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Going to Scale A National Rehabilitation Scholarship Model Angela Rosenberg, DrPH, PT l
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“In theory there is no difference between theory and practice; in practice, there is” Variously attributed to Jan La Van De Snepscheut or Albert Einstein or Yogi Berra
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Academic-NFP Organization Partners Joint decision-making process Non-ownership Creating a “new culture” Community of Practice ◦ Education and Training ◦ Clinical Practice ◦ Research ◦ Advocacy and Fundraising
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Neurology ◦ Sensory-motor ◦ Balance ◦ Proprioception Orthopedics ◦ Gait ◦ Assistive devices ◦ Orthotics
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Radiography and Pharmacology ◦ MRI ◦ Current and emerging drug therapies Cardiopulmonary ◦ Fatigue ◦ Breath control ◦ Exertion Assessment and QOL Scales
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◦ Curriculum Model Tier One: Faculty and Chapter Tier Two: Volunteer Leadership Team Tier Three: Scholars Tier Four: Individuals with Diagnosis/Family members Tier Five: Other practitioners and community members
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◦ Education Increased numbers of graduates with specialized knowledge and skills Scholarship funding Increased awareness by interdisciplinary mentor- practitioners Increased knowledge dissemination through scholarly products Enhanced curriculum opportunity for all students
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◦ Clinical Practice Increased numbers of physical therapists with specialized knowledge Increased skills and knowledge: increased # of publications, participation in local/regional/national forums related to PT clinical relevance/MS Increased awareness of community of interdisciplinary practitioners Increased level of clinical competency of graduates (post and CMSC certification post 1 year) Enhanced practice of local/regional/state PT’s and Directory of PT’s with specialized knowledge
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◦ Research (Post 5-10 years of program) Increased numbers of rehabilitation professionals with specialized knowledge Increased discipline specific clinical research Increased research collaboration with interdisciplinary practitioners Increased clinical research grants by discipline related to specific diagnosis Enhanced rehabilitation techniques due to increasing evidence-base
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Service and Advocacy Increased numbers graduate sponsored activities and fundraising Increased scholar learning opportunities (e.g. Scholar participation on Chapter Board, CAC) Scholar support for NFP fundraising and advocacy efforts (e.g. MS Walk) Scholar – Chapter education and training (e.g. Speakers at State Conference, Book Reviews) Increased interdisciplinary collaboration Increased knowledge dissemination (Scholar fundraisers) Enhanced service opportunities for all students
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First implement then scale-up with attention to science and practice Requirements ◦ Practice Level (Chapter Staff, Academic Faculty, Community MS Practitioners, National Course Facilitators) ◦ Organizational Level (MS Society Chapters and Directors, Chapter Volunteer Committee, NMSS, Clinical Advisory Committee, University / College) ◦ System Level (Funders, NMSS Support, Regulatory Bodies)
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PT/MS Scholars Community Support MS Society Chapter Endowment or Funding PT Academic Program
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Individual endowment MS Chapter/NMSS University In-kind MS Chapter/ Volunteer Committee PT Program Academic Support Faculty mentor(s) MS Clinical Advisory Committee Community of Practice PT Academic Program FundingMS Chapter
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Adopt what we know Clear and standardized implementation path Ensure fidelity and good outcomes Ensure fidelity despite staff/volunteer turnover
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Receptive University/Academic PT Program ◦ Dean/Director Support ◦ Faculty support and mentorship ◦ Faculty “Champion” ◦ Receptive ACCE ◦ Academic Public Relations ◦ Academic Fundraising / Foundation ◦ Receptivity to MS Chapter partnership
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Receptive MS Chapter ◦ Rehabilitation need in community ◦ Receptive Chapter director and staff ◦ Chapter “designated” PT volunteer committee ◦ Chapter Clinical Advisory committee link ◦ Chapter Public Relations/ Material development ◦ Receptive to academic partnership
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Receptive Community of MS Clinical Practitioners ◦ PT ACCE Faculty liaison to UNC Core ◦ Chapter Clinical Advisory committee ◦ Available community of MS Clinical mentors ◦ Receptive interdisciplinary practice mentors (e.g. Neurologists, Nurse Practitioners) ◦ Receptive PT clinical affiliation sites
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Receptive Community of MS Clinical Practitioners ◦ Chapter Sponsored Clinical Advisory Committee ◦ ACCE and Clinical affiliate sites both local/national Fundraising Campaign ◦ Development plan ◦ Public Relations plan ◦ Academic and Organizational development partnership ◦ Service and Specialized funding opportunities
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Implementation is not achieved by doing more or better research on the model The usability of the model has to do with the “fit” and commitment of the new site with the anticipated outcomes of the original program ◦ The outcomes of the UNC MS/PT Scholars program does help a program decide whether they have the ‘right combination’ to implement ◦ Evidence of UNC success does not equal success of new programs
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A Purveyor ◦ An individual or group of individuals representing a program or practice who actively work to implement the initiative with fidelity and good effect ◦ Purveyors accumulate data and experiential knowledge and become more effective and efficient over time
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Excellence in: ◦ Diffusion and dissemination of information ◦ Training of mentors and clinical preceptors ◦ Curriculum elements and support(s) ◦ Policies and financial support
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Evaluated Model : UNC MS/PT Purveyor: NFP Organization And Academic Partner Scholarship Program Engaged practice community Enhanced rehabilitation services and research
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Successful Scholarship Model Purveyor Fidelity and Outcome Measures Evidence- based Model
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Physical Therapy / MS Scholarship Curriculum Link Fundraising Links Videos and You-Tube links Educational Links Other
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