NAU ATEP Clinincal Site development framework.

1. The Development of State-Wide Clinical Internships in an Athletic Training Education Program: A Perspective CCC Teaching & Learning Conference August 16 th ,2007 Steve Cernohous, EdD, ATC, LAT Assistant Professor / Clinical Coordinator Athletic Training Education Program

2. Today’s Agenda ● Clinical Education Defined ● Clinical Site Development ● Various Settings ● The Approved Clinical Instructor ● The Student ● Training & Development ● Challenges

3. Definition ● A method in which theory and skills can move from the classroom to “real world” ● Culture & professional values are passed on to students ● The quality of these experiences has a significant impact on the quality of the professional produced Jarski, RW; Kulig, K; & Olsen, RE (1990) Weidner, TG; & Angust, J (1997) Weidner, TG; & Henning, JM (2002)

4. Clinical Site Development ● Identifying the RIGHT environment ● Numerous options ● Balance ● Contract and Obligation

5. Clinical Settings ● Athletic Training Room - College / Community college - High School - Professional Sports Team ● Sports Medicine Clinic ● Industrial Setting - Fortune 500 companies ● Other - Hospital – Health Center - Orthopedic Clinic - Physical Therapy Clinic

6. Approved Clinical Instructor ● Provides formal instruction and/or evaluation of students in the clinical proficiencies…perform psychomotor and/or clinical proficiency instruction and evaluation ● Evaluation of the proficiency shall be done on a one-to-one basis ● Must be BOC certified for at least 1 year and complete ACI training ● Supervised clinical experiences shall involve daily personal contact and supervision between the clinical instructor and the student…The instructor shall be physically present in order to intervene on behalf of the individual being treated Foster, DT; Leslie, DK (1992) Weidner, TG; & Henning, JM (2002)

7. The Student ● CLINICAL EDUCATION ● FIELD EXPERIENCE ● FIRST RESPONDER Gray, A; Smith, T (2000)

8. Training & Development ● Initial ACI 5 hour training conducted by CIE ● Follow up training done every 3 years ● Evaluations of ACIs done annually by Clinical Coordinator ● Evaluations done by each student at the end of the term

9. Challenges ● Roles ● Supervision – Direct and Graded ● Feedback ● Communication ● Conflict resolution ● “ Work ethic” ● Patient Care Nolan (1998) Pitney, W; & Parker, J (2003) Carr, WD; & Drummond, JL (2002) Weidner, TG; & Henning, JM (2002)

10. Challenges ● Evaluations ● Teaching ● Role Strain ● Acceptance ● Theory-Application Gap ● Goal setting Nolan (1998) Pitney, W; & Parker, J (2003) Carr, WD; & Drummond, JL (2002) Weidner, TG; & Henning, JM (2002)

13. Challenges ● Feedback - vital - regular - objective - positive

14. Challenges ● Communication - well-established - approachable - non-confrontational

15. Challenges ● Conflict resolution - immediate - consistent - guidelines

16. Challenges ● “Work Ethic” - misunderstood - clinical experience - hours

17. Challenges ● Patient Care - primary - expectations - liability

18. Challenges ● Evaluations - daily - formative - self

19. Challenges ● Teaching - didactic curriculum - symbiotic - methodology

20. Challenges ● Role Strain - obligations - ambiguity - conflict - incompetence Weidner, TG; & Henning, JM (2002)

21. Challenges ● Acceptance - culture - role - own identity

22. Challenges ● Theory-Application Gap - consistent - variety of settings - collaboration Carr, WD; & Drummond, JL (2002)

23. Challenges ● Goal Setting - well defined - accountable - partnership - attainable

24. Questions ?

25. THANK YOU