clinical site information form - university of...

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CLINICAL SITE INFORMATION FORM

I. Information About the Clinical Site Date ( 01/01/10 )Person Completing Questionnaire Lynn Cummings, MSPT CCCE

E-mail address of person completing questionnaire [email protected]

Name of Clinical Center Concentra Medical Centers (This CSIF for Philadelphia, PA, Southern NJ and Delaware only)

Street Address 210 Benigno Blvd

City Bellmawr State NJ Zip 08031

Facility Phone (856)931-0691 Ext. -

PT Department Phone Ext.

PT Department Fax (856) 931-9253

PT Department E-mail [email protected]

Web Address www.Concentra.com

Director of Physical Therapy Gary Zigenfus, M.S., P.T. – Sr. V.P., National Therapy Director

Director of Physical Therapy E-mail

Center Coordinator of Clinical Education (CCCE) / Contact Person

Lynn Cummings CCCE-Bellmawr

CCCE / Contact Person Phone 856-931-0691

CCCE / Contact Person E-mail [email protected]

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Complete the following table(s) if there are multiple sites that are part of the same health care system or practice. Copy this table before entering information if you need more space

PHILADELPHIA REGION

Name of Clinical Site Concentra Medical Centers – Plymouth Meeting, PA

Street Address 850 Germantown Pike

City Plymouth Meeting State PA Zip 19462

Facility Phone (610) 275-3884 Ext. -

PT Department Phone (610) 275-3884 Ext. -

Fax Number (610) 275-3898 Facility E-mail

Director of Physical Therapy

Amber Woods

E-mail [email protected]

Center Coordinator of Clinical Education/contact (CCCE)

Lynn Cummings, MSPT CCCE [email protected]

Name of Clinical Site Concentra Medical Centers – Northeast, PA

Street Address 2010 Levick St.

City Philadelphia State PA Zip 19149





George Lavalais, PT



Lynn Cummings, MSPT, CCCE E-mail [email protected]

Name of Clinical Site Concentra Medical Centers – Airport (Philadelphia), PA

Street Address 7000 Holstein Avenue

City Philadelphia State PA Zip 19153

Facility Phone 215-365-7510 Ext. -

PT Department Phone 215-365-7510 Ext. -

Fax Number 215-365-7568 Facility E-mail


Richard Cicci, MPT E-mail [email protected]



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SOUTHERN NEW JERSEY

Name of Clinical Site Concentra Medical Centers – Mt. Laurel, NJ

Street Address 817 East Gate Drive Suite 1B

City Mt. Laurel State NJ Zip 08054




Director of Physical Therapy Staff Therapist

Jinky Tugade, PT Gemmarie Loja, PT



Lynn Cummings, MPT, CCCE E-mail [email protected]

Name of Clinical Site Concentra Medical Centers – Pennsauken, NJ

Street Address 7204 N. Park Drive

City Pennsauken State NJ Zip 08109

Facility Phone 856-663-7790 Ext. -

PT Department Phone 856-663-7790 Ext. -

Fax Number 856-663-9269 Facility E-mail


Anthony Vendetti, PT



Lynn Cummings, MSPT, CCCE [email protected]

Name of Clinical Site Concentra Medical Centers – Bellmawr, NJ

Street Address 210 Benino Blvd

City Bellmawr State NJ Zip 08131





Lynn Cummings, PT E-mail [email protected]



DELAWARE

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Name of Clinical Site Concentra Medical Centers – Newark, DE

Street Address 4110 Stanton-Ogletown Road

City Newark State DE Zip 19713





Jeff Rogers, DPT



Lynn Cummings, MPT, CCCE E-mail [email protected]

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Clinical Site Accreditation/Ownership

Yes No Date of Last Accreditation/Certification

X 1. Is your clinical site certified/ accredited? If no, go to #3.

2. If yes, by whom?

JCAHO

CARF

Government Agency (eg, CORF, PTIP, rehab agency, state, etc.)

Other: Medicare Certified

3. Who or what type of entity owns your clinical site? ____ PT owned ____ Hospital Owned _X _ General business / corporation ____ Other (please specify)___________________

4. Place the number 1 next to your clinical site’s primary classification -- noted in bold type. Next, if

appropriate, mark (X) up to four additional bold typed categories that describe other clinical centers associated with your primary classification. Beneath each of the five possible bold typed categories, mark (X) the specific learning experiences/settings that best describe that facility.

Acute Care/Hospital Facility X Functional Capacity Exam- FCE spinal cord injury university teaching hospital X industrial rehab traumatic brain injury Pediatric other (please specify) other Cardiopulmonary Federal/State/County Health School/Preschool Program Orthopedic Veteran’s Administration school system Other pediatric develop. ctr. preschool program 1 Ambulatory Care/Outpatient adult develop. ctr. early intervention Geriatric other other hospital satellite Home Health Care Wellness/Prevention Program medicine for the arts agency on-site fitness center Orthopedic contract service other pain center hospital based Other pediatric other international clinical site podiatric Rehab/Subacute Rehab administration sports PT inpatient research X other outpatient other ECF/Nursing Home/SNF pediatric 1 Ergonomics adult X work hardening/conditioning geriatric

4a. Which of these best characterizes your clinic’s location? Indicate with an ‘X’.

rural suburban X urban X

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5. If your clinical site provides inpatient care, what are the number of:

Acute beds ECF beds Long term beds Psych beds Rehab beds Step down beds Subacute/transitional care unit Other beds

(please specify): N/A Total Number of Beds

II. Information about the Provider of Physical Therapy Service at the Primary Center

6. PT Service hours

Days of the Week From: (a.m.) To: (p.m.) Comments

Monday 8:00 am 5:00 pm Student to work 8 hour

Tuesday 8:00 am 5:00 pm day correlating with

Wednesday 8:00 am 5:00 pm CI schedule only.

Thursday 8:00 am 5:00 pm

Friday 8:00 am 5:00 pm

Saturday CLOSED CLOSED

Sunday CLOSED CLOSED 7. Describe the staffing pattern for your facility: Standard 8 hour day__X__ Varied schedules__X__

(Enter additional remarks in space below, including description of weekend physical therapy staffing pattern). The majority of PTs work 8 to 5, only few CI’s split days, etc. to equal 40 hours/week. CCCE will work with students with special needs for affiliation to match available hours for work.

8. Indicate the number of full-time and part-time budgeted and filled positions:

Full-time budgeted Part-time budgeted

PTs 1-2 per clinic

PTAs

Aides/Techs

9. Estimate an average number of patients per therapist treated per day by the provider of physical therapy.

INPATIENT OUTPATIENT

Individual PT 12-15 Individual PT

Individual PTA Individual PTA

Total PT service per day 15-30 Total PT service per day

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III. Available Learning Experiences 10. Please mark (X) the diagnosis related learning experiences available at your clinical site: Amputations Critical care/Intensive care Neurologic conditions Arthritis Degenerative diseases Spinal cord injury X Athletic injuries X General medical conditions Traumatic brain injury Burns General surgery/Organ Transplant Other neurologic conditions Cardiac conditions X Hand/Upper extremity Oncologic conditions Cerebral vascular accident X Industrial injuries X Orthopedic/Musculoskeletal Chronic pain/Pain ICU (Intensive Care Unit) Pulmonary conditions Connective tissue diseases Mental retardation Wound Care Congenital/Developmental Other (specify below)

11. Please mark (X) all special programs/activities/learning opportunities available to students during clinical

experiences, or as part of an independent study. X Administration X Industrial/Ergonomic PT Prevention/Wellness Aquatic therapy X Inservice training/Lectures Pulmonary rehabilitation X Back school Neonatal care X Quality Assurance/CQI/TQM Biomechanics lab Nursing home/ECF/SNF Radiology Cardiac rehabilitation On the field athletic injury Research experience X Community/Re-entry activities Orthotic/Prosthetic fabrication Screening/Prevention Critical care/Intensive care Pain management program X Sports physical therapy Departmental administration Pediatric-General (emphasis on): X Surgery (observation) X Early intervention Classroom consultation X Team meetings/Rounds X Employee intervention Developmental program Women’s Health/OB-GYN Employee wellness program Mental retardation X Work Hardening/Conditioning Group programs/Classes Musculoskeletal Wound care Home health program Neurological Other (specify below)

12. Please mark (X) all Specialty Clinics available as student learning experiences.

Amputee clinic Neurology clinic Screening clinics Arthritis Orthopedic clinic Developmental Feeding clinic Pain clinic Scoliosis Hand clinic Preparticipation in sports Sports medicine clinic Hemophilia Clinic Prosthetic/Orthotic clinic Other (specify below)

X Industry Seating/Mobility clinic

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13. Please mark (X) all health professionals at your clinical site with whom students might observe and/or interact. X Administrators X Health information technologists Psychologists Alternative Therapies X Nurses Respiratory therapists Athletic trainers X Occupational therapists Therapeutic recreation

therapists Audiologists X Physicians (list specialties) Social workers Dietitians X Physician assistants Special education teachers

Enterostomal Therapist Podiatrists Vocational rehabilitation counselors

Exercise physiologists Prosthetists /Orthotists X Others (specify below) Physiatrist XRAY Technicians Case Managers

14. List all PT and PTA education programs with which you currently affiliate.

Refer to attached list. 15. What criteria do you use to select clinical instructors? (mark (X) all that apply):

APTA Clinical Instructor Credentialing X Demonstrated strength in clinical teaching X Career ladder opportunity No criteria Certification/Training course X Therapist initiative/volunteer X Clinical competence X Years of experience X Delegated in job description Other (please specify)

16. How are clinical instructors trained? (mark (X) all that apply)

X 1:1 individual training (CCCE:CI) X Continuing education by consortia

Academic for-credit coursework No training

X APTA Clinical Instructor Credentialing X Professional continuing education (eg, chapter, CEU course)

X Clinical center inservices Other (please specify)

X Continuing education by academic program

17. On pages 11 to 14 please provide information about individual(s) serving as the CCCE(s), and on pages 11 and

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12 please provide information about individual(s) serving as the CI(s) at your clinical site.

ABBREVIATED RESUME FOR CENTER COORDINATORS OF CLINICAL EDUCATION

Please update as each new CCCE assumes this position.

NAME: Lynn Cummings, MSPT Length of time as the CCCE: less then 1 year

DATE: (mm/dd/yy) 11/24/2008 Length of time as the CI: 3 years

PRESENT POSITION: (Title, Name of Facility) Physical Therapist Concentra Medical Centers CCCE for Philadelphia, PA, DE, Southern NJ

Mark (X) all that apply: _X _PT ____PTA ____Other, specify

Length of time in clinical practice: 3 years

LICENSURE: (State/Numbers) NJ: 40QA01249000

Credentialed Clinical Instructor: Yes_____ No__x_____

Eligible for Licensure: Yes__X__ No____ Certified Clinical Specialist: Currently in manual therapy program.

Area of Clinical Specialization:

Other credentials:

SUMMARY OF COLLEGE AND UNIVERSITY EDUCATION (start with most current):

INSTITUTION

PERIOD OF STUDY

MAJOR DEGREE

FROM TO

Thomas Jefferson University 8/02 5/05 Physical Therapy MSPT

Stevenson University 9/98 5/02 Biology BS

SUMMARY OF PRIMARY EMPLOYMENT (For current and previous four positions since graduation from college; start with most current):

PERIOD OF EMPLOYMENT

EMPLOYER POSITION

FROM TO

Concentra Medical Centers Center Therapy Director 5/07 Present

Christiana Care Pediatric Physical Therapist 9/05 5/07

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CONTINUING PROFESSIONAL PREPARATION RELATED DIRECTLY TO CLINICAL TEACHING RESPONSIBILITIES (for example, academic for credit courses [dates and titles], continuing education [courses and instructors], research, clinical practice/expertise, etc. in the last five years):

Manual Therapy Institute 2007-present

Pain Management Seminar 2007

Sports Medicine Seminar 2008

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CLINICAL INSTRUCTOR INFORMATION Provide the following information on all PTs or PTAs employed at your clinical site who are CIs.

L= Licensed, Number E= Eligible T= Temporary

Name

School from

Which CI Graduated

PT/PTA

Year of

Graduation

No. of

Years of Clinical Practice

No. of Years of Clinical Teaching

Credentialed CI

Specialist

Certification

Other

L/E/T Number

State of Licensure

Amber Woods (Plymouth Meeting, PA)

St. Louis University

PT

2005

3

2

PT019193

PA

George Lavalais, PT (Northeast, PA)

Temple University

PT

1977

29

24-25

Credentialed CI in Manual therapy

program

J1-0001593 PT-003345L QA009721

DE PA NJ

Richard Cicci, PT (Philadelphia Airport, PA)

Duke U.

PT

2003

5

1

Credentialed CI

in Manual therapy program

PT016876 004481

PA KY

Anthony Vendetti, PT (Pennsauken, NJ)

Temple U.

PT

1986

21

15

FCE

Credentialed CI

40QAO3817

NJ

Lynn Mann, PT (Bellmawr, NJ)

Thomas Jefferson U.

PT

2005

3

2

In Manual Therapy

Program

40QA01249000

NJ

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CLINICAL INSTRUCTOR INFORMATION (continued)

L= Licensed, Number E= Eligible T= Temporary

Name

School from

Which CI Graduated

PT/PTA

Year of

Graduation

No. of

Years of Clinical Practice

No. of Years of Clinical Teaching

Credentialed CI Specialist Certification Other

L/E/T Number

State of Licensure

Jinky V. Tugade, PT (Mt. Laurel, NJ)

University of Philippines

PT

1989

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17

Credentialed CI in Manual therapy program

40QA00587200

NJ

Jeff Rogers Jr., MPT (Newark, DE)

U. of the Sciences in Philadelphia

PT

2004

4

3

in Manual

therapy program

J1-0001864 40QA01146900 PT017165

DE NJ PA

Gemmarie Loja, PT (Mount Laurel, NJ)

University of Santo Tomas

PT

1997

11

7

Credentialed CI

In Manual Therapy program

L: PT-004051L 40QA0094300

PA NJ

Steven Gilman, PT (Area Therapy Director)

Hahneman

PT

1998

9

8

Fellowship in

Manual Therapy

PT012271L J1-0001928 40QA01160900

PA DE NJ

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18. Indicate professional educational levels at which you accept PT and PTA students for clinical experiences (mark (X) all that apply).

Physical Therapist Physical Therapist Assistant X First experience X First experience

X Intermediate experiences X Intermediate experiences X Final experience X Final experience X Internship

PT PTA

From To From To 19. Indicate the range of weeks you will accept students for any single full-time (36 hrs/wk) clinical experience.

4

18

4

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20. Indicate the range of weeks you will accept students for any one part-time (< 36 hrs/wk) clinical experience.

4

18

4

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PT PTA 21. Average number of PT and PTA students affiliating per year. 4-5 per center 4-5 per center

22. What is the procedure for managing students with exceptional qualities that might affect clinical

performance (eg, outstanding students, students with learning/performance deficits, learning disability, physically challenged, visually impaired)?

The procedure is based on each student’s exceptional quality. Reasonable accomodation will be made for any disability and we will strive for equal opportunities for students regardless of exceptional qualities, placing them as appropriately as possible.

23. Answer if the clinical center employs only one PT or PTA. Explain what provisions are made for

students if the clinical instructor is ill or away from the clinical site. All CI’s agree not to take absences during a student affiliation. In case of pre-approved vacation during an upcoming affiliation, coverage is provided by another member of the staff and the student will be notified.

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Yes No

X 24. Does your clinical site provide written clinical education objectives to students? If no, go to # 27.

25. Do these objectives accommodate: X the student’s objectives? X students prepared at different levels within the academic curriculum? X academic program's objectives for specific learning experiences? X students with disabilities? X 26. Are all professional staff members who provide physical therapy services acquainted with the

site's learning objectives? 27. When do the CCCE and/or CI discuss the clinical site's learning objectives with students? (mark (X) all that apply) X Beginning of the clinical experience X At mid-clinical experience Daily X At end of clinical experience Weekly Other

28. How do you provide the student with an evaluation of his/her performance? (mark (X) all that apply) X Written and oral mid-evaluation X Ongoing feedback throughout the clinical X Written and oral summative final evaluation As per student request in addition to formal and

ongoing written & oral feedback Student self-assessment throughout the

clinical

Yes No

X 29. Do you require a specific student evaluation instrument other than that of the affiliating academic program? If yes, please specify:

OPTIONAL: Please feel free to use the space provided below to share additional information about your clinical site (eg, strengths, special learning opportunities, clinical supervision, organizational structure, clinical philosophies of treatment, pacing expectations of students [early, final]).

Concentra Medical Centers takes an aggressive, sports medicine approach to the rehabilitation of work-related injuries – the industrial athlete if you will. The majority of patients are seen within the first few days of injury while sill in the acute phase. Early intervention, combined with a strong team approach between the physical therapists and the physicians minimizes the patients’ recovery period. As a result, Concentra Medical Centers experiences rapid patient turnover which creates an excellent opportunity for students to sharpen their general outpatient orthopedic evaluative skills. Patient education is strongly emphasized. It is important for each injured worker to understand the mechanism of injury, the associated anatomy, what to expect during the recovery process, the importance of prescribed home exercise programs and home modality care, and how to prevent re-injury through utilization of proper posture and lifting / body mechanics. This knowledge empowers the patient with a sense of control over the circumstances and creates a positive attitude toward return to full duty. Special learning opportunities may include accompanying one of our physical therapists onto a job site for observation of the testing involved to help industry comply with the Americans With Disabilities Act for both return to work as well as pre-employment / post offer issues. Our physical therapists are experts in the ADA and valuable knowledge may be gained by the student which may be beneficial to him/her as he/she begins his/her professional career.

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Information for Students - Part II I. Information About the Clinical Site

Yes No

X

1. Do students need to contact the clinical site for specific work hours related to the clinical experience?

X 2. Do students receive the same official holidays as staff?

X 3. Does your clinical site require a student interview?

4. Indicate the time the student should report to the clinical site on the first day of the experience: 8:00 am (unless specified otherwise)

Medical Information

Yes No Comments

X 5. Is a Mantoux TB test required? a) one step____X_____ b) two step_________

5a. If yes, within what time frame? Please provide test results by the first day of the clinical.

X 6. Is a Rubella Titer Test or immunization required? X 7. Are any other health tests/immunizations required prior to the

clinical experience?

a) If yes, please specify: Record of Hep B immunization or recent titer

8. How current are student physical exam records required to be?

X 9. Are any other health tests or immunizations required on-site? a) If yes, please specify:

X 10. Is the student required to provide proof of OSHA training?

X 11. Is the student required to attest to an understanding of the benefits and risks of Hepatitis-B immunization?

X 12. Is the student required to have proof of health insurance?

X a) Can proof be on file with the academic program or health center?

X 13. Is emergency health care available for students?

X a) Is the student responsible for emergency health care costs?

X 14. Is other non-emergency medical care available to students?

X 15. Is the student required to be CPR certified? (Please note if a specific course is required).

X a) Can the student receive CPR certification while on-site?

X 16. Is the student required to be certified in First Aid?

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X a) Can the student receive First Aid certification on-site?

Yes No Comments

X 17. Is a criminal background check required (eg, Criminal Offender Record Information)?

Student will be sent the forms prior to starting their clinical.

X a) Is the student responsible for this cost?

X 18. Is the student required to submit to a drug test? To be done at a Concentra site approx. 3 business days prior to start of affiliation.

X 19. Is medical testing available on-site for students?

Housing

Yes No Comments

X 20. Is housing provided for male students?

X for female students? (If no, go to #26)

$ 21. What is the average cost of housing?

22. If housing is not provided for either gender:

a) Is there a contact person for information on housing in the area of the clinic? (Please list contact person and phone #).

b) Is there a list available concerning housing in the area of the clinic? If yes, please attach to the end of this form.

23. Description of the type of housing provided: 24. How far is the housing from the facility? 25. Person to contact to obtain/confirm housing: Name:

Address: City: State: Zip:

Transportation

Yes No

X 26. Will a student need a car to complete the clinical experience? Some clinics accessible by bus. X 27. Is parking available at the clinical center? $0 a) What is the cost?

X 28. Is public transportation available? Some clinics – check for availability.

29. How close is the nearest bus stop (in miles) to your site? Varies per clinic; contact CI a) train station? b) subway station? 30. Briefly describe the area, population density, and any safety

issues regarding where the clinical center is located. Varies per clinic; contact CI

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31. Please enclose printed directions and/or a map to your facility. Travel directions can be obtained from several travel directories on the internet. (eg, Google Maps, Yahoo).

Meals Yes No Comments

X 32. Are meals available for students on-site? (If no, go to #33)

Breakfast (if yes, indicate approximate cost) $________

Lunch (if yes, indicate approximate cost) $________

Dinner (if yes, indicate approximate cost) $________

X Refridgerator and microwaves are

a) Are facilities available for the storage and preparation of food? Available.

Stipend/Scholarship

Yes No Comments

X 33. Is a stipend/salary provided for students? If no, go to #36

$50/weekly a) How much is the stipend/salary? ($50 /weekly)

34. Is this stipend/salary in lieu of meals or housing?

35. What is the minimum length of time the student needs to be on the clinical experience to be eligible for a stipend/salary?

8 Weeks

Special Information

Yes No Comments X 36. Is there a student dress code? If no, go to # 37. a) Specify dress code for men: No denim. Business casual b) Specify dress code for women: No denim. Business casual.

X 37. Do you require a case study or inservice from all students? X 38. Does your site have a written policy for missed days due to

illness, emergency situations, other?

Other Student Information

Yes No

X 39. Do you provide the student with an on-site orientation to your clinical site? (mark X) a) What does the orientation include? (mark (X) all that apply)

X Documentation/billing X Required assignments (eg, case study, diary/log, inservice) X Learning style inventory X Review of goals/objectives of clinical experience X Patient information/assignments X Student expectations X Policies and procedures X Supplemental readings X Quality assurance X Tour of facility/department X Reimbursement issues Other (specify below)

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In appreciation... Many thanks for your time and cooperation in completing the CSIF and continuing to serve the physical therapy profession as clinical teachers and role models. Your contributions to students’ professional growth and development ensure that patients today and tomorrow receive high-quality patient care services. Index

Saving the Completed Form……………………………………………………………………………………………..Page 2

Affiliated PT and PTA Educational Programs ………………………………………………………………….Page 8 Arranging the Experience ……………………………………………………………………………………Page 15

Required Background……………………………………………………………………………...…...Page 16 Required Medical Tests…………………………………………………………………………………Page 15

Available Learning Experiences……………………………………………………………………..…………….. Diagnosis………………………………………………………………………………………………..Page 7 Health Professionals on Site………………………………………………………………………...…….Page 8 Specialty Clinics………………………………………………………………………………………....Page 7 Special Programs/Activities/Learning Opportunities……………………………………………………….Page 7

Center Coordinators of Clinical Education (CCCEs)……………………………………………………………… Education…………………………………………………………………………………………….….Page 9 Employment Summary……………………………………………………………...…………………....Page 9 Information……………………………………………………………………………………………...Page 9 Teaching Preparation…………………………………………………………………………………...Page 10

Clinical Instructors…………………………………………………………………………………………………. Information…………………………………………………………………………………………Page 11-12 Selection Criteria………………………………………………………………………………………...Page 8 Training…………………………………………………………………………………………………Page 8

Clinical Site Accreditation…………………………………………………………………………………..Page 5 Clinical Site Ownership……………………………………………………………………………………..Page 5 Clinical Site Primary Classification…………………………………………………………………………Page 5 Information about the Clinical Site……………………………………………………………………………..Page 3

Information about Physical Therapy Service at Primary Center……………………………………………………………………………………Page 6

Satellite Site Information…………………………………………………………………………………Page 4 Physical Therapy Service…………………………………………………………………………………………...

Hours……………………………………………………………………………………………………Page 6 Number of Patients………………………………….…………………………………………………... Page 6 Staffing…………………………………………………………………………………………………. Page 6

Student Information………………………………………………………………………………………………... Housing………………………………………………………………………………………………..Page 16 Meals………………………………………………………………………………………………….Page 17 Other…………………………………………………………………………………………………..Page 17 Stipends………………………………………………………………………………………………..Page 17

Transportation…....…………………………………………………………………………………….Page 17

List of all PT/PTA Educational Programs Affiliating

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with Concentra Medical Centers

PT Programs 1. AT Still University, Mesa, AZ 2. Alabama State University, Montgomery, AL 3. American International College, Springfield, MA 4. Angelo State University, San Angelo,TX 5. Armstrong Atlantic State University, Savannah, GA 6. Beaver College, Glenside, PA 7. Belmont University, Nashville, TN 8. Boston University, Boston, MA 9. California State University, Fresno, Fresno, CA 10. California University of Pennsylvania (IN PROCESS) 11. Carroll College, Wausesha, WI 12. Chatham College, Pittsburgh, PA 13. Clarkson University, Potsdam, NY 14. Cleveland State University, Cleveland, OH 15. Concordia University, Mequon, WI 16. Creighton University, Omaha, NE 17. Daemen College, Buffalo, NY 18. Des Moines University-Osteopathic Medical Center, Des Moines, IA 19. Drexel University, Pennsylvania 20. Duke University, Durham, NC 21. Duquesne University, Pittsburgh, PA 22. East Carolina University, Greenville, NC 23. Elon University, Elon, NC 24. Emory University, Atlanta, GA 25. Florida A&M University, Tallahassee, FL (???) 26. Florida International University, Miami, FL ( 27. Fontys Hogescholen, The Netherlands 28. Georgia State University, Atlanta, GA 29. Governors State University, University Park, IL 30. Grand Valley State University, Allendale, MI (to be renewed) 31. Hampton University, Hampton, VA 32. Hardin-Simmons University, Abilene, TX 33. Houston Community College, Houston, TX 34. Husson College, Bangor, ME 35. Indiana University School of Medicine, Indianapolis, IN 36. Ithaca College, Rochester, NY 37. Krannert School of Physical Therapy/Univ of Indianapolis, Indianapolis, IN 38. Langston University, Langston, OK 39. Lebanon Valley College, Lebanon, PA (???) 40. Loma Linda University, Loma Linda, CA 41. Louisiana State University, New Orleans and Shreveport, LA 42. Marquette University, Milwaukee, WI 43. Maryville University, St. Louis, MO

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44. Massachusetts General Hospital Institute of Health Professions, Boston, MA 45. Medical College of OH 46. Medical University of South Carolina, Charleston, SC 47. Mercy College, Dobbs Ferry, NY 48. Midwestern University, Downers Grove, IL 49. New York Institute of Technology, Westbury, NY 50. New York Medical College, Valhalla, NY 51. North Georgia College and State University, Dahlonega, GA 52. Northern Illinois University, DeKalb, IL 53. Northeastern University, Boston, MA 54. Northern Arizona University, Flagstaff, AZ 55. Northwestern University, Chicago, IL 56. NOVA Southeastern University (IN PROCESS) 57. Oakland University, Rochester, MI 58. Ohio State University, Columbus, OH 59. Ohio University (IN PROCESS) 60. Quinnipiac College, Hamden, CT 61. Regis University, Denver, CO 62. Rockhurst College, Kansas City, MO 63. Rosalind Franklin University (formerly known as Finch University/Chicago Medical School),

North Chicago,IL 64. Sacred Heart University, Fairfield, CT 65. The Sage Colleges, Troy, NY 66. Saint Ambrose University, Davenport, IA 67. Saint Francis University, Loretto, PA 68. Saint Louis University, Saint Louis, MO 69. Seton Hall University, South Orange, NJ 70. Shenandoah University, Winchester, VA 71. Simmons College, Boston, MA 72. Slippery Rock University, Slippery Rock, PA 73. Sonoma College, Petaluma, CA 74. Southwest Baptist University, MO (IN PROCESS) 75. Southwest Missouri State University, Springfield, MO 76. Springfield College, Springfield, MA 77. SUNY Stony Brook, Stony Brook, NY (no student stipend) 78. Temple University, Philadelphia, PA 79. Tennessee State University, Nashville, TN 80. Texas State University, San Marcos, TX 81. Texas Tech University, Amarillo, TX 82. Texas Tech University, Lubbock, TX 83. Texas Tech University, Odessa, TX 84. Texas Woman’s University, Dallas, TX 85. Texas Woman’s University, Houston, TX 86. Thomas Jefferson University, Philadelphia, PA 87. Touro College, Dix Hills, NY 88. Union County College, NJ 89. University of Central Arkansas, Conway, AR 90. University of Cincinnati, Cincinnati, OH (IN PROCESS)

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91. University of Colorado-Health Science Center, Denver, CO 92. University of Connecticut, Storrs, CT 93. University of Delaware, Newark, DE 94. University of Evansville, Evansville, IN 95. University of Findlay, Findlay, OH 96. University of Hartford, Hartford, CT 97. University of Illinois—Chicago, Chicago, IL 98. University of Kansas Medical Center, Kansas City, KS 99. University of Kentucky, Lexington, KY 100. University of Maryland Eastern Shore, Princess Anne, MD (???) 101. University of Maryland School of Medicine, Baltimore, MD 102. University of Massachusetts—Lowell, Lowell, MA 103. University of Medicine and Dentistry of New Jersey, Stratford, NJ 104. University of Miami School of Medicine, Coral Gables, FL 105. University of Michigan, Flint, MI 106. University of Missouri-Columbia, Columbia, MO 107. University of Nevada-Las Vegas, Las Vegas, NV 108. University of New Mexico, Albuquerque, NM (???) 109. University of North Florida, Jacksonville, FL 110. University of North Carolina, Chapel Hill, NC 111. University of Oklahoma, Oklahoma City, OK 112. University of Pittsburgh, Pittsburgh, PA 113. University of Rhode Island, Kingston, RI 114. University of St. Augustine for Health Sciences, St. Augustine, FL 115. University of South Alabama, Mobile, AL 116. University of the Sciences in Philadelphia, Philadelphia, PA 117. University of Scranton, Scranton, PA 118. University of Southern California, Los Angeles, CA 119. University of Wisconsin-Madison Medical School, Madison, WI 120. University of Tennessee, Chattanooga, TN 121. University of Tennessee, Memphis, TN 122. University of Texas at El Paso, El Paso, TX 123. University of Texas Medical Branch at Galveston, Galveston, TX 124. University of Texas Health Sciences Center at San Antonio, San Antonio, TX 125. University of Texas Southwestern Medical Center at Dallas, Dallas, TX 126. University of Vermont, Burlington, VT 127. University of Wisconsin—Madison, Madison, VT 128. Walsh University, North Canton, OH 129. Washington University, St. Louis, MO (???) 130. Wayne State University 131. West Virginia University, West Virginia 132. Wheeling Jesuit University, Wheeling, WV (???) 133. Wichita State University, Wichita, KS 134. Widener University, Chester, PA 135. Winston-Salem State University, Winston-Salem, NC 136. Youngstown State University (IN PROCESS)

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PTA Programs 1. Amarillo College, Amarillo, TX 2. Apollo College, Phoenix, AZ 3. Athens Technical College, Athens, GA 4. Baltimore City Community College, Baltimore, MD 5. Belleville Area College, Belleville, IL 6. Bergen Community College, Paramus, NJ 7. Broward Community College, FL 8. Butler County Community College 9. Caddo-Kiowa Vocational Technical Center, Fort Cobb, OK 10. Carroll County Community College, Maryland 11. Central Pennsylvania College, Summerdale, PA 12. Community College of Southern Nevada, Charleston Campus, Las Vegas, NV 13. Delaware Technical and Community College, Wilmington, DE 14. Gateway Community College, Phoenix, AZ 15. Herkimer Community College, New York, NY 16. Houston Community College, Houston, TX 17. Lakeland College 18. Loma Linda University, Loma Linda, CA 19. Lorain County Community College, Elyria, OH (no student stipend) 20. Maricopa County Community College district, Tempe, AZ 21. McLennan Community College, Waco, TX 22. Milwaukee Area Techical College, Milwaukee, WI 23. Missouri Western State College, Missouri 24. Naugatuck Valley Community College, Waterbury, CT 25. Pennsylvania State University, University Park, PA 26. St. Philip’s College, San Antonio, TX 27. Sanford-Brown College, Hazlewood, MO 28. Stark State College, Canton, OH 29. Tulsa Community College, Tulsa, OK 30. University of Central Arkansas, Conway, AR 31. University of Cincinnati, Cincinnati, OH (IN PROCESS) 32. Western Institute of Science and Health, Rohnert, CA

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