ABSTRACT
Growth strategies include the importance of properly delivering on-site industrial rehabilitation services in accordance with the requirements of professional orga nizations [the American Physical Therapy Association (APTA) and the American Occupational Therapy Association (AOTA)], certifying organizations, licensing bodies, and legal departments. Professional outcome, activities, duties, and re sponsibilities pursuant to an agreement should be continuously monitored. For example, an athletic trainer is not a physical therapist. The worker receiving phys ical therapy treatment must have a physical therapist present at the on-site clinic at all times. A physical therapist should never allow an athletic trainer to misrep resent himself as a therapist. Occupational medicine physicians are aware of the differences between trainers, aids, assistants, and technicians. Good assessment and treatment includes keeping a license to perform a scope of practice. A pur chasing representative does not know the academic and legal ramifications of substituting one for another. Unfortunately, cost to the patient/worker drives the decision. Educating non-health care purchasers is an ethical responsibility of the physician and therapist.
