1. CI Training for CE III: Final Clinical Experience

2. Objectives for the Training
By the end of this training session, participants will be prepared to:
Appreciate the role of the Clinical Instructor during a final clinical education experience
Develop skills in facilitating clinical reasoning
Enhance clinical teaching skills using tools to encourage self-reflection and professional growth

3. What is your role as a clinical instructor in a final clinical education experience?

4. Role of Clinical Instructor
Develop Entry Level Clinician
Set Goals & Plan
Design Learning Experiences
Determine Learning Needs &
Continue to Challenge
Evaluate Performance & Provide Feedback

5. CPI Definition: Entry Level
Without guidance or clinical supervision for simple or complex conditions
Proficient and skilled in simple and complex pt care
Consults with others for unfamiliar or ambiguous situations
Capable of maintaining 100% caseload

6. Prepare Graduates to: Provide Patient-centered Care
Utilize Evidence for Clinical Reasoning at a High Level (Moral & Ethical)
Be Reflective Practitioners
Be Life-long Learners
Seek Mentoring

7. First Year of Practice: Article Highlights
Professional Identity and Role Transitions
Learning Through Experience
Growing Confidence /
Self Efficacy
Clinical Environment
Community of Practice
(Black L, et al, 2010)

8. Novice to Expert Development: Learning within a Community of Practice
Engagement
Observation
Reflection
Discussion  Leads to shared understanding / shared meaning
(Plack, 2006)

9. Necessary Skill Set: Focused Development
Clinical Skills
Clinical Reasoning
Professionalism
Self-Reflection & Assessment
Lifelong Learning

10. Necessary Ingredient…
Patients
Self-Reflection
TIME
Colleagues

11. Essential Characteristics of CIs
Interpersonal Skills / Communication
Professionalism
Instruction / Teaching
Evaluation / Performance Assessment
(Recker-Hughes C, et al, 2014)

12. Tools to Facilitate Professional Development
Clinical Reasoning
Professionalism
Reflection
Clinical Instructor articulates own reasoning
Role Model
Guiding Questions
ICF Worksheet
Generic Professional Abilities
Planning forms
Mind Mapping
APTA Core Values
Journal / Narrative

13. Expert Practice in Physical Therapy
Expert’s Reasoning Process
Patient is central to reasoning process; collaborative problem-solving
Intuitive reasoning process
Reflection on reasoning
(Jensen G, et al, 1999)

14. ICF Reasoning Worksheet

15. Clinical Reasoning Mind Mapping

16. Facilitating Growth in Professionalism: “Generic” Professional Behaviors
Critical Thinking
Communication
Problem Solving
Interpersonal Skills
Responsibility
Professionalism
Use of Constructive Feedback
Effective Use of Time and Resources
Stress Management
Commitment to Learning
(May, Kontney, Iglarsh, 2009)

17. Facilitating Growth in Professionalism

18. Facilitating Growth in Professionalism

19. Facilitating Growth in Professionalism
(APTA, 2007)

20. Types of Reflection Reflection – on – Action Reflection – in – Action
Reflection – for – Action
(Schon, 1983, 1987)

21. Guiding Questions: Judger vs. Learner
What went wrong?
What did you do wrong?
How will this be a problem?
Why was that a stupid thing to do?
Why did you do it that way?
How are you going to fix this?
Haven’t I told you this before?
Should we bother to discuss it?
LEARNER What worked? What can you have an impact on? What did you want to happen? What can you learn? What’s useful about this? What’s the big picture? What’s possible from here? What do you think this pt needs?
(Adapted from Adams , Change Your Questions
Change Your Life, 2009)

22. Mechanisms for Reflection

23. Staying on Track: Performance Measures
Performance Measures for CE III
Planning Forms
Monthly Benchmarks
Clinical Performance Instrument (Mid-term and Final)

24. Summary / Questions Resources available on the CI Community Website
Password: ClinEd