The potential solution is to continue working with our key referral sources, increasing our professional reputation with them in this area. The hope is that word of mouth (doctors passing information on to other doctors) will broaden their interest in collaborating with us. Typical physician concerns regarding direct access and expanded physical therapist involvement in additional fields include, but are not limited to, overutilization of the service, increased costs, and inappropriate care. A research report published in APTA (Mitchell and de Lissovoy, 1997) argued that direct access episodes are generally short-lived and more convenient, making physician concerns unwarranted. If doctors agreed with this concept, we would have more opportunities for medical insurers to embrace physical therapists' participation in imaging