physical therapist assistant (pta) program 2016 … therapist assistant (pta) program. 2016-2017...

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MMCC-PTA Program Clinical Education Handbook Revised 1-17 clp

Physical Therapist Assistant

(PTA) Program

2016-2017 Clinical Education Handbook

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TABLE OF CONTENTS

PAGE Preface 3 Non-Discrimination Policy 4 Non-Discrimination for Medical Conditions 4 PTA Program Organizational Chart 5 PTA Program Course Sequence 6 PTA Program Admission Criteria 7 PTA Selective Admissions Evaluation Worksheet 8 Clinical Education Policies and Procedures 10 Establishment of a Clinical Site 10 Assignment of Students to a Clinical Site 10 Education Program Responsibilities and Policies 10 Clinical Faculty/Facility Rights, Responsibilities & Privileges 13 Student Responsibilities for Clinical Education 16 Clinical Grading Criteria using the PTA CPI 17 Unsatisfactory Clinical Performance 17 PTA Program Complaint Policy 18 After PTA Program Hours Emergency Contact Information 18 Clinical Site Documentation Checklist 19 APTA Position on PTA Student Supervision 20 APTA Supervision Chart for Students Under Medicare 22 Clinic I Objectives 25 Clinic II Objectives 27 Student Competencies 30 Grading Criteria for PTA 140 Clinic I 32 Grading Criteria for PTA 240 Clinic II 32

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PREFACE The Clinical Education Handbook is distributed to Center Coordinators of Clinical Education (CCCEs). The CCCEs will, in turn, distribute a copy of the Clinical Education Handbook to Clinical Instructors (CIs) supervising the PTA students from Mid Michigan Community College (MMCC). The purpose of the handbook is to introduce the MMCC PTA Program to CCCEs, CIs and Physical Therapy Directors and/or Rehabilitation Department Heads. The handbook includes information about the PTA Program admissions criteria, the selective admissions process, the academic curriculum as well as the clinical education policies and procedures. Each clinical course’s objectives and the competencies completed in the program prior to a student attending the clinical courses are also detailed within the handbook. It is also important to include APTA policies on student supervision, Medicare guidelines for reimbursement and treatment of patients with student participation. The PT Clinical Performance Instrument (CPI) Web is the evaluation tool used for the CI’s assessment of the student’s clinical performance. For the PTA 140 course, CIs are asked to complete a final evaluation, and in PTA 240 a mid-term and final evaluation. CIs will complete these by accessing the student’s PTA CPI evaluations in the CPI website: https://cpi2.amsapps.com/user_session/new . Likewise, students will complete a PTA CPI mid-term and final self-assessment to correspond to the CIs’ evaluations. Students will assess the CI and the clinical education site and review the assessment with the CI at the final evaluation. The clinical education staff (CCCEs and CIs) of the clinic site is expected to participate in MMCC PTA Program surveys, assessments, on-site visits with the Academic Coordinator of Clinical Education (ACCE), and the annual CE Meeting at the college. The Commission on Accreditation in Physical Therapy Education (CAPTE) expects clinical education sites to pursue excellence in their provision of clinical education by utilizing a continued development plan collaborated by the clinical education staff. Crystal Parker is the ACCE. She will contact the CCCE and CI regarding a clinic visit schedule when students are at clinical sites. Her contact information is:

Crystal Parker, PTA, BS, ACCE Physical Therapist Assistant Program Mid Michigan Community College 1375 South Clare Avenue Harrison, MI 48625-9447 [email protected] 989-317-4619 phone 989-317-4634 FAX The Physical Therapist Assistant Program at Mid Michigan Community College is accredited by the Commission on Accreditation in Physical Therapy Education (CAPTE) 1111 North Fairfax Street, Alexandria, VA 22314; phone - (703) 706-3245; e-mail: [email protected]; http://www.capteonline.org.

https://cpi2.amsapps.com/user_session/new

mailto:[email protected]


http://www.capteonline.org/

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NON-DISCRIMINATION POLICY

Mid Michigan Community College does not discriminate on the basis of sex, age, race, color, ancestry, national origin, gender, disability, marital status, religion, veteran status, sexual orientation, gender identity and/or gender expression, or any other legally protected characteristic, in its education programs or activities in accordance with federal and state civil rights laws, including, but not limited to Title VI of the Civil Rights Act of 1964, Title VII of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, Title II of the American with Disabilities Act, the Age Discrimination in Employment Act of 1967, and the Age Discrimination Act of 1975.

This policy applies to employees, students, and the general public. The College’s policy on non-discrimination is available at the College, published in any College statement regarding the availability of educational services, and in the student and staff handbooks. If you have any questions regarding the college’s discrimination policy or want to file a complaint, please contact the Mid Michigan Community College Civil Rights Coordinators.

Inquiries and complaints related to harassment or discrimination may also be directed at any time to the Michigan Department of Civil Rights at www.michigan.gov/mdcr or the Office of Civil Rights (OCR) at (800) 421-3481 or [email protected].

We believe PTA education is a dynamic leveled teaching/learning process. All members of the PTA Department, along with program participants are expected to conduct themselves in a manner that does not infringe upon the rights of others and supports the goals of the College and this program. Mid Michigan Community College maintains a zero tolerance for acts of discrimination, harassment, and sexual misconduct. The College does not discriminate on the basis of sex and will not treat any student differently on the basis of sex with respect to any rule concerning a student’s actual or potential parental, family, or marital status in our educational programs or activities. (Copies of MMCC’s full Non-Discrimination Policy can be found at https://www.midmich.edu/student-resources/support-for-success/oso/non-descrimination and MMCC’s Campus Sexual Misconduct and Harassment Policy can be visited at www.midmich.edu/titleix.

NON-DISCRIMINATION FOR MEDICAL CONDITIONS

The PTA program requires all students that have any changes in their medical condition, requiring the attention of a physician, to submit medical clearance for academic and clinical participation. MMCC and the PTA program are not liable for injuries or damages if a student does not disclose a change in their medical condition. Refer to Appendix D in the SPTA Handbook for Medical Clearance Form.

The College will not discriminate against any student or exclude any student or from its educational program or activity (including any class or extracurricular activity) on the basis of such individual’s actual or potential parental, family, marital status, pregnancy, childbirth, false pregnancy, termination of pregnancy or recovery therefrom, unless the individual voluntarily requests to participate in a separate portion of the program or activity of the College. The College will not deny such an individual access to or participation in classes, extracurricular programs, athletics, honor societies, opportunities for student leadership, or other activities.


https://www.midmich.edu/student-resources/support-for-success/oso/non-descrimination

https://www.midmich.edu/student-resources/support-for-success/oso/non-descrimination

http://www.midmich.edu/titleix

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The PTA program will treat pregnancy, childbirth, false pregnancy, termination of pregnancy and recovery therefrom as justification for a leave of absence for so long a period of time as is deemed medically necessary by the person’s physician; at the conclusion of which the person shall be reinstated to the status that was held when the leave commenced. Further, the student will be afforded the opportunity to make up any missed work in a manner selected by the student, which is reasonably equivalent to the work missed and within a reasonable timeframe. The PTA program will require a pregnant student or a student who has given birth to obtain a certification from a physician stating that the student is physically and emotionally able to continue participation in the normal education program or activity. (See Non Discrimination For Medical Conditions above) Refer to Appendix D in the SPTA Handbook for Medical Clearance Form.

If you have questions or concerns as they relate to Title IX, please contact the following:

Kim Barnes Martricia M. Farrell Lori Fassett Executive Dean Conduct & Institutional

Compliance Coordinator Executive Director

Student/Academic Support Services

Office of Student Oversight Personnel Services

Chief Title IX Coordinator Deputy Title IX Coordinator Title IX Coordinator Mid Michigan Community College

Mid Michigan Community College

Mid Michigan Community College

1375 S. Clare Ave., #107 1375 S. Clare Ave., #112 1375 S. Clare Ave., #217 Harrison, MI 48625 Harrison, MI 48625 Harrison, MI 48625 (989) 773-6622, Ext. 236 (989) 386-6622, Ext. 394 (989) 386-6622, Ext. 692 [email protected] [email protected] [email protected]

PTA PROGRAM ORGANIZATIONAL CHART

Administrative Staff and Faculty Dean of Health Sciences Maggie Magoon, PhD

[email protected] 989.386.6645

PTA Program Director Amanda Wismer, PT, DPT, MSA [email protected]

989.317.4609

PTA Program Academic Coordinator of Clinical Education

Crystal Parker, PTA, BS, ACCE [email protected]

989.317.4619







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ASSOCIATE IN APPLIED SCIENCE PTA DEGREE COURSE SEQUENCING

Prerequisite’s: PTA 101 Orientation to Physical Therapy 1 credit ALH 100 Medical Terminology 2 credits ENG 111 Freshman English Composition 3 credits BIO 138 Applied Anatomy & Physiology 6 credits OR BIO 141 & 142 Anatomy & Physiology I & II 8 credits SPE 101 Fundamentals of Communication 3 credits OR SPE 257 Public Speaking 3 credits

TOTAL: 15 or 17 credits

Other Program Requirements: CIS 100 Intro to Information Systems 3 credits MAT 104 Basic Algebra 3 credits PHY 101 Introductory Physics 3 credits PSY 101 Intro to General Psychology 3 credits HUM 200 Modernity & Culture 3 credits Or HUM 253 American Culture 3 credits SSC 200 The Social Sciences and 3 credits Contemporary America

TOTAL: 18 credits

Year 1 Fall Semester: PTA 105 Modalities I 1 credit PTA 106 Modalities I Lab 2 credits PTA 110 Therapeutic Exercise 1 credit PTA 111 Therapeutic Exercise Lab 2 credits PTA 115 Clinical Kinesiology 1.5 credits PTA 116 Clinical Kinesiology Lab 1 credit

TOTAL: 8.5 credits

Year 1 Winter Semester: PTA 125 Measurement Techniques 1 credit PTA 126 Measurement Techniques Lab 2 credits PTA 130 Advanced Therapeutic Exercise 2 credits PTA 131 Advanced Therapeutic Exercise Lab 2 credits PTA 140 Clinic I 4 credits

TOTAL: 11 credits

Year 2 Fall Semester: PTA 205 Modalities II 2 credits PTA 206 Modalities II Lab 1.5 credits PTA 207 Rehabilitation Techniques 2 credits PTA 208 Rehabilitation Techniques Lab 2 credits

TOTAL: 7.5 credits

Year 2 Winter Semester: PTA 210 Clinical Forum 3 credits PTA 240 Clinic II 12 credits

TOTAL: 15 credits

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ADMISSION CRITERIA PHYSICAL THERAPIST ASSISTANT PROGRAM

All students interested in the Physical Therapist Assistant (PTA) Program must have:

I. Prerequisite requirements:

a. The following courses must each be passed with a grade of “B-“(2.7) or higher and may be repeated only once, including withdrawals: BIO 138 (or BIO 141 and 142), ALH 100, ENG 111, SPE 101 or SPE 257, and PTA 101.

b. BIO 138 (or BIO 141 and 142) must be taken within five years of beginning the PTA courses.

Students who have taken BIO 135 prior to the fall, 2016, semester will satisfy the Anatomy & Physiology requirements if taken within five years of application with a minimum grade of B-.

II. Students must have already completed, or actively enrolled in the prerequisite courses when

applying.

III. The deadline for Admissions Applications is March 1st. Late applications or supporting documents will NOT be accepted.

IV. Students must have viewed the PTA Information Meeting and take the online quiz. Students are

required to view the Information Meeting online at www.midmich.edu/pta and take the quiz at the end.

V. Other program requirements:

a. All other required courses may be taken prior to, or during the PTA course sequence, and

each course must be passed with a cumulative GPA of a “B-“(2.7) or higher with a minimum grade of “C” in each course. These courses are listed in the PTA Program Guide

VI. Final acceptance into the PTA Program is pending until the student presents a clear criminal

background check and drug screen. The Selection Process:

I. 18 Students will be admitted each academic year following the Selective Admissions Process. More information about this process is available on our website at www.midmich.edu/pta. Under “Quick Links”, click on PTA Admissions & Selection.

II. A clear criminal background check with fingerprinting and drug screening are required prior to final

acceptance into the PTA Program. Random drug screening may be required by the PTA Program. The costs of the fingerprinting and drug screenings are the responsibility of the student.

III. Students with a felony conviction and certain misdemeanors may not be accepted into the PTA

Program.

http://www.midmich.edu/pta

http://www.midmich.edu/pta

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NAME: STUDENT ID #:

MMCC PTA Program Selective Admissions Evaluation Worksheet

Criteria Points Scale Score I. GRADES

GPA of prerequisites courses: ALH 100 BIO 138* or BIO 141 & BIO 142 ENG 111 SPE 101 or SPE 257 PTA 101 Must have B- or better in each of the above courses and they may be repeated only once, including withdrawals. *Students who have taken BIO 135 prior to Fall 2016 will satisfy the Anatomy & Physiology requirements if taken within five years of application with a minimum grade of B-.

4.0 – 3.85 = 36 points 3.84 – 3.70 = 32 points 3.69 – 3.55 = 28 points 3.54 – 3.40 = 24 points 3.39 – 3.25 = 20 points 3.24 – 3.10 = 16 points 3.09 – 2.95 = 12 points 2.94 – 2.80 = 8 points 2.79 – 2.70 = 4 points <2.70 = 0 points

_______ Points

GPA of Other Program Requirements: CIS 100 MAT 104 PHY 101 PSY 101 HUM 200 SSC 200 Points will be awarded by # classes/6 * points awarded based upon cumulative GPA of courses in this group. (Example: MAT 104 and CIS 100, GPA 3.85 = (2/6) * 18 = 6. These courses must be passed with a cumulative GPA of “B-” (2.7) or higher and with a grade of “C” or above in each course. These courses may be taken before or while PTA courses are in progress.

4.0 – 3.85 = 18 points 3.84 – 3.70 = 16 points 3.69 – 3.55 = 14 points 3.54 – 3.40 = 12 points 3.39 – 3.25 = 10 points 3.24 – 3.10 = 8 points 3.09 – 2.95 = 6 points 2.94 – 2.80 = 4 points 2.79 – 2.70 = 2 points <2.70 = 0 points

_______Points

II. MMCC STUDENTS

Credits taken at MMCC

> 45 credits = 10 points 35- 44 credits = 8 points 25 -34 credits = 6 points 15 -24 credits = 4 points 5–14 credits = 2 points < 5 credits = 0 points

_______Points

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IV. HEALTH CARE EXPERIENCE • Direct Care: e.g. CNA, RT, EMT, paramedic,

homecare aide, MA, etc. (Hands on patient care)

• Indirect Care: e.g. Dietary aide, ward clerk, transporter, housekeeper, medical coder/biller, etc.

o MUST provide documentation of job description, length of service, and hours per week from supervisor on agency letterhead for work completed for a minimum of 4 months in the past 2 years.

• Rehab Volunteering: completed in skilled rehab services (PT/OT/SLP).

o Must be for a minimum of 40 hours in the past 2 years and must be documented on letterhead as such from the place of volunteering.

• Only one category of Health Care Work Experience will be accepted.

• In home care of family/friends is not accepted as volunteering.

• Maximum points allowed: 10

Direct care = 10 points

Indirect care = 5 points

Health Care Volunteering = 5 points

None = 0 points

_______Points

TOTAL POINTS /84

• The PTA Program Admissions Application and all supporting documents MUST be turned in on or before the March 1st deadline. You may mail your application to PTA Admissions Committee, 1375 S. Clare Ave, Harrison, MI 48625; deliver in person at the Mt. Pleasant Campus 232; email to [email protected], or fax: 989-317-4634. Please note that if you are mailing your requirements, they must be postmarked by March 1st to be accepted.

• If you are actively enrolled in classes at the time of application, those grades will be included in the admissions process providing they are posted by May 30th.

• When transferring credits to MMCC from other colleges/universities, the official transcripts must be received on or before May 30th.

• Late documents will NOT be accepted for consideration, and students will need to reapply for the next admission cycle. • Final acceptance into the Physical Therapist Assistant Program is pending a clear criminal background check and drug

and alcohol screening. • All admissions decisions made by the Admissions Committee are final.

III. PREVIOUSLY EARNED DEGREES

Only one previously earned degree will be accepted. Documentation, per transcript, MUST be provided when applying to support earned degree.

Baccalaureate degree or higher = 10 points Associate degree = 5 points None = 0 points

_______Points


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CLINICAL EDUCATION POLICIES AND PROCEDURES Source: Policies and Procedures for Clinical Education 2005-2007, Physical Therapy Program, Central

Michigan University, Mt. Pleasant, MI. MMCC Rev. June, 2015

I. Establishment of a Clinical Site The PTA Program Director or the Academic Coordinator of Clinical Education (ACCE) will initially contact potential clinical sites to discuss establishing a clinical education (CE) program. If there is interest in pursuing an affiliation agreement, the site will complete the Clinical Site Information Form (CSIF) and Mid Michigan Community College (herein MMCC) will provide the affiliation agreement. This is a standard agreement, but MMCC is open to alternative contracts and revisions as long as these are mutually satisfactory. A signed and dated affiliation agreement is the final and essential step of the process. Copies of this agreement will be available at the clinical site and the Health Sciences Office. II. Assignment of Students to a Clinical Site

Students will be assigned to an inpatient and outpatient setting during their CE experiences. Clinical sites will be contacted about availability to provide CE to students by March 1st of each calendar year for student assignments in the next academic year. The response date for student placements from the clinics is June 1st of the same year. If the site has openings for students, the site will receive confirmation about the scheduled student(s) approximately 3 or more months prior to the student’s first day. The Center Coordinator of Clinical Education (CCCE) will receive a completed copy of the Statement of Student Clinical Readiness Form, which provides the student’s contact information and the completion of the clinical preparation. In Clinic I, the first year PTA Students will be scheduled for one full time clinical placement lasting four weeks. Likewise, in Clinic II, the second year students will be scheduled for two full-time placements lasting seven weeks each. The student will attend clinic following their clinical instructor’s (CI’s) schedule. This may include weekends and extended hours. Students do not pick their clinical education sites. The ACCE will determine student’s placements for clinical education to ensure a diversity of experiences. III. Education Program Responsibilities and Policies:

A. Health Requirements

The required CE preparation includes the following: • PTA Student Physical Examination Form • Two-step TB screening annually and a chest x-ray if the TB screen is positive; annual

TB screening must be completed prior to expiration • Evidence of two doses of Measles/Mumps/Rubella (MMR) vaccine • Evidence of two doses of Varivax vaccine or a positive varicella titer (Chickenpox) • Current tetanus diphtheria (Td) or one dose of Adacel (Tdap) within the past ten

years • Influenza vaccine annually • Hepatitis B vaccination series or a signed waiver of liability form

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The students will bring this information with them to each CE experience. These records are managed by Castle Branch through the students’ My CB Account.

B. Basic Cardiac Life Support (BCLS)—Healthcare Provider/Professional Rescuer Course & First Aid

Students are required to complete a certificate course in BCLS or CPR for the Professional Rescuer/Healthcare Provider and First Aid. The certification must be maintained current to participate in CE experiences.

The students will bring this information with them to each CE experience. These records are managed by Castle Branch through the students’ My CB Account.

C. Insurance Coverage

1. Liability Insurance

MMCC carries liability insurance on the PTA students which includes coverage up to $1,000,000 per occurrence. A copy of the original certificate of insurance will be sent to affiliation sites if requested. A copy is kept in the Harrison Health Sciences Office with the Affiliation Agreement and an electronic copy is saved with the corresponding Affiliation Agreement on the shared drive.

2. Health Insurance

Each student will have a private health insurance policy which includes, at a minimum, coverage for emergency medical services and hospitalizations or sign a health insurance waiver. These records are managed by Castle Branch through the student’s My CB Account. Students are expected to assume financial responsibility for any costs incurred as a result of personal illness or injury sustained during CE experiences. Having a health insurance policy in force is important to defray any such costs. Students should be familiar with their policy coverage and disability provisions.

D. Instructions to Students Prior to Clinical Education Experiences

Clinical sites are encouraged to contact students by mail or email prior to the CE experience with pertinent policy and procedure information that will prepare the student for the first day of the CE experience. All students and CE faculty will be informed of applicable site policies and procedures which have been provided by the sites. This information is located in the Clinical Site Files. Students will be required to review these files and abide by the site rules and regulations as they apply to professional conduct, Agency policies and procedures, confidentiality of patient and Agency/Site records.

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All students will have prior instruction about their duty to protect patient confidentiality and to uphold the federal privacy standards demanded by Health Insurance Portability and Accountability Act (HIPAA) and Informed Consent.

E. Educational Records/Reports/Complaints

The PTA Program will maintain all educational records and reports relating to the PTA CE Program. The Family Educational Rights and Privacy Act (FERPA) protects students’ educational information from disclosure. CCCEs and CIs may not disclose information about the students’ educational records or performance either in writing or verbally. The PTA student’s evaluation tool, the PTA Clinical Performance Instrument (CPI) should be kept secure to protect the student’s privacy, and all discussion of the student’s performance should take place in a private location. Any complaints by the Agency/Clinical Site against a student will be processed in accordance with standards and procedures for student conduct or academic discipline according to the standards set by MMCC. Any complaint will be processed immediately upon written notice from the clinical facility to the ACCE.

F. Communication During Clinical Education Experiences

A phone conference will take place with CIs and students in the CE experience of the second semester of each cohort. Site visits will be carried out in the last two CE experiences of the last semester of each cohort. Site visits and phone conferences usually take place near the midterm of the CE experience and will be completed by the ACCE and/or a PTA Program representative. The visit should last approximately an hour and consist of time spent discussing student performance, CI professional development, and departmental updates with both the CI and the student. The ACCE will also meet briefly with the student privately to discuss the student’s perspective on the clinic and education given by the CI. CCCEs are encouraged to attend these visits.

During the last two CE experiences, if a site visit cannot be completed, the ACCE or a PTA Program representative will contact the CIs by phone for a progress report and discussion about student performance. The student will also be contacted either in person, phone or email.

G. Attendance

Students are expected to report to clinics prior to the first patient/client assignment and/or at the time required by their CI, and be present during regular working hours of the facility or during their CI’s schedule except in special cases. These include significant illness, injury, emergency or other instances agreed upon by the student and Cl’s /CCCE, or ACCE prior to the beginning of the CE experience and mutually accepted as a reasonable or necessary absence. Absences or tardiness need to be reported prior to the beginning of the work day, by the student in a phone call to the ACCE and CCCE or CI. The reason for the absence or tardiness should be reported to both the CCCE/CI and the ACCE. The Agency/Clinical Site and/or PTA Program may request a physician’s report if the student is absent for two or more

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consecutive days because of illness. All absences and tardiness should be documented by the CI and identified as either excused or unexcused. Clinic make-up time will be scheduled for all absences as agreed upon by the CI. In the event the college is closed due to inclement weather, the student is to make an informed decision about their ability to attend clinic. All missed clinic time must be made up, including inclement weather.

H. CI or CCCE Complaints/Issues with Student Performance

Concerns of the CCCE or CI in regards to student performance or behaviors should be communicated immediately to the ACCE via phone, email, or written communications. All information and supporting observations should be submitted in follow-up documentation within five business days. Remediation will begin promptly. The remediation plan will be developed by the CI, CCCE, ACCE and/or PTA Program representative, and the student. Agency/Clinical Site supervisory personnel may temporarily relieve a student from a specific assignment. Communication procedures mentioned above need to be followed. If the student is involved in an incident, the ACCE and/or PTA Program representative should be notified immediately. The appropriate incident reporting procedures need to be followed both at the Agency/Clinical Site and at MMCC.

IV. CE Faculty/Agency/Clinical Site Rights, Responsibilities and Privileges – (The Affiliation Agreement

also has additional rights and responsibilities not expanded on here.)

A. CIs and CCCE

The clinical facility shall identify a person responsible for coordination of and communication about clinical education activities, the CCCE. This person will be the primary liaison to the ACCE.

The clinical facility will also identify qualified CIs who have the following minimum criteria:

1. Interest in serving as a student supervisor/instructor 2. At least one year of experience as a licensed PT or PTA 3. At least six months experience at the current clinical facility/agency 4. Evidence of satisfactory clinical and interpersonal communication skills to provide positive

learning experiences for students.

CI’s and/or CCCE’s have the responsibility to orient each student to the CE site and provide any necessary safety and logistic information in order for students to participate in the CE experience. The CIs will evaluate the students at midterm and final using the evaluation tool provided by MMCC. The ACCE is responsible for assigning the clinical course grades. INFORMED CONSENT. The CI is responsible for obtaining patients’/clients’ consent to have a physical therapist assistant student participate in their treatment. Patients/clients will be informed they have a risk-free right to refuse treatments provided by a student. PTA students

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are introduced to this process in lecture materials for each class and simulated in lab instruction. It is reinforced with lab practice and practical exams. Other suggested guidelines can be found in the APTA Guidelines and Self-assessments for Clinical Education (1999) and the APTA Reference Manual for Center Coordinators of Clinical Education (2002). One copy is available free of charge to members of the APTA online at the above web links. Bound print copies are for sale to members and non-members by contacting the publications department at 800-999-APTA (2782) or online at the APTA Store.

Additional resources for clinical instructor training are the APTA’s APTA Credentialed Clinical Instructor Program (CCIP) and the CE faculty training courses offered bi-annually through the MPTA Special Interest Group for Clinical Education (SIG-CE). The MMCC PTA Program will award up to two registration fee scholarships to CIs to attend a credentialing program course annually.

B. Rights of CI’s

CI’s have the right to apply for the CCIP scholarships MMCC’s PTA Program offers. They also have the right to have students assist with evidence-based research and information gathering while on their CE experience. At times when students are not present in the clinical setting the ACCE is available to assist with clarifying questions regarding physical therapy, the PTA career, and other relevant subject matter.

C. Supervision of Students

Students will be directly responsible to, and supervised by, a CI who is a licensed physical therapist or physical therapist assistant. The CI will be immediately available and physically present at all times when the student is providing physical therapy interventions to patients. The CI will direct the interventions the student is providing. If the CI is a PTA, a PT is required to provide general supervision to the CI and student as stated in APTA student supervision guidelines. If the CI becomes ill or is absent when the student is present, then another PT or PTA will be appointed to provide student supervision. If a CI is not available, the student may participate in observations or other non-patient care activities, but should not do hands-on patient care. Medicare requires enrollees/patients be treated one at a time unless they are inpatients and participating in concurrent or group therapy. For outpatient Medicare clients, the CI and the student may treat only one Medicare patient at a time. The student may participate in PT interventions which are directed by the CI.

In some situations, third party payers will not reimburse an agency for therapy services done by the student unless the CI is directly supervising. The Centers for Medicare and Medicaid Services (CMS) has issued these guidelines for patients covered by Part B:

“The qualified practitioner is present in the room for the entire session. The student participates in the delivery of services when the qualified practitioner is directing the service, making the skilled judgment, and is responsible for the assessment and treatment and is responsible for the assessment and treatment.” “The qualified practitioner is present in the room guiding the student in service delivery when the therapy student and the therapy assistant student are participating in the provision of

http://www.apta.org/Educators/Clinical/SiteDevelopment/

http://www.apta.org/Educators/Clinical/SiteDevelopment/

http://www.apta.org/Educators/Clinical/EducatorDevelopment/

http://www.apta.org/Educators/Clinical/EducatorDevelopment/

http://iweb.apta.org/Purchase/SearchCatalog.aspx?ReturnPage=

http://www.apta.org/CCIP/

http://www.apta.org/CCIP/

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services, and the practitioner is not engaged in treating another patient or doing other tasks at the same time.” “The qualified practitioner is responsible for the services and as such, signs all documentation. (A student may, of course, also sign, but it is not necessary since the Part B payment is for the clinician’s service, nor for the student’s services).” (PT Magazine, April 2002, pp. 25-58) Last updated 3/29/10.

More information may be obtained from the APTA web site at http://www.apta.org/Educators/Clinical/ under the “Clinical Education Resources” and “Regulations Related to Students” links.

D. Incident Reporting Policy

All administrators, faculty, staff, and students who are engaged in a clinical setting for Mid Michigan Community College (MMCC) as part of a Health Sciences program will ensure that the procedures outlined below are followed when an incident occurs at a clinical site. A few examples are: a fall, needle stick, medication error, burn, etc. See also the after-hours contact information for the ACCE in Section X. 1. A clinical site incident report form needs to be completed by the person involved (student,

faculty, etc.), and the process that is established at the clinical site needs to be followed. 2. An MMCC incident report form needs to be completed detailing the events of the incident

that occurred at the clinical site. MMCC incident report instructions and the form are attached to this policy or most recent versions can be found on the MMCC Intranet site, Business Office, Incident Reports.

3. The MMCC incident report form should be reviewed and submitted by the PTA Program Director and forwarded to the Vice President for Finance and Administration.

4. If the incident warrants involvement by the Dean of Health Sciences, the PTA Program Director will communicate the event prior to the submission of the incident report form to the Vice President for Finance and Administration.

The MMCC Incident Report can be found at: http://www.midmich.edu/files/89/Incident%20Report.pdf Instructions for completion can be found at: http://www.midmich.edu/files/89/Incident%20Report%20Instructions.pdf

E. Information to be Provided by the Agency/Clinical Site for the PTA Program and the Students

1. Hospital/clinic departmental rules and regulations, policies and procedures, confidentiality of patient information and records, HIPAA compliance, and responsibility and authority of medical, nursing, and administrative staff of the Agency/Site over patient care and administration.

2. Normal departmental business hours 3. Student attendance expectations/policies 4. Student dress code 5. Overview of the patient population and services offered in PT 6. Directions to the facility and information about parking and meals 7. Special requirements for students (additional health/medical requirements, drug screens,

in-service presentations)

http://www.apta.org/Educators/Clinical/

http://www.midmich.edu/files/89/Incident%20Report.pdf

http://www.midmich.edu/files/89/Incident%20Report.pdf

http://www.midmich.edu/files/89/Incident%20Report%20Instructions.pdf

http://www.midmich.edu/files/89/Incident%20Report%20Instructions.pdf

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8. Recommendations and procedures for personal safety

The previous information (#1 thru #8) is needed in writing and will be kept at MMCC in the PTA Program’s Clinical Site Files. Most of the requested information is already included in the Clinical Site Information Form. This information will be made available to the student before they begin their clinical and should also be reviewed with the student at the clinical orientation.

VI. Student Responsibilities for Clinical Education

A. Liability Insurance Refer to the description in Section III. C1 above.

B. Health Insurance

Refer to the description in Section III. C2 above.

C. Physical Examination and Health/Immunization History Refer to the description in Section III. A above.

D. Identification Badges

Photograph identification badges are provided by MMCC and will identify the PTA students. The PTA Program arranges for polo shirts to be available for student purchase with the PTA Program logo, and the students may wear these at clinics if the site policies will allow it. In some cases, the clinical facility may also require a picture ID for security purposes.

E. Disability Services and Requests for Accommodation

Mid Michigan Community College is committed to making accommodations and providing services to students with documented disabilities, which interfere with the learning process. Accommodations will vary and depend on the specific disability. Services may include: readers, note-takers, interpreters, books on CDs, adaptive equipment, assistive technology, alternative testing methods, assistance with accessibility and referrals to college and community resources. Students must provide written verification of their disability before accommodations can be made. In addition, students must register for services and reapply each semester for continued support. To inquire about these services, please contact the Disability Services Office at 989.386.6636 A CI will be required to provide accommodations for any student who has registered for disability services and has disclosed these needs to the Agency/Clinical Site.

F. Substance Abuse Policy

Possession, use, or distribution of drugs or alcohol in the clinical area will result in immediate dismissal from the PTA Program. A suspicion of drug or alcohol use may require immediate testing and release of results to MMCC. Testing positive for alcohol or other drugs or declining to be tested will subject the student to discipline up to and including dismissal from the program (See: College Catalogue, Substance Abuse Policy). If suspicion of drug or alcohol use occurs in the CE experience, the site will contact MMCC by calling the ACCE or PTA Program Director. If

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contact is unable to be made via phone, the site may proceed with immediate testing, with the student being responsible for the cost.

G. Temporary Health Conditions

Should a student incur a temporary health condition during the CE experiences, the student is to inform the CI and ACCE. The student must report to the CI and ACCE whenever a temporary condition may impact their attendance or ability to meet clinical course outcomes in the CE experience. A student will require a physician clearance to return to the clinical setting. Students not receiving medical clearance from their physician will be required to take a withdrawal from the PTA Program and follow the Readmission Policy in the SPTA Handbook, Appendix D.

H. OSHA Training

An OSHA training seminar is mandatory for all students prior to the beginning of their CE experiences. The training is available online through the Student Passport Alliance (SPA) website. A certificate will be given each calendar year of the program documenting successful completion of the seminar and the examination. The student will keep the certificate to present to their CI, and a copy will be on file at the PTA Program. Agency/Clinical Site specific training materials are available to students for those Agencies/Clinical Sites that are participating members of the Michigan Regional Skills Alliance which sponsors the SPA website.

VII. Clinical Grading Criteria Using the PTA CPI The CIs will complete the web-based PTA CPI final evaluation for the PTA 140 Clinic I course and a midterm and final evaluation for both CE experiences within the PTA 240 Clinic II course. See the Preface for the website URL. The student must complete a self-evaluation using the PTA CPI prior to each evaluation in the clinical courses The ACCE will review the PTA CPI completed by the CIs to determine a pass or fail grade. A failing grade in the PTA CPI will result in failure of the course. Students will achieve the CPI expectations as detailed in Clinic I and II syllabi unless one or more of the following occurs: 1. The student experienced a complex clinical site. 2. The student experienced unusual circumstances at a clinical site. 3. There is incongruence between the CI’s narrative comments and the given rating.

The student MUST pass the first CE experience in PTA 240 to proceed to the second CE experience in PTA 240.

VIII. Unsatisfactory Clinical Performance

See also Section III. H. above. A. The following may result in dismissal from and/or unsatisfactory completion of Clinic I and/or II:

1. Repeated absences or tardiness with or without notification. 2. Unethical, illegal, and/or unprofessional conduct. 3. Conduct resulting in risk or possible harm to a patient.

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4. Failure to meet course requirements and objectives.

B. As a result of one or more conditions found in A above, the following action may be taken as determined by the Dean of Health Sciences, the PTA Program Director, the ACCE and other PTA faculty members:

1. Additional clinic time in the same clinic to improve skills to meet course objectives and

requirements. 2. Develop a remedial program which must be completed to the satisfaction of the academic

faculty prior to a further CE experience. 3. Require the student to repeat the entire Clinical Course (Clinic I or II) 4. Receive a failing grade for that CE experience and dismissed immediately from the PTA

Program C. If remediation is required for the PTA 140, a good faith attempt will be made to remediate and extend, or find an additional CE experience placement to complete PTA 140. If this is unable to be accomplished, the student will be required to follow the Readmission Policy.

D. If remediation is required for the first CE experience in PTA 240, a good faith attempt will be made to remediate and extend, or find an additional CE experience placement for the first CE

experience in PTA 240. Once passing the first CE experience in PTA 240, a good faith attempt would be made to re-schedule/push back the second CE experience in PTA 240. If this is unable to be accomplished, the student will be required to follow the Readmission Policy.

E. If remediation is required for the second CE experience in PTA 240, a good faith attempt will be made to remediate and extend, or find an additional CE experience to complete PTA 240. If this is unable to be accomplished, the student will be required to follow the Readmission Policy.

IX. PTA Program Complaint Policy For complaints/concerns/comments from students/faculty (outside due process), clinical education sites and employers regarding the PTA Program, contact the PTA Program Director at (989) 317-4609 or the Dean of Health Sciences at (989) 386-6645. Complaints will be documented and dealt with on a Program level with reports made to appropriate administrative officials. The PTA Program Advisory Committee is charged with reviewing complaints on an annual basis and making appropriate recommendations. Complaints handled at this level are anonymous. X. After PTA Program Hours Emergency Contact Information Due to the extended hours of clinic operation, an incident or emergency situation with a student may occur before or after the normal work hours of the ACCE at the college. At these times, it is necessary to contact the ACCE at home or by cell phone. Please use the following contact information in these situations: Crystal Parker, home phone – 989-779-2854; or cell phone – 989-330-6559. If the ACCE cannot be reached, please contact the PTA Program Director at the following number: Amanda Wismer, cell phone – 989-233-7707.

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Agency/Clinical Site Files at Mid Michigan Community College

Documentation Checklist PTA Program File Site:________________________________

1. Clinical Site Information Form _____ 2. Affiliation Agreement signed and returned _____

Exp. Date ___________________

3. Rehab and institutions policies for the student _____ a. Rules and regulations b. Rehab department’s business hours c. Safety and evacuation procedures

4. Student logistical information:

a. Attendance/expectations policies _____

b. Map and/or directions to the site _____

c. Campus parking map and appropriate entrance _____

d. Setting description and typical patient mix _____

e. Meal options _____

f. Student dress code _____

5. Any special requirements of student: a. Additional health/medical requirements _____ b. Drug screens _____ c. Inservice presentations _____

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Last Updated: 08/15/12 Contact: [email protected] SUPERVISION OF STUDENT PHYSICAL THERAPIST ASSISTANTS HOD P06-11-09-17 [Amended HOD P06-00-19-31; HOD 06-96-20-35; HOD 06-95-20-11] [Position] Student physical therapist assistants, when participating as part of a physical therapist assistant education curriculum, and when acting in accordance with American Physical Therapy Association policy and applicable state laws and regulations, are qualified to perform selected physical therapy interventions under the direction and supervision of either the physical therapist alone or the physical therapist and physical therapist assistant working as a team. When the student physical therapist assistant is participating in the delivery of physical therapy services while being supervised by the physical therapist alone or the physical therapist and physical therapist assistant working as a team, the physical therapist or the physical therapist assistant is physically present and immediately available at all times. The physical therapist or the physical therapist assistant will have direct contact with the patient/client during each visit as visit is defined in the Guide to Physical Therapist Practice. The physical therapist maintains responsibility for patient/client management at all times, including appropriate utilization of the physical therapist assistant as described in Direction and Supervision of the Physical Therapist Assistant, and for interventions performed by the student physical therapist assistant. Relationship to Vision 2020: Autonomous Practice; Professionalism; (Practice Department, ext 3176) Explanation of Reference Numbers: BOD P00-00-00-00 stands for Board of Directors/month/year/page/vote in the Board of Directors Minutes; the "P" indicates that it is a position (see below). For example, BOD P11-97-06-18 means that this position can be found in the November 1997 Board of Directors minutes on Page 6 and that it was Vote 18. P: Position | S: Standard | G: Guideline | Y: Policy | R: Procedure


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Individual Therapy:

When a therapy student is involved with the treatment of a resident, the minutes may be coded as individual therapy when only one resident is being treated by the therapy student and supervising therapist/assistant (Medicare A and Medicare B). The supervising therapist/assistant shall not be engaged in any other activity or treatment when the resident is receiving therapy under Medicare B. However, for those residents whose stay is covered under Medicare A, the supervising therapist/assistant shall not be treating or supervising other individuals AND he/she is able to immediately intervene/assist the student as needed.

Example: A speech therapy graduate student treats Mr. A for 30 minutes. Mr. A.’s therapy is covered under the Medicare Part A benefit. The supervising speech-language pathologist is not treating any patients at this time, but is not in the room with the student or Mr. A. Mr. A.’s therapy may be coded as 30 minutes of individual therapy on the MDS.

Concurrent Therapy:

When a therapy student is involved with the treatment, and one of the following occurs, the minutes may be coded as concurrent therapy:

● The therapy student is treating one resident and the supervising therapist/assistant is treating another resident, and both residents are in line-of-sight of the therapist/assistant or student providing their therapy; or

● The therapy student is treating 2 residents, regardless of payer source, both of whom are in line-of-sight of the therapy student, and the supervising therapist/assistant is not treating any residents and not supervising other individuals; or

● The therapy student is not treating any residents and the supervising therapist/assistant is treating 2 residents at the same time, regardless of payer source, both of whom are in line-of-sight.

Defined under Medicare Part B, the treatment of two or more residents, who may or may not be performing the same or similar activity at the same time, is documented as group treatment.

Example: An occupational therapist provides therapy to Mr. K. for 60 minutes. An occupational therapy graduate student, who is supervised by the occupational therapist, is treating Mr. R. at the same time for the same 60 minutes, but Mr. K. and Mr. R. are not doing the same or similar activities. Both Mr. K. and Mr. R.’s stays are covered under the Medicare Part A benefit. Based on the information above, the therapist would code each individual’s MDS for this day of treatment as follows:

● Mr. K. received concurrent therapy for 60 minutes. ● Mr. R. received concurrent therapy for 60 minutes.

Group Therapy:

When a therapy student is involved with group therapy treatment, and one of the following occurs, the minutes may be coded as group therapy:

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● The therapy student is providing the group treatment, and the supervising therapist/assistant is not treating any residents and is not supervising other individuals (students or residents); or

● The supervising therapist/assistant is providing the group treatment, and the therapy student is not providing treatment to any resident. In this case, the student is simply assisting the supervising therapist.

Defined under Medicare Part B, the treatment of two or more individuals simultaneously, regardless of payer source, which may or may not be performing the same activity is group therapy.

When a therapy student is involved with group therapy treatment, and one of the following occurs, the minutes may be coded as group therapy:

● The therapy student is providing group treatment, and the supervising therapist/assistant is not engaged in any other activity or treatment; or

● The supervising therapist/assistant is providing group treatment, and the therapy student is not providing treatment to any resident.

Documentation: APTA recommends that the physical therapist co-sign the note of the physical therapist student and state the level of supervision that the PT determined was appropriate for the student, and how/if the therapist was involved in the patient’s care.

Y2: Reimbursable: The minutes of student services count on the Minimum Data Set. Medicare no longer requires that the PT/PTA provide line-of-sight supervision of physical therapist assistant (PTA) student services. Rather, the supervising PT/PTA now has the authority to determine the appropriate level of supervision for the student, as appropriate within their state’s cope of practice. See Y1.

Documentation: APTA recommends that the physical therapist and assistant should co-sign the note of the physical therapist assistant student and state the level of appropriate supervision used. Also, the documentation should reflect the requirements as indicated for individual therapy, concurrent therapy, and group therapy in Y1.

Y3: This is not specifically addressed in the regulations, therefore, please defer to state law and standards of professional practice. Additionally, the Part A hospital diagnosis related group (DRG) payment system is similar to that of skilled nursing facility (SNF), and Medicare has indicated very limited and restrictive requirements for student services in the SNF setting.

Documentation: Please refer to documentation guidance provided under Y1.

Y4: This is not specifically addressed in the regulations, therefore, please defer to state law and standards of professional practice. Additionally, the inpatient rehabilitation facility payment system is similar to that of a skilled nursing facility (SNF), and Medicare has indicated very limited and restrictive requirements for student services in the SNF setting.

X1: B. Therapy Students

1. General

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Only the services of the therapist can be billed and paid under Medicare Part B. However, a student may participate in the delivery of the services if the therapist is directing the service, making the judgment, responsible for the treatment and present in the room guiding the student in service delivery.

Example: Therapist may bill and be paid for the provision of services in the following scenarios: ● The qualified practitioner is present and in the room for the entire session. The student

participates in the delivery of services when the qualified practitioner is directing the service, making the skilled judgment, and is responsible for the assessment and treatment.

● The qualified practitioner is present in the room guiding the student in service delivery when the therapy student and the therapy assistant student are participating in the provision of services, and the practitioner is not engaged in treating another patient or doing other tasks at the same time.

● The qualified practitioner is responsible for the services and as such, signs all documentation. (A student may, of course, also sign, but it is not necessary since the Part B payment is for the clinician’s service, not for the student’s services).

2. Therapist Assistants as Clinical Instructors Physical therapist assistants and occupational therapy assistants are not precluded from serving as clinical instructors for therapy students, while providing services within their scope of work and performed under the direction and supervision of a licensed physical or occupational therapist to a Medicare beneficiary. Documentation: APTA recommends that the physical therapist or physical therapist assistant complete documentation.

American Physical Therapy Association, Education Section, October, 2013.

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CLINIC I – PTA 140

MMCC PTA PROGRAM

Learning Outcomes

Upon completion, the student will meet the following learning outcomes. Information in parentheses identifies the associated Commission on Accreditation in Physical Therapy Education (CAPTE) Standards and Required Elements.

1. Intermediate rating on the PTA CPI for the following behaviors: 1.1. SAFETY - Performs in a safe manner that minimizes the risk to the patient, self, and others

with simple conditions with direct CI supervision of 50% or less. (7D1/7D19/7D21/7D27) 1.2. CLINICAL BEHAVIORS – Demonstrates clinical behaviors with direct CI supervision of 50% or

less in a professional manner with simple conditions. (7D4/7D5) 1.3. ACCOUNTABILITY - Performs in a competent manner at intermediate CPI rating following

established legal standards, standards of the profession, and ethical guidelines with all conditions. (7D2/7D3/7D4/7D6/7D8)

1.4. CULTURAL COMPETENCE - Adapts delivery of physical therapy services with consideration for patients’ differences, values, preferences, and needs with simple conditions with 50% or less direct CI supervision. (7D8)

1.5. COMMUNICATION – Communicates at intermediate CPI rating in ways that are congruent with situational needs with all conditions. (7D7/7D8/7D12/7D15/7D17/7D20/7D22)

2. Advanced Beginner rating on the PTA CPI for the following behaviors: 2.1. SELF-ASSESSMENT AND LIFELONG LEARNING – Engages in developing proficiency in self-

assessment and develops plans to improve knowledge, skills, and behaviors. (7D11) 2.2. CLINICAL PROBLEM SOLVING - Demonstrates developing proficient in clinical problem

solving. (7D9/7D11/7D17/7D18/7D19/7D20/7D21//7D26) 2.3. THERAPEUTIC EXERCISE - Performs therapeutic exercises in a competent manner rated at

advanced beginner on the CPI. (7D19/7D23F/7D23H/7D24A/7D24B/7D24E/7D24H/7D24I/7D24K/7D24L)

2.4. THERAPEUTIC TECHNIQUES - Engages in manual therapy, airway clearance, and integumentary repair and protection techniques in a developing proficiency manner. (7D19/7D23A/7D23E/7D23G/7D23I/7D24F/7D24G/7D24L)

2.5. PHYSICAL AGENTS AND MECHANICAL MODALITIES – Engages in physical agents and mechanical modalities in a developing competency manner with simple conditions. (7D19/7D23C/7D24J)

2.6. FUNCTIONAL TRAINING AND APPLICATION OF DEVICES AND EQUIPMENT - Performs simple condition functional training in self-care and home management, and application and adjustment of devices and equipment in a developing proficiency manner. (7D19/7D23B/7D23D/7D24D/7D24J/7D24L/7D24M)

2.7. DOCUMENTATION - Produces quality documentation in a timely manner to support the delivery of physical therapy services at a rating of advanced beginner on the CPI. (7D25/7D31)

2.8. RESOURCE MANAGEMENT - Participates in the efficient delivery of physical therapy services with direct supervision 75 – 90% with simple conditions. (7D28/7D29)

3. Compose and submit accurate weekly journal entries. 3.1. Exactly list the patient primary and secondary diagnoses of patients receiving interventions

provided by the student physical therapist assistant (SPTA).

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3.2. Report accurately on participation in patient discharge activities. (7D22) 3.3. Compose the Weekly Planning Form outlining appropriate goals to develop efficacy with

communication and intervention skills with the clinical instructor (CI). (7D14) 3.4. Accurately list any disagreements with, or discipline from, the CI, supervising physical

therapist, or management and write a concise plan for resolution. (7D7) 3.5. Clearly list the student’s participation in patient-centered interprofessional meetings. (7D28) 3.6. List clearly aspects of organization planning and operation of physical therapy the student

has observed. (7D30) 4. Accurately discuss basic billing terminology and standards. (7D31) 5. Perform duties in a manner consistent with APTA’s Values-Based Behaviors for the Physical

Therapist Assistant Self-Assessment Tool scoring at occasional or above 80% of the time. (7D5) 6. Complete accurately the Student Assessment of CE Experience and CI.

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CLINIC II – PTA 240

MMCC PTA PROGRAM Learning Outcomes

Upon completion, the student will meet the following learning outcomes. Information in parentheses identifies the associated Commission on Accreditation in Physical Therapy Education (CAPTE) Standards and Required Elements.

For the FIRST CLINICAL EXPERIENCE, the student will achieve:

1. Entry Level rating on the PTA CPI for the following behaviors: 1.1. SAFETY - Performs in a safe and entry level manner that minimizes the risk to the patient, self,

and others with all conditions in that practice setting. (7D1/7D19/7D21/7D27) 1.2. CLINICAL BEHAVIORS - Demonstrates expected competent clinical behaviors in a professional

manner with all conditions in that practice setting. (7D4/7D5) 2. Advanced Intermediate rating on the PTA CPI for the following behaviors:

2.1. ACCOUNTABILITY - Performs in a competent manner consistent with established legal standards, standards of the profession, and ethical guidelines with simple conditions. (7D2/7D3/7D4/7D6/7D8)

2.2. CULTURAL COMPETENCE - Adapts delivery of physical therapy services with consideration for patients’ differences, values, preferences, and needs in simple situations with a proficient manner. (7D8)

2.3. COMMUNICATION - Communicates in ways that are congruent with situational needs independently with simple conditions. (7D7/7D8/7D12/7D15/7D17/7D20/7D22)

2.4. SELF-ASSESSMENT AND LIFELONG LEARNING - Participates in self-assessment and develops plans to improve knowledge, skills, and behaviors rated at advanced intermediate on the CPI. (7D11)

2.5. CLINICAL PROBLEM SOLVING - Demonstrates clinical problem solving requiring less than 25% supervision of CI with complex conditions. (7D9/7D11/7D17/7D18/7D19/7D20/7D21/7D26/7D27)

2.6. THERAPEUTIC EXERCISE - Performs selected therapeutic exercises in a competent and proficient manner with simple conditions. (7D19/7D23F/7D23H/7D24A/7D24B/7D24E/7D24H/7D24I/7D24K/7D24L)

3. Intermediate rating on the PTA CPI for the following behaviors: 3.1. THERAPEUTIC TECHNIQUES - Applies with simple conditions manual therapy, airway clearance,

and integumentary repair and protection techniques in a competent manner with less than 50% of CI direct supervision. (7D19/7D23A/7D23E/7D23G/7D23I/7D24F/ 7D24G/7D24L/7D24N)

3.2. PHYSICAL AGENTS AND MECHANICAL MODALITIES - Applies physical agents and mechanical modalities in a consistent and proficient manner with simple conditions. (7D19/7D23C/7D24J)

3.3. ELECTROTHERAPEUTIC MODALITIES - Applies electrotherapeutic modalities in a competent manner with simple conditions. (7D19/7D23C)

3.4. FUNCTIONAL TRAINING AND APPLICATION OF DEVICES AND EQUIPMENT - Performs functional training in self-care and home management, and application and adjustment of devices and equipment with simple conditions in a competent manner with less than 50% direct supervision of CI. (7D19/7D23B/7D23D/7D24C/7D24D/7D24J/7D24L/7D24M/7D24N)

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3.5. DOCUMENTATION - Produces consistent and proficient quality documentation in a timely manner to support the delivery of physical therapy services with simple conditions. (7D25/7D31)

3.6. RESOURCE MANAGEMENT - Engages in the efficient delivery of physical therapy services in a consistent and proficient manner with simple conditions. (7D28/7D29)

4. Accurately compose and submit weekly journal entries from the clinical experiences. 4.1. Summarize clearly the patient primary and secondary diagnoses of patients receiving

interventions provided by the student physical therapist assistant (SPTA). 4.2. Report accurately on consultation provided for discharge planning activities. (7D20) 4.3. Compose the Weekly Planning Form outlining appropriate and pertinent goals to reach entry

level CPI criterion and entry level communication with the clinical instructor (CI) and submit a copy of the form. (7D14)

4.4. Explain accurately any disagreements with, or discipline from, the CI, supervising physical therapist (PT), or management, and write a comprehensive plan for resolution. (7D7)

4.5. Summarize clearly the student’s participation in patient-centered interprofessional meetings and plan for further development. (7D28)

4.6. Describe accurately aspects of organizational planning and operation of the physical therapy service the student has participated in. (7D30)

5. Perform duties in a manner consistent with the APTA’s Values-Based Behaviors for the Physical Therapist Assistant scoring at frequently or above 80% of the time. (7D5)

6. Accurately prepare the Student Assessment of CE Experience and CI. For the SECOND CLINICAL EXPERIENCE, the student will achieve:

7. Entry Level rating on the PTA CPI for the following behaviors: 7.1. SAFETY - Performs in a safe and entry level manner that minimizes the risk to the patient, self,

and others in all interactions. (7D1/7D19/7D21/7D27) 7.2. CLINICAL BEHAVIORS - Demonstrates expected proficient and entry level clinical behaviors in a

professional manner in all situations. (7D4/7D5) 7.3. ACCOUNTABILITY – Performs consistently proficient in a manner consistent with established

legal standards, standards of the profession, and ethical guidelines with all conditions. (7D2/7D3/7D4/7D6/7D8)

7.4. CULTURAL COMPETENCE - Adapts delivery of all physical therapy services competently with consideration for patients’ differences, values, preferences, and needs. (7D8)

7.5. COMMUNICATION - Communicates clearly and consistently proficient in ways that are congruent with all situational needs. (7D7/7D8/7D12/7D15/7D17/7D20/7D22)

7.6. SELF-ASSESSMENT AND LIFELONG LEARNING - Engages in self-assessment and develops plans to improve knowledge, skills, and behaviors to consistently proficient levels. (7D11)

7.7. CLINICAL PROBLEM SOLVING - Demonstrates consistently proficient clinical problem solving in all situations. (7D9/7D11/7D17/7D18/7D19/7D20/7D21/7D26)

7.8. THERAPEUTIC EXERCISE - Performs therapeutic exercises in a competent and entry level manner with all conditions. (7D19/7D23F/7D23H/7D24A/7D24B/7D24E/7D24H/7D24I/7D24K/7D24L)

7.9. THERAPEUTIC TECHNIQUES - Applies all manual therapy, airway clearance, and integumentary repair and protection techniques in a competent and entry level manner. (7D19/7D23A/7D23E/7D23G/7D23I/7D24F/7D24G/7D24L/7D24N)

7.10. PHYSICAL AGENTS AND MECHANICAL MODALITIES – Engages in application of physical agents and mechanical modalities in a competent and entry level manner with all conditions. (7D19/7D23B/7D23C/7D24F/7D24J)

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7.11. ELECTROTHERAPEUTIC MODALITIES - Applies all electrotherapeutic modalities in a competent and entry level manner with all conditions. (7D19/7D23C)

7.12. FUNCTIONAL TRAINING AND APPLICATION OF DEVICES AND EQUIPMENT – Engages in functional training in self-care and home management, and application and adjustment of devices and equipment in a competent and entry level manner with all conditions. (7D19/7D23B/7D23D/7D24C/7D24D/7D24J/7D24L/7D24M/7D24N)

7.13. DOCUMENTATION - Produces competent and entry level quality documentation in a timely manner to support the delivery of physical therapy services with simple and complex conditions. (7D25/7D31)

7.14. RESOURCE MANAGEMENT – Participates in consistently proficient efficient delivery of physical therapy services with all conditions. (7D28/7D29)

8. Utilize evidence based practice research a topic to enhance physical therapy services and present an in-service effectively on the topic to rehabilitation department staff. (7D9/7D11) 8.1. Use media proficiently to visually represent the research data. 8.2. Provide accurate learning materials for participants in the in-service presentation. 8.3. Adhere precisely to expected time limit. 8.4. Present appropriate background, practical applications, and expected outcomes. 8.5. Provide exact references for all data.

9. Accurately compose and submit weekly journal entries from the clinical experiences. 9.1. Summarize a descriptive list of patient primary and secondary diagnoses of patients receiving

interventions provided by the student physical therapist assistant (SPTA). 9.2. Assess accurately the communication and consultation provided for discharge planning

activities. (7D20) 9.3. Engage in creating the Weekly Planning Form outlining appropriate and pertinent goals to

reach entry level CPI criterion with the clinical instructor (CI) and clearly assess progress towards goals each week. (7D14)

9.4. Assess clearly any disagreements with, or discipline from, the CI, supervising physical therapist (PT), or management and write a comprehensive plan for resolution. (7D7)

9.5. Describe accurately the student’s participation in patient-centered interprofessional meetings and self-assess these interactions. (7D28)

9.6. Assess participation in organizational planning and operation of the physical therapy service. (7D30)

9.7. Use the ICF and clearly describe one patient’s impairments, activity and participation limitations. (7D16)

9.7.1. Discuss concisely how the interventions are facilitating improvements in these limitations. (7D16)

10. Clearly compose the Student Assessment of CE Experience and CI.

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MID MICHIGAN COMMUNITY COLLEGE PTA PROGRAM COMPETENCIES

Students will demonstrate the competencies below PRIOR to attending PTA 140 Clinic I – 4 to 5 days per week (40 hours) for 4 weeks (Level 1 experience).

1. Hand washing 2. Sterile Technique 3. Positioning 4. Draping 5. Vital signs (HR, RR, BP) 6. Therapeutic Cold 7. Therapeutic Hot 8. Massage 9. Myofascial release 10. Trigger point release 11. Ultrasound/phonophoresis 12. Cervical traction 13. Pelvic traction 14. Body Mechanics 15. Bed Mobility Training 16. Passive and Active Range of Motion 17. Active and Passive Stretching Exercise 18. Aerobic Capacity and Endurance Exercise 19. Sitting and Standing Posture Analysis and Awareness Training 20. Transfer Training 21. Wheelchair Mobility 22. Gait Training with Assistive Devices 23. Gait Assessment 24. PNF Diagonal Patterns 25. Manual Resistance Exercise 26. Anthropometric Measurement 27. Wound Assessment 28. Balance Assessment 29. Muscle Length Assessment 30. Sensory Assessment 31. UE, LE, and Spine Goniometry 32. UE, LE, and Spine Manual Muscle Testing 33. PNF Stretching Techniques 34. Resistive Exercise 35. Plyometric Exercise 36. Balance Exercise 37. Exercise Equipment 38. Spinal Posture Exercise 39. Trunk/core Exercise

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Student will demonstrate the skill competencies below PRIOR to attending PTA 240 Clinic II – 4 to 5 days per week (40 hours) for 7 weeks (Level 2 experience).

1. Electrical Stimulation for Functional Movement 2. Electrical Stimulation for Tissue Repair 3. Electrical Stimulation for Pain Management 4. Iontophoresis 5. Biofeedback 6. Ultrasound/Electrical Stimulation Combination 7. Wound Care/Dressing Changes 8. Orthotic/Prosthetic Care 9. Developmental Activities

a. Proprioceptive Neuromuscular Facilitation (PNF) b. Sensory Stimulation Techniques c. Functional Movement Patterns d. Balance

10. Airway Clearance Techniques a. Postural Drainage b. Breathing and Coughing Techniques

11. Physical Environment Data Collection 12. Mental Function Data Collection

Topics in PTA 210 Clinic Forum course that coincide with PTA 240 Clinic II

1. Financing and reimbursing in health care and physical therapy 2. Current issues: PT in evolution 3. American Physical Therapy Association 4. Americans with Disabilities Act

Students will demonstrate the following terminal competencies at completion of the PTA Program:

1. Perform in a safe manner that minimizes the risk to patient, self, and others. 2. Demonstrate expected clinical behaviors in a professional manner in all situations. 3. Perform in a manner consistent with established legal standards, standards of the profession,

and ethical guidelines. 4. Adapt delivery of physical therapy services with consideration for patients’ differences, values,

preferences, and needs. 5. Communicate in ways that are congruent with situational needs. 6. Participate in self-assessment and develops plans to improve knowledge, skills, and behaviors. 7. Demonstrate clinical problem solving. 8. Perform selected therapeutic exercises* in a competent manner. 9. Apply selected manual therapy*, airway clearance*, and integumentary repair and protection

techniques in a competent manner. 10. Apply selected physical agents* and mechanical modalities in a competent manner. 11. Apply selected electrotherapeutic modalities in a competent manner. 12. Perform functional training* in self-care and home management and application and

adjustment of devices and equipment in a competent manner. 13. Produce quality documentation* in a timely manner to support the delivery of physical therapy

services.

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14. Participate in the efficient delivery of physical therapy services.

Physical Therapist Assistant Clinical Performance Instrument American Physical Therapy Association 2009

*Denotes term is included in the glossary of the PTA CPI

GRADING CRITERIA FOR PTA 140 CLINIC I

Physical Therapist Assistant Clinical Performance Instrument (PTA CPI)

The Clinical Instructors (CIs) will complete the web-based PTA CPI final evaluation and the student must complete a self-evaluation using the PTA CPI prior to the final evaluation of the clinical experience. The ACCE will review the PTA CPI completed by the CIs to determine a pass or fail grade. See the section on grading for more details and the Clinical Education Policies and Procedures Section VII. Grading Criteria to Pass CE Experience

Criteria #1 through #5 – Student is expected to achieve Intermediate performance. Criteria #6 through #10 and #12 through #14 – Student is expected to achieve Advanced Beginner performance. Criteria #11 – Not applicable to this clinical education experience. Clinical Experience Expectations Students are expected to manage a partial patient load with CI supervision by the end of the clinical experience in the PTA 140 course. Students should plan with their CI a wide variety of patient experiences to complement their education, including basic exercise, transfers, modalities (excluding electrical stimulation), gait training, goniometry, manual muscle testing, and wheelchair management. Students should be provided an opportunity to follow a patient receiving multiple discipline rehabilitation (OT, Speech, and Recreational Therapies) on a weekly basis to view the interaction of the disciplines with PT and the global progress of a rehabilitation patient.

Additionally, students should be allowed opportunities for involvement in interprofessional practice including, but not limited to, case management meetings and discharge planning meetings. The student should be included as a member of the PT/PTA team and collaborate with both the CI and the evaluating PT in the treatment and progression of the patient’s physical therapy interventions. Wherever possible, the student should be allowed to participate in community health programs or other initiatives offered through the clinical site.

GRADING CRITERIA FOR PTA 240 CLINIC II

Physical Therapist Assistant Clinical Performance Instrument (PTA CPI)

The clinical instructors (CIs) will complete the web-based PTA CPI, and the student must complete a self-evaluation using the PTA CPI prior to attending the mid-term and final evaluation meetings with the CI during each clinical experience. The ACCE will review the PTA CPI completed by the CIs to determine a

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pass or fail grade. See the section on grading for more details and the Clinical Education Policies and Procedures Section VII.

Clinical Grading Criteria Using the PTA CPI

● Grading Criteria to Pass the First CE Experience o Criteria #1 to #2 – Student will achieve Entry Level performance. o Criteria #3 to #8 - Student will achieve Advanced Intermediate performance. o Criteria #9 to #14 - Student will achieve Intermediate performance.

● Grading Criteria to Pass the Second CE Experience o Criteria #1 through #14 – Student will achieve Entry Level performance, unless one or

more of the following occurs: ▪ The student experienced a complex clinical site. ▪ The student experienced unusual circumstances at a clinical site. ▪ There is incongruence between the CI’s narrative comments and the given

rating

Clinical Experience Expectations Students are expected to manage a full patient load with supervision by the end of the PTA 240 course. Students should plan with their CI a wide variety of patient experiences to complement their education, including observation of surgery, if available, and the student is willing. Students should be provided an opportunity, where available, to follow a patient receiving multiple discipline rehabilitation (OT, Speech, and Recreational Therapies) on a weekly basis to view the interaction of the disciplines with PT and the global progress of a rehabilitation patient.

Additionally, students should be allowed opportunities for involvement in interprofessional practice including, but not limited to, case management meetings and discharge planning meetings. The student should be included as a member of the PT/PTA team and collaborate with both the CI and the evaluating PT in the treatment and progression of the patient’s physical therapy interventions, Wherever possible, the student should be allowed to participate in community health programs or other initiatives offered through the clinical site.

Student In-service Presentation

The in-service must be given on the scheduled date. The Clinical Instructor will use the evaluation form to assess the presentation and will fax the form to the ACCE following the presentation.

physical therapist assistant (pta) program 2016 … therapist assistant (pta) program. 2016-2017...

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