Utah Neurologic Physical Therapy Residency Program

General Program Information The mission of the Utah Neurologic Physical Therapy Residency Program is to provide qualified physical therapists an advanced level of knowledge and clinical skill in the management of individuals with neurologic impairments. Therapists will become expert movement specialists drawing from an increasing knowledge base while contributing to and benefitting from evidence based practice. They will be accomplished patient care providers allowing them to take a leadership role in the treatment of patients as well as educating and training other health care providers. Residents will be prepared to sit for the Neurologic Physical Therapy Specialist Certification Examination.

The Utah Neurologic Physical Therapy Residency Program is collaboration between the University of Utah, Department of Physical Therapy, University Healthcare and Intermountain Healthcare. This 12-month long program incorporates multiple didactic, clinical and teaching experiences. The chosen resident(s) will work at either the University of Utah or Intermountain Healthcare for their clinical practice. (Placement is determined by the selection committee.) Residents will be paid for 1550+ hours of work in an inpatient rehabilitation setting and benefits will be provided. 150+ hours the residents will be working 1:1 with an appointed Neurologic Clinical Specialist mentor at each clinical experience site. 160+ hours of didactic coursework will be completed within multiple departments within the University of Utah, ensuring a well-rounded and inter collaborative education for the residents. 80+ hours will be spent teaching students in the Doctor of Physical Therapy program at the University of Utah, Department of Physical Therapy. 180+ hours will be spent in clinical observation/experience at sites within the greater Salt Lake area, which provide specialized expertise in areas of neurologic rehabilitation.

University of Utah, Department of Physical Therapy Orientation 8 hrs Didactic coursework 160 +hrs Teaching/Instruction 80 +hrs TOTAL 248 +hrs University Health Care Inpatient Clinical Practice 1400 hrs 1:1 Mentored Practice 150+ hrs TOTAL 1550 +hrs Intermountain Healthcare Inpatient Clinical Practice 1400 hrs 1:1 Mentored Practice 150+ hrs TOTAL 1550 +hrs

Specialty Practice Observation Acute Care Seating/Positioning Outpatient Wellness Clinics Hearing and Balance Orthotist Gait Labs NCV/EMG Labs TOTAL 180 +hrs

Program Highlights Teaching assistantship within the University of Utah, Department of Physical Therapy, Doctor of Physical Therapy in the classrooms and labs of Neuroanatomy and Neuromuscular Management. 75% FTE and benefitted position at either the University Hospital or Intermountain Healthcare inpatient rehabilitation facilities. 150 hours of 1:1 mentoring with a Neurologic Clinical Specialist. Exposure to multiple specialized clinical care sites, including focus on wellness and prevention models, vestibular rehabilitation, spinal cord injury, comprehensive ALS clinic, wheelchair seating and positioning and orthotics and prosthetics. Advanced education in neuroradiology, neuropharmacology and communication and cognitive disorders. Become a credentialed clinical instructor. Community teaching opportunities.

Benefits to You (the Resident) The goal of the residency program is to advance the residents skills in neurologic rehabilitation, while providing leadership opportunities, advanced educational opportunities and teaching opportunities. Residents will acquire advanced neurologic clinical skills required to treat and manage patients with complex neurologic diagnoses throughout the course of the disease and lifespan. Residents will be prepared to sit for the American Board of Physical Therapy specialty examination in Neurologic Physical Therapy to become a board-certified clinical specialist (NCS). Residents will be provided with the opportunity to teach within the accredited Doctor of Physical Therapy program at the University of Utah. Residents will be provided with the opportunity to collaborate with multiple healthcare providers. Residents will work 1:1 under the tutelage of a Neurologic Clinical Specialist mentor at their clinical experience site. Residents will be able to reach new levels of job satisfaction and leadership within the field of Neurologic Physical Therapy. Residents will be provided with opportunities to participate in clinical research. Residents will have the opportunity to integrate evidence based practice throughout the practice of neurologic physical therapy and become autonomous practitioners with neurologic physical therapy. Receive a certification of completion from the Utah Neurologic Physical Therapy Residency Program. Improve your curriculum vitae that will set the resident apart and a neurologic clinical specialist from other persons when seeking a job in neurologic rehabilitation. Benefits to the Programs, Community and Profession Allows practitioners to advance neurologic clinical skills resulting in improved outcomes. Increases the number of practicing clinicians with advanced neurologic and rehabilitation skills. Increases the quality and consistency of evaluation and treatment for patients with neurologic disorders. Improves patient and family satisfaction in neurologic patient populations. Encourages collaboration between the University of Utah, Department of Physical Therapy, University Health care and Intermountain Healthcare. Provides a model for professional growth and development for all healthcare providers. Increases the number of physical therapist with advanced knowledge in the area of neurologic physical therapy. Aligns with the APTAs Vision 2020-where physical therapy services are provided by specialists in a practice area.

Curriculum 160+ hours of mandatory didactic coursework will be completed within multiple departments within the University of Utah, ensuring a well-rounded and inter collaborative education for the residents. Mandatory coursework:
Course Department Credits (contact hours) Neuropharmacology Pharmacology and Toxicology 2(30) Seminar Physical Therapy 3(45) Description

Physiological, biochemical, and anatomical bases for the selective effects of drugs on peripheral and central divisions of vertebrate nervous system. The primary objective is to have the resident lead and participate in a weekly seminar focusing on an in depth understanding of neurophysiology, neuropathology, pathokinesiology, motor control, and motor learning. Format will be integration of current literature for determination of current therapeutic interventions, statistical analysis, theory development; case analysis and chart review, journal and self reflection. This will be a one credit course per semester Nature, diagnosis, assessment and remediation of a wide variety of cognitivecommunication disorders will be covered. This course will focus on communication deficits secondary to traumatic brain injury, right hemisphere brain damage, and dementia. Additional professional practice issues covered in this course will involve issues of aging, ramifications of cultural diversity, and the rationale and methods for providing family-focused treatment. The program addresses issues of: 1) planning and preparing for physical therapy students during their clinical education experiences ; 2) developing learning experiences ; 3) supporting ongoing learning through questioning and effective feedback; 4) developing skills of performance evaluation; 5) identifying and managing students with exceptional situations; 6)identifying legal implications for clinical educators, including issues presented by ADA legislation If the student is ready they will complete this course. The experienced CI must possess the following: 1) Understanding of and experience with the management of the "exceptional" student ; 2) Ability to communicate effectively in a variety of situations, including those involving conflict ; 3) Ability to define student readiness and plan and conduct relevant learning experiences ; 4) Ability to conduct and document formative and summative information of student performance; 5) Ability to apply the principles of teaching and learning in the instructional process ; 6) Ability to adjust supervisory approach based on students' need; 7) Knowledge of legal issues and federal regulations related to clinical education

Cognitive communication disorders Communication Science Disorders 3(45)

Clinical Instructor course APTA (15)

Clinical Instructor advanced course APTA (16.75)

Optional coursework may include experimental design, exercise and disease, neurophysiology, anatomy and physiology of speech and hearing, neurology of organ systems, occupational therapy activity analysis, applied motor learning, systems neuroscience, cognition and occupation, culture and occupational therapy, and grand rounds.

Clinical Experience Education (on-site) 1550 hours of work will occur in an inpatient rehabilitation setting.

150+ hours the residents will be working 1:1 with an appointed Neurologic Clinical Specialist mentor at each clinical experience site.

Off-site specialty clinic 180+ hours will be spent in clinical observation/experience at sites within the greater Salt Lake area, which provide specialized expertise in areas of neurologic rehabilitation. Mandatory clinical experience: This mandatory experience may vary; however, potential sites for observation include Gait Lab Shriners, IMC Hearing and Balance Center, Neuroworx, Rehabilitation and Wellness Clinic, SCI wellness center, hospital outpatient clinics, hospital acute care, seating and positioning, ALS comprehensive care clinic, Nerve conduction and EMG clinic, etc.

Teaching experience 80+ hours will be spent teaching students in the Doctor of Physical Therapy program at the University of Utah, Department of Physical Therapy. Additional teaching assistantship opportunities are available in evidence-based practice, rehabilitation technology. Mandatory teaching:
Course Department Contact hours Neuromuscular management with LAB Physical Therapy 37.5 Description

Assist the faculty member with the teaching of the course, teaching of the lab, grading, evaluation, examination creation, set up and other duties as determined by the faculty member. There are 2 components to this course. The first component is the Physical Therapy and Medical Science section in which students shall receive information regarding the Physical Therapy and Medical examination, diagnosis, and treatment of neuromusculoskeletal disorders. The second component is a case reports section in which students will complete case report presentations, establish physical therapy diagnoses and formulate evidence based treatment plans of patients with various neuro-musculoskeletal disorders and associated disabilities. Residents will be switching dates for labs, e.g. one will teach on Tues and the other on Thurs.

Neuroanatomy with LAB Physical Therapy 37.5

Seminar Physical Therapy 15

Assist the faculty member with the teaching of the course, teaching of the lab, grading, evaluation, examination creation, set up and other duties as determined by the faculty member. This course contains instruction and laboratory work encompassing neuroanatomical structure and basic functional neurology. Assist the faculty member with the teaching of the course, grading, evaluation, discussion and other duties as determined by the faculty member. This course provides students an opportunity to apply the principles presented in PH TH 6090. Students will lead a seminar of at least 30 minutes in the area of neurology.

Timeline February 15 -Applications are due February 16-March 1-Interviews will be conduced for potential applicants March 1-Residents will be notified of acceptance March 15-Application for non-matriculated student status is due May 15-Program orientation begins May 17-Summer seminar begins June 1-Tuition due June 1-Begin work at respective clinical facility May 31-Finish work at respective facility July 31-Application for ABPTS, Neurologic exam due

Fees and earnings The chosen resident(s) will work at either the University of Utah or Intermountain Healthcare for their clinical practice. (Placement is determined by the selection committee.) Residents will be paid for 1550 hours of work in an inpatient rehabilitation setting and benefits will be provided. The resident will be a 75% (FTE) at the respective clinical facility. Estimated salary ranges from $32,000-40,000/year. Benefits are commensurate with the clinical facility the resident is chosen to work at. Tuition cost is estimated to be $3800 for in-state tuition and $11,600 for out of state tuition (excluding textbooks and application fees).

Application requirements Minimum eligibility for acceptance to the program includes: Proof of current physical therapy license for the state of Utah. For new graduates proof of scheduled date to sit for licensure examination. For new graduates, completion of good standing form for graduation from accredited Physical Therapy program (to be completed by chair of department). Completion of application requirements (due February 15). -personal information form -letter of intent -curriculum vitae -Two letters of recommendations -$25 processing fee (check made payable to University of Utah, Dept of PT) Applications are to be sent to: Utah Neurologic Physical Therapy Residency Program C/O University of Utah, Department of Physical Therapy 520 Wakara Way, Suite 302 Salt Lake City, UT 84108-1213 Superior candidates will be selected for an interview and evaluation of basic clinical competencies with members of the selection committee. Desirable applicants include those who: Have completed an extended internship or externship under the direct clinical supervision of an ABPTS Neurologic Clinical Specialist. Possess superior verbal and written communication skills. Have experience in data collection, analysis, and publication. Possess strong fundamentals in the principles of clinical reasoning and the application of manual examination and treatment procedures. Evidence of commitment to a career promoting the continued integration of practice, research, and scholarly inquiry in neurologic physical therapy Residents whom have been accepted into the program will be required to meet the following minimum requirements: Proof of current professional liability insurance. Completion of the application for non-matriculated students at the University of Utah. http://www.sa.utah.edu/admiss/nonMatAdm.html A processing fee of $45 is due and the application deadline is March 15. Completion of compliance with all University of Utah, University Health Care, and Intermountain Healthcare employee-related policies, procedures and orientation.

Proof of membership in the 1. American Physical Therapy Association and the 1a. APTA Neurology section and the 2. UT Physical Therapy Association.

For additional information, contact: Heather Hayes, PT, DPT, NCS at the Department of Physical Therapy at 801-587-9249 (direct line) or via e-mail at heather.hayes@hsc.utah.edu Jason Terry, PT, DPT, NCS at Intermountain Healthcare at 801-408-5490 or via e-mail at Jason.terry@imail.org Doug Benson, PT, DPT at University of Utah Healthcare via e-mail at doug.benson@hsc.utah.edu

Frequently asked questions (FAQs) 1. Is the 75% FTE negotiable? No 2. How much will benefits cost per month? Benefits will vary depending on one whether the resident works at IMC or UU. You can review benefits on either companys web pages. 3. When will class be? Classes will vary each semester. Each resident will be working 3-9 hours days and the other 2 days will be booked with lectures, presentations, studying, off-site clinical experience and/or teaching. Classes currently are scheduled during the day and maybe up until 6pm one night per week. This is subject to change each semester depending on departments, etc. 4. How many hours a week will I be in the class room or teaching labs? 7-10 hours/week 5. Will there be large projects I will be working on besides those in my classes? This residency will be filled with additional educational requirements, such as preparing for seminar lectures, community lectures. There is not one final project (e.g. like a doctoral project); however, there will be a lot of additional outside reading and preparation for teaching, for lecturing, studying, etc. 6. How many hours a week will I be at the clinic? 30 paid working hours in the clinic. 7. What will be happening the first 2 weeks of the residency? The first 2 weeks will be comprised of orientation at employment facilities, orientation to the residency program and expectations, starting of seminar coursework.

8. Will I be able to defer my student loans? More information can be found at for UU students: http://fbs.admin.utah.edu/index.php/income/ Residency program typically are acknowledged as continuing education and deferment can be requested. You will need to work with your specific lender. The Department of Physical Therapy and your employer as a resident can help verify your residency status if needed. 9. Will I have time to work somewhere else? We anticipate this year to be intense and focused on education. We do not feel residents will have time to work elsewhere and would strongly discourage this.