The clinical component will consist of two types of clinical practice experiences. The first will be 150 hours of 1:1 clinical mentoring with an AAOMPT Fellow.
The second level will be 500 hours of supervised clinical practice where the fellow in training will be able to communicate with their mentor immediately regarding clinical questions. The fellow in training will also participate in over 600 hours of "directed learning activities" that will consist of scholarly activities, clinical rotations through other specialty areas and/or with healthcare practitioners besides physical therapists, professional activities and activities related to practice management.
All of the Brooks Residency/Fellowship programs are based on five foundational pillars that will be present within all of the training programs. The common thread for our training will be the mentoring that will be embedded within each of the foundational areas. The five foundational pillars with some examples of activities related to each of the pillars are listed below:
Advanced Clinical Competence
Fellows in training will attain advanced skills including improved problem solving, improved efficiency/effectiveness with establishing and implementing a successful plan of care, and improved psychomotor skills. Each fellow in training will receive approximately three hours of one-on-one mentoring per week as well as 10 hours of clinical supervision per week
Scholarship
The goal of the program is to develop advanced clinical practitioners, however, we recognize the importance of our clinicians to be more scholarly. Therefore, the program will emphasize training to develop the ability of our clinicians to contribute to the body of knowledge of the healthcare profession as well as develop the mechanism to include current literature into their daily patient interactions (i.e. follow the principles of evidence based practice). Each fellow in training will develop four (4) case studies, several of which will be presented orally during a presentation open to the local/regional healthcare community. At least one will be submitted for publication in a peer-reviewed journal and/or presentation at a Professional Conference (such as the APTA Annual Conference, APTA CSM, FPTA Conference, etc).
Each fellow in training will also participate in one clinical outcome research project in conjunction with the staff of Brooks Rehabilitation Hospital and/or the University of North Florida (UNF), The University of Florida (UF), the University of St. Augustine (USA), the University of South Florida (USF) or the University of Central Florida (UCF). Additionally, each fellow in training will participate in a Journal Club and be responsible for identifying the article that will be discussed.
Education
The Brooks training will create the opportunity for change in two different ways from an educational point of view. The first is that the fellow in training will be prompted to embrace the idea of being life long learners. The second component is that we want the fellows in training to become our next generation of mentors within the classroom and in the clinic. The program will train the fellows in training to be our next generation of mentors within the professional classroom and in the clinic. To gain this ability each fellow in training will teach a "block" of a course in a Physical Therapy First Professional Program. The fellow in training will perform inservices to the Brooks staff using the material they learned during the training. Lastly, each fellow in training will be a clinical instructor for a physical therapy student.
Professionalism
Brooks supports the APTA's Vision 2020 and recognizes that physical therapists would benefit from mentoring to develop their knowledge and ability to include the concepts of Vision 2020 into their clinical practice.
Each fellow in training will serve on a committee, board or something similar for a physical therapy related group while in the fellowship program. Each fellow in training will also participate in a community outreach activity and/or perform pro bono physical therapy consulting for an underinsured population. The fellow in training will receive continuous mentoring while performing these activities. The final component of the five pillars is practice management.
Practice Management
The fellow in training will receive training to insure that they are complying with ethical, legal, and regulatory standards/guidelines in all areas of their clinical practice. Fellows in training will perform marketing/PR visits and perform communications with payers regarding denials for services.
Testing Methods
It will be an integral component of the program for fellows in training to demonstrate accountability for the requirements of the program. Therefore there will be continuous assessment of the fellows in training abilities throughout the course of the 1 year program. The Grading of the program will be composed of the following elements:
• One comprehensive written exam at the end of the program worth 20% of total grade.
• Two practical exams with actual patients worth 20% of total grade (10% each).
• Four technique exams to be performed on models or classmates worth 20% of total grade (5% each).
• 11 Class Presentations worth a total of 22% of total grade (2% each).
• Case studies will be worth 18% of total grade (4.5% each).
• All DLA’s will be graded on a PASS/FAIL scale based on the quality of the outcome/performance.
Please see the following documents for more information about the Brooks Orthopaedic Residency:
• Program Objectives
• Program Infrastructure
• Schedule
• Course Listing
• Directed Learning Activities
• Required and Recommended Textbooks
• Faculty