The student clinical performance is documented using the Clinical Performance Instrument of the American Physical Therapy Association. Students are expected to demonstrate appropriate behaviors consistently on “red flag “items. The Clinical Performance Instrument (CPI) documentation and mid-term comments of the student and clinical instructor will be the primary sources for assessment of student progress and proficiency in clinical practice. The CPI should be completed by the CI and a separate copy by the student at mid-term and again at the end of the practicum. These should be discussed and signed off online in order for the Director of Clinical Education (DCE) to review. Both the CIs and the student’s self-assessment CPI’s should be fully completed online. The course is a pass/no pass course. Pass or no pass is based upon all written and verbal evaluative feedback provided to and collected by the program concerning student performance, including documentation from the APTA Clinical Performance Instrument. Students are expected to demonstrate progress toward entry-level competence in all evaluative criteria identified in the APTA Clinical Performance Instrument. The clinical instructor and the Center Coordinator of Clinical Education will assess student competence. The academic institution will determine appropriate action for students that are not at the appropriate level of competency at the end of the practicum.
Satisfactory performance on a clinical practicum must include:
- Completion of the full length of the practicum (CP I- 8 weeks, CP II and III -10 weeks, and CP IV- 12 weeks)
- Mid-term comments indicate satisfactory level of performance and no concerns were brought to the attention of the DCE during the weeks following the mid-term.
- No red flag items are identified as areas of concern.
- Final performance is at a minimum of advanced intermediate clinical performance (interval 4).
- Written comments on CPI do not indicate significant areas of concern.
A student who fails to meet the required level of professional competency during any of the final clinical practicums (i.e. CP2-CP4) will not be issued a passing grade. Any student who is unsuccessful in earning a passing grade will receive a learning contract that will indicate the specific expectations and requirements to successfully complete the repeated practicum. The student may be required to remediate prior to repeating the failed practicum.
Indicators of failed performance may include the following;
- Facility discontinuing practicum early related to student performance
- Any "red flag" items that are of “significant concern” at the midterm or final evaluation.
- Evidence in the form of written documentation demonstrating greater than 2 areas of “significant concern”.
- Written comments indicating lack of progress over the course of the rotation.
- Failure to achieve an appropriate level of performance on the CPI as described in the course materials and syllabus.
If a student has to repeat a failed or non-completed clinical practicum, then/he she may be required to register for an additional semester to complete the practicums. Any continuation of a clinical practicum beyond the date of graduation will result in the student having to register for the summer semester and paying tuition for the summer semester, regardless of the length of the practicum. If this is a not a full load or a repeated course, the student will not be eligible for financial aid.
Any concerns will be discussed with the student. Any unsatisfactory student evaluations will result in an individualized educational plan for the student determined by the DCE and Program Director with input from the program faculty. The options available to remediate with a passing grade, include, but are not limited to:
- Additional time at that facility.
- An additional clinical assignment of an appropriate length.
- A successful remedial program followed by another clinical assignment of appropriate length.
If successful, a passing grade will be reported when all requirements of the individualized remediation plan are met. Failure to successfully meet expected level of competency for a failed or completion of a non-completed practicum will result in failure in the program and grounds for dismissal.