Clinical school model to facilitate clinical education for all students

21 April 2009

Developed by: 
Joan McMeeken, Gillian Webb, Cathy Nall collaboratively with many academics and clinicians
Institution: 
The University of Melbourne
Teaching and Learning Strategy: 

Physiotherapy students are allocated to one of the three general Clinical Schools of the Faculty on entry into year one of the physiotherapy course. Each Clinical School has an Associate Clinical Dean of Physiotherapy who is responsible for approximately 120 or one third of the undergraduate students. With the exception of 12 weeks of elective units and eight weeks in paediatric and gerontological physiotherapy all students spend their clinical education periods in their own Clinical Schools. This provides students with a university clinical base. Here they are well known by clinical and administrative staff, are supported by the infrastructure of the Clinical School and are familiar with the site environments and their requirements. In the Clinical School each student spends the equivalent of a week in each of the first two years, 18 weeks in year three and 12 weeks in year four.
An overview of the content and management of the clinical education components of the course is the responsibility of the Clinical Education Committee. The whole course is developed in conjunction with the clinicians who participate in discipline specific working groups. Course outcome, assessment, content and supporting teaching materials such as problem based learning triggers, manuals and multimedia are planned, developed and completed in these groups. The academic program is integrated within the clinical education program with appropriate teaching sessions occurring at the clinical sites. The clinicians have responsibility for continuous clinical assessment and the discipline specific and final clinical exams. Assessment reliability is established within the working groups.
The Associate Clinical Deans, with the support of their staff, the School of Physiotherapy's Clinical Coordinator and the undergraduate administrative team manage the clinical program. Junior clinical staff have management and content responsibility for the clinical education program in years one and two. They also act as mentors for students in years three and four. Senior clinicians oversee the clinical education program in these latter years.
An Associate Clinical Dean of Physiotherapy is a member of the School's Planning and Resources Committee and participates in senior academic staff selection. The Head of School participates in selection of Associate Clinical Deans. Clinical staff with significant educational responsibility are Fellows of the School of Physiotherapy and have full access to all University resources. In addition the University School of Physiotherapy runs general and site-specific inservice programs related to clinical education and in the specialist discipline areas. Clinical staff from the Clinical School teach elements of the academic program within the University.
The contained nature of the distribution of the students within the Clinical Schools enables the program's support by the International Student Support Program of the Faculty. As well as dedicated computers, telephone, fax and email the clinical education program is supported by 'Plexus' - an electronic data source for student timetables, assessment forms, information on clinical sites and clinical staff. It also includes notes on supervision and experiential learning for the clinicians.

Course Name: 
Throughout the four years of the undergraduate BPhysio and BPhysio (Hons) courses
Year Level: 
First Year
Expected Outcomes: 

Year Level : (First to Fourth)
 
The key learning outcome is that BPhysio and BPhysio (Hons) graduates fulfill all the expectations of their employers as new graduates and demonstrate the attributes of University of Melbourne graduates and all the ACOPRA competencies of physiotherapy graduates.
 

Effective Aspects: 

There are advantages in the integrated academic and clinical education program from the perspective of academic staff, clinicians and students.
Academic staff

  • Respect for clinical physiotherapists and strong sense of collegiality with clinicians
  • Development of strong linkages with Clinical School staff, knowledge of their expertise and co development of assessment and teaching materials
  • Co development of research activities and recruitment of graduate students and co supervision of graduate students
  • Assuredness of student placements in a strongly supportive and academically and clinically strong environment

Clinicians

  • Respect for academic physiotherapists and strong sense of collegiality with academics
  • Development of strong linkages with academic staff, knowledge of their expertise and access for inservice and collaborative activities
  • Co development of research activities and co supervision of graduate students, support for research activities
  • Established pattern of clinical placements
  • Development of strong professional relationships with students
  • Potential to recruit future employees for the Clinical School

Students

  • Development of professional identity and collegial support within own Clinical School
  • Secure clinical environment where the individual students learning needs are known
  • Limited number of geographic sites and familiarity with the various requirements of these sites
  • Potential for future employment with the Clinical School
Evaluation: 

The Clinical Education Committee and the discipline specific working parties are part of the dynamic continuous curriculum review. An example of changes that are introduced quickly as a result of legislative requirement was the integration of the "no lift" policy formally into the clinical curriculum.
Members of the Clinical Schools participate in all School strategic and operational planning processes
Students provide feedback on all clinical subjects and this information is provided to the clinicians involved. This process was originally paper based, but now occurs electronically through 'Plexus".
There is an annual anonymous questionnaire evaluation of employers' perception of the graduates and detailed discussion of graduates' outcomes with members of the physiotherapy profession who employ graduates.
Evaluation of graduates through the National Course Experience Questionnaire, through university surveys and through the annual School survey and informal feedback is integrated into the School's review processes.

Evaluation Outcomes: 

All questionnaire and survey results and discussions with graduates and members of the physiotherapy profession indicate strong support for the integrated academic and clinical program through the Clinical School Model. The close collaborative relationship continues to enable academics and clinicians to respond in a timely and considered fashion to issues arising in either environment.

Plans for Changes/Developments in Future: 

This is a dynamic program such that annual cycles of evaluation result in changes to the processes and curriculum as appropriate.

For Further Details
Contact Name: 
Joan McMeeken
Contact Faculty/School: 
School of Physiotherapy
Contact Institution: 
The University of Melbourne
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