Clinical Practica Preparatory Meeting

1. Clinical PracticaPreparatory Meeting PT 400 2010 Pre-Clinical Meeting & Forms distribution April 19, 2010

2. Packet Handouts • 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.

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

4. Mercy Folsom Outpatient Clinic Building

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 • 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 the 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 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

11. 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.

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

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

14. New CPI – Rating Scale • 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 Adv Intermediate Entry-level

15. New CPI – Performance Dimensions • Defined on p. 10-11 • Performance Dimensions: • Supervision required • Quality • Complexity • Consistency • Efficiency

16. 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

17. 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!!

18. RiskManagement Issues Mather VA in Rancho Cordova

19. 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

20. 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

21. 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

22. 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.

23. 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.

24. 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.

25. The Checklist

26. 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

27. 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

28. Day One:Give to your CI • “Dear Clinical Instructor” letter • White CPI packet –point out instructions • Risk Management form • 1 copy of the Weekly Feedback Form

29. 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.

30. Mather VASecond Year Intern & CI Theresa Ruiz

31. 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

32. 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

33. 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.

34. Risk Management Form Signed by me • 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.

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

36. 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!

37. 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.

38. 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

39. 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

40. 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

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