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Form NP


									Doctor of Physical Therapy (DPT) at UM-Columbia
Executive Summary
The University of Missouri-Columbia Department of Physical Therapy has been an
accredited educational program since 1965, and most recently received full 10-year
accreditation in 2002. The current degree, a Master‟s in Physical Therapy (MPT), has
been in effect since 1998. Within the past decade, the professional standard for the
physical therapist degree has moved to a Doctor of Physical Therapy (DPT). This change
in the entry-level degree began with resolutions from the American Physical Therapy
Association to bring the professional degree in line with education of the graduates and to
support the national movement toward physical therapy as an autonomous, primary care

The DPT has been adopted by a majority of the physical therapist educational programs
in the United States. Additionally, more than half of the AAU schools that offer Physical
Therapy now award the DPT. In Missouri, there are seven physical therapist educational
programs. All are either offering the DPT or in the process of converting. This proposal
is requesting a conversion of the current MPT program to a DPT. This enhancement of
the existing professional degree at MU brings the program in line with the professional
standards in the field today. We are not requesting a new program or increasing the
number of students.

The proposed DPT program at MU adds an additional 22 credit hours to the existing
curriculum and raises the entry requirements from a minimum of 60 credit hours to either
a baccalaureate degree – or 90 credit hours for high performing students who have
satisfied the MU general education requirements. Physical Therapy is a popular program
and there are more qualified applicants each year than there are openings. Of those
accepted into the program, the average GRE score is above 1000 and the average grade
point average is 3.7.

The DPT program will require two additional full-time faculty members, one half-time
staff position for advising and admissions, and additional space for a teaching laboratory.
There is no additional cost to the institution to convert to the DPT because program
revenues will rise due to the increased number and level of credit hours. The professional
phase of the program will continue to be three years in length.

The need for physical therapists and interest in physical therapy as a profession remain
strong. Data from the Missouri Economic Research and Information Center, U.S. Census
Bureau for the Elderly population and the U.S. Department of Labor Bureau of Labor
Statistics state that employment for physical therapists is projected to increase faster than
the average from 2004 to 2012 in both metropolitan and rural areas. All regions of the
country project new job openings in the next several years, and the enrollment projections
for this program should continue to be strong assuming that the DPT degree is awarded at
the completion of the course of study.

                                    OPEN - A&SA - 1
No. 1

Recommended Action – Doctor of Physical Therapy, UMC

        It was recommended by Senior Vice President Lehmkuhle, endorsed by President

Floyd, recommended by the Academic and Student Affairs Committee, moved by

Curator ______________, seconded by Curator __________________, that the following

action by approved:

        that the University of Missouri-Columbia be authorized to submit the attached
        proposal for a Doctor of Physical Therapy to the Coordinating Board for Higher
        Education for approval.

        Roll call vote:                    YES           NO

        Curator Atkins
        Curator Bennett
        Curator Cairns
        Curator Carnahan
        Curator Ream
        Curator Russell
        Curator Walker
        Curator Walsworth
        Curator Wasinger

        President Bennett declared the motion _________ by a vote of _____________.

                                  OPEN - A&SA - 1a


             OPEN - A&SA - 1b
                                             TABLE OF CONTENTS

New Program Proposal Form: Form NP ..........................................................................1d
       Need ..................................................................................................................1f
       Duplication and Collaboration ..........................................................................1j

Program Structure Form PS .............................................................................................1j

Financial Projections: Form FP .......................................................................................1o

Program Characteristics and Performance Goals: Form PG............................................1p
        Student Preparation ...........................................................................................1p
        Faculty Characteristics .....................................................................................1q
        Enrollment Projections ....................................................................................1q
        Student and Program Outcomes.......................................................................1r

Program Accreditation .....................................................................................................1s
Institutional Characteristics .............................................................................................1t
Other Relevant Information .............................................................................................1t

Appendix A: CBHE Clarifying Comments ....................................................................1u
Appendix B: President‟s Criteria ....................................................................................1w
Appendix C: External Review Letters ............................................................................1y

                                                  OPEN - A&SA - 1c
1. New Program Proposal (Form NP)

Sponsoring Institution:            University of Missouri-Columbia

Program Title:                     Physical Therapy

Degree/Certificate:                Doctor of Physical Therapy (DPT)

Options:                           N/A

Delivery Site:                     University of Missouri – Columbia

CIP Classification:                512308

Implementation Date:               June 2006

Cooperative Partners:              N/A

Expected Date of First Graduation: May 2010

Stephen W. Lehmkuhle
Senior Vice President for Academic Affairs
Name/Title of Institutional Officer            Signature

Stephen W. Lehmkuhle                                573-882-6396
Person to Contact for More Information               Telephone

                                 OPEN - A&SA - 1d
The University of Missouri-Columbia has had a Physical Therapist Education Program
since 1963. There are more than 1000 graduates, the majority of whom practice in the
state. Originally the professional program was two-years long and the degree awarded
was a Bachelor of Science in Physical Therapy. In 1998, the first class of the Master of
Physical Therapy (MPT) students was admitted to a 3-year professional program and
graduated with the MPT degree in May 2001. The move from the baccalaureate degree
to the master‟s occurred as a result of the American Physical Therapy Association
(APTA) and the Commission on Accreditation of Physical Therapist Education (CAPTE)
decisions to raise the professional standard for entry-level practitioners. Beginning in
January 2002, CAPTE no longer recognized or accredited baccalaureate programs. At
this time the professional standard for entry-level practitioners is moving to the Doctor of
Physical Therapy (DPT) degree and more than 75% of the accredited PT programs in the
U.S. now offer the DPT. The following proposal describes the rationale and plan for
conversion to this degree at the University of Missouri-Columbia.

The Doctor of Physical Therapy degree (DPT) is a clinical doctorate and a practice-level
degree. The proposed DPT is similar to other practice-level degrees awarded by the
University of Missouri. Other examples of clinical or practice-level doctoral degrees are:

      Doctor of Pharmacy (PharmD) is offered by UMKC. The PharmD is a 1 + 5
       program (one year of undergraduate prerequisites and five years in the
       professional program.
      Doctor of Veterinary Medicine (DVM) offered at MU can be achieved in seven
       years. Students may complete 3 years of undergraduate work and be admitted to
       the four year veterinary medicine program. These students receive a Bachelor of
       Science in Animal Husbandry and a DVM from MU at the completion of the
       course of study.
      Doctor of Dental Surgery (DDS) is offered by the UMKC School of Dentistry.
       Students may enter the four year professional program with 90 college credits or a
       baccalaureate degree.
      Medical Doctor (MD) offered by the UMKC School of Medicine is an innovative
       program that enrolls high school graduates in a six year program. Students
       graduate with both BA and MD degrees.
      Juris Doctor (JD) is offered at both MU and UMKC for admission to students
       with either 90 or more credit hours or with a baccalaureate degree. The law
       school program is three years, making it possible for students to graduate with the
       JD and an undergraduate degree in either six or seven years.
      The University of Missouri – St. Louis College of Optometry awards a Doctor of
       Optometry degree (OD) as a practice-level degree that is similar to the other
       clinical doctorates mentioned above. High performing UM – St. Louis students
       who have completed prerequisites and the optometry qualifying examination may
       enter a 3 + 4 program and receive the baccalaureate degree after the first
       professional year. Students may also apply after receiving a baccalaureate.

                                   OPEN - A&SA - 1e
The wide range of professional educational programs granting practice-level doctorates
reflects the recognition of such degree programs by professional organizations,
accrediting bodies and academic institutions. This proposal to convert to the DPT at MU
reflects the evolving health care environment, academic response to this environment and
recognition by all parties that the DPT has become the standard practice-level degree in
physical therapy.

2. Need

A. Student Demand:
There is strong student demand for the DPT degree. Without the DPT, the MU PT
program will not be able to continue attracting high quality students, and Missouri
residents will have limited access to the professional standard in the field at a public
institution. As dictated by the accrediting body, CAPTE, students in the United States
who elect physical therapy and the DPT will spend more time in school. A baccalaureate
degree or at least 90 hours of college credit for high performing students will be
necessary to enter the three-year professional program. In spite of the increased expense
of the degree, applications to physical therapy schools remain robust.

                Estimated DPT enrollment (2007 – 2011) – Form SE
                i. Projections based on market and student demand

                       Year      2007 2008 2009 2010 2011

                    Full Time      40      80     120     120   120
                    Part Time       -       -      -       -     -
                      Total        40      80     120     120   120
                                  (6)*    (12)*

               *(Estimated currently enrolled MPT students who are
                     eligible and elect the DPT degree option)

                  Enrollment at the end of Year 5 for the program
                     to be financially and academically viable
                                           Year          5
                                         Full-Time      100
                                         Part-Time      na
                                           Total        100

ii. Will enrollment be capped in the future?
Enrollment in the three-year DPT degree program will be capped at 40 students admitted
annually. This is the current enrollment cap for the Master in Physical Therapy (MPT)
program and is necessitated by limited space and resource allocations available to the

                                  OPEN - A&SA - 1f
educational program. Space and personnel needs will increase moderately in the
conversion to the doctoral degree.
B. National, state, regional or local assessment of labor needs
For the last twenty years physical therapy has been identified as one of the top growth
professions in the U.S. In February 2005, the U.S. Department of Labor Bureau of Labor
Statistics listed Physical Therapy as on of the fastest growing occupations in 2002 – 2012
with a 35% expected increase in employment nationally. The Missouri Department of
Economic Development has projected more than a 17% increase in employment
opportunities for physical therapists between 2000 and 2010.

The Missouri Economic Research and Information Center reports that total employment
for physical therapists in 2000 in Missouri was 2,880, and projects the need for 3,400 by
2010. This growth is characterized as “Good to Outstanding” (See table below).

              Long-term Employment Projections in Physical Therapy

   Area              Employment              Change 2000-           Annual       Long-term
                                                2010                 Avg          Outlook
                 2000           2010        Number Percent         Openings
               Estimated      Projected
 Missouri        2,890          3,400          510       17.65         123           Great
Kansas City       840            980           140       16.67          36           Good
 St Louis         1,580          1,820         240       15.19         64            Great
  Central          240            320          80        33.33         14            Good
 Northeast          60            70           10        16.67          3            Good
Northwest          100            130          30        30.00          3            Good
  Ozark            350            470          120       34.29         21        Outstanding
  South             70            80           10        14.29          3            Good
Southwest          140            180          40        28.57          8        Outstanding
   West             90            110          20        22.22          4            Good

                                    OPEN - A&SA - 1g
The majority of students who enroll in the PT program at MU are residents of Missouri.
The majority of graduates stay in the state to practice and over half provide services to
rural areas where manpower needs are greatest. There is no doubt that the need for
qualified and licensed physical therapists will continue to grow. The rate and consistency
of the projected growth are affected by factors that increase the need for physical therapy
such as an aging population and increased demand for services. Other factors that may
reduce the growth in employment opportunities are limits in access and reimbursement
for services. The need for physical therapy interventions in the future will not be met
merely by graduating more therapists, but by training professionals for more autonomous
practice environments where they will collaborate with other health professionals,
supervise assistants and technicians and serve in the primary care setting. The proposed
DPT degree program is designed to meet these professional and workforce needs.

C. Societal Need:
The evolving educational requirements for an entry-level degree in physical therapy from
Bachelors to a Masters to a Doctor reflect the practice demands of the profession, the
increasing autonomy expected of the practitioner and the current health care environment.
The American Physical Therapy Association (APTA) Vision 2020 statement calls for
doctorally prepared practitioners and the clinical doctorate (DPT) as the first professional
degree. In support of the entry-level DPT degree, the APTA provides the following
1. The level of practice inherent to the patient/client management model in the Guide to
    Physical Therapy Practice (Phys Ther 2001;81:9-744) requires considerable breadth
    and depth in educational preparation, a breadth and depth not easily acquired within
    the time constraints of the typical MPT program;
2. Societal expectations that the fully autonomous healthcare practitioner with a scope
    of practice consistent with the Guide to Physical Therapist Practice be a clinical
3. The realization of the profession's goals in the coming decades, including direct
    access, "physician status" for reimbursement purposes, and clinical competence
    consistent with the preferred outcomes of evidence-based practice, will require that
    practitioners possess the clinical doctorate (consistent with medicine, osteopathy,
    dentistry, veterinary medicine, optometry, and podiatry); and
4. Many existing professional (entry-level) MPT programs already meet the
    requirements for the clinical doctorate; in such cases, the graduate of a professional
    (entry-level) MPT program is denied the degree most appropriate to the program of

As of February 2005 there were 196 institutions in the U.S. that offered 205 accredited
physical therapist education programs (MPT, DPT). Of these, 117 are DPT programs and
88 are MPT programs. In November 2003, there were only 85 accredited DPT programs.
The trend is clear and the change to the DPT is being made quickly. In Missouri, there
are seven physical therapist educational programs. Only two are at public institutions
(University of Missouri-Columbia and Missouri State University in Springfield). At this
time Rockhurst University in Kansas City, Saint Louis University, Maryville University

                                   OPEN - A&SA - 1h
and Washington University in St. Louis and Southwest Baptist University offer DPT
programs. Missouri State University in Springfield has received institutional approval to
convert to the DPT and the proposal was posted to the Coordinating Board for Higher
Education web site in March 2005. The APTA estimates that more than 80 schools have
plans to change to the DPT in the near future. As the profession moves toward the new
standard for an entry-level degree and academic institutions are transitioning to the new
standard, it is the responsibility of the University of Missouri-Columbia to also change
and make the current and preferred degree available to Missouri residents at their public

In addition to the growing need for physical therapists brought about by the aging
population and increased interest in physical activity and sport, there is a changing work
environment and expectations for physical therapy practice. At this time, 48 states in the
U.S., including Missouri, allow some degree of direct access to physical therapists (no
requirement for physician referral) in the state practice acts. Currently, there is a federal
study of direct access to physical therapists by Medicare recipients. The trend is toward
more independent practice by physical therapists. The physical therapist of the 21st
century must enter the world of practice with skills, knowledge and credentials to practice
more independently and collaboratively with other health care providers of similar
educational preparation who currently hold clinical doctorate degrees (optometry,
dentistry, pharmacy, podiatry, chiropractic, etc.).

In summary, it is clear that there is a growing need for physical therapists in Missouri and
in the U.S. Furthermore, these graduates must be prepared to assume more responsibility
and independence and collaborate in clinical decision-making with peers as the health
care environment moves toward primary care. Changes in the educational program to
support the DPT degree reflect the stated goals of the APTA, are consistent with other
educational programs, respond to the expressed needs of recent past graduates and are in
line with the expectations of our clinical partners who provide clinical education and
supervision to MU students.

D. Methods used to determine B and C above
Data to support increasing labor needs for physical therapists may be found at the
Missouri Economic Research and Information Center (MERIC), a branch of the Missouri
Department of Economic Development and the U.S. Bureau of Labor Statistics at

General societal needs and the professional transition from an MPT to a DPT entry-level
degree are described by the American Physical Therapy Association and Commission on
Accreditation         of         Physical          Therapist       Education         at and

                                    OPEN - A&SA - 1i
3. Duplication and Collaboration
There are seven physical therapist education programs in Missouri. Two are public
institutions (MU, Missouri State University in Springfield) and five are private
(Maryville University, St. Louis University and Washington University in St. Louis,
Rockhurst University in Kansas City, and Southwest Baptist University in Bolivar).
Currently, all private institutions s offer the DPT degree. Missouri State University in
Springfield posted a DPT conversion proposal for public comment in March 2005 with
CBHE and announcement of the change is expected in the near future. This proposal to
convert from the MPT to the DPT does not increase the number of degree granting
programs in the state, it merely changes the degree awarded to reflect current professional
standards. There is no collaboration with other institutions planned at this time.

4. Program Structure: Form PS
Two routes to admission to the Doctorate in Physical Therapy Degree Program are
proposed, regular and early admission. For “regular admission”, a baccalaureate degree
will be required. Students seeking this method of admission must obtain a bachelor‟s
degree from a regionally accredited college or university. Students may select any
college major and must complete all University of Missouri-Columbia, Department of
Physical Therapy major requirements (see below, D. Major Requirements) prior to
admission. For students with a baccalaureate degree, the program of study leading to the
DPT is three academic years, including three summer sessions. There are a total of 117
credit hours beyond baccalaureate (see below, F. Professional Phase of Program).

The following program structure description details the “early admission” process. Early
admission is designed to allow high achieving students the opportunity to enter the
professional program after 90 credit hours. Students entering after 90 credit hours must
complete all University of Missouri-Columbia General Education and all major
requirements prior to entering the professional phase of the program. Students will
complete the requirements for the Bachelor of Health Science in Pre-Professional
Physical Therapy after the first year of the professional program. The early admission
option results in a 3 + 3 DPT. There are 75 credit hours accrued post-baccalaureate.

A. Total credits required for graduation: 207 (Sum of C, D, E and F should equal A.)

B. Residency requirements, if any: Residency at MU for professional phase

C. General education: Total credits: 2
       Courses (specific courses OR distribution area and credits):
               College Algebra                  3 cr
               Constitution requirement         3 cr
               English (exposition)             3 cr
               Humanities                       9 cr
               Gen. Psych                       3 cr
               Upper Psych                      3 cr
               Soc, Anthro, Econ                3 cr

                                     OPEN - A&SA - 1j
D. Major requirements for admission: Total credits: 29
              Physics I                    4 cr*
              Physics II                   4 cr
              Physiology                   5 cr*
              Chem I                       2 cr
              Chem II                      3 cr
              Biology                      5 cr
              Science Elective             3 cr
              Advanced Math
              (Statistics Preferred)       3 cr
      *also satisfies General Education Requirement

E. Free elective credits: 34

F. Profession Phase of Program: 117 (Sum of C, D, E and F should equal

Professional 1st Year:

                   Gross Human Anatomy                   7 cr
                   Principles of PT                      1 cr
                                                         8 cr for semester
                      Pathology                          2 cr
                      Therapeutic Exercise (Fndtn)       3 cr
                      Therapeutic Exercise (Cl Applic)   3 cr
                      Clinical Exam and Procedure        3 cr
                      Intro to Clinical Ed I             1 cr
                      Human Kinesiology                  3 cr
                      Neurophysiology                    3 cr
                                                         18 cr for semester
                     Intro to Orthopedic PT              3 cr
                     Physical Agents                     3 cr
                     Intro to Clinical Ed II             1 cr
                     Clinical Pathophysiology            3 cr
                     Clinical Kinesiology                3 cr
                     Medical Testing for Rehab Prof      3 cr
                                                         16 cr for semester

Students entering professional program with 90 credit hours will be awarded a
Bachelor of Health Science in Pre-Professional Physical Therapy.

                                 OPEN - A&SA - 1k
Professional 2nd Year:
                     Clinical Education I
                     (6 weeks)                                4 cr
                                                              4 cr for semester
                       Differential Diagnosis                 3 cr
                       Evidence Based Practice                3 cr
                       Orthopedic PT                          3 cr
                       Pediatric PT                           4 cr
                       Adult Neuro PT                         4 cr
                                                              17 cr for semester
                       Clinical Education II
                       (8 weeks)               5 cr
        Bridging the Clinical-Research Gap     3 cr
        Case Mng I (Med Surg)                  5 cr
        Pharmacology for the Rehab Prof        3 cr
        Special Skills Topics                  2 cr
                                               18 cr for semester

Professional 3rd Year:

     Clinical Education III
     (12 Weeks)                                6 cr
                                               6 cr for semester
        Professional Issues                    3 cr
        Case Mng II (Ortho/Geri)               5 cr
        Special Skills Topics                  2 cr
        Clinical Ed IV
        (8 weeks)                              5 cr
                                               15 cr for semester
       Seminar                                 3 cr
       Case Mng III (Neuro/Ped)                5 cr
       Special Skills Topic                    2 cr
       Clinical Education V
       (7 weeks)                               5 cr
                                               15 cr for semester

G. Requirements for thesis, internship or other capstone experience
Successful completion of 39 credit hours of clinical education is required for graduation.
In addition, there are two clinical projects:

                                   OPEN - A&SA - 1l
a) Evidence-based Clinical Recommendations (15-20 page paper resulting from a
   semester work of formulating and answering a physical therapist clinical question
   based on retrieval and appraisal of the current evidence related to the question), and
b) Case Report (manuscript length paper written as a case report based on clinical
   material collected during a clinical education experience).

H. Any unique features such as interdepartmental cooperation
Courses offered by the School of Health Professions and courses offered jointly with the
Occupational Therapy Department at the University of Missouri-Columbia are required
courses in the DPT curriculum.

5. Financial Projections (Form FP):
Currently, the degrees of the ten full time faculty members are: five PhD‟s, one DPT,
three academic masters and one baccalaureate degree. This proportion is appropriate for
a master degree program, but is not adequate for a program that is training students at the
doctoral level. Conversion to the DPT from the MPT requires additional faculty and
staff. A regular faculty position for a PhD is needed to conduct research, and develop
and teach additional credit hours that are being added to the curriculum. A clinical
faculty position for a physical therapist with an entry-level degree, advanced academic
degree and/or certification and clinical instruction experience is needed to serve as
Director of Clinical Education. Currently, the clinical education component of the MU
PT program is accomplished with a .35 FTE of a non-regular faculty and .25 FTE of an
office support position. Already, educational needs and increased demands from the
accrediting body for oversight and data are markedly increasing the workload for clinical
education. In addition, the DPT program requires expansion of the quantity and
complexity of the clinical education experiences. This expansion, as well as increased
requirements for data collection and reporting from the accrediting body, requires a full-
time position for planning and supervision of clinical education by a faculty member who
holds advanced academic and clinical credentials to be in compliance with accreditation
criteria. This clinical position also will teach in clinically-oriented courses. Increased
effort also is required for advisement and admissions. A half-time position is requested.
This person oversees the expanded admissions process, advises potential students
regarding preparation for application to the program, assists students in decisions to
transition to the DPT and aids in student recruitment activities.

In summary, the MU DPT proposal requests 2.5 FTE in addition to current personnel.
The full-time PhD faculty and .5 FTE staff are requested in year one. A full-time clinical
faculty position to fill the role of Director of Clinical Education is requested in year two.
Increased personnel expenses are adequately covered by the projected increased
revenues. Additional space needs for the DPT are moderate: two additional offices and a
learning laboratory to support the increased number of skills courses in the DPT

                                   OPEN - A&SA - 1m
Additional faculty required for DPT:

           Position/                  Responsibility                  FTE
      Faculty (Yr 1)         Course development and             .60
      PhD/Regular            classroom teaching
      12 month appt.         Research/scholarly activity        .40
      Faculty (Yr 2)         Director of Clinical Education     .75
      Clinical Track         Teaching                           .25
      12 month appt
      Faculty/Staff (Yr 1)   Admissions                         .25
      12 month appt          Advise pre-professional students   .25

                                 OPEN - A&SA - 1n
5. Financial Projections: *Financial Projections are calculated only for new costs and new
              *Form FP revenues due to conversion of the degree to DPT. (Revenue
                          increases are due to increased number and level of credit hours)

                               Year 1       Year 2        Year 3       Year 4      Year 5
          1. Expenditures

           A. One-time:
    New/renovated space        10,000            0              0           0           0
       Equipment/office         5,000        5,000              0           0           0
                Library             0            0              0           0           0
            Consultants             0            0              0           0           0
 Student Lab Equipment         10,000            0              0           0           0

     Total for One-time        25,000        5,000              0           0           0

            B. Recurring:
               * Faculty
                               70,000     136,400        139,128     141,911     144,749

                     Staff     25,000       25,500        26,010       26,530     27,061

                 Benefits      22,500       46,400        49,300       52,100     56,000

    Equipment/operating         6,000        6,000         6,000        6,000       6,000
                  Library           0            0             0            0           0
   Travel to clinical sites                  4,000         4,000        4,000       4,000

Total for New Recurring       123,500     218,300        224,438     230,541     237,810

        TOTAL NEW             148,500     223,300        224,438     230,541     237,810
          2. Revenues

      *State Aid - CBHE
      *State Aid - DESE
            Tuition/Fees      149,877     308,840        465,392     481,706     498,574

          TOTAL NEW           149,877     308,840        465,392     481,706     498,574
                                  OPEN - A&SA - 1o
6. Program Characteristics and Performance Goals: Form PG

Institution Name: University of Missouri-Columbia
Program Name: Physical Therapy

Student Preparation
Admission to the MU physical therapy program is competitive. For the MPT program,
eligible applicants must have a 3.0 grade point average both cumulatively and in the
prerequisite sciences, and have at least 60 hours of college credit. Prerequisite sciences
include: chemistry with laboratory (5 credits), physics with laboratory (8 credits), biology
with laboratory (5 credits), physiology with laboratory (5 credits), and statistics or
advanced math beyond college algebra or trigonometry. Students with undergraduate and
graduate degrees are also eligible for admission. The Graduate Record Exam (GRE) is
required for application; however, no score is specified for eligibility. Eligible applicants
in 2005 had a mean GRE score of 1058. We expect GRE scores to remain the same or
rise as students with more college courses apply. Other requirements include: at least
forty hours of documented observation of physical therapy in two different practice
settings, two recommendations, a resume of employment, service and leadership
activities and a personal interview. Early acceptance is also available to high performing
high school students and first semester freshman at MU through the SHarP Scholar
program that guarantees admission to the professional program pending maintenance of
at least a 3.3 GPA.

Admission to the DPT program will require a greater number of credit hours. General
admission to the program will require a prior bachelor‟s degree from an accredited
institution. Students enrolled at MU will have early acceptance options through the
current SHarP Scholar Program or may be considered after 60 hours with a 3.5 GPA for
reserved admission after successfully completing an additional 30 hours. Students (MU
and transfer) with at least a 3.5 GPA with 90 credit hours may apply and if accepted,
enter the program directly. Prerequisite courses will remain the same as for the MPT.
Students who enter the professional program without a baccalaureate degree will receive
the Bachelor of Health Science in Pre-Professional Physical Therapy after the first year
and the DPT at the end of the three year program. Students with a baccalaureate degree
will receive only the DPT.

The increase in credit hours required to enter the professional program arises from
accreditation requirements for students to have completed upper level college courses
prior to starting the professional program, and University requirements for at least 72
credit hours past the baccalaureate degree for a doctoral degree. The current MPT is a 2
+ 3 program. The DPT will be a 3 (4) + 3. Students must be eligible for admission to the
Graduate School upon entry to the program or after the first professional year.

                                    OPEN - A&SA - 1p
Faculty Characteristics:
    Faculty who teach in the DPT program are required to have an advanced
       academic or clinical degree. There are currently ten full time; two part time, and
       four adjunct faculty. Of the full time faculty, nine have graduate degrees (five
       PhD, three academic masters, one DPT). Five are tenure track (two are tenured).
       Four of the five faculty without doctoral degrees are enrolled in doctoral
       programs. Part time and adjunct faculty assist with laboratory courses, teach
       clinical skills, tutor case-based learning and perform academic advisement.
       Faculty with physical therapy degrees are licensed to practice in the state of
    Full time faculty members teach or supervise 97% (114 out of 117) of the credit
       hours in the program. Forty-four percent (51 out of 117) credit hours have
       laboratory hours associated with the course, which doubles the contact hours for a
       typical three hour course.         For instructional quality and accreditation
       requirements, class size must be limited. Typical student-teacher ratio is 10:1
       (most laboratory sessions have an instructor and assistant with 20 students
       assigned to each lab section). The current and planned class size dictates two
       laboratory sections for each course. Faculty teaching load is determined by
       institutional policy and by the level of extramural research commitment. Faculty
       members with research commitments over 40% FTE have reduced teaching
    All faculty members are expected to be active members of relevant professional
       organizations, maintain applicable professional licensure, contribute to the body
       of knowledge and produce scholarly works in their area of expertise. Faculty
       have responsibilities to advise students, participate in faculty activities of
       admissions, capstone projects, mentor and include students in departmental
       research and educational programs. Faculty members serve on departmental,
       school and campus-wide committees and attend faculty meetings on a regular
       basis. All full-time teaching faculty maintain a teaching portfolio with regular
       student evaluations and peer-review and use this feedback for course revision in
       concert with the Director of Curriculum and Instruction. All faculty are
       responsible for presenting an annual report of accomplishments and plan for the
       upcoming year for the Chair‟s approval

Enrollment Projections
The projected student enrollment in five years is 120 full time students. The projection is
to continue to admit 40 new students each year and to graduate a class of 40 each year in
the three year program. We do not expect a drop in applicants that would hinder
selection of 40 qualified students. The number of eligible applicants has been steady
over the past several years. Procedures for early and reserved admission for high
performing students are proposed to assist in the transition to additional entry
requirements for the DPT. There is no projection for part time students as the curriculum
requires full time enrollment in sequential didactic and clinical experiences over the
three-year period.

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Since 2000, the MU PT program has accepted about half of the qualified applicants each
year. Prior to that time, the acceptance rate was about one third of qualified applicants.
Growth in the number of physical therapist educational programs and a limit on
reimbursement for rehabilitation services and consequent reduction in physical therapy
jobs in the late 1990‟s are credited for this change. Changes in employment opportunities
and interest in physical therapy as a profession are not expected to change with
conversion to the DPT degree.

Student and Program Outcomes
    The Department projects an annual enrollment of 40 students. The program is
      three years long and graduation occurs for each class in May. Current graduation
      rate is between 100 and 95% of those admitted. Therefore, we project to continue
      to have 38 to 40 graduates each year.
    Physical therapists are expected to possess the knowledge, skills and behaviors
      commensurate with the ability to practice as physical therapists in a general
      setting. Skills include examination, evaluation, physical therapy diagnosis and
      prognosis, development and implementation of a plan of care, monitoring of
      progress, review and re-establishment of treatment or discharge. Graduates are
      expected to be knowledgeable of and to act in accordance with the APTA Code of
      Ethics and the state practice act. The therapist must be able to make clinical
      decisions using appraisal and interpretation of the best available scientific
      evidence, patient preference and clinical expertise. Graduate physical therapists
      are competent in documentation, communication and collaboration with other
      health professionals in the treatment of the patient. According to the Guide to
      Physical Therapy Practice, 2nd Edition ( p. 21) ( Phys Ther 2001;81:9-744) ,
      physical therapists:

           -   Diagnoses and manage movement dysfunction and enhance physical and
               functional abilities.
           -   Restore, maintain, and promote not only optimal physical function but
               optimal wellness and fitness and optimal quality of life as it relates to
               movement and health.
           -   Prevent the onset, symptoms, and progression of impairments, functional
               limitations, and disabilities that may result from diseases, disorders,
               conditions, or injuries.

      To practice as a physical therapist in any state in the U.S., the graduate of an
       accredited physical therapist program must pass the National Physical Therapy
       Examination (NPTE) administered by the Federation of State Boards of Physical
       Therapy (FSBPT). The NPTE is a criterion-referenced examination and a score
       of 600/800 is required for passing.
      Graduates of MU PT have consistently scored above the national average on both
       test scores and passing rates of the NPTE. The pass rate for MU is currently
       100% calculated over the past 4 years (since establishment of the modified
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       problem-based learning curriculum and the MPT program). It is rare that an MU
       student is unable to pass the NPTE. Traditionally more than 50% of the class
       graduates with Latin honors from the undergraduate portion of the program.
       There is no expected change in student performance on the NPTE.
      Annual surveys of graduating students show that most students who are looking
       for employment have found a placement prior to graduation. They report that
       finding employment was generally easy and the results satisfactory. Respondents
       indicate high levels of satisfaction with their course work and clinical education
       as preparation for passing the national licensure exam and entering practice.
      Due to the educational content, sequencing and series of clinical education
       experiences, the department accepts transfer students only into the beginning of
       the professional program. No transfer students are accepted during the program.

Alumni Surveys
A web-based survey conducted in the summer of 2004 of the graduates from MPT classes
2001 – 2003 contacted 129 graduates who had been in the field for one year or more.
Responses were received from 77, a 60% response rate. Of the 77 respondents, 76 were
working as physical therapists, 70 full time (92%). One was a graduate student in a PhD
program. Places of employment varied, including outpatient clinics, hospitals, skilled
nursing facilities, public schools, and home health care. Income reported by the two most
recent classes averaged between $36,000 and $45,000 annually for new graduates. The
Class of 2001 income range was $46,000 - $55,000. These income levels are in line with
state and national averages. The majority of all graduates reported high satisfaction with
their education in terms of preparation for their first job and for taking the licensure
exam. They also reported satisfaction with the quality and content of the clinical
education experiences. Surveys of graduates are done twice each year, at the time of
graduation and again one year later. Graduates are asked about employment type and
location, compensations, satisfaction with their training, and plans for further academic or
professional training. This information is used for curriculum review and program

7. Program Accreditation
The University of Missouri Department of Physical Therapy has maintained continuous
accreditation since its inception. The accrediting body is the Commission on
Accreditation of Physical Therapist Education (CAPTE), a division of the American
Physical Therapy Association. Currently, accreditation is granted for the maximum
possible, 10 years. MU PT received full accreditation most recently in 2002.
Accreditation is maintained with annual reports and progress reports to CAPTE and a
self-study report provided to CAPTE in the year prior to re-accreditation. MU has full
accreditation in place to 2012.

CAPTE criteria do not require prior approval of conversion to the DPT for accredited
educational programs that were reviewed and accredited after 1998. However, CAPTE
Rules of Practice and Procedure require that notification must occur prior to the
implementation of the change in level of degree. Notification must include copies of the

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institutional, state and regional approvals as well as completion of a brief General
Information Form supplied by CAPTE to confirm pertinent program information.
Required information regarding conversion to the DPT will be filed with CAPTE
following approval of this program by the University of Missouri and the Department of
Higher Education in Missouri.

8. Institutional Characteristics
MU is one of the AAU institutions in the U.S. and is designated as a Research I
University, designations reflecting the quality and breadth of research and graduate
education on this campus. The Department of Physical Therapy and the School of Health
Professions plan to establish an academic doctorate – PhD in Rehabilitation Science - in
the near future. The clinical doctorate and the academic doctorate go hand in hand. The
presence and activity of doctoral faculty and graduate students in the school and
department promote the educational environment required for graduate education.
The proposal to convert to the DPT and add a PhD to the educational program are
consistent with the University of Missouri‟s Mission, Core Values and Strategic Plan
Goals of: Access to Quality Learning and Teaching; Academic and Research
Achievement and Quality; Community-University Engagement; Valuing People, and
Creating a High-Performing Organization.

9. Other relevant information
The University of Missouri-Columbia is particularly well suited to support the DPT
program for a number of reasons. We have had a stable, successful and continuously
accredited physical therapist education program since 1963 with more than 1,000
graduates. We successfully made the necessary transition to the MPT degree in 1998
which included adding another year to the professional program and incorporating
problem-based learning into the curriculum. The current MPT curriculum exceeds the
minimal requirements for the master‟s degree and approaches the requirements for a
DPT. With the addition of 22 more graduate credit hours, expansion of the clinical
education experience and a greater number of doctoral faculty, the MU PT program is
well prepared to offer the new standard in physical therapist education, the Doctor of
Physical Therapy.

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Proposal for Doctor of Physical Therapy (DPT)

The clarifying comments from the CBHE were addressed in the proposal and embedded
through out the document. The key points are summarized as follows:

1. Alignment with the Mission of The University of Missouri –Columbia
The Department of Physical Therapy is in alignment with the Mission of the University
of Missouri-Columbia which is to provide Missourians the benefits of a world-class
research university. The faculty and activities of the Department of Physical Therapy
reflect the interlocked missions of teaching, research, and service to the citizens of
Missouri. The proposed Doctor of Physical Therapy program ensures that Missouri
students have access to the degree that has become the professional standard at a public
institution within a School of Health Professions at the major research and health
sciences institution in the state. The existing master‟s program is recognized as a high
quality program from an educational unit that has consistently produced excellent
practitioners for more than forty years. The physical therapy program also is aligned
with the mission of the School of Health Professions because it is responsive to society
needs and health care priorities in the areas of teaching, research, and service. The
program is in compliance with the strategic goal to develop, evaluate, and revise curricula
and educational services to ensure that graduates are prepared for the changing health
care environment. The School of Health Professions is the only state-supported school of
allied health in an academic health center in Missouri. The implementation of the entry
level Doctor of Physical Therapy degree coincides with the mission of the University and
the School of Health Profession‟s strategic plan.

2. Student and Market Needs
There is well documented evidence that there is a vigorous applicant pool and a market
demand for physical therapists in Missouri. The Missouri Economic Research and
Information Center has stated that the long term outlook for employment of physical
therapists is “great.” The long-term employment projections both regionally and
nationally suggest that both metropolitan and rural areas will see increased job demand.
Currently, potential students are asking about the availability of the DPT degree and
interested in selecting a school that will provide them with the DPT.

The current proposal for annual class admittance of 40 students does not differ from
current enrollment. There will not be an increase in the number of physical therapists
graduating; however, students will graduate with the DPT degree, the expected standard
in the field. Currently, more than two-thirds of the accredited physical therapy programs
in the United States offer the DPT, and it is estimated that by 2007 most programs will
have made the conversion. A recent survey of AAU schools revealed that 12 schools
have already converted to the DPT and five others (North Carolina-Chapel Hill, Rutgers,
Ohio State, University of Wisconsin and MU) are in the process of converting.

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3. Efficient Use of Resources
The proposed MU PT Department will use resources efficiently. The proposal calls for
an additional regular faculty member at the doctoral level, an additional clinical faculty
member to serve as Director of Clinical Education, and a half-time staff position to meet
expanded educational and advisement needs. Access to an additional teaching laboratory
is required for the additional coursework and laboratory time. The proposed program
will convert existing courses to graduate level courses and add 22 credit hours to the
professional program. The increased hours are both didactic (15) and clinical (7) and are
accounted for in one additional summer clinical education rotation and increased credit
hours in the existing semesters. Overall, the DPT program lengthens the program by one
summer semester. The current and proposed MU PT faculty is credentialed to meet
accreditation requirements and offer coursework at the DPT level of competency. The
program has sufficient contracts with health care agencies to accommodate graduate
students for clinical internships and fieldwork experiences.

4. Duplication of Programs and Collaboration
The physical therapy program does not duplicate existing programs in the central region
of the state. The nearest physical therapy programs are located in St. Louis and Kansas
City and are housed at private institutions. The MU Departments of Physical Therapy
and Occupational Therapy will continue to collaborate to provide shared courses and
combine the recognized expertise of the faculty.

5. Distance Based and Off-Site Programs
At this time there are no plans to develop or offer distance-based or off site programs. To
do so would require a significant expenditure for new staff and technology.

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Proposal for Doctor of Physical Therapy (DPT)

1. Implementation of the new program.
The proposed DPT does not add a program at MU and has no effect on other programs.
The existing master‟s program (MPT) will be converted to a clinical doctorate (DPT).
An additional 22 credit hours is required as well as two additional full-time faculty and .5
FTE advisor. Increased income from increased credit hours and graduate level tuition
will more than offset these costs. An additional teaching laboratory can be met within
available space within the current building. Thus, implementation will not affect the
quality of existing programs.

2. Market Analysis.
The professional standard for a physical therapist has become the DPT. Currently, over
2/3‟s of physical therapist educational programs in the U.S. confer the DPT. It is
estimated that most programs will have converted by 2007. Twelve other AAU
institutions currently offer the DPT. MU and four other schools are in the process of
converting. Potential applicants to the MU program are enquiring about the availability
of the DPT. It is clear that a DPT program is necessary for MU to stay competitive for
high quality students and to provide Missouri residents access to the preferred degree at
MU. We are not requesting higher enrollments, and the number of applicants
consistently exceeds the number of students that can be accepted.

Data from the Missouri Economic Research and Information Center, U.S. Census Bureau
for the Elderly and the U.S. Department of Labor Bureau of Labor Statistics suggest that
employment for physical therapists is projected to increase faster than the average from
2004 to 2012 in both metropolitan and rural areas. Traditionally, all MU PT graduates
are employed within 3 months of graduation. The survey of 2005 graduates indicated
that only one student in the class was still looking for employment. About 80% were
employed in Missouri and the average annual salary was $44,600. A survey of 2004
graduates performed one year after graduation (68% response rate) revealed that all were
employed full time and mean salary was $55,000 annually.

3. Business Plan.
The business plan supports the transition from the MPT to the DPT degree without
expense to the university system. The proposal requests two additional faculty positions
(one regular, one clinical), an additional .5 FTE advisor and one additional teaching
laboratory. Additional space needs can be met from available resources within the
school. Increased revenue comes from increased number of credit hours (22) and a
greater number of graduate level courses. We anticipate that demand for placement in
the professional program will remain strong and annual enrollment will continue to be the
full class size of forty. Productive doctoral faculty assures continued growth in external
funding and the associated benefits of graduate assistant opportunities.

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Plans are in place to expand recruitment activities at both department and school levels to
ensure that the flow of highly qualified applicants continues. The MU PT program is also
in the process of preparing for an academic review in 2008.

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Appendix C – External Review Letters

Reviewer -- Irma Ruebling
St. Louis University

February, 15, 2006

Dear Dr. Graham:

Thank you for the opportunity to review the Doctor of Physical Therapy (DPT) program
proposed for the University of Missouri – Columbia. I believe the proposal makes a
compelling case for the transition to the DPT degree program. I will comment on each of
the areas you mentioned were of interest.

Market demand: The labor needs and the job market for physical therapists are
accurately depicted according to the regional and national reports sited and which are
commonly used to reflect the current and future need. There is good reason to believe
that the need for physical therapists will remain high. Applications for physical therapy
programs have increased significantly in number after a low point about five years ago.
Graduates are having multiple offers for their first employment in the field.

Curricular structure: The dual routes for admission to the program are appealing to
students and will be helpful in assuring high quality students. For the high performing
students eligible for early admission to the DPT program, it may be attractive for them to
consider a second major or a minor in secondary areas of interest and complimentary to
physical therapy. For example, common areas some our students elect are business,
psychology, or modern foreign language. Students, particularly high performing
students, seem to be looking for “value-added” options. As we become more diverse in
ethnic background and culture, bi-lingual therapists may have an edge in the market

Resources: Not being familiar with the existing space and equipment available, I cannot
comment on the appropriateness of these resources. As the faculty is presented in the
proposal, I believe they are very capable of delivering the proposed DPT curriculum.
The DPT curriculum adds 15 didactic credits and 7 clinical credits. While there may not
have been intent for an exact relationship, I noted in comparing teaching responsibilities
of the current faculty with the new curriculum that 14 credits (excluding clinical and
basic science, anatomy, pathology, etc.) were not addressed by current faculty. One new
full time PhD faculty is requested. If the current faculty workload can absorb some of
these new credits and the additional clinical education assignments and supervision along
with the new faculty, the addition of one new faculty may be adequate. However, if the
existing faculty has full loads currently a second new faculty member may be considered
perhaps for Year 2 or Year 3.

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Overall, the DPT program is essential to preparing the excellent physical therapists our
society has come to expect. The DPT curriculum seems well conceived and will meet the
standards for preparing practitioners with the expected knowledge and skills.

It has been a privilege for me to review this proposal. I extend my very best wishes for
your endeavors in physical therapy education.

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Reviewer -- Lisa Stehno-Bittel, PT, PhD
Kansas State University

In reviewing the University of Missouri proposal for a Doctor or Physical Therapy degree
program, I must reflect on my own experiences as Chair of the Department of Physical
Therapy and Rehabilitation Science at the University of Kansas Medical Center. I have
led our faculty and students through a similar transition recently. In addition, I am
extremely familiar with the MU program as I earned my PhD in the Physiology
Department at the University of Missouri under Dr. Michael Sturek. While a PhD
student I was a guest lecturer for the PT Department and sat on their Admission‟s
Committee when they offered a Bachelor‟s Degree in PT.

At the University of Kansas I have the honor of leading a large PT Department with a
three year DPT degree program, a basic science PhD degree (in Rehabilitation Science),
and an on-line transitional DPT degree for already-licensed PTs. Altogether we have
nearly 150 students under our tutelage. The program is ranked 10th in the nation by US
News and World Report among PT Departments at public institutions. Within the
department we have over $973,000 in external grants (direct cost only) this year alone. I
also hold a position in the Education Section of the American Physical Therapy
Association. I stay very current on the national trends in PT education, and feel I can
speak to the vision of our national association.

The rate at which programs are transitioning to a Doctor of Physical Therapy Degree
(DPT) is occurring significantly faster than ever anticipated. Even executives within the
American Physical Therapy Association (APTA) seem surprised at the speed at which
these conversions are taking place. In fact, at the February APTA meeting, the
accreditation officer announced that 70% of all accredited programs in the US have now
been approved to grant the DPT degree. This is a startling national transition to the new
degree requirements.

The fact that most programs in the country and all other PT programs in Missouri and
Kansas are already at the DPT level supports the contention that if MU does not switch to
the DPT, it will be left behind. MU truly has no choice except to move to the DPT
degree. Student applicants have made it clear that they want the DPT degree.

At the University of Kansas Medical Center we converted to out DPT program 2.5 years
ago. We were amazed at the instant increase in the quality of the applicants, even though
we had extremely qualified applicants for our MS degree. We learned that we had been
missing the top PT applicants in the area, because they were choosing to go to schools
that offered a doctor‟s degree. I would expect the same phenomenon to be seen at MU.

The conversion to the DPT degree will continue to produce graduates who will be hired
immediately, as there is a lack of physical therapists in most portions of the country. The
APTA Education Section predicts that this shortage will prevail for the foreseeable
future. This is why their upcoming October national meeting will be devoted to the

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national PT shortage. Thus, the MU graduates will continue to enjoy numerous
employment opportunities with the DPT degree.

The University of Missouri Physical Therapy Department currently offers an excellent
PT program with 100% pass rate on the national licensing boards over the past 4 years.
This is the same time period when the national pass rates for the licensing exam dropped.
The MU program has nationally renowned faculty and high quality students. In order to
maintain this high level program, they must transition to the DPT degree. So the question
for the review of this proposal is not whether MU should move to the DPT degree, but
rather what is the quality of the program proposed.

A review of the program prerequisites courses demonstrate that they are in line with the
national norm. Since the applicant pool at MU for the Master‟s degree has been excellent
with the current prerequisite requirements, the fact that there are no changes in the
prerequisites is completely acceptable.

The three year PT professional degree has all of the major components required by the
accrediting body including an emphasis and neurorehabilitation and orthopedic
rehabilitation. The „Differential Diagnosis‟ Course, the „Evidence-Based Practice‟ and
„Bridging the Clinical-Research Gap‟ appear to be excellent courses. The faculty
assigned to teaching specific courses are well trained and appropriately teach in their
areas of expertise. The curriculum appears to be short in the cardiopulmonary rehab area,
but this may indicate that MU is actually ahead of the national trend in deemphasizing an
area of PT that is rarely practiced. Normally I would be concerned that this might
negatively affect the student‟s ability to pass the national boards, but since their students
already have a 100% pass rate, I would not question the faculty‟s ability to prepare
students for the national boards.

One of the major hurdles to most programs moving to the DPT curriculum is the lack of
doctorally prepared faculty. There is a nation-wide shortage of PTs with PhDs, and
nearly every PT program in the country has an open faculty position. A review of the
faculty at the University of Missouri indicates that they have a nice mixture of both
senior and junior faculty. Of the junior faculty, it is very encouraging that four out of
five of the faculty without PhDs are currently in doctoral programs. The strong research
agendas of the senior faculty will help to mentor the junior faculty into eventual tenure-
track positions. This should be a major goal of the department.

In summary, the University of Missouri DPT degree is a well-formulated plan with
sufficient faculty to achieve a high level of success. If this transition is not made, the
university physical therapy program will not be competitive and this esteemed
department will suffer.

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Reviewer -- Patricia A. Hageman, PT, PhD
University of Nebraska Medical Center

February 13, 2006

Dear Dr. Graham:

The following describes my review of your institution‟s proposal for Doctorate in
Physical Therapy (DPT). Specifically, you requested that I evaluate the merits of the
proposed DPT program relative to 1) market demand and viability in the field, 2)
curricular structure, 3) resources, and 4) overall quality.

My qualifications for reviewing this proposal include 20 years experience as academic
faculty within Physical Therapy Education at the University of Nebraska Medical Center
(UNMC). Of these, I served as the Program Chair for 16 years, and directed the
development and implementation of our DPT program (implemented Fall 2000 with first
graduating class in 2004). As a public institution, UNMC was one of the first to make
the transition from the entry-level MPT to DPT. Related to consulting activities for the
DPT, I have served as curriculum consultant (2001) for the DPT program at the
University of Indianapolis, Krannert School of Physical Therapy and education
consultant to review the DPT proposals from both University of Tennessee Health
Sciences Center and University of Tennessee-Chattanooga for the Tennessee Higher
Education Commission, State of Tennessee Higher Education Commission, State of
Tennessee (2003). In addition, I currently serve as member and chair of the American
Physical Therapy Association‟s Panel on Education.

Market Demand and Viability
The nature of physical therapy practice has changed dramatically over time to one that
requires physical therapists to function more autonomously in providing highly skilled
services. In 2002, the Commission of Accreditation in Physical Therapy Education
(CAPTE) required all programs to be at a post-baccalaureate level. New accreditation
criteria were implemented effective January 1, 2006 which reflect the changing practice
of physical therapy. In recognition of the increasing length and complexity of
professional entry-level education in physical therapy, the majority of physical therapist
programs have adopted, or are in the process of adopting, the Doctor of Physical Therapy
(DPT) degree as the entry-level professional degree designation. Based upon data from
the 2005 CAPTE Biennial Accreditation Report, over 90% of all entry-level programs
will offer the DPT by 2010.

Currently, there is a shortage within the physical therapy workforce, particularly in rural
areas. This shortage, in conjunction with a large student demand for the DPT, make the
market demand for the DPT very high. The DPT is perceived as the degree of choice as
the American Physical Therapy Association has endorsed a vision statement that supports
the education level for physical therapists to be ”doctors of physical therapy.”

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The University of Missouri-Columbia (UMC) is well positioned to offer the DPT because
of its qualified faculty and other resources unique to being part of a major research and
health sciences institution within the State. The UMC program would provide greatly
needed public access for students as it is only 1 of 2 pubic institutions within the State of
Missouri. As the majority of UMC students who enroll are Missouri residents and the
majority of UMC graduates stay in Missouri upon graduation, the conversion to the DPT
would seem a priority as the Missouri Department of Economic Development has
projected more the a 17% increase in employment opportunities for physical therapists
between 2000 and 2010. These UMC graduates would greatly benefit from the proposed
DPT curriculum, which clearly addresses the needs for current practice.

Curricular Structure
The proposed UMC DPT curricular structure of wither “regular admission” (4 +3 model
with 3 years post-baccalaureate) or for “early admission (3+3 model) are consistent with
other DPT models nationwide. The 3 +3 model of early admission has been implemented
successfully in other DPT programs as well as other entry-level programs for other
professions. Both admission tracks assure that the students have an undergraduate
preparation with the depth and breadth of study consistent with a liberal arts background.
The curriculum appears to be very much in line with APTA consensus documents
(Normative Model of Physical Therapist Education and the Guide to Physical Therapist

The UMC DPT proposal requires 117 credit hours for the professional phase of the
program which is within the range offered by other accredited DPT programs. The
faculty designed a curriculum which offers students a solid foundational sciences
background, evidence-based clinical practice skills and abilities, screening and other
skills necessary for the increasing autonomy of physical therapist practitioners. The
balance of time spent in the didactic and clinical curriculum appears appropriate for the
DPT professional program and consistent with other DPT programs nationwide.

Essential resources for a DPT program include an adequate applicant pool, sufficient
numbers of qualified faculty and equipment/space/clinical resources to support the
program. The proposal identifies that the program has historically had a competitive
process for admission, with eligible applicant presenting a minimum of a 3.0 grade point
average both cumulatively and in prerequisite sciences. Eligible applicants in 2005 had a
mean GRE score of 1058. Based upon data from other DPT programs, it would be
expected that both the number of applicants and the quality of these applicants will
remain the same or rise with implementation of the proposed DPT curriculum at UMC.

The DPT proposal calls for an increase in faculty from its current 10 FTE to 11.5 FTE
with an enrollment of 3 classes of students with 40 students per class. The UMC class
size is consistent with average class sizes nationwide of 3 classes of 36 students per class.
Based upon data from the 2005 Biennial Accreditation Report, the average number of

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faculty positions in DPT programs is 11.7, which is consistent with the proposed faculty
FTE increase in the UMC DPT curriculum. There is appropriate justification within the
DPT proposals as the additional 1.5 FTE are necessary to implement the 22 credit hours
being added to the curriculum.

The overall qualifications of the faculty are excellent for providing doctoral level
education. Currently, the program benefits from 5 PhD‟s, 1 DPT, 3 academic masters
and 1 baccalaureate degree. The faculty demonstrate a blend of faculty who are
doctorally prepared and those with strong clinical expertise, which is appropriate for ht
professional entry-level DPT program. Collectively and individually, the academic
faculty demonstrates commitment to academia with resumes demonstrating participation
in all elements of teaching, research and service.

The DPT proposal identifies the need for additional office spaces (2) for new faculty as
well as a learning laboratory to support the increased number of skills courses in the DPT
curriculum. This request appears reasonable. The proposal indicates there is no
additional cost to the institution to implement the proposal due to the revenue generated
from an increased number and level of credit hours. The clinical education resources
available to the program appear adequate for transitioning to the DPT because the total
number of students will not increase and the UMC Physical Therapy program has
continuously met accreditation criteria specific to clinical education as well as overall
since it inception.

The University has long and well established tradition of academic excellence in physical
therapy as noted by continuous accreditation, a record of strong applicants, a talented and
exceptionally qualified faculty, and a well-designed curriculum for doctoral level
education. The faculty reflected upon the curricular content, designing a proposed DPT
curriculum content which is at length, depth, and breadth consistent with other DPT
programs already accredited at this level. In addition, the DPT curriculum reflects the
content of key professional documents such as the APTA Guide to Physical Therapist
Practice and the APTA Normative Model for Physical Therapist Education. The credit
hours (117 credit hours) of the professional component of the program are consistent with
other DPT programs and the DPT degree is commensurate with the level of education
proposed. The program benefits from a cadre of talented and highly qualified faculty. I
commend the faculty for their hard work and reflective thinking in designing this
excellent DPT curriculum.

Thank you for the opportunity to review this proposal. With this change, the University
of Missouri-Columbia will assure the congruence of education with practice while
providing greatly needed public access to this vital and needed program.

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