Report to NARTRBPLA Process and Outcomes in Ontario

Report to NARTRBPLA Process and Outcomes in Ontario

CRTOAlgonquin College

The Michener

ObjectivesObjectives

• Identify statistics of candidates – Algonquin/Michener

• Discuss challenges

• Discuss lessons learned

• Celebrate successes

B E S T E X P E R I E N C E • B E S T E D U C A T I O N

The Michener’s Experience

Andrea White Markham, RRT, CRE, MAS(RS)c

PLA Coordinator

T H E M I C H E N E R I N S T I T U T E

PLA at Michener

• Michener has partnered with CRTO on PLA since 2002

• Total 91 candidates completed Stage One to date– 10 dropped out after Stage One

• London, ON; Saskatchewan; Alberta; GTA

– 31 no contact with Michener after applied to CRTO (not including those in Ottawa catchment) • GTA; Brantford; Kitchener; Montreal

T H E M I C H E N E R I N S T I T U T E

Professions challenging PLA Stage One

at Michener (n=88)

0

5

10

15

20

25

30

Nu

mb

er

2003 2004 2005 2006 2007 2008Year

AA

RT

MD

T H E M I C H E N E R I N S T I T U T E

Country of Education

India, 13

Iran, 6

Ukraine, 2

USA, 8

China, 11

Ecuador, 1

Colombia, 6

Albania, 1

Philippines, 37

Brazil, 1

Bangladesh, 3Unknown, 2

T H E M I C H E N E R I N S T I T U T E

Feedback after Stage One

• Recommend continue with PLA– Admit to Access and Options Program

for faculty advisement– Courses available with full time program– On line learning available through

Blackboard platform– CE available on week-ends– Introduction to Healthcare in Canada– Practice exams

T H E M I C H E N E R I N S T I T U T E

Feedback after Stage One

• Not Recommended to continue with PLA– e.g. OBGYN, Pathologist, RT with no clinical

experience

• No option at this point to “close the door”– CE available on week-ends– Introduction to Healthcare in Canada– Suggestions for other avenues including:

• Full time program at a CRTO recognized school of RT• Sleep medicine• Physician Assistant program• PFT/Cardiology Tech

T H E M I C H E N E R I N S T I T U T E

PLA Stage Two Challenges at Michener (n=27)

Successful

Unsuccessful

2004 1 9

2005 2 20 (14)

2006 1 1

2007 4 2

2008 2(1) 7 (1)

NOTES

Numbers in brackets are additional numbers due to rewrite

T H E M I C H E N E R I N S T I T U T E

Feedback Stage Two

• Written report to CRTO and candidate– Requires 60% to pass – Identify areas of strength and

gaps/weakness– Pass

• Begin to prepare for Stage Three

– Fail• 1st attempt – prepare for 2nd attempt or

withdraw• 2nd attempt – no longer eligible for PLA

T H E M I C H E N E R I N S T I T U T E

PLA Stage Three Challenges at Michener (n=12) Average ~24 weeks

Successful

Unsuccessful

In progress

2004 1 (FP)

2005

2006 2 (AN)

2007 2¹ (AA/RT)

2008 1 (AN) 1² (RS)5³

(4AN/RT)

NOTES

¹ waited 1 yr for placement

² waited >1yr for placement

³1 in clinical;

1 placed for Feb start;

1 >1yr wait /LOA;

2 passed June 08 & awaiting placement

FP – family practitioner AN – anaesthesiologistAA – anaesthesia ass’tRT – resp therapist

T H E M I C H E N E R I N S T I T U T E

Feedback for Stage Three

• Clinical checklist completed and signed off to CRTO

• Congratulatory note to candidate

• Find work and

• STUDY for the CBRC exam!!OR

• Report to CRTO of inability to achieve mastery– CRTO Registration Committee

makes final determination

T H E M I C H E N E R I N S T I T U T E

Challenges to successful navigation of PLA

• Individuals are often unable to “hear” message not to proceed

• Support for the candidates with “rigor” may meet with more success

• There is a large challenge re: clinical assessment– Placement– Learning curve in clinical re: RT and

culture

T H E M I C H E N E R I N S T I T U T E

Lessons learned

• Individualized learning plans essential with support

• RT curriculum and scope of practice varies greatly in Philippines

• RT curriculum in India based on US model

• US RTs not successful without support

T H E M I C H E N E R I N S T I T U T E

More lessons

•Some MDs make great RTs!!

•Every successful PLA candidate has been hired by their clinical assessor

Anita Gallant, RRT

Experience with PLA

• ALGONQUIN COLLEGE has offered this process in a contractual agreement with the CRTO for approximately 2 years.

• Candidates enrolled….2, anesthesiologists– Level completed… stage 1, withdrew

– Completion of Stage ONE• Feedback to applicant and report to

CRTO.• Provide information to foster improvement

in areas where knowledge and skills should be improved for a better chance of successful completion of the subsequent stages of PLA .

• Feedback options:– Algonquin College offers

online and onsite remedial courses. (pass/fail credit courses)

– Registration as an audit student for courses in the RT program.

– Identification of resources for self study

– Referral to other resources for course registration, such as the Michener Institute for Applied Health Sciences or Thompson River University.

– Referral for general assistance. (college and community partners)

• English remedial courses, may be specified for health care.

• Exam writing skills.

• Clinical simulation of skills.

• Feedback after Stage TWO:– Successful completion… identify areas

where improvement is required.– Completion of first attempt is not

successful…• MAY elect to do subject specific testing for more

detailed feedback prior to last attempt at written challenge.

SUMMARYSUMMARYSinceSince 2002 2002 • almost 100 individuals have challenged PLA almost 100 individuals have challenged PLA

Stage OneStage One– 40% MD40% MD

• Majority anaesthetistsMajority anaesthetists• Other specialties include general practitioner, Obstetrician, Other specialties include general practitioner, Obstetrician,

Pathologist, Cardiologist, InternistPathologist, Cardiologist, Internist

– 62% RTs62% RTs• Majority from PhilippinesMajority from Philippines• Other countries include USA, Columbia, IndiaOther countries include USA, Columbia, India

– 3% AA3% AA• All from IranAll from Iran

• 11 have successfully challenged Stage Two11 have successfully challenged Stage Two• 6 have successfully challenged Stage Three6 have successfully challenged Stage Three

CONCLUSIONCONCLUSION

• There are major barriers to successfully challenging the PLA process that relate to:– Structure– Process– Individual Characteristics

• Programs are required to facilitate success