PT Curriculum in Advance of Each Clinical Placement

Introduction

As the result of changes to the Queen's Physiotherapy curriculum, therapists will want to know what the students have covered prior to arriving at placement. This helps ground expectations and gives the clinician context as they embed the student in the clinical learning environment. This presentation will provide a brief overview of the new curricular content. There are five clinical placements threaded through the Queen's PT curriculum.

Placement 1 (PT 881): after end of Foundations

There are five clinical placements threaded through the Queen's PT curriculum. Students first placement will take place in January to February of their first year of the program. This placement is called PT881 and you can see from this slide the nature of the cases that will be offered in advance of the first placement.

Targeted Milestones

Cases will be used to emphasize different domains, competencies and milestones of physiotherapy practice. So for example, the ankle sprain case will not only emphasize the expert level competencies needed to assess an ankle but also focus on building skills, knowledge and competence in effective communication, collaboration, evidence based practice, and professionalism. Before students are eligible for clinical placement, they'll have to demonstrate competence at the expected level of performance in each of these areas during the academic block.

Targeted milestones for PCLMI course – Program Competencies (Learning Outcomes)

Targeted milestones for EBPR I course - Program Competencies (Learning Outcomes)

• Domain 1: Physiotherapy Expertise
• 1.1 Employ a client-centered approach
• 1.3 Conduct client assessment
• 1.5 Establish a diagnosis and prognosis
• 1.6 Develop, implement, monitor and evaluate an intervention plan
• Domain 2: Communication
• 2.2 Give and receive feedback in a constructive manner
• 2.3 Adapt communication approach to context
• Domain 6: Scholarship
• 6.1 Use an evidence-based approach to practice
• 6.3 Integrate self-reflection and external feedback to improve personal practice
• 6.5 Contribute to the learning of others
• Domain 7: Professionalism, Humanism, & Cultural Humility
• 7.4 Act with professional integrity

Targeted milestones for ACC I course - Program Competencies (Learning Outcomes)

• Domain 1: Physiotherapy Expertise
• 1.1 Employ a client-centered approach
• 1.2 Ensure physical and emotional safety of client
• 1.3 Conduct client assessment
• 1.4 Understand patients' "stories," illness experiences, meaning perspectives, contexts, beliefs, and cultures
• 1.5 Establish a diagnosis and prognosis
• 1.6 Develop, implement, monitor and evaluate an intervention plan
• Domain 2: Communication
• 2.1 Communicate clearly with patients, families, community members, and interprofessional team members in a way that is understandable and productively contributes to promotion and maintenance of health and team-based care
• 2.2 Give and receive feedback in a constructive manner
• Domain 4: Management
• 4.4 Ensure a safe practice environment
• Domain 6: Scholarship
• 6.3 Integrate self-reflection and external feedback to improve personal practice
• Domain 7: Professionalism, Humanism, & Cultural Humility
• 7.4 Act with professional integrity

Placement 2 (PT 882): after end of Core A

The 2nd Clinical Placement takes place in May to June each year. This slide includes the range of conditions that will precede Placement #2.

• Normally developing (torticollis, plagiocephaly + screening)
• Developmental Coordination Disorder
• Patellofemoral pain syndrome
• ACL sprain, ACL repair/tendon transfer
• Whiplash associated disorder
• Non-speciifc chronic neck pain/headache and dizziness
• Abdominal surgery
• Arterial disorders/aneyrysm
• Neck pain with radiculopathy
• PVD, left-sided ischemic stroke
• Cystic fibrosis

Placement 3 and 4 (PT883 and PT884): after end of Core B

The third clinical placement takes place in September to October and the 4th clinical placement in November to December each year. This slide includes the range of conditions that will precede placement #3 and #4.

• Cerebral Palsy
• Rheumatoid Arthritis
• Interstitial lung disease (Idiopathic Pulmonary Fibrosis)
• Pelvic pain (provoked vestibulodynia)
• Pelvic floor dysfunction, urinary incontinence/stress incontinence
• Generalized neuromuscular amyotrophic lateral sclerosis subtype
• Pregnancy, postpartum
• Multiple sclerosis

Placement 5 (PT 885): after Transitions

The 5th clinical placement takes place in either March to April or July to August each year. This slide includes the range of conditions that will precede placement #5.

• Northern community with high rates of diabetes, hypertension, heart disease, other public health challenges
• Urban community with high rates of immigrants with challenges accessing healthcare
• Healthy aging initiative – preventing functional decline or falls risk
• Chronic non-specific low back pain without radiculopathy
• LBP with radiculopathy (e.g. herniated disc)
• Central canal stenosis/Nerologenic claudication
• Traumatic/acquired brain injury
• ARDS – acute respiratory distress syndrome and post ICU syndrome
• Burns – ATV accident
• Concussion, post-concussion syndrome
• BPPV
• Plantar Fasciitis
• Shoulder RTW/functional assessment
• LBP RTW/functional assessment
• DMII, diabetic neuropathy, pressure ulcer, below knee amputation
• Above knee amputation due to infection
• Traumatic upper extremity amputation
• Complex widespread pain and chronic fatigue syndrome
• Breast cancer
• HIV infection
• Complex aging scenario dementia/Alzheimer’s disease, depression, functional decline
• Trigeminal neuralgia
• Complex regional pain syndrome
• Fibromyalgia
• Lymphedema
• Lung cancer/thoracic surgery
• Malignant/metastatic tumor