Starting a new position as a pediatric physical therapist requires a clear, actionable plan to navigate clinical responsibilities, patient interactions, and team collaboration. This 30-60-90 day onboarding plan is designed to support pediatric physical therapists in establishing a strong foundation, progressively building expertise, and delivering high-quality care to children and their families.
Use this plan to set specific clinical goals, track patient progress, and develop essential skills unique to pediatric therapy practice.
Benefits of a 30-60-90 Day Plan for Pediatric Physical Therapists
Implementing this structured plan helps new pediatric physical therapists:
- Gain familiarity with pediatric assessment tools, therapeutic interventions, and developmental milestones relevant to their caseload
- Build effective communication channels with families, caregivers, and multidisciplinary teams
- Establish confidence in managing diverse pediatric conditions and adapting treatment plans accordingly
- Track progress through measurable clinical outcomes and patient engagement
Main Elements of the Pediatric Physical Therapist 30-60-90 Day Plan
This plan is divided into three focused phases, each with clear objectives, tasks, and milestones:
First 30 Days: Orientation and Assessment
- Complete orientation on clinic policies, pediatric therapy protocols, and electronic health record systems
- Observe and assist in patient evaluations to understand common pediatric conditions treated
- Begin conducting supervised assessments using standardized pediatric tools (e.g., Peabody Developmental Motor Scales, BOT-2)
- Meet with interdisciplinary team members including occupational therapists, speech therapists, and pediatricians to understand collaborative workflows
- Document initial patient interactions and reflect on learning experiences
Days 31-60: Skill Development and Independent Practice
- Lead patient evaluations and develop individualized treatment plans under mentorship
- Implement therapeutic interventions focusing on motor skills, balance, coordination, and functional mobility tailored to pediatric patients
- Engage families in therapy goals and home exercise programs to enhance patient outcomes
- Participate in team case conferences to discuss patient progress and adjust care plans
- Track therapy outcomes and adjust techniques based on evidence-based practices
Days 61-90: Integration and Leadership
- Manage a full caseload of pediatric patients independently, demonstrating clinical decision-making and adaptability
- Contribute to quality improvement initiatives aimed at enhancing pediatric therapy services
- Provide mentorship to newer staff or students rotating through the clinic
- Lead family education sessions and community outreach programs promoting pediatric physical health
- Document comprehensive patient progress notes and prepare reports for interdisciplinary review
This 30-60-90 day plan supports pediatric physical therapists in building confidence, clinical expertise, and collaborative relationships essential for delivering exceptional care to children and their families.








