Clinical PracticaPreparatory

MeetingPT 400

2011 Pre-Clinical Meeting & Forms distributionApril 27, 2011

PT 400 Syllabus Individualized Site Contact Info (Pink)* Checklist 3 “Dear Clinical Instructor” Letters PT Student Eval: Clinical Experience &

Clinical Instruction form PT Intern Weekly Feedback form Student Responsibilities Contract “Your name” RM form to sign (blue) “Your name” RM form to take to facility

*items are only available if you have submitted updated risk management records.

Packet Handouts

Student Assessment of Curricular Preparation

Not in packet yet

Gym at Mather VA Acute

Overview

Mercy Folsom Outpatient Clinic

The terminal three affiliations towards fulfillment

of the Certificate of Clinical Competence

400A, 400B, 400C – 4 units each

24 full-time weeks under the direct supervision of

a Physical Therapist

Opportunity to refine skills and participate in

clinical settings that may be unfamiliar

Clinical Practica II, II, IV

Set and write goals in consultation with your CI

Submit to Bryan by Fax 916)278-5053 a completed Weekly Feedback Form at the end of week one and IF I LET YOU KNOW, at the end of week 5.

This form must always be signed by you and the Clinical Instructor !

Syllabus Review: Assignmentsp. 6 – Weekly Feedback Forms

2) Contact the facility 6 – 8 weeks prior to start

3) Self-Rate your level of competence on WEB- CPI at mid-term and at final with supporting comments.

4) Complete the Physical Therapist Student Evaluation: Clinical Experience and Clinical Instruction form at the end of each internship and submit to the ACCE with the CI signature.

Syllabus Review: Assignments

5. Complete journal entry at least every other week reflecting on your clinical experience and its relationship to the academic preparation provided in the curriculum. Original or a copy must be submitted to the me at the end of the internship in legible form, and in format given by Sue.

6. Midterm check-in. Meet or speak with me or the faculty designee once during each affiliation to discuss the strengths and weaknesses of both the clinical experience and the curricular preparation.

Syllabus: Assignments (cont’d)

7. At the option of the clinical facility, you will need to present an inservice to staff, or clients on a topic agreed upon by you and your CI. A service project of an educational nature can be done instead. If the facility does not require you to do an inservice, you do not need to do one.

Assignments (cont’d)

May not be familiar to your CI, and so the first thing they must do is submit their email information to me so that I can add them to Web CPI so that they can log on.

Go to http://learningcenter.apta.org/ptcpi_aptalearningcenter.aspx

“purchase” the five modules and complete them

Web-CPI

You fill out at midterm and at final prior to your meeting with CI.

Your Clinical Instructor(s) fills out at midterm and at final

You review it together, and both of you must electronically sign your own AND each other’s CPI

Web-CPI

Is Pass/No Credit Is separate for each class: 400A, 400B, 400C Achieving competency threshold levels for “red

flag” items 1,2,3,4 & 7, and for at least 15 of 18 overall performance criteria.

No areas of “significant concern” marked on any criteria. If Significant Concerns are marked, it may be grounds for failing the affiliation or being required to do remedial work before receiving Credit

Failing to attain threshold marks on less than 80% of the marked PC may result in an incomplete grade, and may mandate a remediation of the internship.

Grading

Determination of remediation will also consider clinical setting, experience with patients in that setting, relative importance of subthreshold performance criteria, progression of performance from midterm to final evaluations, whether or not a “significant concerns” box was checked, and performance on relevant performance criteria in the other two PT 400 courses. A deficit pattern demonstrated by persistent failure to meet Entry-Level marks on the same 3 items across all three rotations will suggest a need for remediation of the final (400C) rotation to try to attain needed competency.

Grading

1 Safety 10 Evaluation

2 Professional Behavior 11 Diagnosis & Prognosis

3 Accountability 12 Plan of Care

4 Communication 13 Procedural Interventions

5 Cultural Competence 14 Educational Interventions

6 Professional Development

15 Documentation

7 Clinical Reasoning 16 Outcomes Assessment

8 Screening 17 Financial Resources

9 Examination 18 Direction and Supervision

CPI Performance CriteriaMinimum Competency Levels increase

w/ each subsequent rotation

Performance Dimensions:◦Supervision required◦Quality ◦Complexity◦Consistency◦Efficiency

CPI – Performance Dimensions

CPI Minimum Competency Levels for passing PT 400A, B, C:

PT400ABeginning Adv. Begginer Intermediate Advanced Entry-level BeyondPerformance Performanc Performance Intermediate Performance Entry-level

PT400BBeginning Adv. Begginer Intermediate Advanced Entry-level BeyondPerformance Performanc Performance Intermediate Performance Entry-level

PT400CBeginning Adv. Begginer Intermediate Advanced Entry-level BeyondPerformance Performanc Performance Intermediate Performance Entry-level

Rather than telling the CI that you “need to be at entry-level”, I strongly recommend telling the CI that you want the opportunity to show that your are capable of functioning without clinical supervision for patients with complex and simple conditions; that you are able to consistently be proficient in exams, interventions and clinical reasoning, and that you are capable of maintaining 100% of a full-time PT caseload in a cost-effective manner (whether or not you actually carry such a caseload).

What to tell your CI??

1. Weekly Feedback Form at the end of week 1 and (possibly) at the end of week 5.

2. Student self-assessment using CPI3. PT Student Evaluation: Clinical

Experience & Clinical Instruction form signed by CI

4. Bi-weekly reflective journal◦ CI’s signed CPI

Grading requires satisfactory completion of:

Should have the start date, facility and contact person for each affiliation

The Center Coordinator or Clinical Education (CCCE) is not necessarily the Clinical Instructor (CI)

If you have trouble with your CI, the CCCE is an additional resource for you.

Contact your 400A site THIS WEEK!!

Clinical Assignments Sheet

RiskManagement Issues

Mather VA in Rancho Cordova

Must have your own health insurance –

please update our files if you have not yet

May be asked by the facility to do a physical

exam, Breath alcohol test, Hep B & C

screening, &/or drug screen.

You will not be released to attend your

clinical rotations without all of the

paperwork done

RiskManagement Issues

IF you plan to do CPR during rotations, we need a signed note describing that intent.

When you get new card it, send copy to me

RiskManagement Issues

Criminal Background checks: Bring your copy with you on day one in case they want it

TB test results: Bring your copy with you on day one in case they want it

Risk Management:

The student health center now provides 10 panel, chain of custody (COC) drug screens for $32. Get requisition forms from Bryan

If drug or alcohol screens are required to be done at the affiliating facility, or exceed 10-panels, you must make arrangements with the facility for the lab to do the testing, -- be sure to get the level of testing that is needed.

Risk Management: Drug and alcohol screens

If you incur a temporary disability or health condition which may impair your ability to perform the normal work activities required during your internship, you must report the condition with physician notes to the ACCE within 36 hours of the onset. If your condition may affect your ability to perform job duties as specified by the facility, then you may be withdrawn from the internship until the disabling condition resolves.

DisabilityAccommodation

Date all entries Preferable to do weekly At least every other week:

◦ Describe event◦ Reflect on your thinking about it now◦ How did you FEEL about what happened?◦ What effect might your reflecting have on your

learning and/or future practice Required, but not graded.

Reflective Journalduring the Internship

The Checklist

You must make contact with the CCCE 6 – 8 weeks prior to your start date.

You can make contact sooner. You may have had the facility contact you already with paperwork needs

Facility Contact

Always:• Introduce yourself--even to those who do

not seem important• Do your homework--know key points about

the clinical site you are going to and the names of the key players at that site.

• Ask explicit questions about the expectations of the clinical instructor

• Assume that everyone wants you there & is invested in your learning

Getting offto a Good Start

“Dear Clinical Instructor” letter

Risk Management form1 copy of the Weekly Feedback Form

Day One:Give to your CI

Describes the CPI use and your academic training

Instructions for completing & mailing the CPI back to me

Urging contact if there are problems Bryan and Sue’s contact numbers.

Letter to Clinical Instructors

Mather VASecond Year Intern & CI Theresa Ruiz

Call Bryan at 916) 278-4871 or email at colemanb@csus.edu and tell him (leave message) the full name and phone number of your primary clinical instructor

Week One:Absolutely must DO:

Only need to do if the facility requires it

Check with CI or CCCE early on in the rotation to allow time to plan for it

Inservice/Work Project

I will set up a SacCT course PT 400. Documents are posted there. Hopefully we can have discussions, give/receive class announcements for the summer and autumn.

PT400A is summer; PT 400B and C are for the fall.

Sac CT

If all of your immunizations, CPR, health insurance verification and TB are up-to-date, (were due to me April 15)

Must have own major medical health insurance

You should have your record of the Background Investigation.

Risk Management Form Signed by me

Read it, sign it and give it back to me now!

Risk Management (blue) Release Form

Student Responsibilities Contracts

◦Fill it in – one for each clinical site, read it, sign it and give it back to me now!

Should be used weekly; offer it as a talking point in your weekly meetings with CI

Gives quick feedback to CI if they need to do more or less of anything with you.

Physical Therapy StudentWeekly Feedback Form

To design and develop the learning experience

Help determine the teaching methods to be used

Assess both the learning experience itself and the student’s achievement of the objective

Upgrades the abilities of the developers of the goals

Student Goals: Why?

Learner’s behavior at end of learning

Conditions under which the learner must function

Evaluation method that will be used to assess the learning

Student Goalsshould contain:

Audience (who)◦ The learner or patient

Behavior (what)◦ What the learner must do, demonstrate or

perform Condition (when)

◦ Circumstances under which the objective will be achieved and/or the tools and equipment needed

Degree (how well)◦ The level of acceptable performance; how well

the learner must perform

Student Goals - structure:

Best Luck and Have Fun!

This is where you are heading!