1. Course Review
2017

2. Objectives Understand the CEU approval process
Understand the role of the PT Rules in CEUs
Understand the additional requirements of E and J
Understand the additional requirements of Dry Needling
Understand how to use the Mergener Formula
Provide venue to share ideas regarding the approval process
Objectives

3. Individual vs Provider Application

4. The content is relevant to physical therapy practice (clinical practice, clinical education, clinical research, clinical management, clinical science, professional ethics, Tennessee laws relating to the practice of physical therapy)
(a) Must have significant content to improve professional competence in physical therapy
(b) Must be designed to increase or enhance knowledge or skills of current standards in physical therapy practice
Check point #1

5. The requirements for continuing competence are defined as planned learning experiences which occur beyond the entry level educational requirements for physical therapists and physical therapist assistants. Content of the experience must relate to physical therapy whether the subject is intervention, examination, research, documentation, education, management, or some other content area. The purpose of this requirement is to assist in assuring safe and effective practices in the provision of physical therapy services to the citizens of Tennessee.
(1)

6. Course objectives are clearly stated and identify the knowledge and/or skills that the participants should acquire during the course
Should reflect the focus of the critical elements of the course
No set number
Check Point #2

7. The course content is consistent with the stated objectives
Check Point #3

8. The instructional methods are appropriate to achieve the objectives
Use of lab versus lecture, group activities, pre course work etc
Check Point #4

9. The instructor (s) have appropriate qualifications and credentials in the content areas of the course
The instructor’s education, work experience, research, publication, etc. is relevant to the content area being presented.
Does not have to be a PT/PTA
Check Point #5

10. The method used to assess a participant’s attainment of the course objectives is appropriate
Provider is not required to submit the completed assessment or exam
Exam, clinical skill exam, self assessments or combination is appropriate
Check Point #6

11. The evaluation form that the participants must complete is appropriate.
Evaluation form has questions that are relevant to providing the presenter with information on the strengths and weaknesses of the course.
Check point #7

12. Time should be documented as the actual time spent engaged in the activity rounded up or down to the nearest quarter hour. The total time should not include breaks or meals.
60 minutes = 1 contact hour. 10 contact hours = 1 CEU
CEU and Contact Hours

13. From ______ to _________

14. Mergener Formula For TEXT materials only
Time (in minutes)= .09 x [-22.3+( )(number of words)+(2.78)(number of questions)+(15.5)(difficulty level)]
Difficulty level should be determined using the following 5 point Likert Scale:
Very Easy 1
Somewhat Easy 2
Moderate 3
Difficult 4
Very Difficult 5
Mergener Formula

15. Online calculators are available for applying the Mergener formula to printed material. One such example is
Mergener Calculator

16. Ethics and Jurisprudence
Additional items
Ethics and Jurisprudence

17. Ethics and Jurisprudence – The Tennessee Physical Therapy Association (TPTA) is the sole approval entity for ethics and jurisprudence courses. All ethics and jurisprudence courses approved by the TPTA shall be deemed approved by the Board. Any ethics and jurisprudence course not approved by the TPTA will fail to meet the requirements of this rule. The TPTA shall only approve courses that are a minimum of two (2) hours each in duration. They shall be Class I continuing competence as provided in paragraph (5), and shall as a minimum include education in:
Rule

18. Rule 1150-01-.12 (4) (a)Ethics Ethics: (i) APTA Code of Ethics;
(II) APTA Guide for Professional Conduct;
(iii) APTA Standards for Ethical Conduct for the Physical Therapist Assistant;
(iv) APTA Guide for Conduct of the Physical Therapist Assistant;
(v) Model for ethical decision making; and
(vi) Case analysis.
Rule (4) (a)Ethics

19. (i) The Occupational and Physical Therapy Practice Act (Tennessee Code Annotated, Title 63, Chapter 13, Parts 1 and 3);
(ii) General Rules Governing the Practice of Physical Therapy (Official Compilation, Rules and Regulations, Chapter );
(iii) Board of Physical Therapy Policy Statements;
(iv) Licensure process;
(v) Scope of practice;
(vi) Licensure renewal;
(vii) Disclosures to patients;
(viii) Offenses that may lead to disciplinary action;
(ix) Supervision of Physical Therapist Assistants;
(x) Supervision of Physical Therapy assistive personnel; and
(xi) Supervision of others (students, volunteers).
Jurisprudence

20. Additional requirements
Dry Needling

21. Fifty (50) hours of instruction, to include instruction in each of the four (4) areas listed herein, which are generally satisfied during the normal course of study in physical therapy school:
1. Musculoskeletal and Neuromuscular systems;
2. Anatomical basis of pain mechanisms, chronic pain, and referred pain;
3. Trigger Points;
4. Universal Precautions; and
Rule Dry Needling

22. Twenty-four (24) hours of dry needling specific instruction.
1. The twenty-four (24) hours must include instruction in each of the following six (6) areas:
(i) Dry needling technique;
(ii) Dry needling indications and contraindications;
(iii) Documentation of dry needling;
(iv) Management of adverse effects;
(v) Practical psychomotor competency; and
(vi) Occupational Safety and Health Administration’s Bloodborne Pathogens Protocol.
Dry Needling

23. 2. Each instructional course shall specify what anatomical regions are included in the instruction and describe whether the course offers introductory or advanced instruction in dry needling.
Dry Needling

24. 3. Each course must be pre-approved or approved by the Board or its consultant, or the Board may delegate the approval process to recognized health-related organizations or accredited physical therapy educational institutions.
Dry Needling

25. Requesting more information
Denial
Appeal process
Approved course posted on the TPTA website

26. Licensing Board