DEPARTMENT OF PHYSICAL THERAPY · Clinical Placement Requests 14 6. Clinical Education Policies 20...
Transcript of DEPARTMENT OF PHYSICAL THERAPY · Clinical Placement Requests 14 6. Clinical Education Policies 20...
Department of
Physical Therapy
PHYSIOTHERAPY
CLINICAL
EDUCATION
MANUAL
2011-2012
Revised August 26, 2011
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Contents Section Title Page
1. Organization of Curriculum 3
2. Clinical Education Course Outlines 5
3. Clinical Education Course Costs 10
4. Official Documents Required Annually 11
5. Clinical Placement Requests 14
6. Clinical Education Policies 20
7. The Clinical Education Team 26
8. SMR Clinical Education Contact Information 30
9. Appendix: 31
a) Physical Therapist Clinical Performance Instrument (CPI)
b) CPI Scoring Guidelines
c) Clinical Learning Contract
d) Clinical Placement Pass/Fail Form
e) Student Feedback Regarding Clinical Placement Form
f) End of Clinical Placement Checklist
g) Out-of-Province Clinical Placement Request Form
h) 2011-2012 Clinical Education Schedule
Section 1
ORGANIZATION OF THE BMR (PT) CURRICULUM
The Bachelor of Medical Rehabilitation in Physical Therapy [or BMR (PT)] curriculum
is comprised of academic and clinical education components. The curriculum is designed
to present a systematic, integrated and progressive study of health and disease as related
to physical therapy. The program is cumulative and students are expected to utilize
and integrate acquired knowledge at all stages of the program.
OUTLINE OF THE BMR (PT) ACADEMIC PROGRAM
Each of the three years of the program has a distinct clinical focus:
Year 1 - Basic Sciences / Cardiorespiratory
Year 2 – Neuromusculoskeletal
Year 3 – Neurosciences / Integrated Tutorials
OUTLINE OF CLINICAL EDUCATION EXPERIENCES
The purpose of the clinical education experience is to provide opportunities for students
to:
1. Integrate the skills and knowledge acquired during the academic year to the
clinical setting.
2. Develop professionally through the supervised clinical practice of
professional skills.
31 weeks of clinical education are integrated throughout the three years of the program.
In all clinical education courses, students are supervised by Clinical Instructors who are
licensed physical therapists.
IMPORTANT INFORMATION REGARDING THE 2011-12 YEAR
The physiotherapy program has received approval to transition to a two
year, entry-to-practice credential, the “Master of Physical Therapy”
(MPT) degree. Please note the following:
2011-12: There will be no intake of students into the physiotherapy
program. As a result, there will be only one class in the
physiotherapy program, the BMR(PT)2 class.
2012-13: There will be the first intake into the new MPT program.
As a result, there will be a BMR(PT)3 class and an MPT1 class.
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BMR (PT) PROGRAM STRUCTURE
ACADEMIC CLINICAL
Year 1
Basic Sciences/Cardiorespiratory September – March
Cardiorespiratory Clinical Placements PT 1740
January – March (1 x 5 weeks) Neuromusculoskeletal Anatomy REHB 1520
April – May
Year 2
Neuromusculoskeletal September – March
Neuromusculoskeletal Clinical Placements PT 2780
April – August (2 x 5 weeks)
Year 3
Neurosciences/Directed Studies September – February
Neurosciences Clinical Placements PT 3880
March – June (2 x 4 weeks)
Summer Internship PT 3920
May – August (1 x 8 weeks)
NB. All clinical education courses must be completed prior to graduation. The
complete clinical education experience is required for licensure as a
physiotherapist in all jurisdictions in Canada and other countries.
During the course of the program, students may be required to do at least one
placement in a community or rural setting outside the cities of Winnipeg and
Brandon.
CURRICULUM ADMINISTRATION
Year Coordinators oversee the timetable for the year and coordinate units within the year.
Curriculum Chairperson: Jenneth Swinamer
BMR(PT)2 Coordinator: Mike McMurray
Academic Coordinator of Clinical Education: Liz Harvey
Graduate Program Chair: Dr. Brian MacNeil
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Section 2
CLINICAL EDUCATION COURSE OUTLINES
YEAR I
*************** (NB: THERE IS NO PT1 CLASS IN 2011-2012) ***************
COURSE PT 1740 CARDIORESPIRATORY CLINICAL EDUCATION
Credit hours: 8
Course Content: The course is divided into two units: Unit i) Introduction to Clinical
Education, and Unit ii) Cardiorespiratory Clinical Placement. Each unit is evaluated
separately. Each student must pass Unit i) before proceeding to Unit ii). Each student
must successfully complete both Unit i) and Unit ii) in order to pass the course overall.
Unit i) Introduction to Clinical Education
This unit involves:
1. Preparatory sessions to prepare students for the clinical education component of the
physical therapy program by providing basic knowledge, skills, attitudes and
behaviours generic to participation in client-care.
2. Site visits to five community and clinical locations to expose students to the broad
range of environments and resources associated with the practice of physical therapy.
The visits are appropriately sequenced with the other academic courses, enabling
students to consolidate and integrate their developing foundational knowledge and
skills, professional attitudes and behaviors through guided observation, questioning
and general participation in professional settings. As the visits are distributed across
term 1 and into term 2 of the first year of the program, the tasks assigned to students
progress from simple to more complex, reflecting their increasing understanding of the
practice of physical therapy as they advance through the year.
3. Reflection activities involving written and group discussion exercises. These activities
are designed to develop students’ ability for self-reflection, a skill considered essential
in their evolution as effective practitioners during the program and in subsequent
professional life. Each student’s set of written reflection exercises will become
foundational items in his/her own portfolio.
Unit i) Objectives
Upon successful completion of this unit, students will be able to:
1. Describe the organization and evaluation of clinical education throughout the program,
including the sequencing of clinical visits and placements.
2. Access information regarding the required immunizations and the option of obtaining
and managing these through the Bannatyne Immune Status Program.
3. Meet the minimum immunization requirements of the clinical sites involved in the
provision of clinical visits and placements to the program.
4. Discuss the role of the College of Physiotherapists of Manitoba and the responsibilities
associated with inclusion on the Student Register.
5. State their responsibilities under the PHIA legislation.
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6. Perform routine practices effectively and explain basic concepts in controlling
transmission of infection.
7. Navigate a medical chart by being familiar with its organization and content.
8. Visit community and clinical settings (outside the university) and meet practicing
professionals and their clients with increased confidence.
9. Gather and present information regarding local health care related services and
resources.
10. Describe observed clients’ problem lists in terms of the “ICF” categories of
impairment, activity limitation, participation restriction and environmental factors.
11. Discuss the level of “Client Centered Practice” they observed at a variety of health
care settings.
12. Complete the first three steps of the “Clinical Decision Making Process” on an actual
client in a health care setting.
13. Carry out self-reflection regarding their learning and experiences, and share these
perceptions both in writing and with others in a group setting.
14. Build the clinical education portion of their portfolio.
Unit ii) Cardiorespiratory Clinical Placement, consisting of 1 X 5 week clinical
placement during one of the following time slots:
Rotation 1: N/A
Rotation 2: N/A
Unit ii) Overview
This unit consists of a five week clinical placement in a patient-care setting which will
provide students with the opportunity of managing clients utilizing a variety of
cardiorespiratory competencies learned during the academic portion of the year. Students
will be under the supervision of clinical instructors who are licensed physical therapists.
Sites include a variety of facilities / agencies and community settings.
Unit ii) Objectives
During this unit, students will have the opportunity to:
1. Integrate the skills and knowledge acquired during the academic block, to the clinical
setting.
2. Gain experience in the team concept of health care.
3. Develop professionally through the supervised clinical practice of professional skills.
4. Develop an awareness of the environmental factors influencing patient care.
5. Develop an ability to assess patients, plan and implement treatment programs.
6. Develop powers of reasoning and judgment in relation to clinical decision making
7. Develop a sense of professionalism by adherence to the Physiotherapy Code of Ethics.
8. Develop self-evaluation techniques.
9. Be exposed to, and if possible, participate in research programs.
10. Develop knowledge and ability in communication methods.
11. Understand the various aspects of physiotherapy practice (e.g. acute care, long term
care, community care).
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Learning Contracts
Students are to develop a learning contract in conjunction with their Clinical Instructor in
the initial stage of their placement to identify their goals for that placement. The
clinical/practical experience will vary from setting to setting in accordance with the needs
of the patient/client population.
Evaluation
Student will be evaluated using the CPI provided by the Department of Physical Therapy,
School of Medical Rehabilitation. The course is graded on a pass/fail basis. The Clinical
Instructor has the ultimate responsibility for assigning the course score.
YEAR 2
COURSE PT 2780 MUSCULOSKELETAL CLINICAL EDUCATION
Credit Hours: 10
Course Content: 2 x 5 week clinical placements in two of the following time slots:
Rotation 1: April 2-May 4, 2012
Rotation 2: May 7-June 8, 2012
Rotation 3: June 11-July 13, 2012
Rotation 4: July 16 – August 17, 2012
Rotation 5: (Football only): July 23-September 21, 2012
Objectives
During this placement, students will be able to:
1. Assess and treat clients whose primary diagnosis is related to musculoskeletal
disorders.
2. Integrate the skills and knowledge acquired during the neuromusculoskeletal
academic block within the clinical setting.
3. Develop the ability to safely, effectively and efficiently assess, plan and implement
treatment programs for clients with a variety of neuromusculoskeletal pathologies.
4. Develop powers of reasoning and judgment in relation to clinical decision making.
5. Develop professionally through supervised clinical practice and adherence to the
Physiotherapy Code of Ethics.
6. Develop proficiency in effective verbal, nonverbal and written communication with
clients and other professionals.
7. Develop an awareness of the role of interprofessional approaches to health care,
where possible.
8. Develop an awareness of the environmental factors influencing patient care.
9. Develop self-evaluation techniques.
10. Be exposed to, and if possible, participate in research programs.
11. Develop an appreciation of the wide range of physiotherapy practice settings (e.g.
acute, long term, ambulatory and community care, and private practice).
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Learning Contracts
Students are to develop a learning contract in conjunction with their Clinical Instructor in
the initial stage of their placement to identify their goals for that placement. The
clinical/practical experience will vary from setting to setting in accordance with the needs
of the patient/client population.
Evaluation
Student will be evaluated using the CPI provided by the Department of Physical Therapy,
School of Medical Rehabilitation. The course is graded on a pass/fail basis. The Clinical
Instructor has the ultimate responsibility for assigning the course score.
YEAR 3
*************** (NB: THERE IS NO PT3 CLASS IN 2011-2012) ***************
COURSE PT 3880 NEUROSCIENCES CLINICAL EDUCATION
Credit Hours: 8
Course Content: 2 x 4 week clinical placements in two of the following time slots:
Rotation 1: N/A
Rotation 2: N/A
Rotation 3: N/A
Rotation 4: N/A
Objectives
During this placement, students will be able to:
1. Assess and treat clients whose primary diagnosis relates to either neurological
conditions/disorders, or gerontology.
2. Integrate the skills and knowledge acquired during the academic year, to the
clinical setting.
3. Gain experience in the team concept of health care.
4. Develop an awareness of the environmental factors influencing patient care.
5. Develop an ability to assess patients, plan and implement treatment programs.
6. Develop clinical reasoning and judgment in relation to clinical decision making.
7. Adhere to the Physiotherapy Code of Ethics.
8. Develop self-evaluation techniques.
9. Gain experience in communication methods appropriate to the clinical setting
(verbal, written and presentation styles, etc.).
10. To understand the various aspects of physiotherapy practice (e.g. acute care, long
term care, community care).
11. Participate in presentations or projects as assigned by the Clinical Instructor.
Learning Contracts
Students are to develop a learning contract in conjunction with their Clinical Instructor in
the initial stage of their placement to identify goals their goals for that placement. The
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clinical/practical experience will vary from setting to setting in conjunction with the needs
of the patient/client population.
Evaluation
Student will be evaluated using the CPI provided by the Department of Physical Therapy,
School of Medical Rehabilitation. The course is graded on a pass/fail basis. The Clinical
Instructor has the ultimate responsibility for assigning the course score.
COURSE PT 3920 INTERNSHIP
Credit Hours: 8
Course Content: 1 X 8 week clinical placement in one of the following time slots:
Rotation 1: N/A
Rotation 2: N/A
Rotation 3: N/A
Objectives
During the internship, students will be able to:
1. Consolidate and expand upon knowledge, skills and attitudes acquired over the
entire physiotherapy program.
2. Participate in the practice of physiotherapy in diverse practice areas.
3. Recognize the opportunities available for future employment in physiotherapy.
Learning Contracts
Students are to develop a learning contract in conjunction with their Clinical Instructor in
the initial stage of their placement to identify goals to achieve in that particular setting. The
clinical/practical experience will vary from setting to setting in conjunction with the needs
of the patient/client population.
Evaluation
Student will be evaluated using the CPI provided by the Department of Physical Therapy,
School of Medical Rehabilitation. The course is graded on a pass/fail basis. The Clinical
Instructor has the ultimate responsibility for assigning the course score.
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Section 3
CLINICAL EDUCATION COURSE COSTS
TUITION FEES
Students are assessed tuition fees for the three clinical education courses that they
undertake during the program. The fee payment schedules for these courses are shown
below.
Fall/Winter Session Fee Payment Schedule applies to:
Year 1: PT 1740 - Cardiorespiratory Clinical Education
Year 3: PT 3880 - Clinical Education in Neurological Disorders
The tuition fee for these courses is included in the regular Fall/Winter Session tuition fees
for the program.
Summer Session Fee Payment Schedule applies to:
Year 2: Musculoskeletal Clinical Education
Year 3: PT 3920 - Summer Internship.
The timing of these placements designates them as Summer Session courses. Tuition fees
for these courses are proportional to the credit hours, and are assessed when the student
self-registers for these courses on AURORA. Doris Weigel (SMR support staff) will
advise students by email when they can proceed with self-registration on AURORA for
these courses. As a guide, in 2010 self-registration was available in March, and the
tuition fee for PT 3920 was approximately $800.
NB: Students need to check their U of M email account frequently for information from
Doris Weigel regarding registration dates. Fees are assessed as soon as students register
themselves on Aurora.
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Section 4
OFFICIAL DOCUMENTS REQUIRED ANNUALLY
Criminal Record Check (Fee: $32.00) All students must obtain a new Criminal Record Check for each year they are registered
in the program in order to participate in clinical placements. Since the document is
considered to remain valid for 12 months, it must not have an issue date earlier than
August 17, 2011 in order that all students are covered until the end of the possible
placement period in August, 2012. Students must submit a photocopy of their Criminal
Record Check to Charlene Dyck (Room R139) by October 1, and present the original
document to their Program Advisor at their first Program Advisor Meeting for the year.
The original document will be kept in the student’s Portfolio, and the photocopy will be
kept on file by the ACCE.
Criminal Record Checks may be requested in person from:
Bureau of Police Records, 4th
Floor, Public Health and Safety Building
151 Princess Street, Winnipeg; Ph: (204) 986-6073
Monday – Friday 8:00am to 3:45pm.
(NB: Students must bring two pieces of identification.)
Criminal Record Checks may also be requested by mailing in a downloadable form from
the following website: http://winnipeg.ca/police/BPR/info_request.stm
Child Abuse Registry Check (Fee: $10.00 per year)
All students must obtain a new Child Abuse Registry Check for each year they are
registered in the program in order to participate in clinical placements. Since the
document is considered to remain valid for 12 months, it must not have an issue date
earlier than August 17, 2011 in order that all students are covered until the end of the
possible placement period in August, 2012. Students must submit a photocopy of their
Child Abuse Registry Check to Charlene Dyck (Room R139) by October 1, and present
the original document to their Program Advisor at their first Program Advisor Meeting
for the year. The original document will be kept in the student’s Portfolio, and the
photocopy will be kept on file by the ACCE.
Application forms can be downloaded from the Manitoba Government website at
http://www.gov.mb.ca/fs/childfam/child_abuse_registry_form.html and mailed to the
address shown on the form. Instructions regarding submission of identifying documents
together with the application form must be followed, and payment can be made by credit
card or cheque.
Students can also apply for Child Abuse Registry Check in person at:
Provincial Services
1st Floor 102-114 Garry Street
Winnipeg
Monday – Friday from 8.30am - 4.30pm
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Tel: (204) 945-6964
(NB: Students must bring two pieces of registered identification.)
CPR – “Level C” (or “HCP” (Health Care Professional) or “Basic Rescuer”)
(Cost: varies, depending on provider)
(NB: the certification title may contain any of the terms listed above, but must include
adult, child and infant CPR.)
All students must obtain a new CPR certificate for each year they are registered in the
program in order to participate in clinical placements. Since the document is considered
to remain valid for 12 months, it must not have an issue date earlier than August 17, 2011
in order that all students are covered until the end of the possible placement period in
August, 2012. Students must submit a photocopy of their CPR certificate to Charlene
Dyck (Room R139) by October 1, and present the original document to their Program
Advisor at their first Program Advisor Meeting for the year. The original document will
be kept in the student’s Portfolio, and the photocopy will be kept on file by the ACCE.
College of Physiotherapists of Manitoba Student Registration
All students must apply for inclusion on the Student Register of the College of
Physiotherapists of Manitoba (CPM) prior to commencing clinical placements. Students
who do not register with CPM each year will be unable to participate in clinical visits and
placements. All students must register with CPM by October 1, 2011. Registration forms
will be distributed to student mailboxes on the first day of classes. PT1 students are
required to pay an initial registration fee of $35.00. Continuing students are not required
to pay a fee, however a late payment penalty of $7.00 is applied if they fail to register
by the October 1 deadline.
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Section 5
CLINICAL PLACEMENT REQUESTS
Students can communicate with the ACCE to indicate their preferred time slots and
locations for clinical placements within Winnipeg, Brandon and rural Manitoba. Students
also have the opportunity to request placements at locations throughout Canada and
internationally. The National Association of Clinical Education in Physiotherapy
(NACEP) encourages students to travel outside of the catchment area of their home
university to gain as broad a range of experience as possible in a variety of practice
settings. Facilities used for placements must be accredited and affiliated with other
Academic Physical Therapy Programs.
The ACCE considers students’ requests when arranging placements. However, there are
instances where students will be required to take assigned placements due to limited
availability or in situations where it is deemed that a broader clinical experience would be
desirable.
Students who request a placement in another province must accept any placement offer
from that province that matches their request details. In the event of extraordinary
circumstances preventing the student from accepting the offer, the student will be placed
within Manitoba and will be subject to availability of placement type and timing.
Placement Requests within Winnipeg and the University of Manitoba Catchment
Area (Manitoba and Kivalliq region of Nunavut) For Winnipeg placements, students will be given a list of available placement dates and
locations. Each student will fill out a Placement Request Form where they can prioritize
their placement choices. Depending upon placement availability, students will usually
receive one of the placements listed among their top six choices.
Under normal circumstances, there will be no reimbursement of student costs incurred
during placements that occur within Winnipeg. However, students who are on a
placement in Winnipeg may be invited to participate in an overnight clinical visit outside
the city limits. When this situation occurs, students may be reimbursed for overnight
accommodation costs. This is outlined in section D under accommodation costs.
Canadian Placement Requests (Out-of-Catchment): $50 - $75 per request Students can request clinical placements in parts of Canada that are outside of the
University of Manitoba catchment area (catchment area includes all of Manitoba and the
Kivalliq region of Nunavut). For many out-of-catchment requests students will be
required to pay a non-refundable request fee. McGill, U of Ottawa, U of Toronto, U of
Saskatchewan, U of Alberta and U of British Columbia require a fee of $50. A $75
request fee is required by U of Montreal, U of Laval, and the QE2 Health Centre in
Halifax. Students should be aware that the School of Medical Rehabilitation will not
reimburse any costs associated with Canadian placements that occur outside of the
University of Manitoba catchment area.
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All placements within Canada are arranged by the ACCEs of the 14 Canadian university
physical therapy programs, under the governance of NACEP. Students who wish to
make out-of catchment requests should familiarize themselves with the following
NACEP policies:
1. Each student is only eligible to receive one placement per year per catchment
area.
2. Students should not contact out of province sites directly to organize their own
placements.
3. Students should take a copies of their immunization records, Criminal Record
Checks and Child Abuse Registry checks to out-of-catchment placements.
4. Students must forward out-of-catchment requests to the ACCE before the
specified deadlines (as show in the table below)
NACEP Deadlines for Out-of-Catchment Requests: 2012
Placement Period
Closing date for
students making
out-of-catchment
requests
Date by which requests
will be confirmed or
denied
January to April, 2012 October 1, 2011 Two months prior to
placement start date. May to August, 2012 February 1, 2012
5. NACEP attempts to set standardized dates for Canadian placements in order
to facilitate movement of students from province to province and to minimize
orientation time, which facilities/agencies must provide for students at the
commencement of their placements. Alterations to these dates can be made by
mutual agreement of the student, Clinical Instructor and Centre Coordinator.
If dates are altered, the Centre Coordinator or the ACCE will notify the
College of Physiotherapists of Manitoba.
Placement at the Karolinska Institute in Stockholm, Sweden A competition is held annually to select a student to complete a placement in Stockholm.
This competition is for 2nd
year students only. The School of Medical Rehabilitation,
Department of Physical Therapy supports a significant portion of the student costs of
transportation and accommodation for this placement. For further information about this
placement, students are advised to contact the ACCE.
Other International Placements
Students may wish to arrange placements in other countries. The School of Medical
Rehabilitation will not reimburse any of the costs associated with student-arranged
international placements. Students are eligible to request international placements for the
second placement of courses PT 2780 and PT 3880, and for PT 3920. Students are
responsible for obtaining the name, telephone number, fax number, and e-mail address of
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the potential host facility. This information should be provided to the ACCE who will
consider the feasibility of the request.
The placement arrangements are subject to:
1. Successful completion of academic examinations.
2. Approval of supervising therapist/facility credentials by the College of
Physiotherapists of Manitoba.
3. Successful completion of a University - Facility Legal Agreement
This process takes many months to complete, so students are encouraged to start the
process very early to allow sufficient time for arrangements to be finalized.
Community and Rural Placements
The Department of Physical Therapy encourages all students to consider clinical
education opportunities in community and rural settings. Students may therefore
be required to participate in at least one placement at a site within Manitoba but
outside the cities of Winnipeg and Brandon. Students can use a Placement Request
Form to indicate their interest in specific locales.
To prevent undue financial hardship to students during community/rural placements, the
University and/or the clinical center/agency will help support some of the costs for these
placements as outlined below:
1) Transportation Costs
The student must pay all transportation costs themselves and then submit receipts for
reimbursement. Original transportation receipts along with a completed travel
reimbursement form must be submitted to the SMR Clinical Education Secretary no later
than 6 weeks after completion of the placement. Travel reimbursement forms without
receipts cannot be processed. Receipts must coincide with the dates of the placement.
Reimbursement is usually processed within 14 working days.
There are several situations where transportation costs may be reimbursed: transportation
to accommodations near a placement site, commuting to and from a placement outside of
city limits, and transportation within a community / rural placement.
Transportation to accommodations near a placement site
Transportation expenses allotted will be to an amount equal to, or less than, the cost of
one round-trip bus fare to and from the placement.
If a student chooses to travel by car and the gas receipts for the trip are less than the cost
of one round-trip bus fare, then the student will be reimbursed only for actual gas costs.
If two or more students travel together by car to and from the placement site, only the
equivalent of one round-trip bus fare will be reimbursed. If the gas receipts for the trip
are less than the cost of one round-trip bus fare, then the students will be reimbursed only
for actual gas costs.
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If a student has a residence in Winnipeg, and return travel from the placement site is not
completed within 6 weeks of completion of the placement, then the student will only be
reimbursed for one-way transportation costs.
Commuting to and from a placement site outside of city limits
If a student chooses to commute by car to and from placements outside of the city limits
(e.g. Steinbach, Portage La Prairie, Beausejour or Selkirk) rather than stay at
accommodations close to the fieldwork site, the student will be reimbursed for
transportation costs at a rate of up to $12/day for every day of attendance at the
placement. Students are strongly discouraged from commuting to clinical centre / agency
sites that are further than 75 kilometres from their place of lodging.
Original gas receipts must be submitted.
If the gas receipts are less than $12/day, then the student will be reimbursed only for
actual gas costs.
The same policy will apply to students who wish to commute to rural placements from
accommodations that are closer to the placement site then their usual place of residency.
In these situations, the student cannot request reimbursement for both transportation and
accommodation costs (i.e. the student must choose to be reimbursed for either
transportation costs OR accommodation costs). The student should consult with the
ACCE prior to the beginning of the placement to determine if this reimbursement policy
applies to their specific situation.
Transportation within a community / rural placement
If a student is required to use his/her car to participate in certain aspects of a placement
and the centre/agency is unable to provide financial support for funding of transportation,
the student should consult with the ACCE. If the ACCE determines that travel is
essential, the student will be reimbursed on a per kilometer basis. This amount will not
exceed $50.00 per placement. Students are advised to consult with the ACCE prior to the
beginning of the placement to determine if this reimbursement policy applies to their
specific situation.
2) Accommodation Costs
When participating in community/rural placements, students can stay at accommodations
arranged by the University, or they can choose to arrange their own accommodations.
Whenever possible, attempts will be made to have direct billing to the University to avoid
the need for students to be reimbursed. Students are responsible for payment of
refundable damage deposits. Students are also responsible for payment of any damages to
the place of accommodation that occurs during their residence.
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Accommodations arranged by the University
The SMR Clinical Education Secretary will make accommodation arrangements for
students who are placed outside of Winnipeg for clinical placements. If a student is
placed outside of Winnipeg, the SMR Clinical Education Secretary will send the student
a memo asking the student to indicate where s/he requires accommodation arrangements.
Once a student has confirmed that s/he does/doesn’t require accommodation, no changes
will be allowed. Students are strongly encouraged to discuss accommodation
needs/preferences with the SMR Clinical Education Secretary prior to arrangement of
lodging. Student preferences for accommodations will always be considered, but students
should be aware that some placement locations are limited in the types and costs of
accommodations available.
If the University has arranged a place of accommodation and a student decides to move
from the place of accommodation, s/he must inform the ACCE before initiating the
move. The ACCE will determine if the change will be approved and paid for, given the
specific circumstances.
Accommodations arranged by the Student
If a student chooses to arrange his/her own accommodation, s/he must inform the SMR
Clinical Education Secretary as soon as possible. Students must have the cost of
accommodation pre-approved by the ACCE or the SMR Clinical Education Secretary.
Accommodation expenses allotted will be to an amount less than or equal to the cost of
accommodations arranged by the University or by the center / agency.
If the student is staying in a private residence where there is a cost associated with
lodging, the individual providing lodging must submit a written invoice to the University
of Manitoba c/o the SMR Clinical Education Secretary indicating the dates and cost of
accommodation. Invoices should be submitted as soon as possible and no later than 6
weeks after completion of the placement. Invoices received after this date will not be
processed.
Overnight stays during a placement
If a student is invited to travel with his/her Clinical Instructor during the clinical
placement, and the trip will involve an overnight stay(s), the student or Clinical Instructor
should consult with the ACCE to determine whether funding is available to help support
the costs of accommodation. If the Department of Physical Therapy is already paying for
accommodation, then the student cannot be reimbursed for accommodation costs at two
sites. However, if the student is living in Winnipeg and a trip to an out-of-town site is
determined to be beneficial to the learning experience, there may be some reimbursement
for accommodation costs. The ACCE will determine if the accommodation will be paid
for (and the amount), given the specific circumstances.
3) Food Costs
Food costs will not be reimbursed. If the University is paying for accommodations and
the cost of accommodations includes food, the student will be responsible to pay daily
food costs as specified by the place of lodging. If the cost of food is not specified, the
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student will be required to pay $4/day in food costs. Depending on the specific situation
the student may have to pay for food costs in an advance lump sum at the beginning of
the placement / accommodation time period.
NB: The above reimbursement policies apply to community / rural placements
only. Except in special circumstances as determined by the ACCE in discussion
with the Department Head, there will be no reimbursement of any costs related
to placements that occur within Winnipeg city limits or outside of the
University of Manitoba catchment area (Manitoba and the Kivalliq Region of
Nunavut).
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Section 6
CLINICAL EDUCATION POLICIES
The student policies with respect to clinical education are intended to serve as a guide for
supervising therapists and students during the period of their clinical education including
internships and clinical placements. While the school may develop specific policies with
regard to students’ clinical education, it is understood that students must comply with the
prevailing policies and recognised procedures of the particular facility in which they
are completing placements.
CLINICAL INSTRUCTOR (CI)
The student will be supervised and evaluated by a licensed therapist. The appointment of the
instructor is done by the Centre/Agency Co-ordinator. Where the Clinical Instructor(s) is
absent from the centre/agency, the student must be assigned a designated instructor for that
time.
CLINICAL HOURS
Students are to conform to the Clinical Instructors’ scheduled hours of work. This may
involve evening and weekend hours.
If clinical centre/agency personnel are required to take days off without pay during the time
of the clinical placement, the Clinical Instructor or the Centre/Agency Coordinator should
notify the ACCE as soon as possible, and preferably before the student begins the
placement. The ACCE will determine if the student will be required to make up additional
time, taking into consideration the length of the placement, the number of days that the
centre/agency will be closed, and other factors specific to each situation.
ABSENCE DURING PLACEMENT
Attendance by students during placements is mandatory. Students must notify the
center/agency as early as possible in the event of absence.
Acceptable Reasons for Absence
Examples of approved reasons for absence include:
1. Student illness (medical certificate may be required)
2. Illness / death of a close family member
3. Religious holidays (as listed in the U of M Calendar).
Students who miss more than two days per placement may be required to make up missed
time. The Clinical Instructor, Centre / Agency Clinical Coordinator and ACCE will make
this decision. Lengthy absences would require discussion with the Department Head.
The decision is based on the Clinical Instructor’s ability to adequately evaluate the
student.
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Formula for Time to be Made Up
The following is a suggested formula to calculate the amount of time that should be made
up for clinical placement absences:
Days Missed
within a Placement
Days to be
Made Up
Up to 2 days 0-2 days
3-4 days 1 week
5-6 days 2 weeks
7-8 days 3 weeks
Participation in National and International Events
When a student who is involved in sports, arts, or creative endeavors is required to
participate in a national or international level event during his/her clinical placement, the
student should inform the ACCE as soon as possible about the dates of the
activity/competition. Participation in national or international events does not
automatically qualify as an acceptable reason for absence from clinical placements.
Thus, the ACCE and the Clinical Instructor will jointly decide whether or not the student
will be allowed to miss placement days for the event. The student may be required to
make up the time, or complete the placement at a time that does not interfere with any
scheduled activities/competitions (subject to placement availability).
Conferences, Workshops, and Other Educational Activities
Requests for time away from the clinical facility to attend conferences, workshops, or
other educational activities may be considered. The ACCE will consider requests and
make recommendations regarding their suitability. The final decision regarding student
attendance will require discussion between the ACCE and the Clinical Instructor. If a
student decides to attend an approved course on a weekend, the clinical facility/agency’s
policies regarding time off for continuing education will apply.
SMR Committee Meetings
Students who are involved in committees at the SMR or the University are required to notify
their Clinical Instructor and the Centre/agency Clinical Co-ordinator of their need to be
away from the centre/agency to attend meetings of such committees. Students should re-
arrange their patient schedules to minimize interruption to patient care.
CHARTING
Initially students should prepare their chart notes in draft form. Once the Clinical Instructor
is satisfied that the student has organised the information adequately, the student may be
instructed to enter the information directly in the patient’s medical record. It is important
that each note be accompanied by the student’s signature and identification (“Student
Physiotherapist”). It must then be co-signed by the Clinical Instructor.
CONFIDENTIALITY
Students are bound by the PHIA legislation. Each student is responsible for maintaining
confidentiality in all matters relating to their assigned patients and facility business.
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Students placed in WRHA facilities should carry their PHIA cards at all times during
clinical placements.
CLINICAL PLACEMENT ASSIGNMENTS Students may be asked to do written and/or oral assignments during their clinical placements
and internships. This is in accordance with the recognition that clinical placements are
courses which have attached expectations such as assignments.
The following guidelines are recommended:
1. Assignments should be relevant to the particular clinical placement.
2. Students may be expected to prepare assignments outside of placement hours.
3. Guidelines for presentation and content of the assignment should be defined by the
clinical facility and made available to the student at the commencement of the
placement.
ACCEPTANCE OF GIFTS FROM PATIENTS A patient may wish to express their appreciation to the student/therapist with a gift. Gifts
that are costly or otherwise inappropriate may not be accepted. The student should seek the
guidance of the Clinical Instructor in dealing with this issue.
EVALUATIONS/CLINICAL REPORTS
Evaluations serve to determine areas of strength in a student’s performance and those
needing improvement. Students should be evaluated on a formal and informal basis.
Informal evaluation involves making a judgment about the quality of the student’s
performance every time it is observed followed by immediate feedback.
Formal Evaluation
The Clinical Instructor is expected to complete the Physical Therapist Clinical
Performance Instrument (CPI) at mid-term and again at the completion of the clinical
placement. This evaluation form is designed to objectively assess the student’s abilities
and skills in 24 different areas of clinical practice. The student may evaluate his/her own
performance on a separate copy of this form. In addition, the student is also expected to
evaluate the Clinical Instructor and the facility / agency using the Student Clinical
Placement Feedback Form.
At mid-term and at the completion of the clinical placement, the student and Clinical
Instructor should have scheduled meetings to discuss the content of the evaluation forms.
These meetings are an opportunity for both the student and the Clinical Instructor to
provide each other with constructive feedback and express any concerns. If the Clinical
Instructor has any serious concerns about student performance, the clinical liaison and the
ACCE should be informed by midterm at the latest.
The Clinical Instructor and the student must sign both the CPI and the Student Clinical
Placement Feedback Form at midterm and at completion of the clinical placement. The
student’s signature on the CPI indicates that he/she has read the report. If a student does
not agree with the evaluation, he/she should refer to the Academic Progression Document
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in the Student Handbook for specific details about the appeal process. If the student
wishes to have a copy of their CPI, they should contact the ACCE.
LINES OF COMMUNICATION BETWEEN STUDENT AND CLINICAL
INSTRUCTOR
Occasionally, a student and/or a Clinical Instructor may be dissatisfied with the student-
instructor relationship. For example, the student and Clinical Instructor may be having
communication difficulties, or the student may be dissatisfied with the Clinical
Instructor’s style of supervision and feedback.
Students who find themselves in this situation should refer to the following plan of
action:
1. The student and the Clinical Instructor should attempt to resolve all difficulties
between themselves whenever it is appropriate to do so
2. After the first incidence of a problem, both the student and the Clinical Instructor
should feel free to discuss any issues with the clinical liaison
3. Once a problem has occurred repeatedly, both the student and the Clinical
Instructor should feel free to discuss any issues with the ACCE
4. If the student feels uncomfortable discussing issues with the Clinical Instructor or
the clinical liaison for any reason, the student should feel free to express concern
directly to the ACCE at any time.
Whenever the clinical liaison or ACCE is called upon to mediate disputes, it is the policy
of the School of Medical Rehabilitation that all issues will be dealt with in a fair and
timely manner and without negative reflection on the professional reputation of either the
Clinical Instructor or the student.
WITHDRAWAL FROM CLINICAL EDUCATION COURSES
The following information is copied from the “Academic Progression of Students in the
BMR (PT) Program” section of the Department of Physical Therapy Student Handbook
2007-2008.
5.2 Clinical Education Courses
5.2.1 A student who is intending to withdraw from a clinical placement without
academic penalty must submit a formal request to the ACCE as soon as
possible. Initial discussion with the ACCE may be verbal, but must be
followed up immediately with a written request. The following reasons
will be considered for withdrawal without academic penalty:
5.2.1.1 Medical reasons: The student must present a physician’s note to
the ACCE, both at the time of withdrawal and prior to resumption
of the placement.
5.2.1.2 Compassionate reasons (e.g. loss of a close family member; major
life crisis).
5.2.1.3 Exceptional circumstances: The student must consult with the
ACCE prior to withdrawing from the placement. The ACCE will
consult with the Department Head, in order to determine whether
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the student should consider proceeding with the withdrawal
process.
5.2.2 A student is permitted only one voluntary withdrawal from a clinical
placement per course.
5.2.2.1 Students may withdraw from clinical education courses, without
academic penalty until and including the mid-term of the
placement, after discussion of the mid-term evaluation with the
clinical instructor and ACCE. A student who withdraws from the
clinical education placement after the midpoint of the placement
will be considered to have failed the placement.
5.2.3 A student is permitted a maximum of two voluntary withdrawals from
clinical placements over the length of the program.
STUDENT DRESS CODE FOR CLINICAL PLACEMENTS
This dress code is not required for classroom activity unless there are scheduled clinical
visits or scheduled interactions with patients or standardized patients.
Purpose
To provide guidelines for proper attire while placing responsibility on the student to
maintain professionalism at all times. In addition to choosing attire that is professional in
appearance, students should also choose functional clothing that is appropriate for:
1. Patient handling - i.e. avoid restrictive or excessively baggy clothing
2. Quick responses to emergency - i.e. wear secure, comfortable shoes
3. Personal safety - i.e. minimize exposed skin and wear closed-toed shoes.
GENERAL APPEARANCE
Clothing
1. Dress should be professional, neat, clean, practical, safe, avoiding extremes of
fashion and appropriate to staff duties and work area.
2. Shirts should have appropriate necklines (i.e. not too low). Shirts should also be
in conservative colors and be plain or simple in design (e.g. no large or
inappropriate logos).
3. Pants should be ankle length and made of appropriate fabric (i.e. no sweat pants,
leather pants or jeans).
4. Shorts should be no shorter than 4 inches above the knee.
5. Students should wear clothing that allows them to bend and move freely without
exposing their abdominal skin.
Footwear
1. Socks or pantyhose must be worn with shoes
2. Shoes should be well-maintained and presentable with closed toes and closed
heels (i.e. no sandals or clogs)
3. Casual shoes and runners may be worn if they are clean, in good condition and
approved by supervisor.
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Accessories
1. Jewelry should be minimal: watches, smooth-surfaced rings, and small earrings
are acceptable
2. Conservative make-up is permitted.
Miscellaneous
1. Hair – clean; long hair should be tied back
2. Nails – clean and short; brightly colored nail polish is not recommended
3. Hygiene – all students should be clean and have no discernable body odor; the use
of fragrances and colognes is prohibited.
NAME TAGS MUST BE WORN AT ALL TIMES
1. All students are provided with a University of Manitoba Student Physiotherapist
nametag
2. Lost nametags should be reported to the SMR Clinical Education Secretary, and a
$10 fee will be charged for a replacement.
NB. Students will be expected to adhere to the dress code policy of the
facility/agency to which they are assigned for placement if it is different than the
SMR Student Dress Code.
Students will be required to adhere to the dress code for all clinical situations
including encounters with standardized patients.
(Revised by the Clinical Education Committee, Department of Physical Therapy, June
2003.)
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Section 7
THE CLINICAL EDUCATION TEAM - ROLES AND RESPONSIBILITIES
CENTRE COORDINATOR OF CLINICAL EDUCATION
At each clinical site there is an individual who is responsible for coordinating the clinical
activities at that site including clinical visits and clinical placements. This individual:
1. Serves as the liaison between the clinical facility and the ACCE.
2. Provides the ACCE with a determination of the numbers and types of clinical
placements that can be allocated to the physiotherapy students from the University
of Manitoba in a given year.
3. Ensures orientation of physiotherapy students to the facility including the policies
and procedures specific to the given facility
4. Acts as a resource to students.
5. Ensures orientation of department staff with respect to all aspects of the clinical
education program
6. Provides feedback through the Post-Clinical Placement component of the fall
Clinical
7. Education Committee meeting on the interface of the academic and clinical
curriculum from their facility's perspective.
8. Ensures the completion and return of all clinical evaluation forms to the ACCE.
9. Ensures an invoice / statement of account is sent to the Department of Physical
Therapy for reimbursement of funds for clinical liaison activities.
CLINICAL LIAISON
A clinical liaison is appointed for each clinical centre/agency which accepts students for
placements. The clinical liaison is a physiotherapist who facilitates communication and
establishes mutual understanding between the University of Manitoba, Department of
Physical Therapy and the clinical centre/agency. The clinical liaison is appointed by the
facility department director/physiotherapy profession leader. Each clinical liaison is
supported by the ACCE in order to fully understand the policies, curriculum, and clinical
education goals of the School of Medical Rehabilitation.
The clinical liaison may be expected to:
1. Interpret SMR policies, curriculum, or goals for Clinical Instructors
2. Mediate disputes between student and Clinical Instructor
3. Observe a student while he/she participates in activities within the facility/agency
for the purpose of later mediating any disputes about a student’s performance
evaluation.
The clinical liaison is not expected to be involved in the clinical evaluation process at
any stage.
CLINICAL INSTRUCTOR
The Clinical Instructor will, prior to the commencement of the clinical placement,
familiarize himself/ herself with the following:
2. The academic curriculum relevant to the particular clinical placement
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3. The evaluation process for the clinical education course
4. The Department of Physical Therapy Policies and Procedures governing clinical
education.
The Clinical Instructor will guide and assist the student in a manner that promotes the
student's achievement of his/ her own objectives for that clinical placement. The Clinical
Instructor should demonstrate effective:
1. Communication skills to express himself/herself to students, define expectations and
provide feedback which may at times be difficult or confrontational, and in turn be
open to feedback from students on the issues of concern..
2. Interpersonal skills to initially understand the student as an individual, and assist in
the development of a professional peer relationship through role modeling of
professional behaviors.
3. Professional skills through adherence to ethical behavior, a systematic approach to
patient care, the ability to provide a rationale for evaluation and treatment
approaches, and ability to work with others.
4. Instructional skills including an understanding of the student's current level of
performance, the goals of the clinical education experience, and various factors such
as learning style and environment that have an impact on the learning experience.
5. Supervisory skills including clarity of performance expectations, provision of
frequent and timely feedback, collection of information through direct observation,
review of documentation and adjustment of the learning experience.
6. Performance evaluation skills including articulation of performance expectations,
and planning of effective remedial strategies to address deficits in student
performance. The Clinical Instructor should approach evaluation in a constructive,
educational and objective manner, including encouragement of self-assessment by
students of their performance.
STUDENT PHYSIOTHERAPISTS
The student is expected to be familiar with the:
1. General goals and objectives of clinical education
2. Department of Physical Therapy Policies and Procedures governing clinical
education
3. Policies and Procedures of the clinical facilities to which they are assigned
4. Evaluation procedures for clinical education courses
5. Academic Progression Document as it pertains to clinical education courses.
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Student Responsibilities
The student is expected to:
1. Obtain relevant information regarding the clinical placement from the Facility
Profile Document. Should further clarification be required, the student may contact
the Centre/agency Clinical Coordinator.
2. Wear appropriate professional attire as outlined in the Department of Physical
Therapy Student Dress Code. The name tag must be worn at all times during the
clinical placement to allow identification.
3. Identify areas of insufficient practice or exposure and relay this information to the
Clinical Instructor.
4. Develop objectives for the particular clinical placement in collaboration with the
Clinical Instructor.
5. Collaborate with the Clinical Instructor to determine the type of supervision he/she
would prefer during the placement.
6. Apply classroom knowledge and skills to the clinical environment with the guidance
and assistance of the Clinical Instructor.
7. Prepare and review material on his/her own time. The student should ask appropriate
questions to clarify points of uncertainty. He/she should not be expected to perform
treatment with which he/she is not familiar.
8. Read the patient’s chart before approaching the patient, and be aware of the
professional responsibility of not performing treatment before feeling secure
regarding the patient's medical history and diagnosis. All material reviewed in charts
must remain confidential.
9. Chart all interventions and any changes in the patient's status during treatment. Each
note should be signed by the student and have the label Student Physical Therapist
attached. Charting frequency may vary between facilities/agencies.
10. Meet all general objectives (as outlined in the clinical performance evaluation forms)
and those specific objectives agreed to with their Clinical Instructor.
11. Assess his/her own strengths and weaknesses.
12. Contact the clinical liaison person with questions or concerns about their placement.
The student should make every attempt to solve problems directly with his/her
supervisor before considering taking the matter further.
13. Contact the ACCE to assist in resolving ongoing conflict between the Clinical
Instructor and the student.
14. Adhere to the CPA Code of Ethics.
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CLINICAL PRACTICE INSTRUCTION GUIDELINES
(What the student can expect from the Clinical Instructor)
The purpose of clinical instruction is to ensure:
1. Safe and effective assessment and treatment of patients.
2. Provision of a directed learning environment.
Instruction consists of observation of the student's performance, evaluation of the
performance, feedback to the student regarding that performance, constructive criticism and
suggestions for improvement. Students must also develop self evaluation skills in relation to
their patient assessment and treatment abilities.
Students will proceed through the stages from "dependent novice" to "entry-level"
practitioner. The Clinical Instructor acts as a facilitator in this process while assuring the
student has the opportunity to develop their own individual approach to patient assessment
and treatment.
As students become more mature through clinical exposure, their ability to take greater
responsibility for the planning and implementation of patient treatments should improve and
they should require correspondingly less instruction.
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Section 8
DEPARTMENT OF PHYSICAL THERAPY
CLINICAL EDUCATION CONTACT INFORMATION
Head, Department of Physical Therapy Jenneth Swinamer 977-5636
Academic Coordinator of Clinical Education Liz Harvey 977-5656
(ACCE)
SMR Clinical Education Secretary Charlene Dyck 789-3757
Year 2 Coordinator Mike McMurray 789-3413
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Section 9
APPENDIX
a) Physical Therapist Clinical Performance Instrument (CPI)
b) CPI Scoring Guidelines
c) Clinical Learning Contract
d) Clinical Placement Pass/Fail Form
e) Student Feedback Regarding Clinical Placement Form
f) End of Clinical Placement Checklist
g) Out-of-Province Clinical Placement Request Form
h) 2011-2012 Clinical Education Schedule