DEPARTMENT OF PHYSICAL THERAPY

COLLEGE OF APPLIED HEALTH SCIENCES

UNIVERSITY OF ILLINOIS AT CHICAGO

Course File -- Fall, 2001
Table of Contents

Course Description
Faculty
Teaching Methods and Suggestions for Studying
Textbooks
Course Objectives
Course Schedule
Course Policies
Grading Criteria
Patient Interview Assignment Directions
Clinical Observation Assignment Directions

 

Course Description

This course introduces the student to the profession of physical therapy. Topics include an overview of physical therapist practice, physical therapist education framework, professional behavior, infection control, principles of pharmacology, and medical terminology.

Faculty

Course Coordinators:

 

Learning Activities

Lecture/discussion and assigned readings are used to provide background and principles for all course content. Active learning methods including focused group discussion, case based discussion, journal review, and in-class projects are primary means to achieving course objectives.

 

Suggestions for Studying

Students are encouraged to consider their personal learning style in determining how to achieve the objectives of this course and to do well on learning assessments. Reading assignments are provided both to deliver content and as a means for students to supplement class activities. Active discussion and question/answer sessions in small groups outside of class are suggested as methods that ensure that the student has developed an understanding of the material.

 

Texts

Required:

American Physical Therapy Association, Guide to Physical Therapist Practice, 2001.

Ciccone C. Pharmacology in Rehabilitation, 2nd Ed. F. A. Davis, 1996.

Gylys BA, Maters RM. Medical Terminology Simplified, 2^nd edition. FA Davis, 1998.

Readings on Reserve:

Purtilo, R. (1996). Verbal Communication. In R. Purtilo, Health Professional and Patient Interaction, (5th Ed.), W.B. Saunders Co., Philadelphia, pp. 161-194 (Chapter 10).

Purtilo, R. (1996). Nonverbal Communication. In R. Purtilo, Health Professional and Patient Interaction, (5th Ed.), W.B. Saunders Co., Philadelphia, 185-203 (Chapter 11).

 

Course Objectives

History of Physical Therapy

1. Draw a timeline illustrating major events in the history of the physical therapy profession in the twentieth century.

2. Discuss general characteristics of the development and evolution of a health care profession.

3. Discuss the main characteristics of the development of medicine, nursing, occupational therapy and nursing.

4. Compare the social and political position of physical therapy to medicine, nursing and occupational therapy.

a. explain the term "licensed independent practitioner" from a health policy and health care reimbursement perspective

5. Analyze how the future of physical therapy is affected by the relationships with other health care professions.

6. Discuss how the development of athletic training and clinical exercise physiology impact on the current and future development of physical therapy.

7. Discuss the role of professional associations in shaping the development of health care professions.

Physical Therapy Education

1. List and discuss the characteristics of a profession as identified by E. Pellegrino.

2. Compare post-secondary education, professional education and technical education addressing

a) goals of the educational program

b) roles of student and instructor

c) methods of learning

d) methods of assessment

e) curriculum structure

3. Explain principles of adult learning as presented by Malcolm Knowles.

4. Explain the normative models for PT and PTA education and the clinical education components of each.

5. Evaluate the UIC PT curriculum in relationship to principles of professional education, principles of adult learning and the normative model for PT education.

6. Explain the following methods of assessing learning and evaluate the pros and cons of each: portfolios, self and peer assessment, written examinations, Clinical Performance Instrument (CPI), practical examinations,

Frameworks and Models Used in Physical Therapy Practice

1. Describe levels of the disablement framework and compare and contrast the Nagi , World Health Organization - International Classification of Impairments, Activities and Participation (ICIDH-2), and National Center for Medical Rehabilitation Research (NCMRR) models.

2. Classify levels of NCMRR disablement model using a case study.

3. Describe how a person with similar impairments may have different functional limitations, disabilities, and societal limitations.

4. Given a case patient/client with a basic pathology/pathophysiology, describe possible impairments, functional limitations, disabilities, and societal limitations.

5. Explain the purpose of the Guide to Physical Therapist Practice.

6. Define the six elements of the patient/client management model according to the Guide to Physical Therapist Practice.

7. Given a case patient/client, identify the appropriate preferred practice pattern and identify possible examinations and interventions.

8. Using the NCMRR disablement model, identify levels of physical therapy examination and intervention.

9. Discuss the systems framework and its use in physical therapy management of patients/clients.

10. Extract elements of the systems framework from a case study.

11. Discuss the lifespan approach and its use in the physical therapy curriculum to understand different aspects of physical therapy management of patients/clients.

12. Identify human systems and how they may change throughout the lifespan.

Decision Making

1. Discuss the principals of decision making.

2. Discuss the importance of the decision making process in physical therapy.

3. Explain why decision making in health care and physical therapy is complex and uncertain.

4. Discuss clinical decision making frameworks used in physical therapy practice.

Computer Resources

1. Describe and demonstrate skill in identifying and accessing practice-related research by

searching medical databases (e.g. Medline) and other computer-based sources of information.

2. Identify characteristics of quality information found via computer resources.

Reimbursement

e. 1. Explain the following categories of payment sources for physical therapy services: Medicare A and B, Medicaid, Commercial Insurance, Worker's Compensation, Health Maintenance Organizations, Preferred Provider Organizations, Cash.

2. Identify how costs are utilized to determine charges.

3. Calculate the cost of providing several types of physical therapy services.

4. Analyze the relationship between costs, charges and revenue.

5. Determine the cost of providing a given physical therapy service.

6. Determine a reasonable charge for a given physical therapy service.

7. Determine the expected revenue for a given physical therapy service.

8. Describe the International Classification of Diseases - 9^th Revision (ICD-9) and the Common Procedural Terminology - 4^th Revision (CPT-4) as used in billing for physical therapy services.

9. Evaluate the ways in which reimbursement and charging rules influence clinical decision making in physical therapy practice

Patient Rights and Responsibilities

1. Discuss the principles of informed consent and confidentiality as they apply to physical therapist practice.

2. Describe mechanisms that can be used to ensure that patients/clients are involved in decision making and goal setting.

3. Discuss the legal requirements to ensure that interpretation services are provided during physical therapy care.

4. Explain the implications for decision making and action in caring for a patient who is in any form of restraints.

5. Discuss the legal and ethical implications of advanced directives as related to decision making and action during physical therapy care.

Communication:

1. Discuss the significance of professionals' values and self-esteem in patient/professional interaction.

2. Discuss the significance of the patients' values, perceptions, and beliefs in patient/ professional interaction.

3. Identify elements of effective communication in patient care.

4. Identify sources of distortion during communication.

5. Describe the impact of the patient's mental status on communication.

6. Discuss common psychosocial problems associated with illness and hospitalization which must be considered by physical therapists when interacting with patients.

7. Discuss the impact of non-verbal communication on patient/professional interaction.

8. Identify and respond to non-verbal cues exhibited by patients/clients during communication.

9. Discuss how culture may affect communication.

10. Demonstrate cultural sensitivity when communicating with patients/clients, caregivers, students, instructors and other professionals.

11. Demonstrate active listening skills during interaction with patients/clients, caregivers, students, instructors and other professionals.

12. Identify factors which are essential in establishing rapport with patients/clients.

13. Explain the significance of personal appearance in establishing relationships with patients.

Health Care Interview

1. Conduct a health care interview to obtain information using the Guide to Physical Therapist Practice as a framework.

2. Adapt interviews for specific patients/clients and environments.

3. Appropriately use open and closed questions.

4. Recognize when probing for additional information is appropriate.

5. Recognize responses that indicate need for referral to another health care provider.

6. Appropriately screen for risk factors.

7. Conduct a health care interview with patient/client in a hospital setting.

 

Management of Urgent and Emergency Situations

1. Describe the appropriate action to take in the following emergency situations

a) Cardiopulmonary arrest

b) Loss of consciousness

c) Seizure

d) Injuries that occur during physical therapy care

e) Violent or physically aggressive behavior

Pharmacology

1. Explain basic principles of pharmacology including pharmacokinetics and pharmacodynamics.

2. Define terms used in naming of medications.

3. Describe the process by which medication are developed, approved for distribution and monitored for safety and efficacy.

4. Describe the mechanisms by which medications produce a response

5. How factors such as age, health status, compliance, and physical activity can influence individual responses to medication interventions

6. Differentiates between the normal routes of administration of medications

7. Describe the mechanisms of medication absorption and elimination

8. Identify sources of medication information

9. Describe the roles and training of various pharmacy personnel

Infection Control

1. Explain Standard Precautions as described by the Centers for Disease Control.

2. Explain Disease Specific Isolation Procedures as one model for establishing precautions to be followed in patient care.

3. Discuss the concept of occupational risk and the rights of health care providers and patients in avoiding exposure to bloodbourne pathogens.

4. Integrate the understanding of Standard Precautions and Disease Specific Isolation Procedures in identifying appropriate behavior in a given patient care situation or in the event of occupational exposure.

Portfolios

1. Understand the elements of the required portfolio that will be used throughout the curriculum.

2. Start to develop a plan to complete portfolio requirements and meet with advisor.

Medical Terminology (Independent Study)

1. Define medical terms as demonstrated by achieving a score of 80% or higher on each of the medical terminology unit tests.

Course Schedule

This course meets Tuesdays and Thursdays from 9 am to 11 am.

 

Course Policies

Attendance: Students are expected to attend each class on time. If a student needs to be absent for a class, he/she needs to contact one of the instructors via phone or e-mail.

Preparation for each class: It is expected that students will come to class having read the reading assignment and ready to discuss topics.

Grading Criteria

Exam I	30 points
Exam II	30 points
Exam III	30 points
Patient History Assignment (Group)	10 points
Clinical Observation Assignment	10 points
Total	100 points

Medical terminology examinations

The unit on medical terminology is a self-study unit. Ten exams that cover each of the medical terminology units in the Gylys and Maters text are scheduled throughout the course. The student must receive a grade of 80% or higher on each medical terminology test. Any test in which the student receives less than 80% must be retaken.

Examinations

The midterm and final examinations will include multiple choice, short answer and short essay test items. The final examination will be cumulative. The ability to write clearly and concisely is a valuable practice skill and students are expected to model this writing style as they answer examination questions. Points will be deducted for incorrect or extraneous information given, even if an answer is otherwise correct.

Patient History Assignment

See attached directions

Clinical Observation Assignment

See attached directions

 

UNIVERSITY OF ILLINOIS AT CHICAGO

COLLEGE OF APPLIED HEALTH SCIENCES

DEPARTMENT OF PHYSICAL THERAPY

Patient Interview Directions - Fall, 2001

Objectives

1) Conduct an initial interview of a patient that is appropriate to the patient/client's individual characteristics and the level of care in which the patient/client is being seen.

2) Produce a videotape that accurately reflects the interview.

3) Participate in self analysis and a peer review process that provides constructive feedback about the quality of the interview.

Activity

Students will be assigned to go to a clinical facility from 9 a.m. to 11 a.m. on either October 16^th or 18^th, 2001 and to conduct and videotape a patient/client interview. Students will work in groups of three. All students are responsible for preparing for the interview. One student will conduct the interview, one student will videotape and one will take notes and make observations about the interview process.

Assignment

Produce a one page, double spaced paper that provides a record of the experience and includes comments on what went well and what could have been improved. Students will present the videotape to peers during a class session and receive feedback on how well the interview demonstrated competency in the skills that are outlined in the course objectives for the Health Care Interview unit (p. 5 of your syllabus).

This assignment is worth 10% of your grade. The grade will be based on 10 points -Written analysis of the experience - 5 points, self assessment and peer assessment - 5 points.

The on page record of the experience and the self and peer review documents are to be turned in by 5:00 P.M. Monday, October 29, 2001. It should be placed in Michelle Bulanda's mailbox.

UNIVERSITY OF ILLINOIS AT CHICAGO

COLLEGE OF APPLIED HEALTH SCIENCES

DEPARTMENT OF PHYSICAL THERAPY

Clinical Observation Assignment Directions - Fall, 2001

Objectives

1) Produce documentation of an observational experience that accurately and completely captures the behaviors observed.

2) Analyze discrepancies in observed behaviors and behavior that would be expected based on coursework.

Activity

Students will be assigned a clinical facility to visit from 9 a.m.-11 a.m. on either November 27 or 29, 2001. During the visit the student is to observe the operations of the clinic and to talk to various staff members. While observing and discussing the student should be comparing what they are seeing and hearing with their own understanding of the topics in PT 600. For example, a topic in PT 600 is Infection Control and you received information about practices and precautions to minimize risk to patients and providers. You would compare what you know from class with the practices of the facility.

Assignment

Produce a two to four page, double spaced paper that provides a record of what you observed and discussed. Your paper should be an accurate record of what was observed and discussed and will reflect your analysis of the comparison between class and the clinic. In the paper, you should explore why discrepancies exist, whether or not differences are of significance, and insights you gained into the topic.

Not all topics from PT 600 are likely to be relevant to this assignment. The topics that are most likely to be relevant are: frameworks used in PT practice, clinical decision making, patient rights and responsibilities, reimbursement, communication, health care interview, management of urgent and emergency situations, and infection control.

This assignment is worth 10% of your grade. The grade will be based on 10 points - Quality of writing - 3 points, Accuracy and complete description of what was observed - 4 points, comparison of class material and clinical visit - 3 points.

This assignment is due by 5:00 P.M. Monday, December 3, 2001. It should be placed in Mary Keehn's mailbox.