Comparison of Professional Behaviors in Clinical Education

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Exploratory Comparison of
Credentialed Clinical Instructors’
and 
non-Credentialed
 Clinical
Instructors’ Report of Frequency
and Importance of Professional
Behaviors in Clinical Education
Affiliations.
Trent Jackman, PT, DPT, ACCE
Deanna Dye, PT, PhD
Idaho State University
 
Disclosure
No conflict of interest
Overview
Purpose
Background
Methods
Results
Discussion
Conclusion
Purpose
Professional behavior characteristics are
important to maximize student learning
during clinical education affiliations. The
purpose of this study was to explore the
comparison of credentialed and non-
credentialed clinical instructors’ report of
importance and frequency of professional
behaviors during clinical education
affiliations.
Background
History of professional behavior in
rehabilitation
Clinical experience is most important
component of education. (Gaberson)
Emery studied importance and frequency of
clinical teaching behaviors
Nursing Clinical Teacher Effectiveness
Inventory (Morgan and Knox)
Ongoing development of professional
behavior in teaching in clinical settings.
Background continued
Credentialed Clinical Instructor Program
American Physical Therapy Association
Credentialing program for health care providers
to improve teaching skills
Plans and preparation to teach students
Develop skills of performance evaluation
Addresses legal implications for clinical
educators
Subjects
Students
Clinical Instructors
Center Coordinators of Clinical Education
Methods
Used Emery’s statements.
Developed survey on Survey Monkey.
43 statements about professional
behaviors
Electronically sent to 142 CIs/CCCEs and
to 118 students
All levels of students and instructors
Methods
CI asked to self-report importance and
frequency of each behavior
Student asked to report the importance of
each statement and how frequently the CI
demonstrated the behavior
5 point Likkert scale
Likkert Scale
Frequency
Always
Usually
Sometimes
Rarely
Never
Likkert Scale
Importance
Extremely Important
Very Important
Important
Somewhat Important
Not Important
Statements
4 categories
Communication behaviors
I am an active listener.
Interpersonal Relations behaviors
I am empathetic.
Professional Skills behaviors
I serve as an appropriate role model.
Teaching behaviors
I plan effective learning experiences.
Methods
Statistics
Descriptive
Means
Frequencies
Percentages
Results
60 CIs (42%) and 76 students (64%)
CIs most important characteristics:
Point out student performance discrepancies
Plans effective learning experiences
Perceives self as an extension of the academic
program
Defines specific objectives for the experience
Results
Students most important characteristics:
CI points out performance discrepancies
CI is an extension of the academic program
CI demonstrates professional behavior
CI provides unique learning experiences
CI schedules regular meetings
Results
CIs highest frequency characteristics:
Questioning in a way to facilitate student
learning
Providing a variety of patients
Pointing out discrepancies in student
performance
Explaining the physiological basis of PT
evaluation
Making yourself understood
Results
Students report of highest frequency CI
behaviors:
Pointing out discrepancies in student
performance
Questioning in a way that facilitates student
learning
Explaining the physiological basis of PT
evaluation
Providing unique learning experiences
Observing performance in a discreet manner
Discussion Importance
Both groups:
Greatest importance to:
Point out student performance discrepancies
Extension of academic program
Discussion Frequency
 
Both groups:
Pointing out discrepancies
Questioning that facilitates learning
Explaining the physiological basis of PT
evaluation.
Discussion Differences
  
Differences:
Planning effective versus unique learning
experiences
Providing a variety of patients
Observing in a discreet manner
CI manages time well
Discussion
Some areas that are considered important
and have been frequently demonstrated per
CI/student reports.
Some areas need change
Planning effective versus unique learning
experiences.
Student wants CI to plan meetings
CIs need to recognize importance of observing in a
discreet manner
CIs need to define specific objectives
CIs need to recognize demonstration of professional
behavior.
Limitations
Due to the small sample size, and
therefore low power, corrections for
multiple comparisons were not applied.
No comparison of student to
corresponding CI.
Future Research
Compare each student to respective CI
using Mann Whitney U tests to evaluate
specific details of comparison.
Conclusion
Need to better understand perceptions of CIs and
students about professional behaviors in clinical
education settings in order to improve student
preparation for professional practice.
Acknowledgments
Deanna Dye
Students
Clinical Instructors
Center Coordinators
Teri Peterson
Conference Organizers
Questions?
 
Resources
1.
Gaberson KB, Oermann MH. Clinical teaching strategies in nursing. 2
nd
ed. 2007; New York: Spriner Publishing.
2.
American Physical Therapy Association. 
http://www.apta.org/CCIP/
.
Accessed July 7, 2016.
3.
Emery M, Wilkinson CP. Perceived importance and frequency of clinical
teaching behaviors: surveys of students, clinical instructors, and center
coordinators of clinical education.  
J Phys Ther Educ. 
1987;1:29-32.
4.
Emery M. Effectiveness of the Clinical Instructor: Students’ Perspective.
Phys Ther. 1984;64;7:1079-1083.
5.
Moran J, Knox JE. Characteristics of ‘best’ and ‘worst’ clinical teachers
as perceived by university nursing faculty and students
. J of Adv
Nursing. 1987;12:331-337.
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Professional behavior characteristics play a crucial role in enhancing student learning during clinical education. This study examines the differences in reported importance and frequency of professional behaviors between credentialed and non-credentialed clinical instructors. The background outlines the historical context and importance of professional behavior in rehabilitation education, with a focus on the ongoing development and credentialing programs for clinical educators within the healthcare sector. The methods employed include survey development and distribution to students, clinical instructors, and center coordinators of clinical education to gather insights on various professional behaviors.

  • Clinical Education
  • Professional Behaviors
  • Credentialed Instructors
  • Healthcare Education
  • Rehabilitation

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  1. Exploratory Comparison of Credentialed Clinical Instructors and non-Credentialed Clinical Instructors Report of Frequency and Importance of Professional Behaviors in Clinical Education Affiliations. Trent Jackman, PT, DPT, ACCE Deanna Dye, PT, PhD Idaho State University

  2. Disclosure No conflict of interest

  3. Overview Purpose Background Methods Results Discussion Conclusion

  4. Purpose Professional behavior characteristics are important to maximize student learning during clinical education affiliations. The purpose of this study was to explore the comparison of credentialed and non- credentialed clinical instructors report of importance and frequency of professional behaviors during clinical education affiliations.

  5. Background History of professional behavior in rehabilitation Clinical experience is most important component of education. (Gaberson) Emery studied importance and frequency of clinical teaching behaviors Nursing Clinical Teacher Effectiveness Inventory (Morgan and Knox) Ongoing development of professional behavior in teaching in clinical settings.

  6. Background continued Credentialed Clinical Instructor Program American Physical Therapy Association Credentialing program for health care providers to improve teaching skills Plans and preparation to teach students Develop skills of performance evaluation Addresses legal implications for clinical educators

  7. Subjects Students Clinical Instructors Center Coordinators of Clinical Education

  8. Methods Used Emery s statements. Developed survey on Survey Monkey. 43 statements about professional behaviors Electronically sent to 142 CIs/CCCEs and to 118 students All levels of students and instructors

  9. Methods CI asked to self-report importance and frequency of each behavior Student asked to report the importance of each statement and how frequently the CI demonstrated the behavior 5 point Likkert scale

  10. Likkert Scale Frequency Always Usually Sometimes Rarely Never

  11. Likkert Scale Importance Extremely Important Very Important Important Somewhat Important Not Important

  12. Statements 4 categories Communication behaviors I am an active listener. Interpersonal Relations behaviors I am empathetic. Professional Skills behaviors I serve as an appropriate role model. Teaching behaviors I plan effective learning experiences.

  13. Methods Statistics Descriptive Means Frequencies Percentages

  14. Results 60 CIs (42%) and 76 students (64%) CIs most important characteristics: Point out student performance discrepancies Plans effective learning experiences Perceives self as an extension of the academic program Defines specific objectives for the experience

  15. Results Students most important characteristics: CI points out performance discrepancies CI is an extension of the academic program CI demonstrates professional behavior CI provides unique learning experiences CI schedules regular meetings

  16. Results CIs highest frequency characteristics: Questioning in a way to facilitate student learning Providing a variety of patients Pointing out discrepancies in student performance Explaining the physiological basis of PT evaluation Making yourself understood

  17. Results Students report of highest frequency CI behaviors: Pointing out discrepancies in student performance Questioning in a way that facilitates student learning Explaining the physiological basis of PT evaluation Providing unique learning experiences Observing performance in a discreet manner

  18. Discussion Importance Both groups: Greatest importance to: Point out student performance discrepancies Extension of academic program

  19. Discussion Frequency Both groups: Pointing out discrepancies Questioning that facilitates learning Explaining the physiological basis of PT evaluation.

  20. Discussion Differences Differences: Planning effective versus unique learning experiences Providing a variety of patients Observing in a discreet manner CI manages time well

  21. Discussion Some areas that are considered important and have been frequently demonstrated per CI/student reports. Some areas need change Planning effective versus unique learning experiences. Student wants CI to plan meetings CIs need to recognize importance of observing in a discreet manner CIs need to define specific objectives CIs need to recognize demonstration of professional behavior.

  22. Limitations Due to the small sample size, and therefore low power, corrections for multiple comparisons were not applied. No comparison of student to corresponding CI.

  23. Future Research Compare each student to respective CI using Mann Whitney U tests to evaluate specific details of comparison.

  24. Conclusion Need to better understand perceptions of CIs and students about professional behaviors in clinical education settings in order to improve student preparation for professional practice.

  25. Acknowledgments Deanna Dye Students Clinical Instructors Center Coordinators Teri Peterson Conference Organizers

  26. Questions?

  27. Resources Gaberson KB, Oermann MH. Clinical teaching strategies in nursing. 2nd ed. 2007; New York: Spriner Publishing. American Physical Therapy Association. http://www.apta.org/CCIP/. Accessed July 7, 2016. Emery M, Wilkinson CP. Perceived importance and frequency of clinical teaching behaviors: surveys of students, clinical instructors, and center coordinators of clinical education. J Phys Ther Educ. 1987;1:29-32. Emery M. Effectiveness of the Clinical Instructor: Students Perspective. Phys Ther. 1984;64;7:1079-1083. Moran J, Knox JE. Characteristics of best and worst clinical teachers as perceived by university nursing faculty and students. J of Adv Nursing. 1987;12:331-337. 1. 2. 3. 4. 5.

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