Implications of direct access to physical therapy in a global health context
Bibliographic record
Abstract
The purpose of this study was to examine the implications of direct access in a global health setting through the process of medical screening during physical therapy (PT) examinations in rural Guatemala. Six patients (5%) presented with signs and symptoms requiring follow-up medical care or when medical follow-up was unavailable, modification of physical therapy intervention. The role of physical therapists (PTs) in the delivery of health care is expanding. PTs practicing abroad must be prepared for the unique health needs of medically underserved populations. Additionally, as direct access to physical therapy services becomes increasingly common in the United States, clinicians will encounter patients who have not been screened by their primary care doctors for underlying medical conditions. PTs must screen for medical and psychological signs and symptoms to appropriately refer their patients for follow-up care. PTs have the training and skill set to make clinical decisions regarding the appropriate screening and management of patients presenting to PT clinics under direct access.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".