off-campus clinical experiences by sue shapiro ed.d. atc/l clinical coordinator/associate professor...
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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
Outcomes of Outcomes of IntegrativeIntegrative
Learning ExperiencesLearning Experiences
MotivatesMotivateslearnerslearners
Fosters Fosters integrativeintegrative behavior inbehavior in the student the student
Outcomes of Outcomes of IntegrativeIntegrative
Learning ExperiencesLearning Experiences
MotivatesMotivateslearnerslearners
Facilitates the Facilitates the transfer oftransfer of conceptualconceptual knowledgeknowledge
Outcomes of Outcomes of IntegrativeIntegrative
Learning ExperiencesLearning Experiences
MotivatesMotivateslearnerslearners
Helps students to Helps students to
comprehend thecomprehend the
professional reality professional reality
of application, of application, synthesis synthesis
and problem solvingand problem solving
Outcomes of Outcomes of IntegrativeIntegrative
Learning ExperiencesLearning Experiences
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