BACKGROUND AND PURPOSEThroughout the history of physical therapy, practitioners have been called to uphold high standards and conduct themselves as professionals. The original physical therapists, referred to as reconstruction aides, were taught to follow the orders of and maintain a sense of decorum at all times.1'2 Today, physical therapists are held to high standards of professionalism by consistently demonstrating adherence to core values by aspiring to and wisely applying principles of altruism, excellence, caring, ethics, respect, communication and accountability, and by working together with other professionals to achieve optimal health and wellness in individuals and communities.3(pl9)This emphasis on professionalism is critical, as contemporary health environments present many ethical challenges. Physical therapists may feel pressure from internal and external sources to reduce the quality of care in order to make a profit. The focus on outcomes and evidence-based practice can appear to limit the decision-making of the physical therapist. The American Physical Therapy Associations (APTA) Vision 2020, approved in 2000, listed professionalism as 1 key element for the advancement of the profession, alongside autonomous practice; direct access; adoption of the Doctor of Physical Therapy (DPT) degree; and a commitment to lifelong learning, integrity, and professional duty.4 One underutilized means to promote professionalism for physical therapists is to publicly mark the transformation from student to professional with the use of an oath, as is common in medical schools.56 The purpose of this paper is to build the case for a similar use of an oath for physical therapists. The case will be developed by reviewing the use of oaths by other professions, by describing the process used to develop a model oath for physical therapists, and by describing how 1 physical therapist program uses the oath as a public rite of passage to the profession.Oaths in Medicine and Other ProfessionsColler and colleagues7 describe 3 transformative moments in the education and development of physicians: medical students become doctors when they graduate from medical school and receive their diploma; they become physicians when they receive their license to practice; and they become members of the profession when they profess an oath. Although the Hippocratic Oath does not regulate the practice of medicine, consumers are more familiar with the Hippocratic Oath and the role it plays in shaping the responsibilities and duties of a physician than they are with state regulations.79 This is due, in part, to the common medical school rite of passage, the public recitation of an oath.The Hippocratic Oath10 is the most wellknown oath in medicine.11 The Hippocratic Oath or variations of the oath are used at commencement ceremonies by a majority of accredited allopathic and osteopathic medical schools across the country.56,8,1112 Modified versions of the oath were developed because of concerns regarding outdated wording in the original Hippocratic Oath. For example, the original oath explicitly states that one should not share the art and science of healing with lay people, which today is counter to the practice of self-responsibility in health service delivery.812 In addition to modifying the oath by including contemporary language, some medical schools choose to adopt and use a school-specific oath that includes unique elements related to their education program6; others use an alternate oath such as the Declaration of Geneva13 or the Prayer of Maimonides.14Other health professions are increasingly adopting an oath as a testament of professionalism. In Australia, psychologists are formulating an oath as an element for their professional identity.15 Pharmacy schools and programs in the United States conduct white coat ceremonies designed to highlight the professions and students' commitment to professionalism. …
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