Applied Health Physical Therapy 830

AHPT 830: Clinical Internship I
               
Prerequisite: Successful completion of all course content areas taught in the first year of the DPT program or permission of the Department
       
Credit Hours: (9)

Clinical Internship I is the first of a series of three internships. This internship will be 40 hours per week for 12 weeks. The learning goal of the clinical education process is based on the hierarchical pattern of coursework. The initial clinical internship emphasizes basic examination, evaluation, and treatment intervention skills primarily found in nursing homes, inpatient rehabilitation facilities and outpatient rehabilitation clinical sites.


Detailed Description of Course

Clinical Internship I is the first in a series of courses designed to provide physical therapy students with an opportunity to apply the first year of didactic learning through a real world experience. This is the first of a series of three internships. This internship will be 40 hours per week for 12 weeks. The learning goal of the clinical education process is based on the hierarchical pattern of coursework. The initial clinical internship emphasizes basic examination, evaluation, and treatment intervention skills primarily found in nursing homes, inpatient rehabilitation facilities and outpatient rehabilitation clinical sites. Each student will be assigned an on-site Clinical Instructor who will provide one-on-one supervision during the clinical internship. As the student becomes more competent, the student will assess problems, practice evaluation skills, formulate goals and apply treatment techniques.    


Detailed Description of Conduct of Course   

Each student will be assigned an on-site Clinical Instructor who will provide one-on-one supervision during the clinical internship.  As the student becomes more competent, the student will assess problems, practice evaluation skills, formulate goals and apply treatment techniques.  Program expectations for the first clinical internship experience are that students will demonstrate the ability to complete basic patient management documentation (e.g., initial evaluation note, daily progress notes, reevaluation notes, and patient discharge notes).  Students will gain hands-on experience in carrying out initial patient evaluations, performing basic tests and measurement (e.g. active/passive range of motion, manual muscle testing, and specialized tests) and in evaluating data to determine various PT diagnoses.  It is also expected that students will establish and implement intervention programs, and assess patient progress and outcomes.  Students will be expected to use evidence-based practice int eh preparation and implementation of patient intervention programs.  The types of patients for which students will provide care may consist of orthopedic patients (e.g., total joint replacement and fractures, patients that are de-conditioned due to muscular disuse, patients requiring gait training with assistive devices, and those patients that the clinical instructor indicates are appropriate for the student to treat).  As students progress through the curriculum patients treated in clinical internship experiences will increase in medical complexity, physical limitations, and need for physical therapy.  Students will activiely participate in hands-on methods and techniques related to patient/client management including examination, evaluation, and diagnosis, and progrnosis, interventions and outcome measurement.  Students will perform and collaborate on all aspects of patient care under the direct supervision of a clinical Instructor who is a licensed physical therapist.   


Goals and Objectives of this Course

Will require students to:
Professional Behaviors and Attitudes
Students will:
1) Exhibit professional behaviors in interactions with patients, families, caregivers, other health providers, students, and third party payers;
2) Utilize discretion in maintaining a balance between professional and personal interactions;
3) Demonstrate collegial interactions and relationships with CI, ACCE, and other members of the rehabilitation team, doctors, and other health care professionals;
4) Understand and demonstrate professional behavior in all interactions;
5) Maintain a position and attitude that will provide optimal support in all areas of the clinic operations;
6) Accept responsibility for professional behavior;
7) Work effectively as a member of the health care team.

Written and Oral Communication and Interpersonal Relationships
Students will:
1) Communicate with patients, clients, peers, supervisors, and other health care providers in a respectful manner;
2) Communicate an appropriate awareness of socioeconomic, psychosocial, ethnic, and cultural diversity;
3) Demonstrate empathy and interest in patients and others as individuals;
4) Recognize, interpret, and respond to an individual's body language consistent with professional guidelines;
5) Demonstrate good listening skills with patients, professional staff, families, and peers;
6) Communicate with sensitivity and respect to differences in race, color, gender, age, national or ethnic groups, sexual orientation, and disability or health status;
7) Function as a liaison between patients, families and community services;
8) Maintain and submit documentation format in accordance with the policies of the facility in a timely manner;
9) Include and select appropriate and pertinent information in written patient examination and medical record and demonstrate professional and technically correct written communication skills.

Legal and Ethical Standards
Students Will:
1) Demonstrate an application of the APTA's "Standards of Practice", and how to apply these principles to the practice of physical therapy;
2) Adhere to legal practice standards, including all federal, state, and institutional regulations and fiscal management;
3) Adhere to departmental policies and procedures;
4) Abide by APTA's  "Guide to Professional Conduct";
5) Rractice ethical decision making and abide by the APTA's "Code of Ethics";
6) Recognize ethical dilemmas and seek the expertise of others in the ethical decision making process;
7) Practice physical therapy within the legal and ethical boundaries of the profession.

Observe and Perform Safety Precaution
Students will:
1) Display consistent use of universal precautions;
2) Demonstrate and perform safe transfer techniques;
3) Utilize good body mechanics for self and when working with patients;
4) Demonstrate the safe patient protocol and request appropriate assistance when necessary;
5) Maintain a safe working environment;
6) Provide a safe and secure environment for the patient.

Accurately Perform Examination Techniques Appropriate and Specific to Meet Patient Needs
Students will:
 
1) Select appropriate methods, including history, systems review, and selected tests and measures in order to determine the patient’s degree of dysfunction, impairment or disability;
2) Perform and record accurately the following tests and measures dependent upon the particular practice setting: a. goniometric measurement, b. manual muscle testing, c.  integumentary examination, d. ADL/IADL examinations, e. flexibility testing, f. posture examination, g. vital signs, h. pain assessment, i. functional assessments, musculoskeletal examination and special tests, j. edema assessment, k. architectural /environment barriers assessment, l. body mechanics, m. wheel chair measurement, n. assistive devices assessment, o. reflex assessment, p. sensory testing, q. prosthetic and orthotic assessment, r. proprioception,  s. skin and wound examination, t. arthrokinematic assessment of extremities;
3) Based on current evidence, write a paper to support or negate use of a treatment, intervention or technique observed during clinical internship.


Assessment Measures

May include but are not limited to

Clinical Performance Instrument (CPI) Midterm, Written Assignments, Discussion Board Participation, and Presentations.  


Other Course Information

None

Review and Approval

February 10, 2014