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A Doctor of Physical Therapy (DPT) or Doctor of Physiotherapy (DPhysio) degree is a post-baccalaureate 3-4 year degree which may be conferred upon successful completion of a professional doctoral program. A Transitional Doctor of Physical Therapy Degree is also offered for those who already hold a professional Master of Physical Therapy (MPT) degree. As of 2012, of the 227 accredited and developing physical therapist programs, 226 are DPT programs with one remaining MPT program. Both degrees currently prepare students to be eligible for the PT license examination in all 50 states. The Commission on Accreditation in Physical Therapy Education (CAPTE) will require all programs to offer the DPT degree effective December 31, 2015. After completing a DPT program the doctor of physical therapy may continue training in a residency and then fellowship. As of March 2012, there are 127 credentialed physical therapy residencies and fellowships in the US  with 30 additional developing residencies and fellowships. Credentialed residencies are between 9 and 36 months while credentialed fellowships are between 6 and 36 months.
In 2000 the American Physical Therapy Association (APTA) passed its Vision 2020 statement, which states (in part):
As this statement highlights, the DPT program is an integral part of the APTA's continued advocacy for legislation granting consumers (i.e. patients and clients) direct access to physical therapists, rather than requiring physician referral. Direct access is said to decrease wait times for access to care and even help reduce both cost to consumer and overall healthcare costs. As of February 2012, 47 states and the District of Columbia currently allow some form of direct access to physical therapists.
In 1992, the University of Southern California initiated the first post-professional "transitional" (DPT) program in the United States. This "transitional" DPT takes into account a therapist's current level of knowledge and skill and purports to offer programs that upgrade clinical skills to meet the needs of the current health care environment. Creighton University followed by initiating the first entry-level DPT program in 1993.
|Undergraduate||Doctor of Physical Therapy||Residency (optional at this time)||Fellowship (optional)|
|4 years||3 to 4 years||9 to 36 months||6 to 36 months|
While the typical time frame for a Doctor of Physical of Therapy is 7 to 8 years, depending on residency and fellowship training the doctor may have completed 12 years of schooling or more.
Admission to a Doctor of Physical Therapy program can be highly competitive. As of 2010 the average GPA for enrolling students was 3.5 with a range of 3.0 to 3.85 for all programs. On average there were 290 applicants per program with an average final of 41 students per class for an average acceptance rate of 14%. The range for applicants to all programs as of 2010 was 36-904, and the range of enrolled students was 12-100.
The t-DPT degree is conferred upon completion of a structured postprofessional educational experience that results in the augmentation of knowledge, skills, and behaviors to a level consistent with the current professional (entry-level) DPT standards. The t-DPT degree enables the US-licensed physical therapist to attain degree parity with therapists who hold the professional DPT by filling in any gaps between their professional baccalaureate or master's degree PT education and the current professional DPT degree education.
The post-professional DPT (Transitional) degree is designed to provide the doctoral credential to those currently holding a master's or bachelor's degree in the field. Post-professional DPT (Transitional) degree programs typically are based on a primarily distance-learning model.
The use of the title doctor by physical therapists and other non-physician health care professionals is controversial. In a letter to The New York Times, the president of the American Physical Therapy Association responded:
The DPT degree has been described as an example of "credential creep" or degree inflation in The Chronicle of Higher Education. Citing concerns that the DPT, and similar professional doctorates in areas such as occupational therapy, do not meet the standards of traditional doctorate degrees, the journal states: "The six-and-a-half-year doctor of physical therapy, or DPT, is rapidly replacing a six-year master's degree ... The American Physical Therapy Association ... has not set separate requirements for doctoral programs. To be accredited they need only meet the same requirements as master's programs."
Critics question whether the rigor of the physical therapy curriculum and the current scope of practice warrant the conferral of a professional degree similar to that characteristic of medicine, dentistry, or veterinary medicine. Proponents counter that the existing curricula are "victims of 'curricular inflation'." As Rothstein and Moffat noted, the previous master's and even baccalaureate curricula rival that of most other doctoral programs, and these curricula often require more than the typical 72 credits mandated for a doctoral degree. The 2000 Fact Sheet from APTA reported that the mean number of credits required for the professional phase of the typical baccalaureate program was 83.0 credits and that the typical master's degree program required 95.5 credits. As of 2009 the typical number of prerequisite credits was 114.2 and the total number of professional credits was 116.5 for a total of 230.7 credit hours. This is well in excess of the typical 72 professional credits mandated for a doctoral degree. Additional credit hours may be earned in residency and fellowship as well. Threlkeld et al suggest that the scope of existing physical therapy curricula already matches that of a professional doctorate, further submitting that students of a well-defined DPT program will have earned the right to be recognized with the doctoral title.
The professional (entry-level) DPT degree is currently the degree conferred by the vast majority of physical therapist professional programs upon successful completion of a three- to four-year post-baccalaureate degree program in the United States, preparing the graduate to enter the practice of physical therapy. Admission requirements for the program include completion of an undergraduate degree that includes specific prerequisite coursework, volunteer experience (or other exposure to the profession), and completion of a standardized graduate examination (e.g., GRE).
Typical prerequisite courses may include two semesters of anatomy and physiology with labs, two semesters of physics with labs, two semesters of chemistry with labs, a general course in psychology, another course in psychology, statistics, two semesters of biology, and may include other courses required by specific schools.
The physical therapist curriculum consists of foundational sciences (i.e., gross anatomy, cellular histology, neuroscience, kinesiology, physiology, exercise physiology, pathology, pharmacology, radiology/imaging, medical screening), behavioral sciences (communication, social and psychologic factors, ethics and values, law, business and management sciences, clinical reasoning and evidence-based practice), and clinical sciences (cardiovascular/pulmonary, endocrine and metabolic, gastrointestinal and genitourinary, integumentary, musculoskeletal, neuromuscular). Coursework also includes material specific to the practice of physical therapy (patient/client management model, prevention, wellness, and health promotion, practice management, management of care delivery, social responsibility, advocacy, and core values). Additionally, students engage in full-time clinical practice under the supervision of licensed physical therapists with an expectation of providing safe, competent, and effective physical therapy.
The "advanced clinical science" doctorate (e.g., DPTSc or DScPT, DHSc, ScDPT) is one of several degrees conferred by academic institutions upon successful completion of a post-professional physical therapist education program. This program is intended to provide an experienced clinician with advanced knowledge, clinical skills, and professional behaviors, usually in a specific specialty practice area. These programs typically culminate work that contributes new knowledge to clinical practice in the profession. Completion of these advanced clinical science doctoral programs may include credentialed clinical residencies and lead to ABPTS clinical specialization or other advanced certifications.
Some UK universities now offer a DPT as a post-professional qualification, the qualifying degree remains Bachelor or Master of Science, Physiotherapy (with honours). The Doctor of Physiotherapy in the UK differs from a US clinical doctorate in that it is a 5-year post-professional Physiotherapy specific research programme, which is offered at the University of Sussex in Brighton. Other UK institutions prefer to offer a generic ProfD (Professional Doctorate) as this is recognised across many professions from veterinary medicine to pharmacy.