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Doctor of Physical Therapy Program

Spring B PHT7944C: Clinical Internship 3B

Credits: 5

Contact Hours: 40+/-hours per week non-lecture (commensurate with full-time employee)

Class Schedule: Per Clinical Faculty

Instructors: Director of Clinical Education, Assistant Director of Clinical Education, Clinical Faculty

 

Course Description: Clinical Internship 3B is the final patient experience prior to graduation. This experience provides students with the opportunity to meet entry-level requirements to practice as a physical therapist. Students continue to practice examination, evaluation, intervention, documentation, consultation and administrative skills under the supervision and guidance of a licensed physical therapist, but are expected to function at the level of a new graduate by the completion of this experience. Student assignments are individualized and based on the students’ areas of clinical interest, academic performance, prior clinical education experiences, and clinical performance. Students may be placed in inpatient hospital, rehabilitation settings, outpatient clinics, skilled nursing facilities, schools, home care settings and/or other specialty practices. Patients with orthopedic, musculoskeletal, neurological, and/or cardiopulmonary diagnosis may be encountered. Through reflective journal writing students will further develop their self-assessment skills as they begin to transition from the role of student to that of an entry-level doctorally prepared physical therapist. Students will practice in accordance with the American Physical Therapy Association Code of Ethics and Guide to Physical Therapist Practice, the practice act of the state in which they are practicing, and according to the policies and procedures of the individual facility where they are assigned.

 

Prerequisites: Successful completion of ALL previous courses in the DPT curriculum.

 

Clinical Prerequisites:

The following is required prior to clinical placement: 

  • Background Check completed through CastleBranch
  • 10-panel Drug Screen
  • Up-to-date BLS certification
  • Yearly health examination
  • MMR immunization proof
  • Tuberculosis check: Written proof of negative Tb skin test within twelve months, or chest xray within three years
  • Hepatitis B: Written proof of immunity via titer, or a signed waiver
  • Varicella: Written proof of immunity via titer
  • Tetanus/Diphtheria immunization
  • Professional Liability Insurance – provided by UNF
  • Additional requirements may be imposed by the clinical site.

Instructional Methods: Students receive clinical mentoring at their assigned clinical internship site by a licensed physical therapist. Students are expected to demonstrate adult learning behaviors by seeking out learning opportunities and clearly communicating goals and expectations to clinical mentors and faculty.

 

Course Accommodations: 

 If for any reason students feel they will have difficulty meeting the objectives and expectations of this course, the student should notify the instructor within five (5) weekdays of the start of class so that accommodations may be implemented where indicated. Students with disabilities who seek reasonable accommodations in the classroom or other aspects of performing their coursework must first register with the UNF Student Accessibility Services (SAS) located in Building 57, Room 1500. SAS staff members work with students to obtain required documentation of disability and to identify appropriate accommodations as required by applicable disability laws including the Americans with Disabilities Act (ADA). After receiving all necessary documentation, the SAS staff determines whether a student qualifies for services with SAS and if so, the accommodations the student will be provided. SAS staff then prepares a letter for the student to provide faculty advising them of approved accommodations. For further information, contact the SAS by phone (904) 620-2769, email (SAScenter@unf.edu) , or visit the SAS website

 

Required Texts

  1. Guide to Physical Therapist Practice
  2. Clinical Performance Instrument Web training completed 

 

Recommended Texts:

Students will benefit from utilizing materials and texts associated with previous academic courses and course notes related to the student's particular type of internship. 

 

Grading Criteria:

The on-site Clinical Instructor (CI) will assess and document the student’s performance of skills, including written and verbal communication with patients, families, and colleagues utilizing the CPI at midterm and during the final week of the internship. Students will also self-assess their clinical performance and professional behaviors using the CPI at midterm and during the final week. Students and Clinical Instructors should meet on an on-going basis throughout the internship to discuss goals and objectives, strengths and weaknesses, and to plan future learning experiences. Minimal acceptable criteria for this internship are as follows:

  1. Satisfactory completion of all prerequisite requirements as outlined above. Immunizations and certifications must be in compliance with site policies.
  2. Attendance at scheduled clinical internship, with any absences over 2 days being made up at the discretion of the Academic and Clinical Faculty.
  3. Timely completion of all written or oral assignments by the Academic or Clinical Faculty.
  4. Completion of an inservice on a topic selected in consultation with the CI or DCE, or an educational or administrative project, as required.
  5. Completion and submission of all documentation provided to the DCE according to deadlines provided. Documentation includes, but is not limited to: reflection assignments, midterm and final CPI completed and signed by student and the CI, inservice evaluation or administrative project, case study, and Student Evaluation of Clinical Experience.
  6. No “unresolved significant concerns” indicated by the CI on the CPI.
  7. Satisfactory completion of performance criteria on the CPI as determined by the DCE in conjunction with the CI. DCE to determine final grade.
  8. Must score 90% of possible points in the clinical course in order to earn a passing grade. 
 

Attendance and Punctuality

Attendance is mandatory for scheduled work hours with the CI. These hours may vary according to the facility. Any absences must be reported to the DCE on or before the day of occurrence. Students may be required to make up absences greater than 2 days at the discretion of the Academic and Clinical Faculty. Multiple absences may result in termination of the clinical rotation and failure in the course. Students must be punctual throughout the internship. Failure to comply will result in termination of the clinical rotation and failure in the course.

 

Academic Integrity Code And Academic Misconduct Policies:

Students are expected to abide by the graduate school’spolicy on academic integrity. The academic integrity of UNF and the Physical Therapy Program will be strictly enforced. Academic dishonesty will not be tolerated. Violations of academic integrity include, but are not limited to: Cheating, Fabrication and Falsification, Multiple Submissions, Plagiarism, Abuse of Academic Materials, and Complicity in Academic Dishonesty. Adherence to this policy is consistent with behaviors expected of a health care professional and reinforces the APTA Code of Ethics that forms the foundation for ethical practice of physical therapy. Failure to abide by the UNF policy on academic integrity will result in immediate dismissal from the Physical Therapy Program.

 

Grading Scale:

This course will be graded on a pass/fail basis. Students must show satisfactory completion and submission of all documentation and assignments noted in the Grading Criteria section of this syllabus as well as earning 90% of the possible points. 

 

Notification of DCE/ADCE:

If at any time a student suspects a potential or current problem within the clinical rotation, the DCE should be notified as soon as possible. Failure to do so may negatively impact the ability of the program to assist the student in the completion of a satisfactory rotation, and may ultimately delay the student’s graduation.

 

Course Objectives: Upon completion of this course, the student should be able to: 

  1. Maintain confidentiality by exchanging information only with appropriate professionals, and reviewing written documents in approved, secured areas according to the policy and procedures of the facility. (1.0) (CC-5.1, CC-5.3, CC-5.11)
  2. Consistently practice in a safe, professional, ethical, and legal manner. (3.0) (CC-5.1, CC-5.2, CC-5.3, CC-5.35, CC-5.4, CC-5.10, CC-5.11, CC-5.14)
  3. Consistently demonstrate professional interpersonal skills and communication; initiate review of effects of lapses by self or others on patient outcomes. (3.0) (CC-5.11, CC-5.17)
  4. Utilize time and resources efficiently and effectively with intermittent guidance by the Clinical Instructor. (3.0) (CC-5.11, CC-5.12)
  5. Participate in health promotion, wellness and prevention programs as appropriate. (3.0) (CC-5.5, CC-5.50, CC-5.51, CC-5.52 CC-5.64)
  6. Educate others using relevant and effective teaching methods based on a needs assessment. (4.0) (CC-5.26)
  7. Assess patient needs in order to appropriately refer and coordinate services with other healthcare providers as needed, in conjunction with the clinical instructor. (4.0) (CC-5.27)
  8. Direct and supervise PTAs and support personnel in an ethical and legal manner. (5.0) (CC- 5.1, CC-5.3, CC-5.11, CC-5.14, CC-5.40, CC-5.57)
  9. Consider reimbursement and regulatory issues when developing treatment plans, documentation, and billing. (6.0) (CC-5.2, CC-5.10, CC-5.34, CC-5.37, CC-5.42, CC-5.56)
  10. Develop self-assessment and self-directed learning through reflection. (6.0) (CC-5.10, CC- 5.12, CC-5.13, CC-5.61)
  11. Integrate knowledge and skills from all previous academic and clinical coursework to perform screenings, examinations, and differential diagnosis on simple and complex patients. (6.0) (CC-5.27, CC-5.28, CC-5.30)
  12. Compose patient care plans utilizing clinical problem solving and professional judgment, with limited input from the clinical instructor. (6.0) (CC-5.19, CC-5.20, CC-5.31, CC-5.34, CC- 5.35, CC-5.36)
  13. Synthesize skills in order to examine patients, evaluate findings, design and modify appropriate interventions, develop plan of care, and follow through in discharge planning and development of home exercise plans as an effective member of the healthcare team. (6.0) (CC-5.19, CC-5.20, CC5.29, CC-5.31, CC-5.32, CC-5.33, CC-5.34, CC-5.35, CC-5.36, CC- 5.38, CC-5.39, CC-5.58) 
 

** The course instructor reserves the right to alter course requirements and/or assignments based on new materials, discussions with Clinical Faculty, or other legitimate pedagogical objectives.

  

Revised: Feb 2017