june 18, 2012 beth ann thorpe, lpta, bs, cscs – acce christina howard, mpt – program coordinator...
TRANSCRIPT
Lane Community CollegeClinical Education Conference
June 18, 2012
Beth Ann Thorpe, LPTA, BS, CSCS – ACCEChristina Howard, MPT – Program Coordinator
Marc Duyck, PT, MsEd - Instructor
Schedule 9:00 - Introduction and Welcome9:15 - Physical Therapy Clinical Outcome Objectives10:00 – Clinical Student Case Scenarios10:30 – Break10:45 – Scenario Discussion 11:45 – Walking Tour of Health and Wellness Building12:00 – Buffet Lunch1:00 – CI of the Year Award, Program Updates1:15 - Characteristics of Effective Clinical Instructors1:30 – Student Panel2:15 – Fostering Student Professionalism 3:00 – Disability Resources and ADA Compliance3:45 – Take Home Messages and Closing
Courtesy AnnouncementsPlease turn phones to vibrate or silent modeWater and coffee available through the dayRestrooms are out in the hall – LOCATEGet up and move around as needed
AM break time, walking tour before lunch
Certificates with be e-mailed within 1-2 days along with links to documents discussed and survey
Wi-Fi is available on campus through SAN1 LOGIN: L88888888, PIN: jackjane2012
Conference ObjectivesUnderstand clinical outcome objectives including
Clinical Performance Instrument performance levels.Create and discuss student clinical case scenarios
and identify strategies for successful resolution.Know when to contact the ACCE/DCE with clinical
concerns.Recognize characteristics of an effective clinical
instructor and successful clinical student.Fostering professionalism in physical therapy
studentsUnderstand student rights for disability
accommodations in the clinical setting.
Survey – Show of HandsHow many of you are or will be:
Clinical InstructorsCenter Coordinators of Clinical InstructionClinic/Department Managers/Rehab DirectorsAcademic Faculty – Instructors or ACCE/DCEWork with Pacific SPTsWork with Mount Hood SPTAsWork with Lane SPTAsWork with students from other schools or
disciplines
Clinical Outcome ObjectivesBeth Ann Thorpe, LPTA, BS, CSCS – ACCE
•What is “Entry Level” for PT/PTA?• Clinical Performance Instrument (CPI) • Review of Bloom’s Taxonomy
What is “Entry Level?”PT Minimum Skills – Doctorate Degree
LinkPTA Minimum Skills – Associate Degree
Link We teach general foundational knowledge for ALL
settings, not specialties or in depth manual techniques for PTAs.
Remember these are students, not experienced clinicians.
A little humor – So You Want to Be a PT Student
Clinical Performance Instrument Paper or online assessment tool created by the
APTA for student clinical performance.PTA CPI Web: LINK
Schools pay to use the online versionOnline version has required FREE training
module through APTA Learning Center for all usersCPI Indicators: 18 for SPTs, 14 for SPTAsPerformance Dimensions and Rating Anchors:
LINK Definition of Entry Level on handout
Clinical OutcomesLCC PTA Students complete 3 clinical rotations
during 2nd year; PTA 280A, B, and C (6 weeks for 216 hours)
Outcome expectations are progressively increased
PTA 280A: CPI 1-6 approaching I level, 8-14 approaching AB level PTA 280B: CPI 1-7 approaching AI level, 8-14 approaching I level PTA 280C: CPI 1-7 approaching E level, 8-14 approaching AI level
Bloom’s Taxonomy3 Domains
1. Cognitive - knowledge, definition (see image below)2. Psychomotor – skill, do it3. Affective – attitude, value
Bloom’s Taxonomy LinksBig Dog and Little Dog’s Performance
Juxtapositionhttp://www.nwlink.com/~donclark/hrd/bloom.
htmlIowa State University Center for Excellence in
Learning and Teaching- A Model of Learning Objectives
http://www.celt.iastate.edu/teaching/RevisedBlooms1.html
Bloom’s Taxonomy with an iPhonehttp://www.youtube.com/watch?v=sdkT7nQ0
WGQ&feature=related
Bloom’s Cognitive PTA Example Remembering – Recite stages of gait cycleUnderstanding – Explain what happens at
each stageApplying – Classify RLA vs Traditional
descriptionsAnalyzing – Differentiate normal vs abnormal
gaitEvaluating – Correct abnormal form,
weaknessesCreating – Prescribe exercise program to
address gait deviations
Student Clinical Case StudiesWrite Individual Case - 10 minutesUse the worksheet givenThis can be CI-Student, Student-Patient
Color paper = ChallengeColor paper = Success
Think about the CPI Indicators around the room
Case Study ExamplesChallenge – PT student in middle rotation in OP ortho completing
an evaluation omitted taking vital signs but later made up values in documentation.Professional and behavioral issue. DCE was called by CI. Critical
Incident report was completed. Lesson on VS and given practice in case the skill was a problem. Student ultimately continued questionable ethical behavior and failed clinical. CI was more aware of ethics and began discussing it with students.
Success – PTA student in first rotation in acute was intimidated by transferring patient with multiple lines in small room. Some behavior but mostly skill issue. CI simulated catheter, O2 and
IV lines in open room to have student practice. CI told ACCE at site visit about student lack of skill in this area. Line management practice in mock hospital room added the next term prior to clinical. This sharing helped entire class and CI practiced IV with students prior to multi-line patient handling.
Student Clinical Case StudiesSmall group discussions at your table – 15 minutesSeek/offer feedbackHave any of you experienced similar?
Break Time - 10:30AMWrite on the easels on your way out: 1-2• Characteristics of an effective Clinical Instructor• Characteristics of a successful clinical student
Student Clinical Case ScenariosLarge Group DiscussionShare 1 Success and 1 Challenge
per tableHow often was the ACCE/DCE
involved?Suggestions/Feedback
ACCE/DCE ResourcesUse us! When in doubt, check in.
Keep phone number and e-mail handy during clinicalRed Flags/Behavioral issues – sooner than later
Set up a successful environment before student arrivalAPTA Credentialed Clinical Instructor ProgramAPTA Guidelines and Self-Assessment for Clinical
Instruction – CI LINK, CCCE LINKHave site policies, goals, manual, mentoringWelcome letter and contact prior to student arrivalPossible shadow or meeting prior to start date
ACCE/DCE Resources cont’dDuring Clinical
Thorough student orientation on day 1 - LINKSet communication style/tone early on
Kolb Learning Style Inventory - LINKWeekly Goal Setting Meeting – LINK (sample)End of the day reflections – Ask the student for 3
things that went well today and 3 things to work onProblem-Solving Algorithm - LINKCritical Incident Report – LINK (sample), also onlineSample Weekly Progressions – LCCMid-term CPI springboard for final goal setting
Student Humor
Tour of Health and WellnessBuilding 30 – PTA Lab 122 and SIM Lab – 15
minutes
Lunch Time 12-1PM• Mediterranean Buffet • Moodle demo if interested
Program Announcements
2011-2012 CI of the Year
Characteristics of Effective Clinical Instructor and Successful Clinical Student•Attendee response today vs. student response
Characteristics of an Effective CIPatienceAllow hands on
practiceDemonstrate
techniquesAllow (safe)
mistakesGear toward student
learning styleGood communicatorEBPRole model
Give feedbackSupportive and
encouragingSeek feedbackGive appropriate but
not unreasonable challenges
Build confidence by allowing student to lead
Be nice.
Successful Clinical StudentDrive and
determinationDo not be too hard on
yourself – allow/forgive mistakes
PatienceAsk questionsConfidence in
knowledge learnedAdaptable/flexible
Take feedback/criticism
Write clear and concise notes
Good listenerArrive early and be
prepared for the dayStudy at homeRespectful,
accountableTime management
PTA Student Panel• Share feedback• Q & A
Promoting Professionalism Among Students in the Clinic• Marc Duyck, PTA, MsEd
ProfessionalismWhat is considered Professional Behavior?What type of professional behaviors are
expected of students? PT vs PTA? Autonomous vs semi-autonomous?
How do CIs orient students who are challenged in the professional domain?
APTA Guide to Professional Conduct for the PT APTA Guide to Professional Conduct for the PTA Example of conduct observed Review of Guides in small groups
Professionalism cont’dCoaching students on professional
communicationVerbalNon-verbalWritten
E-mail communications
Challenges faced by programsHow challenges are addressed by programs
Explicit coachingProgram standards
Disability Resources• Americans with Disabilities Act Compliance• Students’ Rights • Disability Resources Department Procedures•Increase in student requests for accommodations at the community college level•Most common request is for text anxiety, time and a half for exams•LCC PTA clinical outcome objectives have built in extra time that progressively lessens by final rotation.
Take Home Points•Familiarize yourself with clinical outcome objectives, CPI indicators, student level before student arrival•Meet the student where he/she is in the learning process•Self-assess your performance as a site/CI/CCCE/instructor and ask for student feedback for improvement•Consult with resources and ACCE/DCE for support sooner than later, especially on red flags/behaviors•Create a rich learning environment with welcome letter, orientation, and communication strategies early on
Take Home Points cont’d•Be direct with students – do not wait until mid-term to provide feedback •When having discussions regarding professionalism with students, use core documents as references•When it comes to professionalism, we are all works in progress•Students with disabilities have rights to seek accommodations but must be able to perform essential skills.•It is the responsibility of the student and the school to provide possible accommodations.
Thank You for Attending!Questions?
References APTA Minimum Required Skills of Physical Therapist Graduates at Entry-Level BOD G-11-05-20-48.
http://www.apta.org/uploadedFiles/APTAorg/About_Us/Policies/BOD/Education/MinReqSkillsPTGrad.pdf. Accessed June 15, 2012. APTA Minimum Required Skills of Physical Therapist Assistant Graduates at Entry-Level. BOD G11-08-09-18.
http://www.apta.org/uploadedFiles/APTAorg/About_Us/Policies/BOD/Education/MinReqSkillsPTGrad.pdf. Accessed June 15, 2012. So You Want to Be a PT Student video. You Tube. http://www.youtube.com/watch?v=vgt1Gl4pir4. Accessed June 15, 2012. PTA CPI Web. Academic Software Plus. https://cpi2.amsapps.com/user_session/new. Accessed June 15, 2012. PTA Clinical Performance Instrument. APTA, 2008. PT Clinical Performance Instrument. APTA, 2008 Bloom’s Taxonomy Cognitive Domain image. http://projects.coe.uga.edu/epltt/index.php?title=Bloom%27s_Taxonomy. Accessed June
15, 2012. Big Dog and Little Dog’s Performance Juxtaposition. http://www.nwlink.com/~donclark/hrd/bloom.html. Accessed June 16, 2012. A Model of Learning Objectives. Iowa State University Center for Excellence in Learning and Teaching.
http://www.celt.iastate.edu/teaching/RevisedBlooms1.html. Accessed June 15, 2012. Bloom’s Taxonomy with the iPhone. You Tube, Video. http://www.youtube.com/watch?v=sdkT7nQ0WGQ. Accessed June 15, 2012. APTA Credentialed Clinical Instructor Program. http://www.apta.org/CCIP/. Accessed June 15, 2012. Guidelines for Self-Assessment for Clinical Instruction. APTA. 2004 Edition. Kolb Learning Style Inventory. Image retrieved from
http://www.google.com/imgres?imgurl=http://www.businessballs.com/images/kolb%27s_learning_styles_businessballs.jpg&imgrefurl=http://www.businessballs.com/kolblearningstyles.htm&h=675&w=859&sz=138&tbnid=VxAjWuMz-MtusM:&tbnh=90&tbnw=115&zoom=1&usg=__BTY9kRRVc8EG5lZT7fXONIgryxg=&docid=xeuHq50qaha0fM&sa=X&ei=-vLeT4OTOsLu2gW04OTgAQ&ved=0CHMQ9QEwAA&dur=214. Accessed June 15, 2012.
American Physical Therapy Association. Problem solving algorithm utilized by PTAs in patient/client intervention. In: A Normative Model
of Physical Therapist Assistant Education: Version 2007. Alexandria, VA: American Physical Therapy Association; 2007:84‐85. Lane Community College Health and Wellness Building image. Building User Introduction. SRG Partnership, Inc.
www.lanecc.edu/sustainability/documents/B30book.pdf. Accessed June 15, 2012. APTA Guide to Professional Conduct for the PTA. APTA Ethics and Judicial Committee. November 2010.
http://www.apta.org/uploadedFiles/APTAorg/Practice_and_Patient_Care/Ethics/GuideforConductofthePTA.pdf. Accessed June 15, 2012.
APTA Guide to Professional Conduct for the PT. APTA Ethics and Judicial Committee. November 2010. http://www.apta.org/uploadedFiles/APTAorg/Practice_and_Patient_Care/Ethics/GuideforProfessionalConduct.pdf. Accessed June 15, 2012.
American With Disabilities Act of 1990. Department of Justice. http://www.ada.gov/pubs/ada.htm. Accessed June 15, 2012. Shepard, K and Jensen, G. Handbook of Teaching For Physical Therapists. Second Edition. Philadelphia, PA. Butterworth and
Heinemann and imprint of Elsevier. 2002