Credentialed Clinical Instructor Program (CCIP)
Wednesday, March 9 and Thursday, March 10, 2016
Faculty Overview
Beverly D. Fein PT, DPT, EdD is Associate Professor of Physical Therapy and Director of Clinical
Education at Sacred Heart University in Fairfield, CT where she teaches content dealing with managing
medically complex patients, as well as teaching professionalism, communication, education and cultural
competence. She is a credentialed trainer for the both the Basic and Advanced Clinical Instructor
Credentialing courses. She serves as Chair of the Acute Care Section’s Task Force on the Development of
Residencies and Fellowships. Her research interests include curriculum design, communication behaviors and
attitudes of physical therapists, and issues of electronic health records in student education.
The Credentialed Clinical Instructor Program (CCIP) offers a 16-hour workshop to develop and enhance
participants’ clinical instruction skills. Upon completion of this course, participants will be equipped to assume
the roles and responsibilities of a clinical instructor; specifically, to:
 Plan and prepare for health care student clinical education experiences
 Develop learning experiences to facilitate student progression from novice to mastery
 Support ongoing learning through questioning and effective feedback
 Identify & implement performance evaluation metrics
 Manage students with exceptional situations or circumstances
 Explore legal implications for clinical educators, including issues presented by ADA legislation
Audience
The “Assessment Center” format provides each participant with the opportunity to apply information from the
program in simulated situations. Successful completion of each of the six stations in the Assessment Center
results in the awarding of APTA Clinical Instructor Credential. NOTE: All participants must attend each day
in its entirety in order to complete the Assessment Center and be eligible for certification.
The course and Assessment Center educate both new and experienced physical therapist and physical therapist
assistant clinical educators. While the course content covers basic skills for clinical instructors, the interactive
tasks and large and small group discussions benefit even experienced educators.
Opportunity for Non-PT/PTA Clinical Educators
APTA invites clinical educators outside Physical Therapy to complete the Credentialed Clinical Instructor
Education Program. However, if you are from another discipline, you are neither eligible nor permitted to take
the Credentialing (Assessment Center) component. Upon successful completion of the Educational Program,
you will receive a certificate of completion for 1.2 CEUs. A Credential cannot be awarded because you are not
eligible to take the Assessment Center. To participate in the didactic portion of the Program, you must have a
current license, registration, or certification in your discipline, and a minimum of one year of clinical or
comparable experience. Also, you must complete a Participant Dossier attesting to clinical competence within
your discipline, in accordance with state laws and regulations, as authorized by your direct supervisor.
Registration Fees
APTA Members
Non-APTA Members
Other Disciplines (non-PT/PTA)
$190.00
$285.00
$375.00
Fee includes lunch, morning and afternoon coffee breaks, and handout materials.
Make checks payable to Sacred Heart University.
Registration deadline is February 10, 2016.
Registration Process and Checklist
Please submit the following material by February 13, 2016:
Participant Dossier – approved by supervisor
Participation Agreement
Copy of current PT or PTA license
Copy of APTA membership card if requesting member discount
Check payable to Sacred Heart University
You will receive an e-mail confirmation of receipt of your registration packet.
Please mail registration to:
Shanna Bonaparte
Sacred Heart University
Physical Therapy Department
5151 Park Avenue
Fairfield, CT 06825-1000
Phone: 203-365-7656
Fax: 203-365-4723
bonapartes@sacredheart.edu
Credentialed Clinical Instructor
Program
Workshop Agenda
Wednesday - March 9, 2016
8:00 A.M.
8:15 A.M.
10:00 A.M.
10:15 A.M.
12:30 P.M.
1:30 P.M.
3:00 P.M.
3:15 P.M.
4:45 P.M.
5:15 P.M.
Registration
Section 1: The Clinician as Clinical Educator
Break
Section 2: Readiness to Learn
Lunch
Section 3: Facilitating Learning in the Clinical Environment
Break
Section 4: Performance Assessment
Orientation to the Assessment Center / Assessment Center
Adjourn
Thursday - March 10, 2016
8:00 A.M.
8:30 A.M.
9:30 A.M.
9:45 A.M.
11:45 A.M.
12:45 P.M.
2:00 P.M.
4:15 P.M.
5:15 P.M.
Check-in
Assessment Center – Stations 1 and 2
Break
Section 5: Legal Issues in Clinical Education
Lunch
Section 6: Managing the Exceptional Student in Clinical Education
Assessment Center
Scoring of Assessment Center
Adjourn
APTA CREDENTIALED CLINICAL INSTRUCTOR PROGRAM
AGREEMENT OF PARTICIPATION
The Credentialed Clinical Instructor Program is being offered by Sacred Heart University. Successful
completion of the program and its Assessment Center for physical therapists and physical therapist
assistants will result in the awarding of Clinical Instructor Credentialing and 1.6 CEU/16 contact
hours* (please note difference if from TX, OH, or PA) from the American Physical Therapy
Association.
*Please note: Licensees should verify with their state licensing board for acceptance of continuing
education units by reviewing the relevant state practice act and/or administrative code.
To be eligible for credentialing, the participant must:
1.
2.
3.
Submit a completed Participant Dossier, signed Agreement of Participation,
copy of a current license/registration/certification to practice, and
appropriate Registration fee prior to beginning the program.
Attend each session of the program in its entirety and participate in all
program activities.
Successfully complete each portion of the Assessment Center if a physical
therapist or physical therapist assistant.
NOTE:
If any part of the program is missed, the participant must repeat the entire program to be eligible for
CI Credentialing.
Only participants who have completed all program sessions will be permitted to sit for the
Assessment Center when completing this program (physical therapists and physical therapist
assistants only).
A participant who does not satisfactorily complete the Assessment Center or fails to attend the entire
didactic curriculum as part of the program will be notified by the Credentialed Clinical Trainer that
he/she has not met the competencies required and is not being recommended for APTA Clinical
Instructor credentialing.
Should a participant need to request a refund, he or she must do so within 72 hours prior to the date
of the beginning of the course. The refund amount will be equivalent to the APTA portion of the
registration fee only.
I have read and understand the above policies and agree to abide by the conditions as stated.
____________________________
Participant signature
_____________________
Date
PHYSICAL THERAPY DEPARTMENT
 Directions to Sacred Heart University
College of Health Professions
Cambridge Commons (Room 1-C-12)
7 Cambridge Drive
Trumbull, CT 06611
From Merritt Parkway (Route 15) North or South :

Exit 48 - Left off exit if travelling Merritt Parkway Southbound or right off exit if travelling Merritt Parkway
Northbound onto Main St (Route 111)

Pass Westfield-Trumbull Mall on right and take left at 2nd traffic light onto Old Town Road

At 3rd stop sign, go straight on to Cambridge Drive

First building on the left

Follow the signs to Cambridge Commons
From Connecticut Turnpike (I-95) North or South :

Exit 27A. Continue Straight ahead on combined Routes 8 and 25 to fork. Bear left onto Route 25.

Take Exit 7, Merritt Parkway South to Exit 48.

Take left from onto Main Street (Route 111)

Pass Westfield-Trumbull Mall on right and take left at 2nd traffic light onto Old Town Road

At 3rd stop sign, go straight on to Cambridge Drive

First building on the left

Follow the signs to Cambridge Commons
Area Hotels:
Holiday Inn Express
Courtyard by Marriott Shelton
Shelton Hilton Garden Inn
Trumbull Marriott
203-925-5900 | 695 Bridgeport Avenue, Shelton, CT 06484
203-929-1500 | 780 Bridgeport Avenue, Shelton, CT 06484
203-447-1000 | 25 Old Stratford Road, Shelton, CT 06484
203-378-1400 | 180 Hawley Lane, Trumbull, CT 06611
5151 Park Avenue  Fairfield CT 06825-1000  Tel. 203.365.7656  Fax 203.365.4723