R.E.A.D. Newsletter
May 1999
R.E.A.D. is produced biannually by the Education
Division of the
American Physical Therapy Association. The purpose of
this publication is to communicate with the physical therapy
education community about current and future directions,
trends, and initiatives being undertaken and explored by the
Education Division as well as related areas within the
Association.
NOTE: All future editions of READ will appear
only on this Web site and will no longer be available in hard
copy format. Please look for the next edition of READ in
December, 1999.
If your institution has a Web site or a change needs to be
made to your program's link, please contact APTA's Education
Division by e-mail (education@apta.org) and
we will update the accredited and developing education program
lists found under the Education heading on APTA's home page.
Table of ContentsGovernment
Affairs
Clinical
Education
Women's
Initiatives
Foundation
Scholarships and Grants
Specialist
Certification
Student
Information
APTA
News
PT
'99
TOOT
GOVERNMENT AFFAIRS
All-Payer Graduate Medical Education ActOn March 23,
Representative Cardin (D-Md) introduced H.R. 1224, the
All-Payer Graduate
Medical Education Act, which would
expand the Graduate Medical Education (GME) program to
include physical therapists and other nonphysician
providers. To show APTA's support of this
measure, Frank
Mallon, CEO of APTA, gave the following statement at the press
conference held
by Rep Cardin to announce this new
legislation.
Good
afternoon. I am Frank Mallon, Chief Executive Officer of the
American Physical
Therapy Association. APTA represents more than 74,000 physical
therapists, physical
therapist assistants, and students of physical therapy. As the
preeminent organization
representing the physical therapy profession, the
Association’s goal is to foster
advancement in physical therapy practice, research, and
education.
I
appreciate the opportunity to speak today in support of the
All-Payer Graduate
Medical Education Act, and I want to thank Rep Cardin for his
work on this important
issue. This legislation represents significant changes in the
funding of graduate education
of
health care providers in the United States.
Of
particular interest to APTA is the initiation of funding for
graduate education costs
for
physical therapists and other nonphysician practitioners. The
bill authorizes $300
million to provide postgraduate educational support for
nonphysician providers, such as
physical therapists. This support is certainly needed to
prepare doctoral level physical
therapist educators and researchers.
There is a great shortage of faculty in physical therapist
education programs. In 1998, in
the
219 accredited and developing physical therapist programs,
there were
approximately 165 faculty vacancies. These vacancies exist
primarily in
postbaccalaureate programs and require physical therapists
educated at the graduate
level. Expanding the GME program to include graduate education
for physical
therapists will contribute significantly to addressing the
problems created by these
vacancies.
The
current health care environment has also adversely affected
the availability of sites
for
clinical education. Because of the changes in Medicare
reimbursement resulting from
the
Balanced Budget Act of 1997, an increasing number of practice
sites no longer
have the resources to allow them to participate in clinical
education programs. APTA
believes that the inclusion of physical therapists in the GME
program, as proposed by
Rep
Cardin’s legislation, is an important step towards alleviating
this situation.
Additionally, there is a growing need for research in the area
of physical therapy. These
new
funds will advance research by doctorally prepared physical
therapists in areas
such as cardiopulmonary, geriatrics, neurology, orthopedics,
and pediatrics, to name
just a few. An investment such as this will greatly enhance
the evidence basis of physical
therapist practice which will ultimately mean better quality
care for physical therapy
patients.
The
All-Payer Graduate Medical Education Act is a great step
forward in promoting
the
highest quality of health care for our nation. I commend Rep
Cardin for his
leadership in this effort.
Five other Democrat Representatives joined Rep Cardin in
support of H.R. 1224, Reps Stark,
Lewis, Bentsen, Kleczka,
and Levin. Call or write to your Congressmen and urge them to
cosponsor
Rep Cardin’s bill. For more information about
this issue, call Kristen Nelson, APTA's Assistant
Director
of Federal Affairs, at 800/999-2782, ext 3165.
Take Action PacketsAPTA’ s Government Affairs
Department has created "Take Action" packets to assist APTA
components in addressing frequently occurring legislative
and regulatory challenges. Nine packets
will be available
by July 1999 on the topics of manipulation, kinesiotherapy,
exercise physiologists,
occupational therapists, massage
therapy, athletic trainers, personal trainers, superboards,
and
orthotists and prosthetists. Each "Take Action" packet
is designed to be user friendly and brief,
covering the
essential facts needed in an issue campaign when time is of
the essence. Therefore, this
document is not intended to
be all encompassing nor is it tailored to specific or unique
situations. The
"Take Action" packets will be distributed
to APTA components. Each component will decide how
to best
distribute the "Take Action" packets to members. Please
continue to work with APTA State
Relations for your
specific needs by calling 800/999-2782, ext 3161/2.
Don’t Miss This Event!A symposium called
"Strategies for Linking Best Practice With Managed Care
Ideology:
The Educator’s Challenge" has been
scheduled for Saturday, June 5, between noon and
3:00 pm
at PT '99: Annual Conference and Exposition of APTA. Corinne
Ellingham, MS,
PT; Sheryl Poremba, PT; and Rhea Cohn, MA,
PT (APTA’s Associate Director of
Reimbursement) are
leading this interactive session intended for both academic
and
clinical faculty. At the conclusion of the program you
will be able to: 1) identify how
managed care both
positively and negatively influences the practice of physical
therapy, 2)
identify variability of information that
students receive in the classroom versus the clinic, 3)
integrate concepts of differential reimbursement models
based on risk assumption and
treatment planning, and 4)
develop teaching strategies for integration of clinical
practice
under managed care into the clinical-
decision-making process. See you there!
HCFA Concedes to APTA Coding Recommendations:
Agency Deletes
CCI Edits on Manual TherapyOn April 20, 1999, APTA was
notified that the Health Care Financing Administration (HCFA)
and AdminaStar agreed with APTA on the Correct Coding
Initiative (CCI) edits on manual
therapy and “has decided
to delete the manual therapy code pairs.”
The news of the decision as well as the letter from HCFA
are posted on APTA’s Web
site
and available through the Fax-On-Demand system at
800/999-399-2782
(document # 803).
CLINICAL EDUCATION
Clinical Education and MedicareSeveral questions have
arisen recently regarding Medicare reimbursement for students,
an issue that
the Medicare law and regulations do not
specifically address. For physical therapists in private
practice (PTPP), Medicare requires that services be
furnished by employees of the therapy office
and that
those employees be supervised by the physical therapist. APTA
is aware that, because
students are not considered
employees, a Medicare carrier in one state wrote letters
informing some
PTPPs that they would not receive Medicare
reimbursement for the services furnished by the
students
in the PTPP setting.
With regard to the prospective payment system (PPS) for
skilled nursing facilities (SNFs), the Health
Care
Financing Administration (HCFA) has not published any specific
statements concerning the
status of students or
reimbursement for their services. Informally, HCFA staff has
indicated that the
Balanced Budget Act has required no
change in HCFA policy regarding the treatment of student
services. It is APTA's understanding that Medicare
considers students to be aides because they do
not meet
Medicare's definitions of physical therapists or physical
therapist assistants. This
understanding is derived from a
HCFA statement in response to comments on the Salary
Equivalency regulation.
APTA also has heard verbally from HCFA staff that Medicare
will allow the time of services
provided by aides in the
SNF setting to count as rehabilitation minutes for the purpose
of placing the
patient in a Resource Utilization Grouping
(RUG) category if the physical therapist is in the room with
the aide while the services are being provided.
APTA also has heard from membership that, due to the
implementation of the PPS, SNFs are
cutting back on their
student programs. Again, APTA is aware of no instance in which
a denial was
issued because a student was involved with
the provision of care. SNFs could be reducing their
participation in clinical education for any number of
reasons. For example, SNFs are reducing the
number of
physical therapy staff employed and, as a result, may have
fewer staff available to
supervise students; or, due to
changes in the Medicare reimbursement methods, they may be
attempting to maximize productivity; or a SNF may be
making a statement of opposition to the
proliferation of
physical therapist education programs.
It is possible that HCFA may address the issues of students
and aides in the final rule on the SNF
PPS, which is due
to be published in May 1999.
Update on Postprofessional Clinical Doctorate and
Clinical Education Consensus ConferencesFollowing the
completion of both consensus conferences, forums have been
held to provide
interested individuals with an opportunity
to learn more about the outcomes from these conferences
and to discuss the possibilities and implications that
these conferences have raised. Thus far, forums
and
meetings have been held on these topics at the 1999 National
Clinical Education Conference
cosponsored by the Florida
Clinical Education Consortium and the Florida Physical Therapy
Association, the 1999 Combined Sections Meeting, and
several educational programs in Texas.
Other meetings
planned for the future a meeting at Oakland University, the
Central Ohio Clinical
Education Consortia, the New England
Consortium, physical therapy education programs in
Oklahoma and Missouri, and a meeting at the University of
Colorado Health Sciences Center. If you
are interested in
sponsoring a meeting to discuss the postprofessional
"transition" clinical doctorate,
the advanced clinical
science doctorate alternative models of clinical education, or
other related
topics such as clinical residencies, the
APTA Clinical Performance Instrument, or A Normative
Model of Physical Therapist Professional Education
and Physical Therapist Assistant Education,
please contact
Vanessa Herman at mailto:vanessaherman@apta.orgor
at 800/999-2782, ext 8548.
S/SCAMP UpdateWe have been diligently working on the
computer upgrade version to the MS Windows 95 version
of
the Student/Site Computer-Assisted Matching Program (S/SCAMP).
This software is scheduled
for beta testing this spring
with four academic programs that already have been using the
DOS-based
version. Following the outcome of the testing,
revisions will be made to the software accordingly
along
with changes needed in the instruction manual to ensure ease
of use. The upgrade version will
be able to transfer all
information from the DOS-based version so administrators will
not need to
re-enter information contained in the current
fields. However, some new fields that have been added
based on user comments, such as the fax, e-mail, and
administrator fields (date of last visit, date of
last
contract, etc) will require that the new information be
entered. This program has many new and
enhanced features
such as the ability to enter all clinical education rotations
for identified academic
years; to conduct student/site
clinical placement matches for multiple rotations without
having to
re-enter clinical site placement commitments; to
back up the clinical site and student databases; to
archive and retrieve information from student and clinical
site databases; to print labels, envelopes,
and customized
correspondence. This software program will be provided as an
upgraded version for
those who currently have S/SCAMP in
DOS-based format and will be priced accordingly. For
those
who do not currently own S/SCAMP, the software will be priced
as a new software product
at $1,700 for members and $2,400
for nonmembers. Should you be interested in previewing this
computer software product and its capabilities, please
visit the APTA Resource Center at PT ’99:
Annual
Conference and Exposition of APTA.
Academic Coordinator/Director of Clinical Education
(ACCE/DCE) Model Position DescriptionThe 1997
version of the APTA Model Position Description was revised to
reflect the current status
of roles and responsibilities
of ACCEs in the aggregate based on comments and suggestions
provided by ACCEs in 1999. The position description has
been included with this edition of READ
to all
ACCEs/DCEs for their information. Should you be interested in
a copy of this document you
may find it on APTA’s Web
site or you may contact APTA’s Department of Physical
Therapy Education at 800/999-2782, ext 3203.
APTA Clinical Performance Instruments (CPI)We are
still diligently working on the computer-based version of the
CPI that is anticipated
for initial beta testing this
spring. Following testing and any revisions that may be
required,
the refined computer-based version of the CPI
will be made available on a for-sale basis.
The computer
version of the CPI allows the clinical education site and
student to complete
the CPI on computer and return their
evaluations through diskette. The academic program
that
purchases the software is able to review student evaluations
and subsequently perform
basic data analysis through a
variety of identified cohorts (eg, by class, by student, by
clinical instructor). In addition, data may be exported in
a format that allows for more
complex data analysis using
other software such as SPSS+, SAS, or other program. The
cost of this product, once available, will be $900
assuming that the purchaser already owns
the CPI Manual
($100 for members). Purchasers of the computer version of the
CPI must
own the Clinical Instructor Manual or purchase
both products together for $1,000. Should
you be
interested in previewing this computer software product and
its capabilities, please
visit the APTA Resource Center at
PT ’99 Annual Conference and Exposition of APTA.
APTA Clinical Instructor Education and Credentialing
ProgramA forum was held for Credentialed Clinical
Trainers at the 1999 Combined Sections Meeting in
Seattle,
Wash. This gathering was intended to provide Credentialed
Clinical Trainers with an
opportunity to share information
on creative teaching strategies that have been effective in
providing
the Clinical Instructor (CI) Education and
Credentialing Program along with methods for enhancing
efficiency in the delivery of the Assessment Center. The
networking session was followed by a small
reception to
recognize the contributions that these individuals have made
to physical therapy
education and the profession.
The fourth Train-the-Trainer Program to prepare individuals
to be able to provide the (CI) Education
and Credentialing
Program was held on April 10-12, 1999, in Alexandria, Va.
Eighteen individuals
participated in this 3-day program.
Since the inception of this program, the 106 individuals that
have
been awarded Credentialed Clinical Trainer status
have offered 129 courses throughout the United
States. An
additional 19 courses are planned through August 1999. To
date, 3,015 physical
therapist and physical therapist
assistants have been awarded Credentialed CI status.
APTA Guidelines for Clinical Education and
Self-AssessmentThe APTA Guidelines for Clinical Education
and Self-Assessment were initially adopted by the
APTA
Board of Directors in 1992 and endorsed by the House of
Delegates in June 1993. This
document was recently revised
and updated to ensure that the document remains contemporary
and
reflects language that is congruent with the Guide
to Physical Therapist Practice, A Normative
Model for Physical Therapist Professional
Education, and A Normative Model of Physical
Therapist Assistant Education. As a result, the
Board of Directors adopted the revised 1999
Guidelines for
Clinical Education at their March 1999 meeting. One copy of
the 1999 Guidelines for
Clinical Education has been
provided for each physical therapy program and is enclosed
with READ
for each ACCE to share with colleagues
and faculty. Persons interested in obtaining a copy of this
document should contact APTA’s Service Center at
800/999-2782, ext 3395, and request Order
No. E-48.
WOMEN'S INITIATIVES
Women's Issues Resource Guide RevisedThe newly
revised Women's Issues Resource Guide is now available!
This comprehensive
resource guide for physical therapists
and physical therapist assistants includes
information on
women in business, work and family, pay equity, career
planning, and more.
New in this edition are reprints of
articles on gender issues published in PT Magazine. The
Women's Issues Resource Guide (Order No. P-119) can be
ordered from the APTA Service
Center at 800/999-2782, ext
3395. 190 pages of information for only $12.50 for APTA
members!
Mentoring UpdateThe Members Mentoring Members
directory is now in its second edition! The response to
the mentoring program has been great, and a second
printing has been necessary both to
include new mentors
and to fulfill the requests for directories from members.
How the Program Works
Over the past year, APTA has been recruiting mentors from
throughout the Association’s
membership. Those interested
in becoming mentors completed a personal statement and
application form and submitted it to the Department of
Women’s Initiatives. The
department then compiled the
application information into a database, which subsequently
produced the profiles for the Members Mentoring
Members directory.
The directory lists prospective mentors in two ways: by
geography and by expertise. This
multiple-listing method
assists protégés in finding mentors who are a good match for
the
protégé 's professional interests and career goals.
The geographical listing contains the
most comprehensive
mentor profiles, including personal statements (if submitted),
providing additional information about the mentors, and a
complete listing of the mentors’
self-identified areas of
expertise.
The Members Mentoring Members program does not match
mentors and protégés, but
rather provides comprehensive
information that allows potential protégés to contact
prospective mentors directly. The program’s database of
volunteer mentors will be updated
continually, and revised
directories will be published periodically. The Members
Mentoring
Members directory is free to APTA
members and is distributed through the Department of
Women’s Initiatives. To obtain a directory or to become a
mentor, contact the department
at 800/999-2782, ext 8596.
Mentoring application forms also are available via APTA’s Web
site
and through the Fax-On-Demand system at 800/399-2782 (document
#1573).
FOUNDATION
SCHOLARSHIPS AND GRANTS
McMillan Doctoral Scholarships AvailableThe
Foundation for Physical Therapy is offering its annual
McMillan Doctoral Scholarships in the
amount of $5,000
each to students who have been accepted by a doctoral program
and are
beginning their first semester. Six scholarships
will be awarded this year. Applications are available
now,
by calling the Foundation at 800/875-1378 and are due August
15. Recipients will be notified
in November, and awards
will be disbursed in December.
Foundation for Physical Therapy Research Grants for the
Year 2000Requests for proposals (RFPs) will be available
in June 1999 for new $40,000 research grants that
will be
awarded in the year 2000. The deadline for applying for the
research grants below is August
13, 1999. Funding begins
January 1, 2000.
The following research grants are made possible through
generous donations from several sections of
the American
Physical Therapy Association:
- Evaluate the effectiveness of physical therapist
interventions for persons with musculoskeletal
disorders, made possible by the Orthopaedic Section of APTA.
- Evaluate the effectiveness of physical therapist
interventions for older adults
with musculoskeletal
disorders, made possible by the Orthopaedic Section of APTA
and the Section on Geriatrics
of APTA.
- Evaluate the effectiveness of physical therapist
interventions for children, made possible by the Section on
Pediatrics of APTA.
- Evaluate the effectiveness of physical therapist
interventions for persons with
sports-related injuries, made
possible by the Sports Physical Therapy Section of APTA.
The following research grant is made possible by
generous personal donations to the Foundation for
Physical
Therapy:
- Evaluate the effectiveness of physical therapist
practice.
If you have questions regarding research
grant RFPs, please contact the Foundation for Physical
Therapy by phone at 800/875-1378, by fax at 703/706-8519,
or by e-mail at foundation@apta.org.
To be considered for a research grant, the principal
investigator must be a licensed physical therapist
in the
US (or have received a passing score on the licensure exam and
be awaiting licensure).
Foundation for Physical Therapy Announces Award
WinnersThe Foundation for Physical Therapy Board of
Trustees will disburse $270,000 for the 1999
Doctoral
Opportunities for Clinicians and Scholars (DOCS) program. The
DOCS program
consists of two elements: the New
Investigator Fellowships Training Initiative (NIFTI)
program and a three-level Promotion of Doctoral Studies
(PODS) program. This year,
three fellowships and 16
scholarships will be awarded.
The DOCS NIFTI program is designed to fund doctorally
prepared physical therapists as
developing researchers and
to improve their competitiveness in securing external funding
for their
future research. The specific eligibility
requirements and criteria for review and selection are
outlined
in the 1999 DOCS application and guidelines.
The following physical therapists will each receive a
$30,000 1999 NIFTI fellowship for the year
September 1,
1999, through August 31, 2000:
Ann E Barr, MS, PT, PhD
Temple University
Topic:
Pathophysiological changes in musculotendon and neural
tissues in a rat model of cumulative
trauma injury:
exposure-response between repetition rate and
injury. Carolynn Patten, PhD, PT
Palo Alto Institute
for Research and Education (PAIRE)
Topic: Motor unit
discharge activity and control of functional movement in
patients with hemiplegia.
Gretchen B Salsich, PhD, PT
University of Southern
California
Topic: Biomedical determinants of
patellofemoral joint stress.
The postprofessional Promotion of Doctoral Studies
scholarships (PODS I and PODS II) fund
doctoral students
who have completed 1 full year of course work and wish to
continue their course
work or enter the dissertation phase
of their education.
The PODS I $7,500 scholarships are awarded to support the
course work phase of doctoral
studies. The following
physical therapists are the 1999 recipients of the PODS I
scholarships:
Judith Marie Burnfield, PT
University of Southern
California
Anne Kelly Gross, MPT
Oregon Health Sciences University
JoAnn Kluzik, MS, PT
Oregon Health Sciences University
Catherine E Lang, MS, PT
Washington University in St
Louis
Dorian Kay Rose, MS, PT
University of Southern
California
Sheila Schindler-Ivens, MS, PT
University of Iowa
The PODS II $15,000 scholarships are awarded to support the
postcandidacy phase of doctoral
studies. Listed below are
the 1999 recipients of the PODS II scholarships.
Philip J Blatt, PT
University of Miami
($7,500,
expected graduation 12/99)
Gammon M Earhart, MS, PT
Washington University in St
Louis
Christian C Evans, MS, PT
The University of Illinois-
Chicago
Sheryl M Flynn, MHS, PT
University of Florida
Paul LaStayo, MPT
Northern Arizona University
J Timothy Noteboom, MS, PT, SCS, ATC
University of
ColoradoS Boulder
(recipient of the 1999 Viva J Erickson
scholarship*)
Jama Lynn Purser, MS, PT
University of North Carolina-
Chapel Hill
($7,500, expected graduation 12/99)
David W Russ, MPT
University of Delaware
Patricia L Sinnott, MPH, PT
University of California-
Berkeley
Mary T Thigpen, MHS, PT, NCS
University of Florida
* The Viva J Erickson scholarship is available to physical
therapists to fund postprofessional doctoral
studies to
prepare for academic leadership of physical therapy education
programs. The recipient is
selected from current
applicants who are awarded a PODS I or PODS II scholarship.
The Foundation for Physical Therapy is dedicated to
improving the quality of physical therapy
services by
providing scholarships, fellowships, and grants for the
pursuit of scientifically based and
clinically relevant
physical therapy research. To receive an application for the
year 2000 DOCS
program, call the Foundation for Physical
Therapy at 800/875-1378 or e-mail foundation@apta.org.
SPECIALIST CERTIFICATION
2000 Recertification ApplicationsCertified
specialists who wish to apply for recertification in 2000 may
contact APTA's Specialist
Certification Department by
phone at 800/999-2782, ext 8520, by fax at 703/838-8910, or by
e-mail at spec-cert@apta.org to
obtain an application booklet. Recertification materials also
are
available on the APTA
Web site. The application deadline is October 30, 1999.
2000 Specialist Certification ExamsThe American Board
of Physical Therapy Specialties (ABPTS) offers specialist
certification
examinations in seven specialty areas,
including cardiopulmonary, clinical electrophysiologic,
geriatric, neurologic, orthopaedic, pediatric, and sports
physical therapy. The examinations will be
administered
during the period of February 12-26, 2000, at Sylvan
Technology Centers.
Applications for the February 2000 examinations may be
requested by phone at 800/999-2782, ext
8520, by fax at
703/838-8910, or by e-mail at spec-cert@apta.org. Application
forms and
information also are available on the APTA Web
site. Applications must be postmarked on or before
August 27, 1999.
STUDENT INFORMATION
IMPORTANT MEMBERSHIP INFORMATION FOR YOU
Accurate Graduation Dates Are Important!APTA
membership is based on education, not on
licensure. Before student members can transfer to full
PT or PTA membership, we must verify that they actually
completed an accredited program. To accomplish this, 1
month prior to graduation, we send a letter to each school
requesting a list of their graduating students.
Completing and returning these graduation lists ensures that
your students will enjoy a smooth transition from student to
PT/PTA membership.
Student membership expires upon graduation.
Graduation is defined as the end of the month of commencement
or the end of clinicals, whichever comes later.
For this reason, it is vital that APTA’s Member Services
Department has accurate information about when your students
finish their programs. Please contact Kelly A Gardner at
800/999-2782, ext 3121, or by e-mail at kellygardner@apta.org
to verify the graduation date we currently have for your
program.
Reminder! Career Starter Dues
DeadlineWhat are Career Starter Dues?
Career Starter Dues were developed to help graduating PTs and
PTAs transfer into full dues payments--gradually.
Who’s eligible? Only students who are current APTA
student members at the time of graduation are eligible for
Career Starter Dues.
How does it work? New graduates who are
current student APTA members upon graduation will be invoiced
for only one-third of the total national and chapter dues
their first year out of school and they will pay only
two-thirds their second year after graduation.
Here’s some important info: Remember
student members must apply for Career Starter Dues within 30
days of their graduation. If they are not APTA members
at the time they graduate, they cannot take advantage of these
enormous savings.
How can I help? Students receive several
mailings regarding Career Starter Dues prior to their
graduation. However, we understand that students have a
lot on their plate prior to graduation. That’s where you come
in--if you would pass this important deadline information onto
your students, they will have a chance to save up to
two-thirds off the annual APTA dues. That is a savings of more
than $100!
Please contact Kelly A Gardner in Member Services at
800/999-2782, ext 3121, or by e-mail at kellygardner@apta.org
with questions or for further information.
APTA NEWS
Geri-Care Documentation Software Endorsed by
APTAGeri-Care Software is the only documentation and
data-collection software that is endorsed
by the American
Physical Therapy Association. The program incorporates the
protocols
and language of the Guide to Physical
Therapist Practice using point and click features of
MS Windows 95 or MS Windows 98. Geri-Care is
now available for physical therapy
educational programs
providing a dynamic multi-functional tool that can be used
throughout
the curriculum in preparing students to meet
the challenges of today’s profession. Students
will
understand the basic computer science of software applications
and hardware
configurations, demonstrate the functional
use of the Guide, demonstrate good clinical
decision
making in evaluating and reporting the progress of their
patients, understand the
federal and regulatory guidelines
for documentation and reimbursement, and articulate the
importance of the physical therapy profession to
standardize and automate routine data
collection while
developing large data repositories for research and outcomes
management.
If you have questions, need a demonstration,
or want more information, please contact
Gerry Stone, PT,
MEd, GCS, at 888/401-4400.
Professional Liability Insurance OfferAre your
students aware of the offer from HPSO (formerly Aon) to new
graduates that
provides first-year professional liability
insurance coverage at one-half the premium rate?
Students
can obtain information and rate quotes by calling HPSO at
800/982-9491. The
February 1999 edition of PT—Magazine
of Physical Therapy contains an excellent article
on
why physical therapists and physical therapist assistants
should have their own
professional liability coverage,
even if coverage is provided by one’s employer. The article,
"Professional Liability Insurance for the Employed PT," is
an excellent article for
classroom discussion during the
risk management portion of your curricula. Please contact
Jennifer Baker, APTA’s Director of Insurance & Member
Benefits, at 800/999-2782, ext
3145, or at jenniferbaker@apta.org
if you have any questions or need more information.
PTA and PTA Program InquiriesDecember 3, 1998 to
April 15, 1999
Joe Chadwick
Butler Business School
Bridgeport
Connecticut Tim Cravens
HADASSAH
New York New York
Jim Glen
Bakersfield College
Bakersfield California
Michael Hammer
Maric College
Vista California
Altaf Kagwalla
City of Naperville Illinois
Jennifer Yael Ruzek
University of California-San
Francisco
San Francisco California
PHYSICAL THERAPY '99
This year's annual conference, Physical Therapy '99, will
be held in Washngton, DC, from June 5-8,
1999. For your
information, we have highlighted programming related to
education,
cardiopulmonary, neurology, and orthopedics.
For complete programming details, refer to the March 1999
PT—Magazine of Physical Therapy or contact the
Department of Professional Development (800/999-2782, ext
3206). Get your Physical Therapy '99 registration and housing
information by calling the APTA Service Center at
800/999-2782, ext 3395, 8:30 am - 8:00 pm, Eastern time, by
calling our 24-hour Fax-On-Demand service at 800/399-2782
(document #1587), or through our Web site.
Sessions in the area of EducationSaturday, June
5
8:00 am - 9:30 am
Surviving, Striving & Thriving in
the Chaos of Change
Intermediate/.15 CEU
9:00 am - 10:30 am
Accessing International Physical
Therapy Opportunities
Multilevel/.15 CEU
9:30 am - 11:00 am
Getting the Necessary Information
With Ease: Locating Articles, Books & Internet Sites to
Support
Evidence-Based Practice
Basic/.15 CEU
9:30 am - 11:00 am
Why Physical Therapists Should
Become More Involved in Clinical Electrophysiology
Intermediate/.30 CEU
9:30 am - 12:30 pm
Promoting a Career-Development
Culture in Your Organization
Advanced/.30 CEU
10:00 – 11:30 am
Education Platform
.15 CEU
10:00 am - Noon
Fraud & Abuse
Multilevel/.20
CEU
11:00 am - 12:30 pm
Researching Complementary Therapies
Multilevel/.15 CEU
11:00 am - 2:00 pm
Case-Mix Adjustment & Physical
Therapy: Implications for Payment & Quality
Multilevel/.30 CEU
Noon - 3:00 pm
Strategies for Linking Best Practice
With Managed Care Ideology: The Educator’s Challenge
Intermediate/.15 CEU
1:00 pm - 4:00 pm
Designing a Pathway to the Future
Intermediate/.15 CEU
1:30 pm - 4:30 pm
The Immigrant Population: Physical
Therapy Needs
Multilevel/.30 CEU
1:30 pm - 4:30 pm
Synergistic Strategies: Promoting
Academic-Community Partnerships & Cultural
Competence
Across Disciplines
Multilevel/.30 CEU
2:00 pm - 3:30 pm
Beyond the Basics: Investment
Strategies for Physical Therapy Practitioners
Intermediate/.15 CEU
Sunday, June 6
7:00 am – 8:00 am
Active Learning: Educational Methods
.10 CEU
8:00 am - 9:00 am
Beating the Burnout Blues
Intermediate/.10 CEU
9:00 am - 10:30 am
Forum: A Discussion of Current
Professional Liability Cases
Intermediate/.15 CEU
9:00 am - 10:30 am
Forum on the Role of Theory
Intermediate/.15 CEU
9:00 am - 10:30 am
Guide to Physical Therapist
Practice: A User’s Forum
Intermediate/.15 CEU
9:00 am - 10:30 am
Home Care Regulatory Update:
Ensuring Compliance Through Awareness &
Understanding
of Regulatory Changes
Multilevel/.15 CEU
9:00 am - 10:30 am, 1:00 pm - 2:30 pm
Using the Guide
to Physical Therapist Practice as a Framework for Professional
Education
Intermediate/.30 CEU
9:00 am - 11:30 am, 1:00 pm - 2:30 pm
Administrative
& Educational Issues in the Implementation of a Year-Long
Paid Clinical
Internship for Entry-Level Students
Multilevel/.30 CEU
9:30 am - 11:00 am
Minority Health & Physical
Therapy
Multilevel/.15 CEU
10:00 – 11:20
Education Platform
.12 CEU
1:00 pm - 2:30 pm
Improving Patient Outcomes by
Enhancing Self-Advocacy Skills
Multilevel/.15 CEU
1:00 pm - 2:30 pm
Postprofessional Residency Program
Credentialing Forum
Intermediate/.15 CEU
1:00 pm - 2:30 pm
The Model Practice Act & You
Multilevel/.15 CEU
1:00 pm - 4:00 pm
Avoiding Malpractice
Multilevel/.30 CEU
1:00 pm - 4:00 pm
Challenging the Myths
Intermediate/.30 CEU
2:00 pm - 3:30 pm
The TriAlliance of Rehabilitation
Professionals: Managing the Impact of the Changing Health Care
Environment
Intermediate/.15 CEU
2:30 pm - 4:00 pm
Medicare Laws & Regulations
Intermediate/.15 CEU
2:30 pm - 4:00 pm
Preserving the History of Physical
Therapy Programs
Intermediate/.15 CEU
3:00 pm - 4:30 pm
Integrating Outcome Assessment &
the Disablement Process
Intermediate/.15 CEU
3:00 pm - 4:30 pm
Sharing Your Expertise: Successful
Mentoring Relationships
Intermediate/.15 CEU
3:00 pm - 5:00 pm
Catherine Worthingham Fellows Forum:
Create Your Own Success
3:30 pm - 5:00 pm
Forum on Reimbursement
Basic/.15
CEU
5:00 pm - 6:00 pm
The McMillan Lecture
6:00 – 8:00 pm
Education SIG PTA
6:00 – 8:00 pm
Education SIG – Academic Faculty
6:00 – 8:00 pm
Education Clinical Educators
6:30 pm - 9:00 pm
APTA Film Forum: Vietnam—Long Time
Coming
Basic/.15 CEU
6:30 pm - 8:00 pm
APTA Film Forum: Fire &
Water-Abreast in a Boat
Basic/.15 CEU
Monday, June 7
7:00 am – 8:00 am
Use of Technology in Education
.10 CEU
7:00 am – 10:00 am
Education Board of Directors
8:00 am - 9:00 am
PT Careers Without Walls
Intermediate/.10 CEU
9:00 am - 10:30 am
Advisory Panel on Women’s
Professional Issues Forum: Women & Work
Intermediate/.15 CEU
9:00 am - 10:30 am
Forum on Grantsmanship: NCMRR/NIDRR
Intermediate/.15 CEU
9:00 am - 10:30 am
Regulations: Balanced Budget Act
Intermediate/.20 CEU
9:00 am - 10:30 am
Scientific Writing: You Can Do It!
Intermediate/.15 CEU
9:00 am - 10:30 am
Thriving in Transition: Changes in
Health Care & You
Multilevel/.15 CEU
9:00 am - 10:30 am, 2:00 pm - 3:30 pm
The Law, the
Educator, the Practitioner, the Student: The Impact of the
Model Practice Act
Multilevel/.30 CEU
12:30 pm – 2:00 pm
Education Platform
.15 CEU
12:45 pm - 1:45 pm
The Maley Lecture: Innovations in
Clinical Practice
Multilevel/.10 CEU
2:00 pm - 3:30 pm
Reimbursement Issues Related to PTA
Services
Basic/.15 CEU
2:00 pm - 3:30 pm
Where Do Research Dollars Go? A
Historical Perspective on the Foundation
Intermediate/.15
CEU
2:30 pm – 4:00 pm
Education Section Business Meeting
2:30 pm - 4:00 pm
How to Care for Your Career:
Responding to Changes in Managed Health Care
Intermediate/.15 CEU
Tuesday, June 8, 1999
9:00 am - 10:30 am
ABPTS Specialist Certification &
Recertification
Intermediate/.15 CEU
9:00 am - 11:00 am
The Balanced Budget Act
Multilevel/.20 CEU
9:00 am - 11:00 am, 12:30 pm - 3:30 pm
Marketing
Current Services in Managed Care
Multilevel/.50 CEU
9:00 am - 11:00 am, Noon - 4:00 pm
The Clinician You
Want to Be: The Guide to Get You There
Intermediate/.60
CEU
10:00 am – 11:00 am
The President’s Colloquium
Noon - 2:00 pm
Interactive Forum on APTA Education
Initiatives
Intermediate/.20 CEU
12:30 pm - 2:00 pm
Balanced Budget Act: Home Health
& Geriatrics
Intermediate/.15 CEU
12:30 pm - 2:00 pm
Balanced Budget Act: Health Policy
Multilevel/.15 CEU
12:30 pm - 2:00 pm
The Leading Edge: Developing Your
Personal Leadership Style
Multilevel/.15 CEU
2:00 pm - 3:00 pm
Working Together, Falling Apart:
Team-Building & Conflict Resolution
.10 CEU
2:00 pm - 4:00 pm
Balanced Budget Act: Future Options
Multilevel/.20 CEU
Sessions in the area of
CardiopulmonarySaturday, June 5
9:30 am - 12:30 pm
Breathe In — Breathe Out, Breathe In
— Breathe Out: Clinical Application & Utility of
Eastern & Western Breathing Techniques in Physical
Therapy
Intermediate/.30 CEU
1:30 pm - 4:30 pm
Feeding Issues & Respiratory
Conditions
Intermediate/.30 CEU
Sunday, June 5
9:00 am - 10:30 am
Obesity
Multilevel/.15 CEU
2:00 pm - 5:00 pm
Surgical & Medical Interventions
for Cardiac Revascularization
.30 CEU
6:00 – 7:30 pm
Cardiopulmonary Business Meeting
Monday, June 7
9:00 am - 10:30 am
Clinical Case: A Patient With a
Complicated Recovery Following Open Heart Surgery
Multi-level/.15 CEU
Tuesday, June 8
9:00 – 10:00 am
Cardiopulmonary Business Meeting
Schedule of sessions in the area of
NeurologyFriday, June 4
8:00 am - 5:00 pm
Treatment & Outcome for Patients
With Vestibular Deficits: Use of Physical Therapy Diagnosis
Preconference Instructional Course
Fee: $150 for APTA
Member/$210 for Nonmember
Intermediate/.60 CEU
Saturday, June 5
9:30 am - 12:30 pm, & 1:30 pm - 3:30 pm
Cognitive
Deficits After Stroke: Impact on Rehabilitation
Multilevel/.50 CEU
10:00 am - 1:00 am
Physical Therapy Assessment &
Rehabilitation of Children With Brain Tumors
Multilevel/.30 CEU
3:30 – 4:30 pm
Platform Sessions
.10 CEU
Sunday, June 6
9:00 – 10:30 am
Neurology Business Meeting
12:30 pm - 3:30 pm
Exercise Considerations in Patients
With Multiple Sclerosis
Multilevel/.30 CEU
12:30 pm - 3:30 pm
Dynamics of Movement Disorders:
Implications for Evaluation & Treatment
Advanced/.30
CEU
Monday, June 7
6:30 – 8:00 pm
Neurology – SIG Meeting
9:00 am - 10:30 am
All About Tai Chi: Physical Therapy
Research Outcomes, Practical Application,
Demonstration
& Practice
Basic/.15 CEU
2:00 pm - 3:30 pm
Clinical Application of a New
Kinematic Model for Sit-to-Stand Movement
Intermediate/.15
CEU
Tuesday, June 8
9:00 am - 11:00 am, Noon - 2:00 pm
Activity-Related
Recovery of Locomotion After Central Nervous System Damage
Intermediate/.30 CEU
Sessions in the area of OrthopaedicsSaturday, June
5
9:30 – 11:00 am
SIG Orthopaedics (Veterinary)
12:00 – 1:30 pm
Orthopaedic Section – Elected
9:30 am - 12:30 pm
Clinical Anatomy of the Cervical
Spine & Shoulder Girdle
Intermediate/.30 CEU
9:30 am - 12:30 pm
The Human Genome Project: The Role
of Physical Therapy
Intermediate/.30 CEU
11:00 am - 12:30 pm
Evidence-Based Treatment of Plantar
Fasciitis
Intermediate/.15 CEU
1:00 pm - 4:00 pm
Dynamic Stability of the Trunk:
Developing Biomechanical & Anatomical Rationale
Intermediate/.30 CEU
Sunday, June 6
7:00 – 8:00 am
Evidence Based Practice – Use &
Misuse of Literature
9:00 am - 10:30 am
Screening Patients With ACL Rupture
for Return to High-Level Physical Activity With
Nonoperative Rehabilitation
Intermediate/.15 CEU
12:30 pm - 3:30 pm
Use of Biomechanical Modeling to
Characterize Patients With Patellofemoral Pain:
Implications for Treatment & Patient Management
Intermediate/.30 CEU
2:00 pm - 5:00 pm
Movement Impairment Diagnoses of the
Shoulder Girdle
Multilevel/.30 CEU
6:00 – 7:00 pm
Orthopaedic Business Meeting
6:30 pm - 8:00 pm
Attaining Clinical Gait Laboratory
Accreditation
Advanced/.15 CEU
Monday, June 7
2:00 – 3:30 pm
Orthopaedic SIG Meeting – Occupation
3:00 – 4:30 pm
Orthopaedic SIG Meeting – Foot &
Ankle
9:00 am - 10:30 am
To Bend or Not to Bend: A Literature
Review of Lifting Biomechanics & Coordination
Intermediate/.15 CEU
9:00 am - 10:30 am
Clinical Case: Management of Distal
Radius Fractures
Intermediate/.15 CEU
2:00 pm - 3:30 pm
Overuse Upper-Quadrant Injuries in
Pianists, Including Teachers & Performers
Intermediate/.15 CEU
2:00 pm - 3:30 pm
Diagnostic Use of EMG for Orthopedic
Disorders
Intermediate/.15 CEU
Tuesday, June 8
9:30 – 11:00 am
Orthopaedic SIG Meeting – Performing
Arts
7:00 – 8:00 am
Alternatives Therapies
9:00 am - 11:00 am
Osteoporosis Prevention &
Intervention: A Model
Basic/.20 CEU
9:00 am - 11:00 am
Balanced Budget Act: Private
Practice & Orthopedics
Intermediate/.15 CEU
12:30 pm - 3:30 pm
Low Back Impairments
Intermediate/.30 CEU
1:00 pm - 4:00 pm
Osteoporosis: An Age-Old Question
Intermediate/.30 CEU
TOOT
News From Clinical Education Consortia & Academic
Programs
PROGRAM: Texas Consortium for Physical
Therapy Clinical Education, Inc.
WHERE: Texas
WHO: APTA Trainers - Dr. Barb Melzer, Loretta
Dillon, ACCE, and Dr. Peggy Gleeson
OUTCOMES: The Clinical Competencies document
is published and ready for distribution. All Texas Consortium
members are APTA Credentialed CI's with three APTA
Credentialed Clinical Trainers in their midst. Clinical
Education related research is ongoing. Currently funded
research "Measuring the Efficacy of the Observation Hours
Required by Physical Therapy Admission Criteria". The web page
is up and running as of March 1, 1999. The ACCE management
database has been developed and is in the pilot stage.
PROGRAM: Concordia University of
Wisconsin (CUW) in conjunction with St. Joseph's Hospital,
Mount Carmel Rehabilitation, Fort Atkinson Memorial Health
Services, and Elmbrook Memorial Hospital, developed a
collaborative learning clinical education program. Four CUW
students were assigned to one clinical instructor for their
first clinical experience in the curriculum.
Pre-clinical/Post-clinical critical thinking disposition was
measured.
WHEN: January 1998
WHERE: Greater Milwaukee Area
WHO: Kathryn Zalewski, ACCE, Concordia
University of Wisconsin; Kim Mc Crea, CCCE, and Elizabeth
Stoffel, PT, Fort Atkinson Memorial Health Services;
Sandy Boaty, PT, and Kay Speerschneider, Convenant
Rehabilitation Services; Heidi Lurexny, Mount Carmel Health
and Rehabilitation Center; Students of The Class of 2000 from
the PT Program at Concordia University of Wisconsin.
OUTCOME: Students who participated in the
collaborative model of clinical education developed a
stronger disposition towards critical thinking than students
who participated in traditional (1:1) clinical education, even
when controlling for pre-clinical critical thinking aptitude.
This work was funded through a grant to Kathryn Zalewski from
Aid Association for Lutherans, Appleton, WI.
PROGRAM: 1998 Clinical Educators Workshop
WHEN: April 16, 1998
WHERE: Alvernia College
WHO: Marie Setley, Med, PTA presented an
orientation for first time clinical instructors in a morning
session. She facilitated discussion of current clinical
education issues in an afternoon session. Heather
Uczynski, MA, Director of Counseling, did a presentation on
personality profiles and their impact n clinical
relationships.
OUTCOME: Twenty-two enthusiastic participants
interacted in discussions to discover their "True Colors" and
shared strategies to overcome difficult personality issues in
the clinical setting.
PROGRAM: College of DuPage, Physical
Therapist Assistant Program, received full five-year initial
accreditation by CAPTE
WHEN: May 1998
WHERE: Glen Ellyn, IL
WHO: Program Coordinator, Nancy Kett, MS, PT
and Academic Coordinator of Clinical Education, Sharon
Macejik, BS, PTA
OUTCOME: The newly accredited College of
DuPage, graduated their first class of PTA students June 1998.
The program offers lecture and laboratory classes in the
evening, while clinical experiences are scheduled during the
day. Twenty students are admitted each September, with
an April 1st deadline for applications for the same academic
year.
PROGRAM: The Physical Therapist Education
Programs at the University of Nebraska Medical Center and
Creighton University along with the Physical Therapist
Assistant Education Programs at Clarkson College and Northeast
Community College (all programs are in Nebraska) have joined
to form the Nebraska Consortium of Academic Programs (NECAP).
WHEN: July 1998
WHERE: Omaha, Nebraska
OUTCOME: Representatives meet monthly to
discuss issues related to clinical education, develop uniform
practices, and plan training for clinical faculty.
PROGRAM: In-service training for clinical
faculty members in the use of the Clinical Performance
Instrument (CPI).
WHEN: Mid-August - Mid-November 1998
WHERE: Multiple sites in Nebraska including
Omaha, Lincoln and across the state
WHO: Representatives from the Nebraska
Consortium of Academic Programs, Kyle Meyer, ACCE at The
University of Nebraska Medical Center along with Karen Paschal
and Sherry Clark from Creighton University have been providing
the training on the CPI since adoption by the consortia in the
summer of 1998.
OUTCOME: During this period approximately 120
clinical instructors participated in the in-service training.
PROGRAM: "Issues of Delegation" - A clinical
education workshop for Physical Therapists (PT), Physical
Therapist Assistants (PTA), clinical instructors, and students
WHEN: February 23, 1999
WHO: Sponsors - University of Tennessee at
Chattanooga PT Program and Chattanooga State Technical
Community College PTA Program. Speaker - Cheryl Carpenter,
MEd, PTA
OUTCOME: Over 170 participated in the
workshop. Small group case study activities allowed
opportunities for interaction between PT Students, PTA
Students, PT's and PTA's. Students valued the opportunity to
meet students from other programs and the clinicians who would
serve as their clinical instructors.
PROGRAM: The Iowa Consortium for Clinical
Education's "A Clinicians Guide to the Physical Therapist
Clinical Performance Instrument" Conference via the Iowa
Communications Network (ICN)
WHERE: Iowa
WHO: 76 Iowa Clinicians and several colleagues at 25
geographic sites across the state participated in a 2.5 hour
conference via ICN
OUTCOME: Participants' evaluations of use of
the ICN to deliver this type of continuing education
were generally positive, with participants appreciating the
convenience of using the ICN. All four Iowa physical therapy
programs have adopted use of the CPI for clinical experiences
exceeding two weeks in length.
PROGRAM: Kirsten Berdahl, PT, ATC and
physical therapist faculty along with Mary Al-Saleh, LPN
received the Gate Way Community College Innovator of the Year
award for a cooperative project involving PTA and Licensed
Practical Nurse Students.
S*M*A*S*H (Students Mastering Actual Skills for the
Hospital) Project
S*T*I*F*F (Students Transferring Individuals for Function)
Unit
WHEN: The activities have taken place and
evolved over the last two to three years. The award was
bestowed April 1998.
WHERE: Gate Way Community College - Phoenix,
Arizona. The project was also honored in the Maricopa
Community College District.
WHO: Second-year PTA students put together a
three hour in-service to LPN students on body Mechanics and
Proper Patient Transfer techniques. Two weeks later a mock
hospital ward was created. First-year students played the part
of patients. They took on character names, personalities and
were costumed in patient gowns with mock IV's, catheters,
splints, and bandages.
LPN students performed initial nursing assessments. During
the assessments, unexpected scenarios requiring transfers were
enacted. For example, some patients demanded to go to the
bathroom, some were required to go to radiology stat, and some
fainted as they walked.
OUTCOME: The first-year PTA "patients" learned
patient empathy, observed PTA's and LPN's, and experienced
patient to health care worker communication. They experienced
both good and poor patient handling skills.
The second-year PTA students had to respond to a variety of
situations, prioritize, evaluate nurses' techniques, assist
with transfers, and communicate with nurses and patients.
Both the PTA and LPN Students came away with a great
appreciation of each other's responsibilities and expertise.
Congratulations to all the new "ACCEs!" You have
joined the prestigious group of "ACCEs" from accredited and
developing PT and PTA programs! We are delighted to have you
as part of the team and look forward to future opportunities
to learn more about your program's activities in clinical
education by sharing your "TOOTS" with the clinical education
community.
Please provide the information to the questions below and
mail to APTA, Department of Physical Therapy, TOOT, 1111
N.Fairfax Street, Alexandria, VA 22314.
ACTIVITY/PROGRAM/ACCOMPLISHMENT/INNOVATION?
WHEN?
WHERE?
WHO WAS INVOLVED?
OUTCOME?
We would like to thank all of you for your continued
contributions
and support of the "Toot Your Horn".
We applaud your efforts and
creative achievements
in clinical education and recognize that innovation and
change really begins with each of
you! | 
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