Re: Students

[Guest guest]

Remember, " In-line-or-sight " only pertains to Medicare Part A, Medicare

Part B will not reinburse for therapies performend by students. Their for

in an outpatient clinic, students cannot treat Medicare Patients.

Kathi Lee MS, PT

Carson City, MI

[Guest guest]

There are studies that support the notion that at the very least,

student clinical education programs do not negatively impact

productivity. Coulsen et al. Effects of Clinical Education on the

Productivity of Private Practice Facilities. Journal of PT Education.

Vol 5, No1, Spring 1991. Bristow and Halgler. Impact of Physical Therapy

Students on Patient Service Delivery and Professional Staff Time.

Physiotherapy Canada. Vol 46, No. 4. Fall 1994. There are more. I can

fax you these articles if you would like. Contact me at my email

address.

The issue is that practice environments have changed to some degree and

clinicians, managers and others are questioning whether we can use the

results of these studies to guide decisions for today. As an ACCE and

someone that teaches Practice and Administration courses, my thinking is

that we should be able to devise systems where student programs do not

negatively impact the bottom line. To figure this out many things need

to be considered, like what are we measuring. I think we need to

consider recruitment and retention costs, how students can be invovled

and the impact of their invovlement in productive and educational

activities such as developing JACHO competencies, pt edcuation

matierials, researching clinical pathways, etc). We need to look at how

we are educating students in the class room and how we organize and

construct the clinical education programs. There is some evidence to

suggests, and intuitively it makes sense that longer internships result

in a more postive impact in these matters. I think the expansion of some

programs resulting in a DPT is a positive move towards this goal. We

need to more aggessively train Clinical Instructors and students in more

efficient and effective stategies to utilize during clinical

internships.

Medicare B related restrictions on clinical education don't prevent

student eduction, it just changes the way in which it happens. I won't

list here stategies that people can use as APTA has these on their web

site or any ACCE that you work with can help you out.

L. Levison, PT, MHS, ACCE

The University of Montana-Missoula

Physical Therapy Department

Skaggs Building 135

Missoula, MT 59812-4680

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Message: 18

Date: Tue, 12 Nov 2002 13:52:14 -0500

Subject: Students

Dear List Serve-

I have been challenged to be prepared to defend our taking entry

level students for clinical education in our facility. The concern is

the amount of time that students require from a staff member's

productive time.

Aside from all the " right reasons " I can think of ( such as advancing

the state of care in our own clinic, keeping us current, professional

obligation, love of teaching, intellectual stimulation etc), does

anyone out there have suggestions or objective data to assist? I will

be presenting this information to our CEO who has a CFO bent. We are

not a physician teaching center, and therefore not elligible for that

subsidy. We do take nursing, PT, OT, Speech and Recreational Therapy

students.

I remember some years ago there was an article in Clinical (PT)

Management that demonstrated that the productivity of the staff

member actually was higher on average over the course of the student's

affiliation because during the latter stages the CI had a seperate

caseload. Given today's Medicare and other market pressure's what are

you all finding with your staff who mentor students? Is there

anything printed.

I appreciate your thoughts in advance.

Thanks

Marcy Stalvey, PT, NCS

CCCE ( among other things)

Edwin Shaw Hospital for Rehabilitatiob

Akron, OH 44312

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