Shenandoah University Division of Physical Therapy
Course Name:
Clinical Internship 2 – Spring 3rd Year
Clinical Internship 3 – SpringSummer 3rd Year
Course Number:
Credit:
Hours:
Semester:
Faculty:
PT 854 and PT 855
6 Credits
13 weeks, full time
Spring and Summer, 3rd year
Dr. Missy Wolff-Burke - course coordinator
Course Description
The purpose of each learning experience is to progress the PT student to the level
of an entry-level clinician at the completion of EACH clinical internship. The
amount of assistance required by the clinical instructor will gradually decrease as
the student progresses within each Clinical Internship. These experiences are
geared toward expanding clinical problem solving and demonstrating the critical thinking
and patient management skills of an entry-level Physical Therapist. New concepts and
skills specific to the clinical experience will be incorporated.
The three Clinical Internship experiences should be varied between IP, OP, Rehab,
Pediatrics and other clinical experiences as clinical contracts allow. An in-service (or
service-in-kind) is required in each setting.
Under the direct supervision of a practicing physical therapist, the experience is
designed to allow the student “hands-on” learning. Adherence to and a progression of
behaviors as identified in the PT-Specific Generic Abilities (updated to Professional
Behaviors) and Core Values are expected.
Direct Supervision: The physical therapist is physically present and immediately
available for direction and supervision. The physical therapist will have direct contact
with the patient during each visit. Telecommunications does not meet the requirements
of direct supervision. (Definitions from the 2000 APTA House of Delegates, Position
Levels of Supervision, RC-25-00. Levels of supervision ) These definitions do NOT
supersede the regulations of a facility or state.)
Required Texts
None. Students should avail themselves of their textbooks, and other educational
material as needed to be effective and to advance their own learning during the clinical
experience.
Course Objectives Clinical Internship 2 and 3 (PT 854, 855): At the completion of
each full-time clinical experience, the student will have progressed to entry-level clinical
performance, (interval 5) on the CPI Web, with comments that support that interval. The
student will be evaluated on all 18 clinical performance criteria:
Professional Practice
1. Safety
2. Professional Behavior
3. Accountability
4. Communication
5. Cultural Competence
6. Professional Development
Patient Management
7. Clinical Reasoning
8. Screening
9. Examination
10. Evaluation
11. Diagnosis and Prognosis
12. Plan of Care
13.
14.
15.
16.
17.
18.
Procedural Interventions
Educational Interventions
Documentation
Outcomes Assessment
Financial Resources
Direction and Supervision of Personnel
Professional Behavior:
Professional Behaviors and The Core Values have been adopted by the Shenandoah University
Division of Physical Therapy faculty as essential components of the program and considered
necessary for successful fulfillment of the requirements of the program. The process of becoming
an effective physical therapist involves attaining competency in cognitive knowledge,
psychomotor skills and professional behavior. Each aspect of this triad is equally important for
the student to develop as s/he progresses through the Physical Therapy Program. The items
define the professional behavior expected of Shenandoah University Division of Physical
Therapy students. Appropriate levels of behavior are expected in all courses. To facilitate
development of competency in the professional behaviors, the instructors will provide, when
necessary, opportunities to practice, and provide formal and informal feedback to the student
throughout the semester. The student will be responsible for ongoing self-assessment and for
seeking feedback from faculty and fellow students.
Professional Behaviors
1. Critical Thinking - The ability to question logically; identify, generate and
evaluate elements of logical argument; recognize and differentiate facts,
appropriate or faulty inferences, and assumptions; and distinguish relevant
from irrelevant information. The ability to appropriately utilize, analyze,
and critically evaluate scientific evidence to develop a logical argument, and
to identify and determine the impact of bias on the decision making process.
2. Communication - The ability to communicate effectively (i.e. verbal, nonverbal, reading, writing, and listening) for varied audiences and purposes.
3. Problem Solving – The ability to recognize and define problems, analyze
data, develop and implement solutions, and evaluate outcomes.
4. Interpersonal Skills – The ability to interact effectively with patients,
families, colleagues, other health care professionals, and the community in a
culturally aware manner.
5. Responsibility – The ability to be accountable for the outcomes of personal
and professional actions and to follow through on commitments that
encompass the profession within the scope of work, community and social
responsibilities.
6. Professionalism – The ability to exhibit appropriate professional conduct
and to represent the profession effectively while promoting the
growth/development of the Physical Therapy profession.
7. Use of Constructive Feedback – The ability to seek out and identify quality
sources of feedback, reflect on and integrate the feedback, and provide
meaningful feedback to others.
8. Effective Use of Time and Resources – The ability to manage time and
resources effectively to obtain the maximum possible benefit.
9. Stress Management – The ability to identify sources of stress and to develop
and implement effective coping behaviors; this applies for interactions for:
self, patient/clients and their families, members of the health care team and
in work/life scenarios.
10. Commitment to Learning – The ability to self direct learning to include the
identification of needs and sources of learning; and to continually seek and
apply new knowledge, behaviors, and skills.
May WW, Morgan B, Lemke JC, et al. Model for ability-based assessment in physical
therapy. Journal of Physical Therapy Education. 1995;9(1):3-6.
*Professional Behaviors were developed by Warren May, Laurie Kotney and Annette
Iglarsh (2010) as an update to the Generic Abilities referenced above.
The Core Values (American Physical Therapy Association, 2002) Students are expected to selfassess and demonstrate the Core Values frequently.
1.
Accountability
2.
Altruism
3.
Compassion/Caring
4.
Excellence
5.
Integrity
6.
Professional Duty
7.
Social Responsibility
Clinic Preparation
The student is required to be current in all health records, CPR, criminal background
check and other items as stated in the clinical contract and additional documentation
before beginning any clinical experience.
Clinical Education Promotion and Dismissal Policies statement
Clinical experiences are expected to be in a variety of settings with the expectation of
entry- level competence at the completion of the second and third internships. All
clinical experiences must be passed in progression to continue in the program and meet
program requirements for graduation.
Grading Policy
A grade of Pass, Incomplete or Fail can be awarded for each clinical experience. The
grade is determined by the DCE with input from the CI and CCCE and when necessary,
the SU PT faculty. The pass/fail grade relates to the quality and consistency of the
student performance, efficiency and complexity of tasks as appropriate for level, amount
of supervision/guidance, and adherence to all safety criteria.
Pass
The student meets the criteria for level in the program. 60% of the grade is reflected in
the grade assigned to the clinical internship by the DCE. 40% of the grade is reflected in
the following: completeness and timeliness of the assignments (15%), attendance at
class meetings (10%), and timely submission of all required forms (15%).
Assignments (15% of course grade)
Clinic assignments need to be turned into Blackboard by the date listed, one
page max. The purpose is to increase your awareness of your professional
growth and behaviors. No points will be awarded for assignments not in
Blackboard on the due date. PROOF OF ATTENDANCE at an 8-hour Continuing
Education Course and Conclave is required by the completion of Clinical
Internship 3. (Class of 2014 – 16 hours a NSC accepted.)
Class meetings (10% of the course grade)
There will be a minimum of 3 MANADATORY class meetings scheduled during
semester. These meetings are required as they cover policy and procedures
related to successful clinical practice, including expectations for performance,
understanding the clinical evaluation tool, clinical practice assignments, and
discussion of issues pertinent to clinical education. If for some reason, the
student is unable to attend or will be tardy, the student is expected to notify the
instructor prior to the class. Excused absences follow University guidelines
(personal illness, death in the immediate family) and professional or special
activities that have prior approval. Physician and dental appointments, etc, other
than emergency, are not excused absences. In the event of a missed meeting,
the student will be required to obtain the content from a classmate, and complete
any required material within one week of the class meeting. It is the
responsibility of the student to obtain the information presented in the meeting.
Submission of Forms (15% of the course grade)
Grades for all clinical experience are pass/fail/incomplete. It is the responsibility
of the student to see that all materials (grading forms, evaluations of the clinical
site, course evaluations and other information/assignments as required) are
complete and turned into the DCE by the stated deadlines. Delays or repeat
emails to individuals will be reflected in a decrease in this portion of the
grade.
Incomplete
An incomplete will be assigned following the guidelines in the graduate student
handbook.
Fail
Did not meet the criteria for your level in the program. Failure to complete paperwork
(unless extenuating circumstances are apply and are accepted) will result in the student
not being allowed to continue the succeeding semester in the clinical experiences.
A failed clinic will be repeated in a similar clinical learning environment (if possible) at the
discretion of the faculty. The student will be required to register for the repeat course. If
a second or repeat clinical experience is failed, the student cannot continue in the
program as failure of a second course, regardless of GPA, results in dismissal from the
Division of Physical Therapy (12.0 Student handbook).
Remediation procedures
When necessary remediation will take place during a clinical experience. The DCE, the
student, the CI, and CCCE will be involved in writing a remediation contract. The
contract will identify specific areas of deficit and the expected outcomes to demonstrate
improvement. The contract requirements must be fulfilled in addition to the usual
expectations for the clinical experience.
Inservice/Service in Kind
The student is required to provide education to the PT (or other) staff members of the
affiliating institution. This can be a didactic session or service-in-kind (a brochure or
quality assurance, etc.). Any unoriginal materials (i.e.: class notes) used for the
inservice must follow appropriate copyright laws.
Disabilities
Any student who has a disability and is in need of clinic accommodations, please contact
the instructor and the Office of Academic Affairs. (540-665-4525).
Dress Code
See student handbook. Reminder: maximum of two earrings/ear and no other visible
body piercing or tattoos. No hats, no exposed torso, no gum. Keep nails short.
Honor Code
Patient safety and professionalism, in addition to trust and mutual respect are critical
behaviors in a health care environment. To encourage and support such an
environment, Shenandoah University has adopted an Honor Code. Students are
expected to read the provision of the Honor Code and to abide by them. The
Shenandoah University Honor Code allows for evaluative judgments to be made based
on professional conduct and ethical behavior. Should a student be found guilty of
violations of the Honor Code the student may not be given the option to repeat a clinical
experience.
Plagiarism
Plagiarism is the willful copying of the language, structure, ideas, or thoughts of another
person without proper acknowledgement, or submitting purchased work, or
misrepresenting another person’s work as one’s own. Plagiarism will not be tolerated
and is an Honor Code offense.
These policies are subject to change and based on the needs of the student and the
ability of the clinics and program to accommodate the needs of the student.
Syllabus Internship 2 & 3
December 2012