How to Treat Your Colleague's Patients

Taking over another physical therapist’s patient can feel intimidating, especially when the original PT is more senior than you. This scenario, however, is inevitable in the field. Whether it’s due to a colleague’s absence, a part-time schedule, or an overflowing caseload, patients need care, and that’s where you step in.

Here are practical tips to navigate this situation with confidence and professionalism:

1. Start with a Thorough Chart Review

Before the patient walks in, take the time to review their chart carefully. Focus on these key areas:

• Subjective Notes: Understand why the patient is coming in and how they’ve responded to past treatments.
• Assessment: Check what was done during their last session and how they responded.
• Exercise List: Familiarize yourself with their current program.

Skipping this step can lead to awkward first impressions and wasted time trying to piece things together on the spot.

2. Open with a Conversation

Once you’ve reviewed the chart, talk to the patient before diving into treatment. Ask these four simple but essential questions:

1. How are your symptoms feeling after the last session?
2. What do you feel is helping?
3. Is there anything you don’t think is working?
4. What are your main priorities for today’s session?

This dialogue achieves several important goals:

• Builds trust: Patients see that you’re focused on their needs and progress.
• Involves the patient: They feel empowered to contribute to their care.
• Guides your session: You get valuable insights to tailor your approach.

3. Follow the "If It’s Working, Stick with It" Rule

If the patient’s symptoms improved after their last visit with the primary PT, it’s usually best to continue the established treatment plan. Consistency can build confidence and help maintain progress.

However, if symptoms have not improved or have worsened, consider performing a mini-assessment and adjusting the treatment. Be cautious, though: some PTs are particular about their treatment plans. If you’re unsure whether your colleague would support changes, communicate with them beforehand to collaborate on the best course of action.

4. Communicate with Your Colleague

After the session, summarize what you did and why. This keeps your colleague informed, avoids miscommunication, and fosters a collaborative work environment. Clear communication also ensures continuity of care, which benefits the patient.

Key Takeaways

• Preparation is crucial: Review the patient’s chart to understand their case before the session.
• Engage the patient: Ask meaningful questions to guide your treatment and build rapport.
• Stick with what works: If the established plan is helping, continue it; if not, reassess and adapt.
• Communicate with colleagues: Keep everyone in the loop to maintain consistency and teamwork.

By following these steps, you’ll not only handle these situations with professionalism but also provide excellent care that benefits both your patients and your team.