Washington University Program In Physical Therapy
Washington University Program in Physical TherapyStudent Handbook2019-2020Washington University School of MedicineProgram in Physical TherapySignature SheetEach student enrolled in the Physical Therapy Program must return a signature sheet toAlice Samatmanivong by August 20, 2019.This handbook is written to provide information to students about the program and curriculum, theservices available to students, and the policies and procedures to which students must adhere to ensuresuccess in the program. Please take the time to read this handbook and feel free to ask the facultyquestions about the information it contains.*I, , show by my signature below that:I have read the student handbook for the 2019-2020 school year and assume responsibilityfor understanding the contents and reviewing the information as necessary.I have read the policy section of the student manual and agree to abide by all policies. I alsoagree to always uphold the highest standards of academic honesty and professional ethicsduring the Program in Physical Therapy.Signature Date*I, , hereby grant Washington University Program inPhysical Therapy the right to use the film and or photograph(s) for all internal purposes inrelation to Washington University Program in Physical Therapy work including, withoutlimitation, the right to use them in classroom lecture/lab materials, class bulletin boards andannouncement materials.*I hereby grant Washington University Program in Physical Therapy the right to use thefilm(s) and or photograph(s) for all general purposes in relation to Washington UniversityProgram in Physical Therapy work including, without limitation, the right to use them inpublicity materials, websites, books, newspapers and magazine articles. I understand thatan attempt will be made to notify me of the external use of the film(s) or photographs.Washington University in St. LouisProgram in SignaturePhysicalTherapy - DPT StudentDateHandbook2019-20201
Table of ContentsIntroduction and Welcome . 3Program in Physical TherapyMission & Vision . 4Professional DPT CurriculumPhilosopy . 5Goals . 6CAPTE Accreditation and Complaint Process . 8Technical Standards . 10Instructional Goals and Objectives . 11The Curriculum (semester and course descriptions) . 21Course Registration, Tuition and Scheduling . 28The Clinical Education Program . 30Fees and Health Insurance . 35Student Counseling Center Services . 38Structure of the Program in Physical Therapy . 39Student Services and Resources. 42Tutoring . 50WebSTAC. 51Financial Aid/ Scholarships/Assistantships / Contracts . 52Specific Expectations of Professional Behavior . 53Professional Behaviors (Generic Abilities). 53Professional Behaviors Assessment Form . 64Program Specific Expectations for Professional Behavior . 65Professionalism Concern Form . 67APTA membership . 69Class Organization and Committees . 69Books and Tools . 72Communication . 73Manage your stress . 73Policies and Procedures . 75Promotion, Due Process and Academic Honesty. 75Exams . 76, 79Practical Exam Grading Scale . 81Committee on Academic and Professional Evaluation of Students (PT CAPES) . 82Reporting Academic Misconduct . 92Recording Classes . 94Computer Use, Laptops and Cell phones . 96Social Media . 98Open Lab. 100Alcohol at the Program . 101Disability. 101Safety and Participation .104Emergency Procedures .106-108Incident Reports 110-111Community and International Service . 112-114Preparing for After Graduation . 114Evaluation of the Program . 116Non-discrimination Statement . 1182
INTRODUCTIONWelcome Future Doctors of Physical Therapy to Washington University in St. Louis!You were selected as one of our students because of our confidence that, with your past achievements andfuture potential, you will succeed in this program. The physical therapy profession is a dynamic one, withrecent changes in health care and laws providing physical therapists with ever-encouraging and excitingopportunities for practice. Individuals entering this doctoring profession are truly those who care aboutfurthering science and the health of the society. We are fully committed to your becoming a physicaltherapist and the faculty welcomes you into our profession.As a graduate student in physical therapy, you will gain knowledge, technical skills and professionalismtraining that will prepare you for entry-level practice as a physical therapist. This requires more classroomhours than might be the case in a non-clinical graduate program. To ensure your success in completingthis challenge, the program, its faculty members and students must all take certain responsibilities.The Program will provide a wonderful educational environment, where we are all able to teach, learn, conduct research,treat patients, and contribute to the university and the profession. We are grateful for the resources wehave for faculty and students, all of which facilitate the teaching and learning process. support the delivery of a curriculum that fosters the development of critically-thinking, competentgeneral practitioners who are well versed in the examination, diagnosis and treatment of themovement system and can deliver quality health care in a variety of settings and meet the challengespresented in clinical practice.The Faculty will plan, design, and implement learning experiences that allow students to achieve the program'sobjectives. remain actively involved and current in patient care, conducting research, publishing their work, andcontributing to the university and the profession. access other individuals at the University and in the community to aid us in our endeavors as facultymembers.The Students will take individual responsibility for their own education and their investment for the future. work together as a team to benefit most from their education. participate in a spirit of cooperation with faculty. represent the Program professionally in all venues.3
PROGRAM ORGANIZATION:Movement is at the core of our mission, and the human movement system is the foundation of ourprofession. The human movement system is a system of physiological organ systems that interact toproduce and support movement of the body and its parts. Physical therapists are movement system experts.HUMAN MOVEMENT SYSTEMMISSIONWashington University Physical Therapy will lead in advancing human health through movement,integrating interdisciplinary research, outstanding clinical care and education of tomorrow’s leaders to driveoptimization of function across the lifespan.EducationPrepare exceptional practitioners and researchers who contribute to the practice and science of physicaltherapy by providing education exclusively at the doctoral level and using innovative teaching strategiesdelivered by expert faculty. We: Prepare clinical leaders who are practitioners of choice in diagnosis-based patient care and who aspireto exceed accepted standards for compassionate care and promotion of health. Provide creative post-professional education that enable physical therapists to achieve advancedknowledge, skills and effectiveness in health care delivery; Develop scientists whose research extends the body of knowledge in the movement sciences and whoseinterdisciplinary work enables translation of new knowledge to enhance clinical practice.Clinical PracticeThe mission of the Clinical Division is to provide high quality, evidenced-based care with compassion. Asmovement system experts, we strive to diagnose movement impairments and deliver individualizedtreatment to optimize physical function, health, and wellness across the lifespan.ResearchThe mission of the Research Division is to understand a) how the movement system is affected by disease,injury, lifestyle, development, and aging, and b) how movement can be used to promote health by enhancing4
physical function, activity, and participation across the lifespan. Our interdisciplinary scientific endeavorsinclude mechanistic and translational investigations at all levels of organization from the cell to society.VISIONIn advancing human health through movement, Washington University Physical Therapy will: Transform our professional identity by promoting the human movement system as the foundation ofphysical therapy Synergistically align creative education, groundbreaking team science, and innovative evidence-basedpractice within the framework of the human movement system Foster a culture of committed common interest that supports diversity, inclusion, critical thinking andcreativity Embrace consumer values and goalsWashington University Program in Physical TherapyProfessional Doctor of Physical Therapy ProgramPhilosophyIn concert with the view of the University and the School of Medicine, the Program in Physical Therapystrives to create a collaborative learning environment in which each physical therapy student acquires theknowledge, skills, and attitudes required to practice as an effective and compassionate health carepractitioner at the highest level of excellence in a constantly changing health care environment. At thecore of the learning environment is a curriculum based on the faculty’s beliefs about clinical practice andthe profession of physical therapy. These beliefs are: Physical therapists have unique expertise and are the practitioners of choice in the areas ofprevention, diagnosis, prognosis, and treatment of movement-related conditions; Physical therapists have a responsibility to promote optimal movement and general health and toprevent injury, disability, disease and loss of function; Clinical practice is based on the clinical science of physical therapy, a body of knowledge drawn fromthe basic biomedical and physical sciences, applied and clinical research evidence regarding specificmovement-related conditions in humans, expertise regarding clinical phenomena, and knowledge ofhuman behavior derived from the social and behavioral sciences; Optimal clinical effectiveness depends upon the ability of clinicians to think critically; to makedecisions in accordance with the current best evidence, sound clinical judgment, and patientpreferences; and to function autonomously in a collaborative, collegial manner with other health carepractitioners; Physical therapists must perpetually pursue life-long personal and professional development toenhance their ability to assume multiple and continually changing roles required of health careprofessionals who are leaders in a dynamic health care environment.5
Washington University Program in Physical TherapyProfessional Degree Program (Doctorate in Physical Therapy)Curriculum Goals, Prerequisites, and ObjectivesCurriculum GoalsThe primary goal of the professional curriculum is to prepare physical therapists who are committed toproviding skillful, evidence-based practice, and continuing growth and development of themselves andthe profession.Graduates will possess the essential knowledge that contributes to sound clinical decision-making,specifically: a solid foundation in the physical, biological, biomedical, behavioral and social sciences knowledge of the impact of structure, function, growth and development across the life span, anddisease on the ability of the human body to move, function, and respond to treatment;Graduates will be qualified as general practitioners to do the following: use current best evidence, which includes information obtained from expert clinicians and theliterature, to support the practice of physical therapy; screen individuals to establish whether or not they are appropriate for physical therapy; perform a systematic examination consisting of appropriate tests and measurements for healthyindividuals and for those with movement-related musculoskeletal, neuromuscular,cardiopulmonary or integumentary problems; interpret findings, using sound critical thinking and good judgment (evaluation); assign a movement-related diagnosis based on recognized clusters of signs and symptoms, usingeither previously named diagnoses or systematically developed new ones; consider the prognosis and other factors that moderate an individual’s response to intervention select and provide optimally effective care that is based on the diagnosis; assume the roles ofdirect care provider, care manager, educator, consultant and advocate; collect data and evaluate the effectiveness of interventions for individuals and groups ofindividuals who are similar to one another; help patients and clients prevent future movement-related problems promote health and wellness effectively communicate and collaborate with peers, care extenders, patients, and colleagues inother health professions.Graduates will demonstrate behaviors consistent with their role as compassionate and responsible healthcare providers, including: respect and advocacy for the rights, beliefs, capabilities, and preferences of others; willingness to accept change, and effectiveness in negotiating for change; effective interpersonal and communication skills; life-long professional conduct; healthy life habits; dedication to the ethical and legal standards of the profession; leadership skills that are used in the profession and in one’s community; and lifelong commitment to staying informed about contemporary health care practice and trends.6
Professional Doctor of Physical Therapy AccreditationThe Program in Physical Therapy is accredited by the Commission on Accreditation in Physical TherapyEducation (CAPTE), 1111 North Fairfax Street, Alexandria, Virginia 22314; telephone: 703-684-2782 or1-800-999-2782; email: accreditation@apta.org; website: www.capteonline.org.CAPTE is listed as a nationally recognized accrediting agency by the US Department of Education andthe Council for Higher Education Accreditation (CHEA). Once awarded accreditation status, a programmust submit reports regularly to the Commission ensuring continuing compliance with the evaluativecriteria and is formally reviewed every five to ten years.CAPTE Formal Complaint ProcessThe only mechanism through which CAPTE can act on a concern is through a formal complaint process.The complaint must be related specifically to one or more of the Evaluative Criteria for Accreditation, orone or more of CAPTE’s expectations related to program integrity. The formal complaint process can beaccessed in the Accreditation Handbook, available through the CAPTE web site (www.capteonline.org).7
Doctor of Physical Therapy CurriculumTechnical Standards for MatriculationWashington University Program in Physical Therapy does not discriminate against qualifiedpeople with disabilities in the admissions process. We do require all students to meet theProgram’s technical standards with or without reasonable accommodations. These standards arenecessary to allow success during the academic and clinical phases of study, and the capacity topass licensure requirements and attain future employment. The standards are intended to protectthe health safety of students, faculty, and patients. An offer for admission may be withdrawn ifan admitted student is not able to articulate how he or she would meet the program’s goals andobjectives, even with accommodation. The faculty expects graduates to be prepared to functionin a broad variety of clinical situations and render a wide spectrum of patient care.The technical standards apply throughout the duration of the curriculum. However, we do useclinical sites that may have different standards or not be able to offer the same accommodationsas provided by the Program. Students with questions should call the admissions office at 314286-1402 or the Associate Director for Professional Curriculum at 314-286-1421.Program faculty, in accordance with the Commission on Accreditation in Physical Therapy andthe Standards of Practice in Physical Therapy, identifies the following fundamental skills for ourcurriculum and for the profession: Problem solving on the basis of verbal, visual and written information, within a limited timeframeClinical reasoning and decision making within a limited time frameInsight and judgment for safety and prognosticationVisual-spatial integrationPerceptual motor integrationRepetitive motionEffective communication among group membersPlanning and organizing for treatment prescriptionFrequent lifting, pushing, and pulling up to 20 poundsOccasional lifting, pushing, and pulling of 20-50 poundsTime management to coordinate course and clinical requirementsThe admitted student must possess the following skills and abilities:Observation: The ability to observe demonstrations and visual aids used in lectures and laboratories.Students must be able to observe patients at varying distances. This requires vision and somatic function.Communication: A candidate must be able to speak, hear, and observe patients to elicit information,perceive nonverbal communication, describe changes in mood, and sensitively and effectivelycommunicate with and instruct others. Communication will include speech, reading, and writing.Communication with the health care team will be in oral, written, and electronic form, and be effective,efficient, and timely.8
Motor Function: A candidate must have sufficient motor function to elicit information from patientsthrough palpation, auscultation, percussion, and movement of limbs and trunk. He or she must be able toprovide care to patients that involves exercising, lifting, transferring, and assisting during walking, allwhile assuring safety for themselves and others. A candidate should be able to provide basic andemergency care for patients. These activities require coordination of movement, equilibrium, andsensation.Intellectual-Conceptual, Integrative, and Quantitative Abilities: Candidates must be able to useconceptual, integrative, and quantitative thinking abilities to problem solve. He or she must be able tocomprehend 3-dimensional relationships, spatial relationships of structures, and use these skills to analyzeand apply this information for problem-solving and decision-making. Candidates must be able toorganize, prioritize, analyze, and evaluate complex information individually, in small groups, in clinicalsettings, and within a limited time frame.Behavioral and Social Skills: Candidates must have the emotional health to fully use his or herintellectual ability, exercise good judgment, complete all responsibilities, self-assess, accept criticism, andassume responsibility for maintaining professional behavior. He or she must be able to develop mature,sensitive, and effective relationships with others. Being able to tolerate physical and emotional stress andfunctioning effectively is necessary. Candidates must exhibit adaptability and flexibility and be able tofunction in the presence of uncertainty. He or she must have high levels of compassion for others,motivation to serve, and a consciousness of social values. A candidate must be able to interact positivelywith people from all socioeconomic and ethnic levels, and respect the belief systems of others.9
Instructional Goals and ObjectivesGoal: All students are expected to develop essential knowledge, clinical skills, personal and professionalbehavior, and social responsibility to fill the role of a successful physical therapist who is a generalpractitioner. Students will be prepared to pursue post-graduate options for specialization.Objectives: The achievement of the following objectives in the areas of knowledge, clinical skills, andresponsibility shall meet or exceed the Commission on Accreditation in Physical Therapy Educationcriteria and are considered essential functions of a physical therapist.I.KnowledgeA.Apply concepts from the physical sciences to describe mechanisms underlying1.human movement (analysis, alteration, and improvement)2.growth, development, aging, degeneration, injury, and repair across the life span3.how physical stress affects human tissues4.how physical agents effect changes in human tissueB.Apply concepts from the biological and anatomical sciences to1.describe function, growth, and development across the life span, as well ashealing mechanisms at the levels of the cell, organ, and system2.describe the effects of inactivity and activity/exercise in normal humans and inthose with disease3.explain the role nutrition plays in exercise and the effects of both nutrition andexercise on body composition4.distinguish normal from abnormal structures and understand their function in thevarious systems of the human body5.describe pharmacokinetics (the response of the body to drugs)6.describe the role of genetics, genomics, and epigenetics in health status andresponse to treatment7.describe mechanisms underlying painC.Apply concepts from the behavioral sciences to1.recognize and respect differences among people2.incorporate concepts of motivation, compliance, and human behaviors intopatient management3.recognize and accommodate the influence of psychological and psychiatricconditions in individuals4.recognize the effects of loss, life change, and grief on individuals andmechanisms of adjustment that people use5.recognize their own learning needs and those of others; identify appropriateteaching methods for learners6.describe the importance of demonstrating empathy, acceptance, and toleranceD.Apply concepts from the clinical sciences (e.g. medicine, orthopedics, and neurology) to1.screen for, recognize, and analyze the consequences of age, disease, injury,overuse, or surgery in patients2.describe the effects of commonly used chemical and pharmacological agents onhuman response, healing, movement, and exercise (pharmacodynamics)10
II.E.Apply concepts of evidence-based practice1.differentiate among credible scientific evidence, hypotheses, beliefs, andopinions2.understand the elements of various quantitative and qualitative research designs3.develop relevant clinical questions4demonstrate the ability to search for, find, analyze, and summarize evidencerelated to a clinical issue5demonstrate the ability to assess the credibility of evidence derived from researchin physical therapy and related fields6.identify gaps in knowledge and future needs for clinical research7.distinguish between incidence and prevalence of health conditionsF.Recognize the significance of selected events and people in the history of health care andin the profession of physical therapy1.trace the historical development of the profession of physical therapy and itsresulting ethos2.describe the implications of legislative change on the autonomy, ethics, andeconomics of practice in physical therapy3.describe the impact of policy changes at the levels of the professional associationand government on practice in physical therapyG.Demonstrate knowledge of governmental, political and professionalassociation processes1.describe mechanisms of introducing, supporting, amending, or defeatinglegislation2.describe how professional issues are introduced and pursued through the Houseof Delegates of the APTA3.use parliamentary procedures and effective negotiation skills to advance ideasduring formal meetings4.describe the implications of direct access practice5.describe the implications of practicing under referral for profitarrangementsClinical SkillsA. Patient /Client Management1.Support and promote an approach to patient/client management based onscientific principles and best available evidencea.use basic and clinical science as foundations for patient careb.critically assess rationale for decisionsc.use professional and scientific terminology and notationd.use models (e.g. ICF) to classify conditions and to define and specifyrelationships among components of the model including the moderatingvariables, diagnosis, prognosis, and patient outcomese.conduct literature searches using electronic databasesf.complete systematic reviews of current best evidence2.Choose an appropriate course of action in patient/client managementa.serve as a primary care provider when appropriateb.screen to identify emergent conditions and to select other tests and11
c.d.e.3.measures needed for the examination (review of systems:cardiovascular/pulmonary; endocrine; eyes, ears, nose, throat;gastrointestinal; genitourinary/reproductive; hematologic/lymphatic;integumentary; neurological/musculoskeletal)decide when to refer a patient to another professionalcollaborate with other disciplines for a team approachconfirm or disconfirm information received from others and takeappropriate action to meet the needs of patientsSelect appropriate tests and measurements to identify either the presence of or thepotential for developing movement-related dysfunction. Selection requires theability toa.complete a problem-centered history (including thorough chart reviewand interview)b.perform observational and standardized tests ofi.aerobic capacity/enduranceii.anthropometric characteristicsiii.assistive technology (including orthotics, prosthetics and otherdurable medical equipment)iv.balancev.circulation (arterial, venous, lymphatic)vi.community, social, and civic lifevii.cranial and peripheral nerve integrityviii.education lifeix.environmental factorsx.gaitxi.integumentary integrityxii.joint integrity and mobilityxiii.mental functions (e.g. arousal, mentation, cognition)xiv.mobility (including locomotion)xv.motor functionxvi.muscle performance (including strength, power, endurance, andlength)xvii.neuromotor development and sensory processingxviii.pain/symptoms/symptom behaviorxix.posturexx.range of motionxxi.reflex integrityxxii.self-care and domestic lifexxiii.sensory integrityxxiv.skeletal integrityxxv.ventilation and respiration (e.g. vital signs, auscultation,capillary filling, respiratory patterns, vital capacity)xxvi.work life12
4.Interpret and use information from other sourcesa.Prescriptions for medication and durable medical
Washington University Program in Physical Therapy . Student Handbook . 2019-2020 . Washington University School of Medicine . Program in Physical Therapy . Signature Sheet . Each student enrolled in the Physical Therapy Program must return a signature sheet to Alice Samatmanivong by August 20, 2019.
the Physical Therapy Program at Eastern Washington University. Amelia Jay, PT, DPT Director of Clinical Education Department of Physical Therapy Eastern Washington University 509-828-1362 - phone 509-828-1389 - fax ajay20@ewu.edu Cindy Arlt Program Specialist Department of Physical Therapy Eastern Washington University 509-828-1374 - phone
4 Washington University School of Medicine in St. Louis pt.wustl.edu 5 T he Doctor of Physical Therapy (DPT) Program at Washington University School of Medicine is a professional, full-time clinical doctorate course of study that prepares students for the practice of physical therapy. Our Learning Environment
5. George Washington is honored on Valentine's Day. YES NO 6. Washington State is on the East Coast of the U.S. YES NO 7. George Washington's birthday is in January. YES NO 8. George Washington's face is on the 5 bill. YES NO 9. George Washington was a general in the Vietnam War. YES NO 10. George Washington was an important movie star .
physical education curriculum table of contents acknowledgements 2 district mission statement 3 physical education department mission statement 3 physical education task force 3 physical education and academic performance 4 naspe learning standards 8 new york state physical education learning standards 8 physical education high school curriculum guide 15 physical education curriculum analysis .
Columns, the University of Washington Alumni Magazine, is published quarterly in March, June, September and December for all graduates of the University of Washington (ISSN 1047-8604; Canadian Publication Agreement #40845662). It is a publication of the University of Washington and the University of Washington Alumni Association.
Navy Physical Fitness Program . 1. Navy Policy on Physical Fitness . a. Physical fitness is a crucial element of mission performance and must be a part of every Sailor's life. Mission readiness and operational effectiveness are built on the physical fitness of the individual; therefore, all Navy personnel shall maintain personal physical .
Columns, the University of Washington Alumni Magazine, is published quarterly in March, June, September and December for all graduates of the University of Washington (ISSN 1047-8604; Cana-dian Publication Agreement #40845662). It is a publication of the Univer-sity of Washington and the University of Washington Alumni Association.
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