APPLICATION FOR COURSE ACCREDITATION - APA NATIONAL GROUP (And review for courses undergoing re-accreditation) For assistance in completing this application form, applicants should refer to the APA Guide to Course Accreditation. Each section number corresponds with a step in the Guide. Applications for accreditation should be submitted at least 6 months before you plan to run the course. DETAILS OF PROVIDER Name of APA National Group/Organisation Course Convenor/Organiser National Group Committee Member APA National Group Member Address for correspondence Email: Postal: Ph: Fax: Mobile: COURSE DETAILS (will be used to advertise course/activity in APA publications) Course Name (MAX 60 characters) At what level would this be aimed at? (Tick) 1 2 3 Has this course previously been accredited? (Tick) YES NO If yes, When? Preferred Date/s: Venue: Number of Participants: Min: Max: Practical Sessions (please tick appropriate box) This activity contains practical sessions which are… student to student lecturer to student student to patient lecturer to patient not applicable Tutor to Participant Ratio: (Please note that the APA recommends a ratio of 1:10. If ratio falls outside of recommendation, please advise reasons) Reason: DOC: 3 Page 1 Last updated Feb-16 NOTE: 1. If this application is for “COURSE RE-ACCREDITATION” please ensure you complete Page 1 and subsequent pages of this document to include information relating to any changes that may have occurred over the last two year accreditation agreement period. 2. If this course is the development of a PD Activity from an approved BUSINESS CASE approved by APA National Group Manager, please complete Page 1 only of this document and attach your Tender Application document. You do not need to complete the rest of this form. Step 1 Rationale and Goal Statement Why is the course/activity needed? What is the overall aim of the course/activity? Step 2 Target Audience and Prerequisites Who will benefit most from attending the course / activity? What must participants already know or be able to do? (List skills, experience, qualifications) Step 3 Learning Objectives/Outcomes (Copy from original course acceptable or see NOTE below) Provide a simple statement (one sentence) that answers the question: What are participants expected to learn? One statement is required for each session of the course / activity. The learning objectives/outcomes should be listed in the table below (max of 10). The learning objectives/outcomes sentences must begin with either of the below: At the completion of this course, participants should be able to: ………………………………………… OR During the course, participants will be expected to: ……………………………………………..………… Learning Outcomes 1. 2. 3. 4. 5. 6. 7. 8. 9. 9. 10. DOC: 3 Page 2 Last updated Feb-16 Step 4 Course Outline and sequence & Teaching strategies and learning activities Provide an outline of the course: (please photo copy additional pages if there is insufficient space) Session times (Start & Finish) Topic or element (include morning tea, lunch & Afternoon tea) Names of presenters Teaching strategies or learning activities (please define whether the topic is a lecture, demonstration, discussion, practical session. You can list more than one) List corresponding learning outcome number for each session which you completed in step 3 Day 1 Start & Finish Times (am/pm) DOC: 3 Topic or Element (include lunch and tea breaks) Presenter’s Name Page 3 Teaching Strategies and learning activities (lecture, demonstration, discussion group, practical session) Learning Outcome Number(s) Last updated Feb-16 Additional Day (Please photo copy this page if there is more than two days (If applicable) Start & Finish Times (am/pm) DOC: 3 Topic or Element (include lunch and tea breaks) Presenter’s Name Page 4 Teaching Strategies and learning activities (lecture, demonstration, discussion group, practical session) Learning Outcome Number(s) Last updated Feb-16 Step 5 Learning Assessment The assessment task(s) should be designed by answering the following questions: (a) How could participants apply their new knowledge and skills? (b) What standard of achievement is expected and how will this be measured? Brief description of each assessment task and how performance will be rated Corresponding Learning Outcome (refer to step 3) Timing of task (During or after course) Step 6 Presenter/s Qualifications and Experience Provide a summary of the relevant qualifications and experience of course presenters. Principal Presenter’s Name Relevant qualifications/experience Additional Presenter’s name Relevant qualifications/experience Additional Presenter’s name Relevant qualifications/experience Additional Presenter’s name Relevant qualifications/experience DOC: 3 Page 5 Last updated Feb-16 Step 7 Underpinning Research Please write a short paragraph (300-500 words or more if necessary) on the topic demonstrating the research underpinning the course content. The content outline must include a description of the research component of the course. Wherever possible, please provide an estimate as to the proportion of the course content that is based on, or underpinned by, research and evidence. This should also include reference to 3-5 peer-reviewed or published studies. Note: Course Accreditation is a mechanism to ensure quality professional development activities and is a separate process from course administration and coordination. While you wait for the results of your application you should complete your Course Booking Form and Course Budget. These forms can be downloaded from the APA website. Please liaise with your Knowledge Coordinator during this process. For further assistance with your application: Phone: 03 9092 0888 Fax: 03 9092 0899 Email application to: accreditation@physiotherapy.asn.au DOC: 3 Page 6 Last updated Feb-16