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The Community Patient Resource Group: A Novel Strategy for Bringing the Clinic to the Classroom

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Creating an authentic context for learning within the classroom setting can be challenging for academic educators. The use of case studies and standardized patients have been described in the literature; however, the use of real patients in the classroom has not been extensively reported. The Krannert School of Physical Therapy (KSPT) at the University of Indianapolis has developed a unique program called the Community Patient Resource Group (CPRG) that provides the opportunity for faculty members to systematically access and integrate actual patients within the classroom setting on an ongoing basis throughout the curriculum. The purpose of this paper is to describe the CPRG and how faculty and students perceive it contributes to student learning. The CPRG consists of members from the community with chronic neurological, orthopedic, and/or cardiopulmonary conditions, and who volunteer as "patients" for use in the classroom. Student and faculty perceptions of how CPRG use contributes to student learning were assessed using a 65-item survey with questions designed from the professional practice expectations from the Commission on Accreditation in Physical Therapy Education criteria. The survey used a 5-point Likert scale and was distributed to faculty and second and third year Doctor of Physical Therapy (DPT) degree students (n = 90). Between June 30, 2008, and July 1, 2009, CPRG members were used for 28 different classroom-learning experiences across 10 different courses for a total of 198 individual CPRG visits. Adult CPRG members with neurological diagnoses constituted 69% of the individual CPRG visits. The types of learning activities were primarily classroom practice of examination or intervention techniques. The return rate for the survey was 71.6%. Internal consistency of the survey as determined by Chronbach's alpha (α) was 0.94. Respondents felt strongly that the use of the CPRG contributed to their learning. CPRG participation was perceived to especially hav
Joint Manipulation Curricula: The Story Continues

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[...]faculty surveyed in 2004 stated that the most beneficial way for students to further develop joint manipulation skills was increased emphasis during clinical affiliations.4 This led to an investigation of joint manipulation clinical education opportunities for physical therapist students.6 Results published in 20066 revealed that approximately 70% of surveyed clinical instructors (CIs) did not teach students joint manipulation. [...]on a broader scale, similar research investigating other patient examination test and measures and interventions other than joint manipulation would be useful.
Description of Physical Therapist Student Use of Manipulation During Clinical Internships

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While evidence shows that physical therapist students are introduced to manipulation within academic curriculum, little is known about its use during their final clinical internships. The purpose of this study was to identify student perceptions of clinical barriers and support for manipulation, student frequency and type of manipulation use, and factors guiding student decision-making in the selection of manipulation. Two consecutive classes of Doctor of Physical Therapy program students represented an overall sample of 48 clinical survey responses. The survey was completed by students completing clinical internships in outpatient orthopedic clinical sites during their final clinical internships. The survey documented the students' perspective of their academic preparation, experience with manipulation in the clinical setting, and student reasoning regarding the use of manipulation as an intervention option. Of 48 returned survey responses out of 70 surveys (69%), 24 (50%) indicated some use of manipulation. Spinal manipulation was used at a minimum level, and peripheral manipulation essentially was not used. When students were supervised by clinical instructors (CIs) who practiced manipulation, 74% indicated that the CIs used manipulation. Of the students who were supervised by a CI who did not practice manipulation, only 28% reported using manipulation during their internship; suggesting that students model the CIs' clinical practices. A variety of clinical factors influenced students' decision- making and frequency of manipulation use. Overall, 87% of participants agreed that they were academically prepared to perform manipulation in a clinical setting. Results indicate minimal student use of manipulation during clinical internships. Students perceived that CI training and CI practice were factors involved in the student practice of manipulation. Patient diagnosis and population type also were influential. Future research should focus on manipulation opportuniti
The Commission on Accreditation in Physical Therapy Education's (CAPTE) Perspective on the Future of CAPTE

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From:ProQuest LLC

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According to the descriptions provided by the Internal Revenue Service, organizations with this taxexempt status primarily serve the business interests of its members. [...]a case for complete separation may be in the best interest of APTA as well as CAPTE, given the legal liability that accrediting agencies represent to their professional organizations.
The American Physical Therapy Association's (APTA) Perspective on the Commission on Accreditation in Physical Therapy Education (CAPTE)

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The essence of this policy forwards that "APTA supports the maintenance of the recognition of CAPTE by the US Department of Education and the Council for Higher Education Accreditation as the accrediting agency [for physical therapy education programs] and APTA . . . will render appropriate support to ensure accomplishment of the purpose of the accreditation program." Some examples of questions that are a part of the conversation include the following: * Which entity can assume responsibility for assessing current and future physical therapy practice and then reflect these findings in educational program curricular standards and subsequent !icensure exams? * Clinical practice techniques may occasionally result from trends that might not be based on best current evidence and may not have been included in physical therapist and physical therapist assistant programs.
Lost in Knowledge Translation

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Two authors in this issue have conducted research to document the barriers to providing physical therapist students with the needed time in the clinic to practice their manual therapy skills of thrust joint manipulation (TIM). Struessel et al studied 460 physical therapist students who reported that their clinical instructors' limited practice of joint manipulation skills influenced their ability to practice these skills during clinical education.
NEWSLINE - Get Now PDF

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A global leader in serving libraries of all types, ProQuest LLC (“ProQuest”) supports the breadth of the information community with innovative discovery solutions that power the business of books and the best in research experience. More than a content provider or aggregator, ProQuest is an information partner, creating indispensable research solutions that connect people and information. Through innovative, user-centered discovery technology, ProQuest offers billions of pages of global content that includes historical newspapers, dissertations, and uniquely relevant resources for researchers of any age and sophistication—including content not likely to be digitized by others.
GENERICS NEWSLINE GENERICS NEWSLINE

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A global leader in serving libraries of all types, ProQuest LLC (“ProQuest”) supports the breadth of the information community with innovative discovery solutions that power the business of books and the best in research experience. More than a content provider or aggregator, ProQuest is an information partner, creating indispensable research solutions that connect people and information. Through innovative, user-centered discovery technology, ProQuest offers billions of pages of global content that includes historical newspapers, dissertations, and uniquely relevant resources for researchers of any age and sophistication—including content not likely to be digitized by others.
ENTRY FORMAT

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A global leader in serving libraries of all types, ProQuest LLC (“ProQuest”) supports the breadth of the information community with innovative discovery solutions that power the business of books and the best in research experience. More than a content provider or aggregator, ProQuest is an information partner, creating indispensable research solutions that connect people and information. Through innovative, user-centered discovery technology, ProQuest offers billions of pages of global content that includes historical newspapers, dissertations, and uniquely relevant resources for researchers of any age and sophistication—including content not likely to be digitized by others.
NEW PRODUCTS

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From:ProQuest LLC

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A global leader in serving libraries of all types, ProQuest LLC (“ProQuest”) supports the breadth of the information community with innovative discovery solutions that power the business of books and the best in research experience. More than a content provider or aggregator, ProQuest is an information partner, creating indispensable research solutions that connect people and information. Through innovative, user-centered discovery technology, ProQuest offers billions of pages of global content that includes historical newspapers, dissertations, and uniquely relevant resources for researchers of any age and sophistication—including content not likely to be digitized by others.
Aging Our Way: Lessons for Living From 85 and Beyond

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From:ProQuest LLC

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A global leader in serving libraries of all types, ProQuest LLC (“ProQuest”) supports the breadth of the information community with innovative discovery solutions that power the business of books and the best in research experience. More than a content provider or aggregator, ProQuest is an information partner, creating indispensable research solutions that connect people and information. Through innovative, user-centered discovery technology, ProQuest offers billions of pages of global content that includes historical newspapers, dissertations, and uniquely relevant resources for researchers of any age and sophistication—including content not likely to be digitized by others.
Areas of Marital Dissatisfaction Among Long-Term Couples

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A global leader in serving libraries of all types, ProQuest LLC (“ProQuest”) supports the breadth of the information community with innovative discovery solutions that power the business of books and the best in research experience. More than a content provider or aggregator, ProQuest is an information partner, creating indispensable research solutions that connect people and information. Through innovative, user-centered discovery technology, ProQuest offers billions of pages of global content that includes historical newspapers, dissertations, and uniquely relevant resources for researchers of any age and sophistication—including content not likely to be digitized by others.
Spiritual Needs and Practices of Counselor Education Students

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From:ProQuest LLC

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A global leader in serving libraries of all types, ProQuest LLC (“ProQuest”) supports the breadth of the information community with innovative discovery solutions that power the business of books and the best in research experience. More than a content provider or aggregator, ProQuest is an information partner, creating indispensable research solutions that connect people and information. Through innovative, user-centered discovery technology, ProQuest offers billions of pages of global content that includes historical newspapers, dissertations, and uniquely relevant resources for researchers of any age and sophistication—including content not likely to be digitized by others.
Lesbian Friendships: An Exploration of Lesbian Social Support Networks

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A global leader in serving libraries of all types, ProQuest LLC (“ProQuest”) supports the breadth of the information community with innovative discovery solutions that power the business of books and the best in research experience. More than a content provider or aggregator, ProQuest is an information partner, creating indispensable research solutions that connect people and information. Through innovative, user-centered discovery technology, ProQuest offers billions of pages of global content that includes historical newspapers, dissertations, and uniquely relevant resources for researchers of any age and sophistication—including content not likely to be digitized by others.
Relational Victimization and Rejection Sensitivity: The Long-Term Impact of Social Hurt

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From:ProQuest LLC

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A global leader in serving libraries of all types, ProQuest LLC (“ProQuest”) supports the breadth of the information community with innovative discovery solutions that power the business of books and the best in research experience. More than a content provider or aggregator, ProQuest is an information partner, creating indispensable research solutions that connect people and information. Through innovative, user-centered discovery technology, ProQuest offers billions of pages of global content that includes historical newspapers, dissertations, and uniquely relevant resources for researchers of any age and sophistication—including content not likely to be digitized by others.