PHYT 8904:
Summer Term
INTEGRATED CLINICAL EDUCATION EXPERIENCE
Full summer 12 week term
Credit Hours: 6 s.h.
Contact Hours: 8 hours/week for 12 week term (96 hours total)
Prerequisite:
Instructors:
All previous course work and permission of the DCE. Also, CPR
Certification, required inoculations, physical exam, proof of health insurance and any other requirements as deemed necessary by the clinical sites.
DCE: Suzanne Giuffre, PT, EdD
Phone: (330)941-1963
Email: smgiuffre@ysu.edu
Clinical Instructor from affiliating site &/or other YSU PT faculty members
Prior course texts as references
Clinical Education Manual on YSU website
APTA Clinical Performance Instrument (CPI) at http://cpi2.amsapps.com
Test:
Handouts:
Others as provided by CI and/or faculty
COURSE DESCRIPTION: Initial clinical experience in examining, evaluating and treating basic patients/clients in four practice settings (acute care, outpatient, geriatric and rehab). Part-time, twelve week experience (3 weeks spent in each setting) under the supervision of a licensed physical therapist (CI and/or faculty).
BEHAVIORAL OBJECTIVES: Although the APTA’s Clinical Performance Instrument (CPI) will be used for evaluation of the student based on its 24 criterion, this course will largely be based on the objectives below.
At the completion of the course the student will be able to:
1.
Conduct safe patient management of uncomplicated cases.
2.
Communicate effectively, orally and through documentation, with other health professionals, patients/clients, family members/caregivers, and payers.
3.
Complete thorough initial chart reviews and interviews of patients/clients prior to beginning any physical therapy services.
4.
Conduct a general, basic skills examination of patients/clients with uncomplicated issues.

COURSE METHODS:
5.
Design and implement, appropriate and effective treatment plans based on accurate evaluations of basic/uncomplicated patients/clients.
Discussion
Problem Solving
Psychomotor application of previous and newly learned activities
Self-evaluation (at Midterm and Final)
CI/Faculty Evaluations per setting
ASSIGNMENTS: Each student, in a group of 6, will participant in the development and presentation of an in-service based on topics identified by their last clinical setting/site.
GRADING POLICY:
The course grade will be assigned by the DCE. The grade will be derived from the APTA CPI at midterm and final as well as communications from the CIs/faculty. Sources of information may include clinical performance of student, students’ self-assessments, all CI and faculty assessments, and patient assessments.
At the conclusion of a clinical experience, grading decisions made by the DCE, may also consider:
 clinical setting
 relative weighting or importance of each performance criterion
 expectations for the clinical experience
 progression of performance from beginning to end of clinical
 level of experience within the didactic and clinical components
 whether or not significant concerns were identified by any CIs
 the congruence between the CI’s narrative comments related to the five performance dimensions and the ratings provided
GRADING SCALE:
A
B
Intermediate Performance
Advanced Beginner performance
C Between Beginner performance and Advanced Beginner performance
D/F Beginner Performance and/or significant concerns of CI/faculty and/or significant critical incident(s)

Definitions
Beginning performance*:
A student who requires close clinical supervision 100% of the time managing patients with constant monitoring and feedback, even with patients with simple conditions.
At this level, performance is inconsistent and clinical reasoning* is performed in an inefficient manner.
Performance reflects little or no experience.
The student does not carry a caseload.
Advanced beginner performance*:
A student who requires clinical supervision 75% – 90% of the time managing patients with simple conditions, and 100% of the time managing patients with complex conditions.
At this level, the student demonstrates consistency in developing proficiency with simple tasks
(eg, medical record review, goniometry, muscle testing, and simple interventions), but is unable to perform skilled examinations, interventions, and clinical reasoning skills.
The student may begin to share a caseload with the clinical instructor.
Intermediate performance*:
A student who requires clinical supervision less than 50% of the time managing patients with simple conditions, and 75% of the time managing patients with complex conditions.
At this level, the student is proficient with simple tasks and is developing the ability to consistently perform skilled examinations, interventions, and clinical reasoning.
The student is capable of maintaining 50% of a full-time physical therapist’s caseload.
ANTICIPATED CLINICAL SCHEDULE:
Wednesday and Friday mornings, approximately 8-12. Specific start and stop times will be determined by each site/CI/faculty member. Students are expected to stay after class scheduled time if clinic work has not been completed.
CLASS ATTENDANCE, PARTICIPATION AND MAKE UP POLICY: Students are expected to attend all class sessions. Students are expected to contact the course instructor prior to any absence. Excused absences are defined by YSU policy. One excused absence will be accepted.
Any more than one excused absence or any unexcused absence(s) will require make up time/work. Repeated unexcused absences do not meet course expectations and may be dealt with in accordance with the student handbook policies as an infraction of unprofessional behavior.
This includes arriving late to clinic and/or the inability to stay beyond set clinical hours to complete work.

ACCOMODATION: In accordance with University procedures, if you have a documented disability and require accommodations to obtain equal access in this course, please contact the instructor privately to discuss your specific needs. You must be registered with the Center for
Student Progress Disability Services, located at 275 Fifth Avenue, and provide a letter of accommodation to verify your eligibility. You can reach CSP Disability Services at 330- 941-
1372. To assure timely arrangements, however, notify the faculty member within the first two weeks of the term.
DISCIPLINE POLICIES: Refer to Youngstown State University's The Code: A Handbook of
Student Rights, Responsibilities and Conduct, Graduate Studies’ Graduate Bulletin, and the
DPT Student Handbook’s
Physical Therapy Student Disciplinary Policy . Students must be familiar with the documents mentioned to avoid disciplinary action, which can include dismissal from the Physical Therapy Program and possibly the University.