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Clinical Practica Preparatory Meeting

Clinical Practica Preparatory Meeting. PT 400 2011 Pre-Clinical Meeting & Forms distribution April 27, 2011. Packet Handouts. PT 400 Syllabus Individualized Site Contact Info ( Pink )* Checklist 3 “Dear Clinical Instructor” Letters

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Clinical Practica Preparatory Meeting

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  1. Clinical PracticaPreparatory Meeting PT 400 2011 Pre-Clinical Meeting & Forms distribution April 27, 2011

  2. Packet Handouts • PT 400 Syllabus • Individualized Site Contact Info (Pink)* • Checklist • 3 “Dear Clinical Instructor” Letters • PT Student Eval: Clinical Experience & Clinical Instruction form • PT Intern Weekly Feedback form • Student Responsibilities Contract • “Your name” RM form to sign (blue) • “Your name” RM form to take to facility *items are only available if you have submitted updated risk management records.

  3. Not in packet yet • Student Assessment of Curricular Preparation Gym at Mather VA Acute

  4. Overview Mercy Folsom Outpatient Clinic

  5. Clinical Practica II, II, IV • 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

  6. Syllabus Review: Assignmentsp. 6 – Weekly Feedback Forms • 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 !

  7. Syllabus Review: Assignments • Contact the facility 6 – 8 weeks prior to start • Self-Rate your level of competence on WEB-CPI at mid-term and at final with supporting comments. • 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.

  8. Syllabus: Assignments (cont’d) 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.

  9. Assignments (cont’d) 7. At the option of the clinical facility, you will need to present an inserviceto 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.

  10. Web-CPI • May not be familiar to your CI, and so the first thing they must do is submit their email information to me so that I can add them to Web CPI so that they can log on. • Go to http://learningcenter.apta.org/ptcpi_aptalearningcenter.aspx • “purchase” the five modules and complete them

  11. Web-CPI • You fill out at midterm and at final prior to your meeting with CI. • Your Clinical Instructor(s) fills out at midterm and at final • You review it together, and both of you must electronically sign your own AND each other’s CPI

  12. Grading • Is Pass/No Credit • Is separate for each class: 400A, 400B, 400C • Achieving competency threshold levels for “red flag” items 1,2,3,4 & 7, and for at least 15 of 18 overall performance criteria. • No areas of “significant concern” marked on any criteria. If Significant Concerns are marked, it may be grounds for failing the affiliation or being required to do remedial work before receiving Credit • Failing to attain threshold marks on less than 80% of the marked PC may result in an incomplete grade, and may mandate a remediation of the internship.

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

  14. CPI Performance CriteriaMinimum Competency Levels increase w/ each subsequent rotation

  15. CPI – Performance Dimensions • Performance Dimensions: • Supervision required • Quality • Complexity • Consistency • Efficiency

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

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

  18. Grading requires satisfactory completion of: • Weekly Feedback Form at the end of week 1 and (possibly) at the end of week 5. • Student self-assessment using CPI • PT Student Evaluation: Clinical Experience & Clinical Instruction form signed by CI • Bi-weekly reflective journal • CI’s signed CPI

  19. Clinical Assignments Sheet • 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!!

  20. RiskManagement Issues Mather VA in Rancho Cordova

  21. RiskManagement Issues • 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

  22. 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

  23. Risk Management: • 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

  24. Risk Management: Drug and alcohol screens • 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.

  25. DisabilityAccommodation • 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.

  26. Reflective Journalduring the Internship • 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.

  27. The Checklist

  28. Facility Contact • 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

  29. Getting offto a Good Start 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

  30. Day One:Give to your CI • “Dear Clinical Instructor” letter • Risk Management form • 1 copy of the Weekly Feedback Form

  31. Letter to Clinical Instructors • 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.

  32. Mather VASecond Year Intern & CI Theresa Ruiz

  33. Week One:Absolutely must DO: • 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

  34. Inservice/Work Project • 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

  35. Sac CT • 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.

  36. Risk Management Form Signed by me • If all of your immunizations, CPR, health insurance verification and TB are up-to-date, (were due to me April 15) • Must have own major medical health insurance • You should have your record of the Background Investigation.

  37. Risk Management (blue) Release Form • Read it, sign it and give it back to me now!

  38. Student Responsibilities Contracts • Fill it in – one for each clinical site, read it, sign it and give it back to me now!

  39. Physical Therapy StudentWeeklyFeedbackForm • 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.

  40. Student Goals: Why? • 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

  41. Student Goalsshould contain: • Learner’s behavior at end of learning • Conditions under which the learner must function • Evaluation method that will be used to assess the learning

  42. Student Goals - structure: • 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

  43. Best Luck and Have Fun! This is where you are heading!

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