Clinical PracticaPreparatory

MeetingPT 400

2010 Pre-Clinical Meeting & Forms distributionApril 19, 2010

PT 400 Syllabus Individualized Site Contact Info (Green) Checklist 6 CPIs: 3 on white paper, 3 on pink paper 3 Letters to Clinical Instructor 3 PT Student Eval: Clinical Experience &

Clinical Instruction packets 3 PT Intern Weekly Feedback forms 3 Student Responsibilities Contracts 3 Envelopes Addressed to Bryan “Your name” RM form to sign (blue) “Your name” RM form to take to facility*

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

Packet Handouts

Student Assessment of Curricular Preparation

Not in packet yet

Gym at Mather VA Acute

Mercy Folsom Outpatient Clinic Building

The terminal three affiliations towards fulfillment

of the Certificate of Clinical Competence

400A, 400B, 400C – 4 units each

24 full-time weeks under the direct supervision

of a Physical Therapist

Opportunity to refine skills and participate in

clinical settings that may be unfamiliar

Clinical Practica II, II, IV

Set and write goals in consultation with your CI

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

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

Syllabus Review: Assignmentsp. 6

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

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

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

Syllabus Review: Assignments

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

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

Syllabus: Assignments (cont’d)

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

Assignments (cont’d)

May not be familiar to your CI, and so instructions are in the new packet.

You must complete the free online training for how to use the PT CPI by June 4, 9 am.

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

“purchase” the five modules and complete them

Print and fax the certificate of achievement to me at 916-278-5053

Web-CPI

You fill out the pink copy at midterm and at final prior to your meeting.

Your Clinical Instructor(s) fill out the white copy at midterm and at final, using the instructions included.

Web-CPI

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

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

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

Remediation will be considered for any items that fall below threshold for more than one performance criterion on more than one affiliation.

Grading

1 Safety 10 Evaluation

2 Professional Behavior 11 Diagnosis & Prognosis

3 Accountability 12 Plan of Care

4 Communication 13 Procedural Interventions

5 Cultural Competence 14 Educational Interventions

6 Professional Development

15 Documentation

7 Clinical Reasoning 16 Outcomes Assessment

8 Screening 17 Financial Resources

9 Examination 18 Direction and Supervision

CPI Minimum Competency Levels for passing PT 400A, B, C: Entry Level or Beyond

Marks on line as on p. 11

Anchor definitions on p. 12 ◦ Entry level means you are capable w/o

supervision for simple & complex patient conditions

◦ Consistently proficient in tasks fo exam, interventions and clinical reasoning

◦ Capable of 100% caseload in cost-effective manner

New CPI – Rating Scale

Entry-levelAdv Intermediate

Defined on p. 10-11Performance Dimensions:

◦Supervision required◦Quality ◦Complexity◦Consistency◦Efficiency

New CPI – Performance Dimensions

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

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

Experience & Clinical Instruction form signed by CI

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

Grading requires satisfactory completion of:

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

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

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

Contact your 400A site THIS WEEK!!

Clinical Assignments Sheet

RiskManagement Issues

Mather VA in Rancho Cordova

Must have your own health insurance –

please update our files if you have not yet

May be asked by the facility to do a physical

exam, Breath alcohol test, Hep B & C

screening, &/or drug screen.

You will not be released to attend your

clinical rotations without all of the

paperwork done

RiskManagement Issues

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

When you get new card it, send copy to me

RiskManagement Issues

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

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

Risk Management:

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

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

Risk Management: Drug and alcohol screens

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

DisabilityAccommodation

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

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

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

Reflective Journalduring the Internship

The Checklist

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

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

Facility Contact

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

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

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

• Ask explicit questions about the expectations of the clinical instructor

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

Getting offto a Good Start

“Dear Clinical Instructor” letter

White CPI packet –point out instructions

Risk Management form1 copy of the Weekly Feedback Form

Day One:Give to your CI

Describes the CPI use and your academic training

Instructions for completing & mailing the CPI back to me

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

Letter to Clinical Instructors

Mather VASecond Year Intern & CI Theresa

Ruiz

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

Week One:Absolutely must DO:

Only need to do if the facility requires it

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

Inservice/Work Project

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

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

Sac CT

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

Must have own major medical health insurance

You should have your record of the Background Investigation.

Risk Management Form Signed by me

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

Risk Management (blue) Release Form

Student Responsibilities Contracts

For all 3:

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

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

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

Physical Therapy StudentWeekly Feedback Form

To design and develop the learning experience

Help determine the teaching methods to be used

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

Upgrades the abilities of the developers of the goals

Student Goals: Why?

Learner’s behavior at end of learning

Conditions under which the learner must function

Evaluation method that will be used to assess the learning

Student Goalsshould contain:

Audience (who)◦ The learner or patient

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

perform Condition (when)

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

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

the learner must perform

Student Goals - structure:

Best Luck and Have Fun!

This is where you are heading!