective Treatment — The impact of pharmacology used to treat the metabolic and endocrine systems on physical therapy management
    • Interventions — Metabolic & endocrine systems physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence
    • Interventions — Anatomy and physiology of the metabolic & endocrine systems as related to physical therapy interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the metabolic & endocrine systems from physical therapy interventions
    • Interventions — Adverse effects or complications on the metabolic & endocrine systems from physical therapy interventions used on other systems
  • GASTROINTESTINAL SYSTEM — published item ranges: Physical Therapy Data Collection not allocated; Diseases/Conditions that Impact Effective Treatment 0-2; Interventions 0-2; total per system 0-4 — Diseases/Conditions that Impact Effective Treatment — This category refers to foundational scientific principles and knowledge of diseases and conditions of the gastrointestinal system to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to gastrointestinal system interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the gastrointestinal system of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Diseases/Conditions that Impact Effective Treatment — Gastrointestinal system diseases/conditions and their pathophysiology to carry out the established plan of care
    • Diseases/Conditions that Impact Effective Treatment — Nonpharmacological medical management of the gastrointestinal system (e.g., surgical procedures, diagnostic imaging, laboratory test values, other medical tests)
    • Interventions — Gastrointestinal system physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence (e.g., positioning for reflux prevention, bowel programs)
    • Interventions — Anatomy and physiology of the gastrointestinal system as related to physical therapy interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the gastrointestinal system from physical therapy interventions
    • Interventions — Adverse effects or complications on the gastrointestinal system from physical therapy interventions used on other systems
  • GENITOURINARY SYSTEM — published item ranges: Physical Therapy Data Collection not allocated; Diseases/Conditions that Impact Effective Treatment 0-2; Interventions 0-2; total per system 0-4 — Diseases/Conditions that Impact Effective Treatment — This category refers to foundational scientific principles and knowledge of diseases and conditions of the genitourinary system to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to genitourinary system interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the genitourinary system of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Diseases/Conditions that Impact Effective Treatment — Genitourinary system diseases/conditions and their pathophysiology to carry out the established plan of care
    • Diseases/Conditions that Impact Effective Treatment — Nonpharmacological medical management of the genitourinary system (e.g., surgical procedures, diagnostic imaging, laboratory test values, other medical tests)
    • Interventions — Genitourinary system physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence (e.g., bladder programs, biofeedback, pelvic floor retraining)
    • Interventions — Anatomy and physiology of the genitourinary system as related to physical therapy interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the genitourinary system from physical therapy interventions
    • Interventions — Adverse effects or complications on the genitourinary system from physical therapy interventions used on other systems
  • LYMPHATIC SYSTEM — published item ranges: Physical Therapy Data Collection 0-2; Diseases/Conditions that Impact Effective Treatment 1-2; Interventions 1-2; total per system 2-6 — Physical Therapy Data Collection — This category refers to knowledge of the types and applications of lymphatic system tests/measures, including outcome measures, according to current best evidence. The category includes the reaction of the lymphatic system to tests/measures and the mechanics of body movement as related to the lymphatic system. Information covered in these areas supports appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Diseases/Conditions that Impact Effective Treatment — This category refers to foundational scientific principles and knowledge of diseases and conditions of the lymphatic system to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan. — Interventions — This category refers to lymphatic system interventions (including types, applications, responses, and potential complications), according to current best evidence, as well as the impact on the lymphatic system of interventions performed on other systems in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Physical Therapy Data Collection — Lymphatic system tests/measures, including outcome measures, and their applications according to current best evidence
    • Physical Therapy Data Collection — Anatomy and physiology of the lymphatic system as related to tests/measures
    • Physical Therapy Data Collection — Movement analysis as related to the lymphatic system (e.g., compensatory movement, extremity range of motion)
    • Diseases/Conditions that Impact Effective Treatment — Lymphatic system diseases/conditions and their pathophysiology to carry out the established plan of care
    • Interventions — Lymphatic system physical therapy interventions and their applications for rehabilitation, health promotion, and performance according to current best evidence
    • Interventions — Anatomy and physiology of the lymphatic system as related to physical therapy interventions, daily activities, and environmental factors
    • Interventions — Adverse effects or complications on the lymphatic system from physical therapy interventions
    • Interventions — Adverse effects or complications on the lymphatic system from physical therapy interventions used on other systems
  • SYSTEM INTERACTIONS — published item ranges: Physical Therapy Data Collection not allocated; Diseases/Conditions that Impact Effective Treatment 5-7; Interventions not allocated; total per system 5-7 — Diseases/Conditions that Impact Effective Treatment — This category refers to foundational scientific principles and knowledge of diseases and conditions involving system interactions to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Diseases/Conditions that Impact Effective Treatment — Diseases/conditions where the primary impact is on more than one system (e.g., cancer, multitrauma, sarcoidosis, autoimmune disorders, pregnancy) to carry out the established plan of care
    • Diseases/Conditions that Impact Effective Treatment — Nonpharmacological medical management of multiple systems (e.g., diagnostic imaging, other medical tests, surgical procedures)
    • Diseases/Conditions that Impact Effective Treatment — The impact of pharmacology used to treat multiple systems, including polypharmacy, on physical therapy management
    • Diseases/Conditions that Impact Effective Treatment — Impact of comorbidities/coexisting conditions on patient/client management (e.g., diabetes and hypertension; obesity and arthritis; dementia and hip fracture)
    • Diseases/Conditions that Impact Effective Treatment — Psychological and psychiatric conditions that impact patient/client management (e.g., grief, depression, schizophrenia)
    • Diseases/Conditions that Impact Effective Treatment — Dimensions of pain (acute or persistent) that impact patient/client management (e.g., psychological, social, physiological, neurological, mechanical)
  • EQUIPMENT, DEVICES, & TECHNOLOGIES — published total per nonsystem 8-10 items — This category refers to the different types of equipment, devices, & technologies, use requirements, and/or contextual determinants, according to current best evidence, as well as any other influencing factors involved in the application of equipment, devices, & technologies, in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Application and adjustments, indications, contraindications, and precautions of assistive and adaptive devices/technologies (e.g., walkers, wheelchairs, adaptive seating systems and positioning devices, mechanical lifts)
    • Application and adjustments, indications, contraindications, and precautions of prosthetic devices/technologies (e.g., lower-extremity and upper-extremity prostheses)
    • Application and adjustments, indications, contraindications, and precautions of protective, supportive, and orthotic devices/technologies (e.g., braces, helmets, compression garments, shoe inserts, splints)
  • THERAPEUTIC MODALITIES — published total per nonsystem 5-7 items — This category refers to the different types of therapeutic modalities, use requirements, and/or contextual determinants, according to current best evidence, as well as any other influencing factors involved in the application of therapeutic modalities, in order to support appropriate and effective patient/client management for rehabilitation, health promotion, and performance across the lifespan.
    • Applications, indications, contraindications, and precautions of thermal modalities
    • Applications, indications, contraindications, and precautions of iontophoresis
    • Applications, indications, contraindications, and precautions of electrotherapy modalities, excluding iontophoresis (e.g., neuromuscular electrical stimulation (NMES), transcutaneous electrical nerve stimulation (TENS), functional electrical stimulation (FES), interferential therapy, high-voltage pulsed current)
    • Applications, indications, contraindications, and precautions of ultrasound modalities
    • Applications, indications, contraindications, and precautions of mechanical modalities (e.g., mechanical motion devices, traction devices)
    • Applications, indications, contraindications, and precautions of biofeedback
    • Applications, indications, contraindications, and precautions of intermittent pneumatic compression
  • SAFETY & PROTECTION — published total per nonsystem 6-8 items — This category refers to the critical issues involved in patient/client safety and protection and the responsibilities of health-care providers to ensure that patient/client management and health-care decisions take place in a secure environment.
    • Factors influencing safety and injury prevention (e.g., safe patient handling, fall prevention, equipment maintenance, environmental safety)
    • Function, implications, and related precautions of intravenous lines, tubes, catheters, monitoring devices, and mechanical ventilators/oxygen delivery devices
    • Emergency preparedness (e.g., CPR, first aid, disaster response)
    • Infection control procedures (e.g., standard/universal precautions, isolation techniques, sterile technique)
    • Signs/symptoms of physical, sexual, and psychological abuse and neglect
  • PROFESSIONAL RESPONSIBILITIES — published total per nonsystem 2-4 items — This category refers to the responsibilities of health-care providers to ensure that patient/client management and health-care decisions take place in a trustworthy environment.
    • Standards of documentation
    • Patient/client rights (e.g., ADA, IDEA, HIPAA, patient bill of rights)
    • Human resource legal issues (e.g., OSHA, sexual harassment)
    • Roles and responsibilities of the physical therapist, physical therapist assistant, other health-care professionals, and support staff
    • Standards of professional ethics
    • Standards of billing, coding, and reimbursement
    • Obligations for reporting illegal, unethical, or unprofessional behaviors (e.g., fraud, abuse, neglect)
    • State and federal laws, rules, regulations, and industry standards set by state and accrediting bodies (e.g., state licensing entities, Joint Commission, CARF, CMS)
    • Risk management and quality assurance (e.g., policies and procedures, incident reports, peer chart review)
    • Cultural factors and/or characteristics that affect patient/client management (e.g., language differences, disability, ethnicity, customs, demographics, religion, health literacy)
    • Socioeconomic factors that affect patient/client management (e.g., social determinants of health)
    • Applications and utilization of health information technology (e.g., electronic medical records)
  • RESEARCH & EVIDENCE-BASED PRACTICE — published total per nonsystem 1-3 items — This category refers to the knowledge of basic research methods and data collection techniques necessary for interpretation of information sources and practice research to support patient/client management decisions fundamental to evidence-based practice.
    • Research methodology and interpretation (e.g., qualitative, quantitative, levels of evidence)
    • Data collection techniques (e.g., surveys, direct observation)
    • Measurement science (e.g., reliability, validity)
    • Techniques for accessing evidence (e.g., peer-reviewed publications, scientific proceedings, guidelines, clinical prediction rules)
Examination sources