The Pennsylvania State University Clinic Intern

Program

HOW OUR PROGRAM WAS DESIGNED

PSU Clinic Intern Program

PSU: The Beginning

Started in 1998 Started by pre-healthcare professional student

request as well as doctor request Limited opportunities to gain healthcare experience

Hospital only

US Dept of Health and Human Services, Agency for Healthcare Research and Qualityhttp://archive.ahrq.gov/prep/nursinghomes/atlas/atlas_pa.htm

Google Maps, accessed 5/14/2014

PSU: The Beginning

US Dept of Health and Human Services, Agency for Healthcare Research and Qualityhttp://archive.ahrq.gov/prep/nursinghomes/atlas/atlas_pa.htm

PSU: Organizational Management

Four Credit course through the Continuing Education Office Bio- Behavioral Health program --- BBH 497x Reviewed and renewed annually

Fall Semester: 15 weeks of 2-hour weekly class = 30 hours 10 weeks of 4-hour weekly clinic shift = 40 hours

Spring Semester 15 weeks of 4-hour weekly clinic shift = 60 hours 2-3 one-hour classes = 2-3 hours

100 hours total of patient contact hours

PSU: Organizational Management

Program Coordinator, Instructor: Currently: Advanced Practitioner with Master’s Degree

Clinical Coordinators Licensed Practical Nurses, one for each clinical floor

Others with roles in program: Assistant Director of Clinical Operations and Director of

Nursing Nurse Manager Nurse Leaders Technical and Clerical support*

PSU: Organizational Management

Application Due February Reviewed over Spring Break

Interview End of March Class selection and notification of acceptance

Training Beginning of Fall Semester classes

Continuing into Spring Semester

PSU: Recruitment

Promotional Campaign (2005) Press Release Posters in the clinic Newspaper feature article Bus advertisement

Last 5-9 years 100+ applicants by word of mouth for 12-20 seats Application submitted online Interviews Selection

Average Class size (2003-13): 16 students

PSU: Training

Prior to starting classes Background check Child Abuse Training HIPAA Training BBP/TB Training

Classes start in the Fall 2 hours/wk Enter clinic on ~ week 6 About 2 weeks of clinic oversight before independent

16-20 hours of training prior to clinic exposure

Picture credit: http://www.opp.psu.edu/about-opp/divisions/cpd/images/revExterior-Dusk1.jpg/view

Penn State Student Health Center, University Park, PA

PSU: Risk Management

PSU: Risk Management

PSU: Risk Management

PSU: Risk Management

PSU: Risk Management

ABSOLUTE confidentiality: I will display sensitivity and accept diversity in my clinical encounters at UHS. I will not discuss any patient or incident outside of UHS.

I will not access any patient information that is not essential to my work including my own chart. I

understand that failure to maintain patient confidentiality, at any time, will end in my dismissal from the program, will result in a failing grade for this course without the ability to drop the course and may result in referral to Penn State’s Office of Student Conduct, Risk Management and Bio-Behavioral Health departments.

All of these offices may take action separately.

PSU: Staff Involvement

UHS- wide involvement Mentors – Nursing staff Shadowing

Clinicians and RNs Other departments

Physical Therapy Lab/xray Pharmacy EMS

Directly involved in running program Advanced Practice Clinician – Instructor Clinical Coordinators – Designated LPN per floor (rotates) Administrative support – as previously listed

PSU: Evaluation and Feedback

For academic course SRTE – standardized questions with free text

Student Worker Group Email Questionnaire at end of academic year

Ongoing student and staff feedback Meetings ANGEL anonymous feedback form

WHAT OUR STUDENTS OBTAIN FROM THE PROGRAM

Learning Outcomes

PSU: Learning Outcomes

Clinical Skills “Skills” Clinics Equipment “rental” Purchase of stethoscope

Measurement tools Classroom skill competency check off Clinic skill competency check off Mentor/Coordinators observation period

PSU: Learning Outcomes

Communication “EHR clinics” Spelling, abbreviations, common

medications Scenarios training

Measurement tools Exams, evaluations, mentor

feedback Classroom

PSU: Learning Outcomes

Consumers of Healthcare Advocates for student services Training needed before entering clinic

HIPAA Child Abuse training Background checks Immunization requirements

Shadowing Clinicians All departments

PSU: Learning Outcomes

Leadership Skills Students report

Increased confidence Increased independence Increased awareness of ethics and morals Increased awareness of healthcare roles

Returning students Aide during classroom Work independently within the clinic

WHY YOU THINK YOU DON’T WANT TO CREATE A PROGRAM

Challenges

PSU: Challenges

Program challenges Orienting 12-20 “new employees” every year Risk with “comfort” Time Commitment of Staff

Willing Instructor Ensure students are trained + objective measurement

tools for grades + keep it interesting Willing Clinical Coordinators Willing Mentors Willing Shadowing opportunities

PSU: Challenges

PHI/HIPAA EHR access

Very limited Confidentiality scenarios Intake scenarios Contract and Confidentiality statement clearly

reviewed and signed EHR “pings” Coordinator checks in chart Protect patient and intern

PSU: Challenges

Patient Rights Patients may “Opt out” of intern involvement

Please note that a student intern may be involved in your treatment.

If you do not wish to have a student intern involved in your treatment, please notify a staff assistant at the information

desk.

Interns taught to identify and avoid questionable situations

Zero tolerance policy

PSU: Challenges

Staff Confidence in Training Rotating Clinical Coordinator position Making program updates a standard part of meetings Involve staff in training

WHY YOU SHOULD WANT TO CREATE A PROGRAM

Benefits

PSU: Benefits

Staff Satisfaction Keeping schedule

on time Allowing nursing to

spend more time on complex duties

“Injects youthfulness into the clinic”

Do more with less Greater “purpose”

PSU: Benefits

Patient Satisfaction Keep visits on time Assume students involved due to academic setting Patients become interns Opt out at check in

Photo credit: http://greentour.psu.edu/sites/healthCenter.html

PSU: Benefits

Organization mission and goals UHS

University Health Services' vision is to foster a healthy Penn State campus community where students, faculty, and staff will enjoy optimal health as

they pursue their academic, career, and personal goals.The mission of University Health Services is to heal, educate and care by providing student-centered acute and preventive health services and

leadership for the Penn State community on health related issues.

Student Affairs Provide involvement opportunities Promote active and responsible citizenship Augment academics

My time at UHS gave me a great

perspective regarding

healthcare. It reaffirmed my commitment to healthcare and

pushed me further to pursue my goal

of becoming a physician. It has

been an invaluable opportunity and one that I will

always be thankful for.

This is one of the best things that I've

gained at Penn State. This was the only

opportunity thus far where I was able to learn with real patients and

complete hands-on activities. I really

enjoyed getting a "real-life experience.

I have a whole new understanding

of how the healthcare field runs

and operates. I feel as though this

experience helped me to grow and

mature especially when it comes to

communicating with patients. I'm

very thankful for this experience..

PSU: Benefits

Individual Volunteer satisfaction Survey results SRTE results

2014 feedback: 100% -- Very satisfied or Satisfied with quality of training 100% -- Thought the training of appropriate for role in

clinic 100% -- Satisfied with advancement toward career goals

after volunteering/working with Clinical Services 100% -- Very satisfied or Satisfied with overall experience

at UHS

PSU: Benefits

 Costs:

Staff time:

Nurse Manager/Leaders

Administrative staff

Program Coordinator/Instructor

Clinical Coordinators

Program Costs

CPR certifications

Shirts

Flu Vaccines

TB Two step screenings

Background checks

HIPAA/BBP/TB training

Recognition Items

End of Year Dinner

Income:

Tuition

PSU: Benefits

Financial

“Value of Program”     Volunteer hours 100 hours per year per student

x 151500 hours

“Value of hours” Based on Job descriptions for level 2 Nursing specialist (~$17/hr). 60% of job duties = 60% pay = $10.20/hr

$15,300.00

*Average intakes done by LPN in 4 hours = 12

*Average intakes done by Clinic Intern in 4 hours = 9.8

In conclusion