Aaalication for Accreditation of Residency Proaram Pafle 8
Description of the Residency Program
Provide answers and/or descriptions to the following questions on the proposed residency program.
1. How many residents have completed your program in the past five years?
a. First application for residency accreditation
rx
b. Orthotic residents completed: _0_ _ _ __
c. Prosthetic residents completed: _0_ _ _ __
2. Do you have a university affiliation?
Yes
I
No
rx
If yes, identify:
3. Identify planned seminars/education experiences for the resident Clinical lectures
I
Grand Rounds Local Seminars
IX Manufacturing Workshops
I
National O&P Meetings
I
Regional/State Academy Meetings
I
Other Hanger Education Fair
Rehab. summits
4. Which of the following and how many will assist as staff for the residency program? 1
d. Administration:
e. Clinicians:
f. Technicians:
_2_ _ _ _ _ _ __
_2_ _ _ _ _ __
g. Registered Fitters:
°
h. Certified CPed.: _0_ _ _ __
5. What is/will be the resident application process?
i.
j.
k.
L
rx
Do you require submission of a resume with cover letter? Yes
No I
Do you perform an on-site interview? Yes
No
Do you perform a phone interview? Yes
No I
Do you have a set calendar day by which all residents must apply? Yes I
No
rx
rx
r
IX
i. If yes, what is the date?
m. Will the residency site pay the resident fee? Yes
IX
No
r
n. What are the transportation requirement(s) of the residents to participate at the proposed
residency program? Will need car to travel to office, clinics, nursing homes, and hoSQi
o. Do you require the residents to sign a non-compete contract? Yes
Effective January 1, 2007
No IX
Page 9
Application for Accreditation of Residency Program
p. In space below provide any additional information on the application process of residents for
the ro osed ro am:
Hanger has upper and lower extremity prosthetic and orthotic specialists that will come to our area and
help out with challenging cases. Residents will get the opportunity to shadow them.
6. What is the expected percentage of time spent by the resident in the following areas of the practice:
q. Clinical 60
0/0
r. Fabrication 30
%
s. Practice management (administrative) _10_ _ _ _ _ _ %
7. Identify the percentage of time in the specific setting that direct patient care is provided by the
practice:
Orthotics
Prosthetics
Setting
Primary facility
Satellite facility
80
50
%
20
%
%
50
%
Specialty clinic
(e.g., neuromuscular, cerebral
palsy, spina bifida
%
%
Acute care hospital setting
%
%
Long-term rehabilitation
Facility (e.g., nursing home,
Assisted living facility)
Other facility
Effective January 1,2007
95
%
%
5
%
%
::. /00%
.:;
/00%
;; /00%
Application for Accreditation of Residency Program
Page 10
8. Does this practice participate in any specialty clinic affiliations? Yes
Identify below:
No
Frequency Management of spine Spine (post-operative) Brain Injury
0
Bums
Scoliosis
D
D
Diabetic/Neuropathic foot Veterans
D
D
Indigent care outreach
D
Spina Bifida
MS Clinics Shriners Hospital
D
CP Clinic
D
D
Wound Care
Muscular Dystrophy Pediatric Orthopedic Hand Clinic
D
Amputee Clinic
~
Sports Medicine
D
1x1month Pedorthotic D
D
D
Gait
Cranial Facial
Upper
Identify specialty clinics not listed:
9. Will the resident have the opportunity to observe surgical procedures? Yes
I
No
IX
to. Identify the percentage of devices fabricated on-site at the residency site and outsourced to central
fabrication
Fabricated
Orthotic
Prosthetic
Onsite
90
95
%
Outsourced
10
_5_ _
%
Effective January 1,2007
Page 11 Application for Accreditation of Residency Program
11. Identify the percentage of devices which incorporates the use of CAD/CAM in the practice.
Orthotic
Prosthetic
Upper limb
Upper limb
Lower limb
Lower limb
._--_%
Spinal
Cranial Facial
12. Please identify types of directed studies completed in the past or directed studies you anticipate the
resident to complete from the checklist below:
literature Review
IX
Case Study Involving Human Subjects
IX
Scientific Study
r
Scientific Study Supervised by a
Qualified Research Organization
I
Other Study
r
Definitions of the studies for your reference and assistance.
Literature Review - A literature review is a oompilation and analysis of published literature from journals, books, and oonference
proceedings. Its purpose is to determine the state-of-the-art or the state-of-the-science in an area. Case Study Involving Human Subjects ­
If the procedures performed on the subjects involve routine measurements and treatments typical for a patient presenting with the given
diagnosis, and the patient is not required to do anything that departs from normal routines for this diagnosis (Le., activities involved in the
research are those that the patient and practitioner would normally be involved in anyway), and is not part ofan experiment, then the
Residency Directed Study might be oonsidered a Case Study.
Scientific Study - A Residency Directed Study that involves the development and testing of a hypothesis is a Scientific Study. This includes
any study in which one or more of the following criteria are met: I.) two or more samples or subjects are oompared; 2.) before-and-after data
are oompared (other than a case study); 3.) outoomes are defined by measures of the extent to which "success" or "failure" occur (other than a
case study); 4.) data obtained from experiments are evaluated in some manner, including oomparison to theoretical predictions; 5.) data are
taken from patient files for purposes of analysis (other than a case study); 6.) a scientific theory is examined or proposed; or 7.) a survey is
administered and the results reported. Studies in which it is planned in advance that subjects will receive treatments involving the use of two
or more different oomponents or designs for the purpose of evaluating or comparing the oomponents or designs is a Scientific Study.
Scientific Study Supervised by a Qualified Research Organization - If a Resident is oonducting the research project to fulfill
requirements for a masters or doctorate degree, or is undertaking the research project as part of a research effort under the supervision of a
university, teaching or research hospital, clinic, or other qualified organization, and the activity is subject to review by an Institutional
Review Board (IRB) for human subjects, or a research advisory oommittee, then the study qualifies as a Scientific Study Supervised by a
Qualified Research Organization. In such cases, the project usually will have a Principal Investigator, who may be the Resident or someone
who supervises the research project being undertaken by the Resident.
Other Study - There are a number of research topics which do not fit clearly into the above categories. Examples are the development of
patient information booklets, the design of patient assessment forms, and various kinds of business studies. These are oollectively grouped
under Other Study.
Effective January 1,2007
Page 12
Application for Accreditation of Residency Program
13. Identify all resources available for the resident to perform their directed study:
a. Internet accessibility
IX
b. University library
c. In-house library
r
r
d. Release time to complete study
IX
e. Instrumentation/specialty equipment on-site
r
f. Access to off site specialty equipment, i.e., gait lab
r
Please list any additional resources not listed:
Hospital Library
Effective January 1, 2007