Neurologic Physical Therapy Residency Handbook
Updated October 2014
Table of Contents
Mission, Goals and Objectives………………………………………………………….….Page 3
Faculty Roles and Responsibilities…………………………………………………….…...Page 7
Faculty Evaluation………………………………………………………………………....Page 10
Patient Confidentiality……………………………………………………………….…….Page 10
Mentor/Resident Roles and Responsibilities…………………………………………...….Page 11
Facilities……………………………………………………………………………………Page 13
Professional Development…………………………………………………………………Page 14
Curriculum…………………………………………………………………………………Page 15
Resident/ Curricular assessment………………………………………………...…………Page 17
Policies……………………………………………………………………………………..Page 18
Admission Criteria…………...…………………………………………………….Page 18
Admission Process……………………...………………………………………….Page 18
Orientation………………………………………………………………………….Page 19
Probationary Period.……………………………………………………………….Page 19
Retention/Remediation….………………………………………………………….Page 19
Termination……..………………………………………………………………….Page 19
Competency Assessment.……………………………………………………….….Page 20
Case study………………………….…………………………………………...….Page 21
Patient Outcomes……………………….………………………………………….Page 21
Anecdotal Record……….………………………………………………………….Page 23
Appendix…………………………………………………………………………………...Page 24
Mentor evaluation form……………………………………….………...…….……Page 25
Faculty/Program manager evaluation form………………....…………...…………Page 26
Residency course evaluation form……………………………………..………..…Page 27
Teaching evaluation form……………………………………..………...…………Page 28
Non-PT mentor evaluation form………………………………………...…………Page 29
Live patient evaluation forms…………………………………………...…………Page 30
Professional Behaviors…………………………………………………………………….Page 37
Billing procedures in setting……………………………………………………………… Page 46
Goal setting……………………………………………………………………………….. Page 49
Calendar…………………………………………………………………………………....Page 50
A message from Li z Ulanowski, PT, DPT, NCS, Manager of the Physical Therapy Program:
It is my genuine pleasure to welcome you to the Physical Therapy Residency Program at Norton Healthcare and Bellarmine University. The program faculty and staff have worked hard to develop a challenging and rewarding educational experience for you. It is our goal to provide you with a stimulating and supportive educational environment that prepares you well for the rigors of advanced physical therapy clinical practice. The faculty of the program is an outstanding collection of clinicians, physicians, administration and academicians with many years of experience. I encourage you to look toward the program faculty and member of our community to help guide your practice to becoming and neurologic certified specialist.
Mission of the NNI Neurologic Physical Therapy (PT) Residency Program in the Norton Neuroscience Institute (NNI):
The Neurologic Physical Therapy Residency Program in the NNI will support the mission of Norton Healthcare by providing high quality health care and education to all those we serve in a manner that responds to the needs of our communities, honors our faith heritage and celebrates our values. This patient-centered program will provide advanced physical therapist clinical training and will promote the application of evidence-based knowledge and skills with emphasis on service and life-long learning. This environment will produce leaders with advanced neurologic rehabilitation training to make a lasting contribution to their local and professional communities. Through this program, residents and staff will educate, advocate, empower and improve the quality of life of our patients, their families, caregivers, and our community.
The Goals of the NNI NPT Residency Program are to:
1. Develop advanced practitioners in the field of neurologic physical therapy that meet the needs of patients and clients, their families, and of society.
2. Develop practitioners who are critical consumers of neurologic physical therapy and supporting literature and who apply the evidence to the development and implementation of patient and client treatment and education programs.
3. Foster and develop laboratory, classroom room and clinical teaching skills in neurologic physical therapy residents.
4. Foster clinical research and inquiry skills in neurologic physical therapy residents to meet the needs of continued evidence based medicine in physical therapy.
5. Enhance resident’s ability to apply advanced knowledge and skill in the examination and treatment during patient care.
6. Provide formative feedback to neurologic physical therapy residents and facilitate guided reflection.
7. Promote professionalism, community awareness and leadership roles in neurologic physical therapy residents
8. Promote and provide continuing education for community leaders in the field of neurologic physical therapy to foster best practice habits as well as active participation in clinical research and excellence in teaching skills.
*** Faculty goals mirror the program goals to ensure working towards similar outcome
Objectives of the NNI NPT Residency Program:
Goal 1: Develop advanced practitioners in the field of neurologic physical therapy that meet the needs of patients and clients, their families, and of society.
· The program will provide advanced practice placements in neurologic physical therapy for the resident to work and/or observe to broaden their base of knowledge and skill set.
· The program will provide information and education in areas described in the current ABPTS description of specialty practice in neurologic physical therapy.
· Create learning experiences for the resident to prepare for the completion of the ABPTS specialist certification examination.
· The program will provide clinical experience with advanced mentoring to foster learning with patient/family care.
Goal 2: Develop practitioners who are critical consumers of neurologic physical therapy and supporting literature and who apply the evidence to the development and implementation of patient and client treatment and education programs
· The program will offer a variety of research databases to find the highest level of available research for a given topic.
· The program will offer a variety of on-site resources to facilitate learning and assist the resident with literature searches for evidence based practice
· The program will require the resident to perform regular literature searches as it pertains to patient care and summarize as the basis of clinical practice.
· The program will require resident to be involved in journal club monthly to which they will lead and obtain the highest level of knowledge.
· The program will offer educational mentoring through evidence based practice and delivery of the highest level of neurologic care.
Goal 3: Foster and develop laboratory, classroom room and clinical teaching skills in neurologic physical therapy residents.
· The program will assess classroom evaluations (mentor and students) to ensure the resident is providing optimal teaching in the classroom setting.
· The program will provide opportunities for residents to assume leadership positions in clinical, academics and the classroom settings.
· The program will require the resident in completing the clinical instructor course through the APTA to enhance their abilities to perform clinical and academic teaching.
Goal 4: Foster clinical research and inquiry skills in neurologic physical therapy residents to meet the needs of continued evidence based medicine in physical therapy.
· The program will require resident to write a case study in field of interest with appropriate mentoring available for guidance for highest level of completion.
· The program will provide opportunities for resident to be involved in clinical research as available.
Goal 5: Enhance resident’s ability to apply advanced knowledge and skill in the examination and treatment during patient care.
· The program will perform ongoing assessments of resident’s performance with systems review, subjective history, objective findings, plan of care and patients expected outcome through formal assessment with clinical experts.
· The program will evaluate the organization and implementation of treatment interventions as it correlates to the most current literature.
· The program will ensure that the resident will be able to progress and or modify treatment and plan of care as indicated by patient response and patient’s ability to progress.
· The program will expose the resident to a variety of experiences to broaden the knowledge base of the resident for a more comprehensive examination and treatment plan.
Goal 6: Provide formative feedback to neurologic physical therapy residents and facilitate guided reflection.
· The program manager/mentor will have monthly meeting with resident to enhance reflection.
· The program will have weekly mentor reflection sheets to enhance discussion and reflection between mentor and mentee.
Goal 7: Promote professionalism, community responsiveness and leadership roles in neurologic physical therapy residents
· The program will provide professional service opportunities for the resident to explore and engage with community and outreach programs.
· Ensure that the resident will exhibit specialist level on professional behaviors.
· The program will promote opportunities for involvement in the Kentucky Physical Therapy Association and other local agencies to foster leadership.
Goal 8: Promote and provide continuing education for community leaders in the field of neurologic physical therapy to foster best practice habits as well as active participation in clinical research and excellence in teaching skills.
· The program will provide didactic coursework for the resident and will open this to local clinicians to promote advanced practice.
· The program will provide experiences of clinical mentors to be involved in teaching and research to promote and foster a continuing learning environment.
The resident/graduate of the NNI NPT Residency Program will be to:
1. Demonstrate preparation to sit for ABPTS neurologic specialty examination at the end of the program.
2. Promote leadership for the physical therapy community and promote and advocate for the neurologic patient populations.
3. Demonstrate increased confidence in teaching roles for enhancing the consultative services of the physical therapy profession and or throughout academic institutions.
4. Demonstrate increased confidence and knowledge of basic skills of clinical research and application of evidence based practice.
Objectives of the NNI Resident in the Program:
Goal 1: Demonstrate preparation to sit for ABPTS neurologic specialty examination at the end of the program.
· The resident will demonstrate full achievement status for all objectives/goals/outcomes required by the residency program.
· The resident will submit a residency portfolio at each quarterly evaluation and at the conclusion of the residency. This portfolio is the property of the residency program which will include hours and educational experiences.
· The resident will complete 2 written exams to demonstrate didactic knowledge of addressed skills and topics throughout the program.
Goal 2: Promote leadership for the physical therapy community and promote and advocate for the neurologic patient populations.
· The resident will complete all mentoring hours with faculty at each placement with 150 hours total.
· The resident will complete all associated observation hours set up by program manager.
· The resident will pass each clinical rotation as decided by clinical faculty/program manager and performance rating.
· The resident will participate and complete and community partner/service project up to 10 hours in area of interest.
Goal 3: Demonstrate increased confidence in teaching roles for enhancing the consultative services of the physical therapy profession and or throughout academic institutions.
· The resident will participate in all conferences and educational modules.
· The resident will create and deliver 2 patient case presentations, 10 journal club presentations, 3 physical therapy in-services, and one presentation at physician rounds.
· Perform tasks as lab assistant and will put together at least one lecture and lab for Adult Neuro course in spring semester at Bellarine University.
Goal 4: Demonstrate increased confidence and knowledge of basic skills of clinical research and application of evidence based practice.
· Demonstrate that they are critical consumers of neurologic physical therapy and supporting literature and who apply the evidence to the development and implementation of patient and client treatment and education programs which will be recorded in outcome sheets.
· The resident will write a minimum of one case study over the year to complete by end of year to be considered as a publishable draft.
Core Faculty
· Angela Hardwick, MD, Director of Cressman Movement Disorders Program
· Dee Ann Clark, PT, MBA, HCM, Director of Hospital Operations and Rehabilitation Services
· Liz Ulanowski, PT, DPT, NCS Neurologic Residency Manager and Clinical Coordinator
· Megan Danzl, PT, PhD, NCS Education and Research Coordinator at Bellarmine University
· Beth Quinn, PT, Rehab manager, Outpatient director and mentor facilitator
· Robin Dixon, PT: Rehab manager, Downtown, inpatient mentor facilitator
· Melanie Hoehn, PT, Rehab manager OBH, Inpatient mentor facilitator
· Jennifer Chiles, PT. Inpatient Rehab facilitator at Cardinal Hill Rehabilitation Hospital
Mentors
Norton Brownsboro/Downtown: Erica Basile- Skinner, PT, Sarah Bormann, PT, DPT
Cardinal Rehabilitation Hospital: Jennifer Chiles, PT
Norton Outpatient: Liz Ulanowski, PT, DPT, NCS, Laura Miller, PT, DPT, NCS, MSCS, Erin Weigle, PT, DPT, NCS
Bellarmine University: Megan Danzl, PT, PhD, NCS
Role of Residency Manager, Education/Research, and Clinical Coordinator
Residency Manager/Clinical Coordinator: Liz Ulanowski, PT, DPT, NCS
Position Purpose: Directs, coordinates, and organizes the neurologic physical therapy residency program through the development, evaluation and operation of program activities in partnership with Bellarmine University and Cardinal Hill Rehabilitation Hospital.
Essential Duties and Responsibilities of Residency Coordinator
· The coordinator, working with faculty and program mentors, will develop, implement and assess program goals and objectives.
· The coordinator will be responsible for the development and assessment of all resident experiences, including clinical, research, didactic, community engagement and specialty observation experiences.
· The coordinator will be responsible for overseeing and ensuring the availability of advanced resident mentoring at each facility.
· The coordinator will meet regularly with the resident, and be available to the resident/faculty for advisory purposes throughout the program.
· The coordinator will be responsible for maintaining and providing resources to the resident and faculty throughout the program.
· The coordinator will assess residents, faculty and the program with feedback from all shareholders and will continuously monitor and make appropriate changes. .
· The coordinator will provide clinical mentoring, and didactic instruction.
· The coordinator will provide the resident with specific goals and objectives for all learning activities.
· The coordinator will review the progress and provide formative feedback to the resident throughout the program.
· The coordinator will facilitate the preparation of the resident for the ABPTS neurologic certification examination.
· The coordinator will maintain appropriate records for each resident and faculty member.
· The coordinator will ensure that appropriate resources are available to the resident and staff.
· The coordinator will maintain communication and partnerships with Bellarmine University and Cardinal Hill and foster relationships to enhance patient care, consultation, and teaching experiences.
· The coordinator will perform an annual assessment of the residency program and provide this to all shareholders and APTA on annual update.
· The coordinator will report directly to the Director of Hospital Operations and Rehabilitation Services.
Research/Education Coordinator: Megan Danzl, PT, PhD, NCS
Position Purpose: Directs, coordinates, and organizes the neurologic physical therapy residency program through assistance of development of the educational and research portions of the program.
Essential Duties and Responsibilities of Education/ Research Residency Coordinator
· This coordinator will working with faculty and staff to assist resident in research development.
· This coordinator will be responsible for assisting resident with writing case studies.
· This coordinator will facilitate relationships with resident and Bellarmine Faculty for mentoring opportunities in the classroom.