To: Mr.

Jose Luis Gomez

From: Joel Silva, Raymond Banuelos,Cristina Martinez
Date: May 13, 2015
Subject: Formal Proposal

Purpose: A proposal for the basic training and knowledge, intended for future physical therapist
currently perusing the field of medical orthopedics.
In order to prevent and treat the physical therapist must be knowledgeable of every component of
the knee; this manual can be used as a quick and accessible reference. The manual is user
friendly beginning with an index to identify the page of the manual to find information needed, it
also contains large subtitles. A glossary is included at the end of the manual, it contains many
terms used throughout the manual this is intended to educate the future physical therapists of the
proper definition of such terms.
As a group we present this proposal for various reasons, first to understand the basic anatomy
and the structure of the knee in order to treat it properly. The manual begins with information
regarding the bones and ligaments as well as causes and symptoms of pain. A chart is provided to
better understand the different symptoms as well as intensity of the knee pain, the chart presented
breaks down the pain symptoms into three equal sections and it is explained according to the
moment when the pain begins and how chronic knee pain can eventually affect a persons daily
lifestyle.

Target Population: Train future Physical Therapist on the basics of Post-OP of the knee with
wound and cast care and ROM exercises

Recent graduates from High School

Community College undergraduates in Medical Field
Undergraduates at UTEP, College of Health Sciences
Graduates in medical field with a degree

Needs: Students should have some basic idea of the medical field in Orthopedics, knee surgeries,
autonomy of the knee and range-of-motion (ROM) exercises

Some knowledge in the medical field

Some knowledge on knee
Some knowledge on cast and wound care

Proposed Training Services: Educate students in the medical field on the basics of caring for
patients with Post-OP surgery of the knee, ROM exercise and one on one individual training

Educational programs
Basic group training on knee
One on one individual training
Clinical/Internship at various local hospitals
Work with UTEP, Community College for student recruitment

Once the student(s) have completed the basics program on Post-OP of the knee, the student will
be placed at various hospitals and Doctors offices for continued experience and possible
employment with said establishments. These students will learn the basics on how to care for
these patients and show them how to apply the exercises that are going to be needed to regain
their range-of-motion (ROM) on their knee to get them back to their lifestyle. That is why it is
important that we teach and train these future Therapists on to care for these patients and get
them back on their feet. There is no other training facility in this city that is providing these
services for students recently graduated from high school or an undergraduate from a University
such as UTEP. We need to train these future Physical Therapists correctly with the basics and our
facility is willing and able to provide these services for these students and this city of El Paso
Texas.
Personnel: We have one of the best Therapists, certified and licensed on board to train these
students; Joel Silva; One of the best Public Health educators on staff that will provide the
necessary information needed for these students and a Licensed Social Worker who will provide
the assistance in placing these future Physical Therapists in proper clinics, hospitals and
employment, A Registered Nurse for all medical situations that might occur while training
students

Training: Students will complete six (6) month training and be placed in an internship program
for three (3) months and then graduate from the program and placed in an employment status at
said sites.
Waiting-List: If needed students will be placed on a waiting list and enrolled when services
are/will be available when current students complete or drop the training program
Budget: This is the proposed budget we are requesting for our facility located on Mesa and
Shuster, suite-508, 1221 N. Mesa, El Paso Texas 79968. A proposed budget of $

Classified Salaries: 153, 816.00 for four full-time employees; this includes vacation payoff classified
Fringe Benefits: 57, 198.00
Building Rent: 23,233.00 annually
Equipment Contracts: 3825.00
Telephone: 1,800.00
Insurance: 4,800.00
Books and Publications: 4,500.00

For a total of $ 249,172 to get this program started and train out future Physical Therapists here
in our great city of E Paso Texas. This is a rough estimate of what is needed to start and once
enrollment and recruitments increase new budget proposals will be requested. So we are hopeful
that you will take our proposal to mind and approve our training facility proposal to educate and
train our students seeking employment in the medical field and retain them for future
employment in our hospitals and clinics.

Towards the end of the manual the focus is turned to the importance of being intercultural in the
physical therapists field and explains situations and expectations regarding this topic, the fact
that cultural differences have a bearing on health and can even have an impact on the
effectiveness of the treatment. All cultures have different believes of causes of illnesses,
treatment and at time even the form of how it should be treated. It is important to keep in mind
that many patients believe in the power of science and medication treatments while others are
more spiritual and relay on prayer to see changes in their health. The fact is that cultural issues
play a major role in patient compliance
Culture directly influences the expectations of people as they play a role in our life, whether they
may be the patient a co-worker or even a superior. This should not affect the professionalism a
physical therapist should always have as a priority. Many times they will come face to face to
such situations whether working local or working in another country.
In conclusion we are optimistic that our program will sever as a good and training facility for our
future Physical Therapists. This is an opportunity to train not only our own community but to
keep these students and professionals in our great city of El Paso Texas so they too can continue
to educate and train other future trainees as Physical Therapists.
Thank you for your kind consideration of our project. We will be contacting you within the next
three weeks for any feedback you may have. In the meantime, please do not hesitate to contact us
if you desire additional information or if you have any questions. We look forward to talking
with you soon.
Sincerely,
Joel Silva, Physical Therapist
Raymond Banuelos, Social Worker
Cristina Martinez, Health Promoter