This article was presented as a lecture at the 1995 Combined Sections
Meeting by Joseph P. Farrell, MS, PT, who received the Orthopaedic Sec
tion's Paris Distinguished Service Award. He was recognized for servic
e to the Orthopaedic Section in the area of manual therapy and for the
formation oi the American Academy of Orthopaedic Manual Physical Ther
apists (AAOMPT). Clinical excellence is a journey that every clinician
should commence early in his/her career. The purpose oi this paper is
to discuss clinical excellence and its importance to the physical the
rapy profession. To address this topic the following items will be dis
cussed: ii clinical competency and clinical expertise; 2) communicatio
n and patient management in the current era oi health care reform; 3)
politics relating to manual therapy; 4) the role oi manual therapy in
our profession; 5) clinical residency educational programs; and 6) the
academic and clinician role in education. The author concludes that i
f physical therapy is a profession of excellent clinicians, then the p
hysical therapy profession can survive evolving changes in the health
care system.