OFF-CAMPUS CLINICAL EXPERIENCES By Sue Shapiro Ed.D. ATC/L Clinical Coordinator/Associate Professor...

OFF-CAMPUS CLINICAL OFF-CAMPUS CLINICAL EXPERIENCESEXPERIENCES

ByBySue Shapiro Ed.D. ATC/LSue Shapiro Ed.D. ATC/L

Clinical Coordinator/Associate ProfessorClinical Coordinator/Associate ProfessorBarry UniversityBarry University

Miami Shores, FloridaMiami Shores, Florida

ObjectivesObjectives

Share and Compare Share and Compare Off – Campus Contract IssuesOff – Campus Contract IssuesOff- Campus Clinical Models Off- Campus Clinical Models Establishing a variety of Establishing a variety of

experiences and how to experiences and how to approach different settingsapproach different settings

Capstone experiencesCapstone experiencesHands on ProjectHands on Project

Affiliated Sites in Athletic Training Affiliated Sites in Athletic Training

Do we need them?What functions do they serve

for the educational process?

Experiencing Hands OnExperiencing Hands OnInformation in IsolationInformation in Isolation

Nothing becomes real for the Nothing becomes real for the studentstudent

until it is EXPERIENCEDuntil it is EXPERIENCED

BRIDGING THE BRIDGING THE GAPGAP

LearningLearningEnvironmentEnvironment

JOBJOBSETTINGSETTING

New EnvironmentNew Environment

Integrating Components Integrating Components of the Educational of the Educational

ProgramProgram

Students need to learn toStudents need to learn to

THINK -IN-ACTIONTHINK -IN-ACTION

&&

REASON-IN TRANSITIONREASON-IN TRANSITION

(Benner P, Hooper-Kyriakidis P,Stannard,D (Benner P, Hooper-Kyriakidis P,Stannard,D Clinical Wisdom 1999Clinical Wisdom 1999))

Double Edged SwordDouble Edged Sword

Outcomes of Outcomes of IntegrativeIntegrative

Learning ExperiencesLearning ExperiencesMotivates learnersMotivates learnersFacilitates the transfer of Facilitates the transfer of

conceptual knowledgeconceptual knowledge Helps students to comprehend Helps students to comprehend thethe professional reality of professional reality of application, application, synthesis and problem solving synthesis and problem solving

PositivePositive Negative Negative

Acculturation of Acculturation of Student Student

Lot of work up front:Lot of work up front:Contract PreparationContract PreparationCredential VerificationCredential Verification

Teaches Teaches ResponsibilityResponsibility

Requires constant Requires constant over site with over site with dedicated personneldedicated personnel

Gets student out of Gets student out of their comfort zone and their comfort zone and cross over to the real cross over to the real worldworld

Liability for Liability for Accreditation Accreditation

Accreditation Requirements for Accreditation Requirements for Affiliate SitesAffiliate Sites

2005 CAATE Standards2005 CAATE Standards A3. Current formal affiliation agreement(s) or

memorandum(a) of understanding must be developed and endorsed by appropriate administrative personnel from all institutions (i.e., bearing signature authority). The agreement must delineate responsibilities for:

A3.1 Program administrationA3.2 InstructionA3.3 Supervision, andA3.4 Other functions as deemed appropriate by the

sponsoring institution or the affiliate institution

Accreditation Requirements for Accreditation Requirements for Affiliate SitesAffiliate Sites

2005 CAATE Standards2005 CAATE StandardsA4. Each affiliated clinical setting where

students are assigned to a clinical instructor for student learning and/or clinical practice (excluding the ATEP sponsoring institution) must have an affiliation agreement. In the case where the administrative oversight of the clinical instructor differs from the affiliate site, formal agreements must be obtained from both parties.

Affiliate Site ContractsAffiliate Site Contracts

Need to have a comprehensive approachNeed to delineate responsibility

– University’s responsibility to the Affiliate Site

– Affiliate Site’s responsibility to the University

– Joint responsibility

4 parts to the Contract4 parts to the Contract

University’s CommitmentAgency’s CommitmentJoint Commitment Signature Page

Affiliate Site ContractsAffiliate Site Contracts Signatures are very important and the hardest to

obtain in a timely fashion The contract is a “year to year” contract unless

either party provides written notification of desire to terminate

Termination should be stated as no less than sixty days in advance of the anniversary date of the agreement

Should not be cancelled in full until all students currently enrolled and scheduled for experiences in the AGENCY have completed the pre-arranged period

Contract SignaturesContract Signatures

All ADMINISTRATORS must sign the contract:– (High School Administrator; Principal; Athletic

Director; School District Administrator;) (Clinic Administrator; Hospital Administrator; Hospital Home Office)

– Anyone that provides educational instruction to the student: ACI

Affiliate Site ContractsAffiliate Site Contracts

What happens when the hospital or Clinical Setting will not accept your contract?

– University may have to accept their corporate contract after your legal department OK’s it

Sample Signature PageSample Signature Page Signatures of administration and instructional personnel are required. IN WITNESS WHEREOF, the parties hereto have executed this Agreement by their duly

authorized officers. UNIVERSITY Attest: ____________________________

_______ Director of Athletic Training

___________________________________ Department Chair By

___________________________________ Dean, School of

___________________________________ AFFILIATED SITE Attest: __________________________ Athletic Trainer/Clinical

Instructor/ACI __________________________ Administrator/Athletic Director By __________________________ Owner/CEO/Principal

Common ModelsCommon Models

MODEL ONEMODEL ONE

l. Acculturation of students into different l. Acculturation of students into different employment opportunitiesemployment opportunities

Usually implemented early on in the Usually implemented early on in the educational processeducational process

Not used necessarily to enhance clinical Not used necessarily to enhance clinical competencies or skills competencies or skills

Rotations are short in duration ( 3-6 Rotations are short in duration ( 3-6 weeks)weeks)

Student’s don’t get much hand on Student’s don’t get much hand on experience; more of an observation modelexperience; more of an observation model

Common Models Used Common Models Used with Off-Campus with Off-Campus

SettingsSettings

MODEL TWOMODEL TWO

Senior Experience – INTERNSHIPSenior Experience – INTERNSHIP

Used when only a few clinical Used when only a few clinical competencies need to be competencies need to be evaluatedevaluated

Used to make up for lack of Used to make up for lack of institution experiences – no institution experiences – no football on campusfootball on campus

Used to expose the students to a Used to expose the students to a variety of different work variety of different work environmentsenvironments

MODEL TWO ALTERNATIVE MODEL TWO ALTERNATIVE

CO-OP Situation– Student treats Off –Campus Setting As a Job

Research Job OpportunitiesSend out resumesMust go through interview processNo clinical proficienciesFully entrenched experience

– Professional Behavior/Acculturation

CAPSTONE EXPERIENCE –Last SemesterCAPSTONE EXPERIENCE –Last Semester

Student has completed all the Student has completed all the clinical and cognitive competenciesclinical and cognitive competencies

Student is totally emerged in the Student is totally emerged in the workplace setting of their choiceworkplace setting of their choiceSimulates real world experienceSimulates real world experience

Find site, apply for the internship, interview for Find site, apply for the internship, interview for the position, negotiate terms of experience the position, negotiate terms of experience ( salary ?, hours, vacation, etc.) ( salary ?, hours, vacation, etc.)

Research/Independent StudyResearch/Independent Study Problem Solving /Critical Thinking Skill Problem Solving /Critical Thinking Skill

DevelopmentDevelopment

MODEL THREEMODEL THREE

Disney (Orlando ) and Bush Disney (Orlando ) and Bush Gardens ( Williamsburg)Gardens ( Williamsburg)

Chiropractor’s OfficeChiropractor’s OfficeDisability FacilitiesDisability FacilitiesMiami Ballet Miami Ballet NASA NASA Oriental Medicine ClinicsOriental Medicine Clinics

NON TRADITIONAL OFF-NON TRADITIONAL OFF-CAMPUS SETTINGCAMPUS SETTING

Motivates learners and gets them excited about the Motivates learners and gets them excited about the professionprofession


Learning ExperiencesLearning Experiences

MotivatesMotivateslearnerslearners

Fosters Fosters integrativeintegrative behavior inbehavior in the student the student




Facilitates the Facilitates the transfer oftransfer of conceptualconceptual knowledgeknowledge




Helps students to Helps students to

comprehend thecomprehend the

professional reality professional reality

of application, of application, synthesis synthesis

and problem solvingand problem solving



Off – Campus Experiences Off – Campus Experiences Are Dessert Are Dessert

BREAKOUT EXERCISEBREAKOUT EXERCISE

Develop a Table of Contents for Clinical Instructor Manual for each Off-Campus Model– Contents that would be the same?– Contents that would be emphasized in the

three different models

Common Table of Content ItemsCommon Table of Content Items

Contact Phone NumbersUniversity ‘s Statement of PolicyProgram DescriptionClinical Education MissionAcademic Structure –Policies &

Procedures: 4 year course schedule, grading scale, academic probation, etc

OFF-CAMPUS CLINICAL EXPERIENCES By Sue Shapiro Ed.D. ATC/L Clinical Coordinator/Associate Professor...

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