The Path to Clinical Excellence
description
Transcript of The Path to Clinical Excellence
![Page 1: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/1.jpg)
![Page 2: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/2.jpg)
![Page 3: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/3.jpg)
Upon completion of this presentation, you'll be able to:
Discuss the role of specialty certification in advancing your clinical practice and importance to our profession
List the current areas of Areas of Specialty PracticeProvide an overview of the ABPTS certification and
maintenance of specialty certification program Describe the minimum eligibility requirements for certification
and recertification for specializationDescribe the process for board certification and maintenance
of specialty certification Describe the role of clinical residencies in the certification
process Identify top motivations to pursue ABPTS Specialty
certification
![Page 4: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/4.jpg)
KnowledgeClinical
Reasoning
Movement
Virtues
Philosophy of PT
Practice
MultidimensionalPatient-centered
Collaborative with Patient-
Reflective Practice
Caring, Commitment,
Respect, Ethical
Practice
Primary focus; Centered on
function: hands-on
Jensen GM et al (2000) Phys Ther 80(1):28 – 43.
![Page 5: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/5.jpg)
Entry level degree Years of experience Continuing education Post–professional residency Post-professional degrees Post-professional
certifications Specialization
![Page 6: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/6.jpg)
Specialization is a process for physical therapist ◦ Established to provide formal recognition for physical
therapists with advanced clinical knowledge, experience, and skills in a special area of practice
◦ Professional education and development ◦ Clinical Expertise in specific areas of practice
Clinical specialization responds to a unique area of patient need
Recognition Assists consumers and the health care community
in identifying physical therapists who are specialists in a unique area of practice
![Page 7: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/7.jpg)
Voluntary – you decide Unrestrictive – does not prohibit others Coordinated - all APTA recognized are managed by a central mechanism (ABPTS)
![Page 8: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/8.jpg)
Broad based foundation of physical therapy education and clinical practice
Combined with… Depth and breadth of
knowledge in specialty area Clinical experience in
specialty area
KnowledgeKnowledge
![Page 9: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/9.jpg)
Advanced clinical expertise, skills, and abilities unique to a specialized practice area
Expertise in clinical reasoning applied to specialty practice area
What does Clinical Specialization Require?
KnowledgeKnowledge
![Page 10: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/10.jpg)
Promote highest possible level of physical therapy care
Promote ongoing development of science and art underlying each specialty practice
![Page 11: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/11.jpg)
Recognize specialists through a reliable and valid method for certification of specialty practitioners
Identify for the consumers and the health care community physical therapists who are specialists in a unique area of practice
![Page 12: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/12.jpg)
1. Cardiovascular & Pulmonary (CCS)2. Clinical Electrophysiologic (ECS)3. Geriatrics (GCS)4. Orthopaedics (OCS)5. Pediatrics (PCS)6. Neurology (NCS)7. Sports (SCS)8. Women’s Health (WCS)
![Page 13: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/13.jpg)
Current license to practice physical therapy in the United States, the District of Columbia, Puerto Rico, or the Virgin Islands
Practice eligibility requirement is 2,000 hours minimum of direct patient care in the specialty area, 25% (500 hrs) of which must have occurred in the last 3 years.
![Page 14: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/14.jpg)
Direct patient care ◦ must include activities in each
of the elements of patient/client management model applicable to the specialty area and included in the Description of Specialty Practice (DSP)
![Page 15: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/15.jpg)
Practice elements of patient/client management as defined in the Guide to Physical Therapist Practice Examination Evaluation Diagnosis Prognosis Intervention
![Page 16: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/16.jpg)
Other requirements specific to the specialty such as:◦Emergency care certification (SCS)◦ACLS certification (CCS)◦Patient reports (ECS)◦Case reflections (WCS)
![Page 17: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/17.jpg)
APTA Credentialed Clinical Residency ◦ A planned program of post-professional clinical
and didactic education that is designed to advance significantly the physical therapist's preparation as a provider of patient care services in a defined area of clinical practice
◦ Residency Curriculum - designed around the DSP◦ Specialty councils may allow completion of an
APTA-credentialed clinical residency to replace all or a portion of the practice eligibility requirements
![Page 18: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/18.jpg)
Last step in initial certification process
The Specialty Councils develop the examinations
A rigorous examination that tests the application of advanced knowledge and clinical skills & reasoning National Board of Medical
Examiners Criterion referenced exam
Another exam!!!
![Page 19: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/19.jpg)
Patient Care Teaching Administration Consultation Communication Interpretation of Research
As defined by specific DSP
Components of the Examination*
![Page 20: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/20.jpg)
Description of Specialty Practice (DSP) ◦ Describes the
advanced knowledge, skills, and abilities for clinical practice in the specialty area
◦ Developed from a valid process for assessing expertise domain and current standards of specialty practice
![Page 21: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/21.jpg)
Based on data from an extensive practice analysis study◦Conducted by Specialty
Councils and approved by ABPTS
Document from which the certification exam is developed
![Page 22: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/22.jpg)
Description of Specialty Practice◦ Self-Assess strengths
and weakness Develop a plan and
strategy, decide on a “path”
![Page 23: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/23.jpg)
Clinical experience in specialty area
Seek mentor(s)◦ Board certified specialist
Professional development ◦ Knowledge and skills◦ Continuing Education◦ Post professional clinical
residency◦ Post professional education
![Page 24: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/24.jpg)
Continuously review and adapt your “path” Resources
◦ Resources available from APTA Sections
Recommended textbooks
Reading lists
Advanced Clinical Practice Courses
◦Study Groups
◦ *ABPTS does not approve or review material or course content*
![Page 25: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/25.jpg)
Application ◦APTA Department of Post-Professional Certification and
Credentialing (www.abpts.org) Deadline:
◦July of the preceding year◦To sit for the 2013 exam, applications must be
postmarked by:◦July 1, 2012 – WCS, CCS, ECS◦July 31, 2012 – GCS, NCS, OCS, PCS, SCS
All applications are reviewed
![Page 26: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/26.jpg)
Certification is valid for ten years with no maintenance fees
APTA member Non-member
Applicant Review $500 $845
Examination $800 $1,525
Total $1,300 $2,370
![Page 27: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/27.jpg)
Exams are offered once per year for a two-week exam period
Candidates may sit for the exam between February-March
●2012 – February 25–March 10, 2012●2013 – March 2-16, 2013
![Page 28: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/28.jpg)
Computerized examinations, administered at Prometric, Inc. testing centers
FORMAT: Multiple choice questions including case scenarios, videos, pictures
![Page 29: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/29.jpg)
Recognized at Opening Ceremony of APTA Combined Sections Meeting (CSM)
Recognized by sections and chapters Inclusion in online Directory of Certified
Specialists Only individuals who have successfully
completed the ABPTS certification process may use the term “Board-Certified Clinical Specialist”
![Page 30: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/30.jpg)
Who Are They?
![Page 31: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/31.jpg)
Total 2012- 12,937 individuals
![Page 32: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/32.jpg)
Cardiovascular & Pulmonary CCS 176
Clinical Electrophysiologic ECS 156
Geriatrics GCS 1422
Neurology NCS 1102
Orthopaedics OCS 7655
Pediatrics PCS 1178
Sports SCS 1094
Women’s Health WCS 154
Total in 2012 = 12,937
![Page 33: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/33.jpg)
![Page 34: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/34.jpg)
54%
46%
Female Male
![Page 35: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/35.jpg)
Private PT OfficeHealth system or hospital-based outpatient facility or clinic
Academic Institution
![Page 36: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/36.jpg)
Supervisor/Director of PT Staff or Senior PT Sole Owner/Partner PT PracticeAcademic Faculty
![Page 37: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/37.jpg)
![Page 38: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/38.jpg)
Proof of expertise in specialty area
Personal challenge or achievement
Professional career goal
Earn a credential that reflects advanced practice to patients, physicians, & payers
Source: Survey of certified specialists (2007)
![Page 39: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/39.jpg)
Specialists report that board certification has had a positive impact on . . . ◦Sense of personal achievement ◦Self-confidence & professional growth◦Patient care, including better outcomes◦Increased credibility with patients &
referral sources◦Recognition in clinical, academic and
community settings
Sources: Survey of certified specialists (2007)
![Page 40: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/40.jpg)
Opened doors for professional growth◦Consultations◦Invited Presentations◦New job opportunities◦Leadership & service◦Teaching opportunities◦Research collaboration◦Networking
![Page 41: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/41.jpg)
SACE – exam item writers CCE – exam item editors SME – exam standard setting and specialty
practice analysis Specialty Councils – over see exam
development process, maintenance of certification, specialty practice analysis
ABPTS – board that oversees all specialties
![Page 42: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/42.jpg)
Employer Support of ABPTS Certification ◦ 53% of employers pay at least some of the costs
associated with obtaining clinical specialization.◦ 43% of employers indicate that they give priority in
hiring to job applicants who are board certified. Value expertise of specialist
◦ High patient care standards◦ Serve as mentors for others◦ Provide team leadership
![Page 43: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/43.jpg)
79% report that certification is a indicator of clinical competence
90% report that certification is an indicator of depth and breadth of knowledge in an area of specialty practice
High rate (68%) of specialists choose to recertify
Source: Survey of certified specialists (2007)
![Page 44: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/44.jpg)
Yes!! What is the process?
◦Currency of clinical practice and expertise in the specialty
◦Currency of advanced knowledge and skills in the specialty
◦Demonstration of professional development
![Page 45: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/45.jpg)
Initial Certification is valid for 10 years.
To maintain the credential, a specialist must meet the requirements of before his or her certificate expires
ABPTS has developed process for assessing currency and recertification standards
Ensures to the public the validity of advanced skills and expertise of the specialist
![Page 46: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/46.jpg)
To verify current competence as an advanced practitioner in the specialty area
Evaluation of professional development and clinical experience
To encourage ongoing education and professional growth
![Page 47: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/47.jpg)
Current requirements
◦ Direct patient care hours in specialty (2000 hr)
AND
◦ Professional Development Portfolio (PDP)
OR◦ Current written examination
OR◦ Graduation from a credentialed APTA clinical residency
Future Model - MOSC
![Page 48: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/48.jpg)
Documentation of professional development activities and advanced clinical practice related to specialty practice since initial certification
Examples:√ Continuing Education courses√ Clinical Supervision√ College/University courses√ Teaching continuing education or college courses√ Research presentations (platform or poster)√ Presentations to professional groups, classes, or in-services√ Presentations to community or client-based groups√ Author or editor of book chapters, journal articles, grant
proposals√ Committee membership in professional organization√ Consultation
![Page 49: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/49.jpg)
Maintenance of Specialist Certification Model
(MOSC)
RecertificationModel
MOSC Model
![Page 50: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/50.jpg)
MOSC
#1
#2 #3
#4
3 6 9CertificationCycle (10 yrs) years
![Page 51: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/51.jpg)
Professionals with clinical expertise Advancing our profession Making a difference in lives of our patients
Consider setting your career path toward clinical excellence and Specialization
CCS, ECS, GCS, NCS, OCS, PCS, SCS, WCS
![Page 52: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/52.jpg)
APTA
Department of Post-Professional Certification and Credentialing
1111 North Fairfax Street
Alexandria, VA 22314
800/999-2782, ext 8520
http://www.abpts.org
![Page 53: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/53.jpg)
Stepp DD: Focus your career: Specialist Certification. Perspectives for New Professionals of the American Physical Therapy Association. PT InMotion. May, 2010
Bryan J, Blake A. How do other health care professionals view specialist certification? PT Magazine. 2004;12(9):54-57.
Bryan J, Gill-Body K, Blake A. How employers view specialist certification. PT Magazine. 2003;11(1):50-51.
Thompson M. The role of higher education in the career paths of board-certified clinical specialists in geriatric physical therapy: implications for professional and post professional
education. J Phys Ther Educ. 2001;15(2):10-16.
![Page 54: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/54.jpg)
Hart DL, Dobrzykowski EZ. Influence of orthopaedic clinical specialist certification on clinical outcomes
J Orthop Sports Phys Ther. 2000;30(4):183-193 Milidonis MK, Godges JJ, Jensen GM. Nature of clinical
practice for specialists in orthopaedic physical therapy. J Orthop Sports Phys Ther. 1999;29(4):240-247 Ellison J, Becker M, Nelson AJ. Attitudes of physical
therapists who possess sports specialist certification. J Orthop Sports Phys Ther. 1997;25(6):400-406
![Page 55: The Path to Clinical Excellence](https://reader036.fdocuments.us/reader036/viewer/2022070405/56813e42550346895da829e6/html5/thumbnails/55.jpg)
Smith LC. The decision to specialize. 2001;9(6):52-59 Edmonds MM. What if? PT Magazine. 1999;7(4):44-49 Wynn KE. Why recertify? PT Magazine. 1996;4(11):68-70 Williams DO. Answering the bell: PTs & school sports. PT Magazine. 1996;4(12):36-39 Woods EN. What’s so special about specialist certification?
PT Magazine. 1994;2(2):46-51 Ferrier MPB. One stage in professional evolution. Clinical Management. 1991;11(2):66-70