PT Alberta - Physiotherapy Alberta College + Association

Transcription

PT Alberta - Physiotherapy Alberta College + Association
PT Alberta
Issue 3, 2013 | www.physiotherapyalberta.ca
In this Issue:
Moving Towards Collaborative Teams
We Said, They Said: Physiotherapists and Pharmacists Discuss the
Collaborative Prescribing Model
Introduction to the AMA Youth Run Club
Good Practice Reminder: Protection of Patient Privacy and
Informed Consent
Member Spotlight: Working in a Family Care Clinic
Physiotherapy Alberta Strategic Plan
PT Alberta
Issue 3, 2013
Contents
Moving
10 Towards
Collaborative
Teams
13
19
Member
Spotlight:
Working in a
Family Care Clinic
We Said, They Said:
Physiotherapists and
Pharmacists Discuss the
Collaborative Prescribing
Model
Youth
Run Club
17
Leadership + Regulation
Communication + Marketing
3
President + Registrars’ Message
19
Member Spotlight: Working in a Family Care Clinic
5
Continuing Competence
22
Physiotherapy Alberta’s Strategic Plan
6
Call for Nominations
23
2013 Award Winners
7
Membership Update
9
Council News
9
Conduct Matters
University News
24
Department of Physical Therapy, U of A
Professional Practice +
Development
10
Moving Towards Collaborative Teams
13
We Said, They Said: Physiotherapists and Pharmacists
Discuss the Collaborative Prescribing Model
15
Research How-To: Using Physiopedia
16
Physiotherapy Alberta’s Exercise + Rehabilitation
Conference
17
AMA Youth Run Club
18
Good Practice Reminder: Protection of Patient Privacy and
Informed Consent
p. 1
PT Alberta | Issue 3, 2013 | www.physiotherapyalberta.ca
PT Alberta
Issue 3, 2013 | www.physiotherapyalberta.ca
PT Alberta is published three times a year by
Physiotherapy Alberta* to communicate policies,
standards and other important matters to members.
All members are expected to read and understand the
regulatory items and material within that apply to
Physiotherapy Alberta - College +
Association
them. If you have any questions, please contact us.
T: 780.438.0338 | 1.800.291.2782
F: 780.436.1908
[email protected]
www.physiotherapyalberta.ca
Staff
Suite 300, 10357 - 109 Street
Edmonton, Alberta T5J 1N3
Registrar: Dianne Millette
Professional Practice: Iain Muir
Registration + Corporate Services: Joyce Vogelgesang
Competence/Practice Advice: Audrey Lowe
Complaints + Conduct: Nancy Chisholm
Communications: Alison Baird
Registration: Erin Howes
Accounting/Hearings Director: Jane McKenzie
Administration Support: Haylee O’Reilly
Council 2013/2014
President: Grant Irwin
Vice-President: Simone Hunter
Member-at-large: Sean Fitzgerald
Member-at-large: Tress Gibson
Member-at-large: Nancy Littke
Member-at-large: Candis Whittall
Public Members: Joshua Bezanson, Ron Crossley
Student Representative: Greg Cugnet, Lisa Hall
*The College of Physical Therapists of Alberta operates as
Physiotherapy Alberta - College + Association.
PT Alberta | Issue 3, 2013 | www.physiotherapyalberta.ca
p. 2
Leadership + Regulation
President + Registrars’ Message
Recently, Council completed the development of
Physiotherapy Alberta’s 2013-2016 Strategic Plan. There
are four critical success factors included in the plan as
well as goals, strategies and tactics specific to each. The
success factors include:
•
Quality patient care
•
Engaged members
•
Public and stakeholder confidence
•
A high-performing organization
Many of the issues that Council discussed when
Grant Irwin, PT
Dianne Millette, PT
Council President
Registrar
developing the plan are issues subject to ongoing
regulatory debate. The final plan was informed by
much conversation, reflection on our own performance
and consideration of the future of regulation and the
profession.
The future of regulation is an interesting and hot topic.
At the Annual General Meeting of the Canadian Alliance
of Physiotherapy Regulators, attendees heard from
Steven Lewis, a health policy and research consultant
Regulators who only focus on the individual’s
competence may soon become obsolete.
Another important challenge is the lack of public trust
in regulators and/or health-care practitioner groups. The
reaction to this decline in trust due to adverse events
often leads to calls for more regulation and greater
accountability.
based in Saskatoon. Recently, Lewis was the keynote
Lewis predicts key trends for the future of health-
speaker at the Clearing House on Licensure, Enforcement
care regulation. We have ensured that our Strategic
and Regulation Annual General Meeting.1 In both
Plan aligns with these predicted trends and will help
presentations Mr. Lewis made the case that the world
overcome the challenges facing the regulation of our
is changing and health-care regulation needs to change
profession.
with it. We agree.
Lewis asserts that with these changes come certain
challenges to credentialing and regulating health-care
practitioners. For example, nurses are now successfully
performing services done previously by only highlytrained physicians such as anaesthesia and primary care.
Lewis wonders if the idea of requiring highly-trained
certified professionals to be the exclusive providers of
services needs to be re-examined.
The changes to education are another challenge for
regulators. Online learning is in direct competition with
the traditional classroom model. For instance, teachers,
though certification requirements are vastly different all
over the world, produce similar student outcomes. But
increased education requirements for physiotherapists do
not necessarily lead to higher-quality care. In many cases
workplace culture and team dynamics have as much an
effect on care and performance as individual competence.
p. 3
PT Alberta | Issue 3, 2013 | www.physiotherapyalberta.ca
Strategic Plan Item
1.
“Entry-to-practice credentials will
As part of our quality patient care success factor, Physiotherapy Alberta
matter less and demonstrated career-
will focus on assessing competence throughout a physiotherapist’s
long competency will matter more. View
career and build capacity to support and promote a culture of quality
competence as an ongoing process rather
improvement. We will also continue to work with The Alliance as part of
than an event.”
their ongoing improvement in evaluation services.
“The emphasis on core standards for
We have a specific goal on fostering a culture of quality improvement.
practitioners and even quality assurance
Quality improvement requires that we all use data to inform
will have to give way to continuous
improvement.
2.
quality improvement. Greater trust will be
put on real-time performance data (e.g.,
outcome statistics) than formal stamps of
approval.”
3.
“Regulators will be expected to anticipate
Our goal is to use evidence in our decision making so that we are
more and react less. Regulators will
regulating the right things at the right time. The concept of “right-
need to anticipate trends by evaluating
touch” regulation is important to consider in all that we do.
the information that is already in their
files or that is readily available to them.
Regulators will have to engage in a more
deliberate and intense risk-management
analysis of their activities and the
practice trends within the profession they
regulate.”
4.
“Siloed and distinct regulation of
Physiotherapy Alberta has focused on collaborative relationships for
individual professions must transition into
many years. This includes our Collaborative Prescribing Model with
integrated and fluid regulatory activities.”
the Alberta College of Pharmacists (see page 13 for more information),
participation in the Alberta Federation of Regulated Health Professions.
Our Strategic Plan continues to reflect this and adds a focus on
collaborating with partners and agencies who share common interests in
promoting quality.
5.
“The culture of professional autonomy
This aligns with our collaborative focus as well as our interest in
will almost certainly be replaced with
enhancing member engagement not only with Physiotherapy Alberta but
a culture of collaborative and joint
also with the profession and health system more broadly.
accountability.”
Physiotherapy Alberta’s new Strategic Plan covers the
For more information on our strategic plan, turn to page
next three years. Not only does it reflect our mandate of
22.
protecting the public interest, it reflects upcoming trends
in health-care regulation and our interest in developing
the profession. Regulators need to adapt to the current
and upcoming future state of health care, and provide
structures and policies to maintain public trust and
1
To read more on Steven Lewis’ talk, read the article, “A Futurist
Looks at Professional Regulation” by Richard Steinecke in the
October 2013 Grey Areas newsletter at www.sml-law.com/
resources/newsletters-2/grey-areas/.
protecting public interest by providing high quality care.
PT Alberta | Issue 3, 2013 | www.physiotherapyalberta.ca
p. 4
Leadership + Regulation
Trend
Leadership + Regulation
Continuing Competence
10 Things to Know About the Reflective Practice Review
1.
Participation in the Reflective Practice Review is
creating new knowledge and understanding and
is one of the key cognitive activities in developing
linked to holding a practice permit, regardless of
whether you are employed or not. If you hold a
practice permit on the General Register you must
expertise.
8.
participate.
2.
3.
Going on leave? Contact Physiotherapy Alberta for
further information.
and should not be left until a few days before the
registration renewal deadline. Physiotherapy Alberta
staff are here to help, we can explain the process,
discuss reflective practice and provide information
Physiotherapy Alberta holds physiotherapists on
the General Register individually responsible for
understanding and completing the Reflective Practice
Review. You sign a declaration to that effect when
4.
9.
Know which key competency you reported at
10. The audit will examine if you conducted the
Reflective Practice Review. It will focus on whether
Learning Planner and Tracker. The document audit
will verify this information.
6.
about goal writing. Contact competence@
physiotherapyalberta.ca.
you renew your registration. If you don’t understand
what to do, visit: www.physiotherapyalberta.ca/
physiotherapists.
renewal. For any given year the number reported
at renewal should match what was written on your
5.
Don’t leave the review to the last minute. The
Reflective Practice Review takes time to complete
In 2014/2015 Physiotherapy Alberta will start to audit
Member’s Reflective Practice Review documents. We
aim to audit 10% per year.
the forms are complete, understandable and
demonstrate evidence of critical thinking and
ongoing learning.
Keep your forms in a retrievable format for five
years. If your documents are audited, you will be
required to send them to Physiotherapy Alberta in an
electronic format.
Learning goals should be specific - the more specific
the better. List the specific knowledge, skill and/
or process targeted for improvement. Does your
goal name a specific population, clinical condition,
issue or topic? The goal should be achievable within
a one-year period spanning a registration year from
October to September. Supplemental information
for writing SMART goals and examples of completed
Learning Planner and Tracker forms are available on
the website.
7.
p. 5
Reflective practice is designed to stimulate
reflective/critical thinking about physiotherapyrelated issues and topics as well as situations
encountered in practice. Assumptions and thoughts
are meant to be challenged using internally and
externally derived information (i.e., evidence,
guidelines, feedback from others). Good reflections
not only describe but also require coming to a
judgement about an issue, topic or assumption.
Reflection is a competence strategy directed at
PT Alberta | Issue 3, 2013 | www.physiotherapyalberta.ca
Nominations for the 2014 Council election are now being accepted! This year, there are two vacant
Council positions that need to be filled by members on the General Register.
About Council
Council is the governing body responsible for setting
policy and strategic direction. Council is made up of:
•
Six physiotherapists elected by other
physiotherapists.
•
Two government appointed public members who
provide valuable and insightful public input and
perspective into Council’s policy and decisionmaking process.
•
Student representatives from the physiotherapy
program at the University of Alberta in a nonvoting role.
Being a Council Member
Is it time to give back to your profession by putting
your name on the spring 2014 election ballot? It
means you would:
•
Be part of decisions and discussions that help
serve the public and lead the profession.
•
Share your ideas and experiences with other
physiotherapists.
•
Gain experience and insight into regulation and
professional practice issues (e.g., registration,
conduct, advocacy, professional development,
member issues).
•
Meet colleagues from around Alberta and learn
from their knowledge and experiences.
•
Work with other leaders who are shaping the
physiotherapy profession in Alberta.
Time commitment
Council Members are elected for a three-year term.
The term of office begins the day of the first regular
meeting of Council following the April election,
anticipated to be June 2014.
Being a Council Member requires a time commitment
to:
•
Attend, in person, scheduled meetings (four oneday Council meetings per year, typically held in
Edmonton on a Saturday).
•
Attend special meetings or events as necessary.
•
Prepare for meetings.
•
Travel to meetings.
PT Alberta | Issue 3, 2013 | www.physiotherapyalberta.ca
•
•
Provide input on issues as they arise between
Council meetings.
Be engaged and participate in all Council
functions.
Eligibility
You are eligible to put your name forward for Council
election if you:
•
Are a regulated physiotherapist on the General
Register.
•
Reside in Alberta.
•
Are a member in good standing (not involved in
any unprofessional conduct matters within the
last three years).
•
Are supported by two physiotherapists on the
General Register (nominators).
The nomination process
Nomination steps:
You can self-nominate by submitting the online
•
Nomination Form. As a member on the General
Register, you received an email with a direct link
to the online Nomination Form that is unique to
you.
•
Provide a 400 word description of your
professional qualifications, previous Board or
Council experience and interest in the Council
position. This is your candidate statement which
is included in election information provided to
voters in advance of the election.
•
Include the names, registration numbers and
email addresses of two members on the General
Register who agree to support your nomination.
•
Upload a picture of yourself to be included
with your candidate statement in pre-election
material.
For more information, visit: www.
physiotherapyalberta.ca/physiotherapy_alberta
Is it time to give back to
your profession by putting your
name on the spring 2014 ballot?
p. 6
Leadership + Regulation
Call for Nominations
Leadership + Regulation
Membership Update
August 1, 2013 to November 17, 2013
General
Yasser Abdel Ati
Abdihakim Abdihalim
Olanike Agbabiaka
Jason Allen
April Andrews
Megan Archibald
Kimberly Ardell-Ehmann
Celeena Augustine
Mariat Augustine
Michelle Axelson
Julie Banack
Asha Barre
Jamie Boelman
Samantha Cattach
Erin Charbonneau
Heather Cody
Robert Colling
Larissa Costa
Danyel Degenhardt
Nicole Eyolfson
Nalin Fernando
Himani Goyal
Anant Simran Grewal
Himani Gupta
Samantha Hammond
Kimberly Hillier
Rebecca Holeczi
Erica Holmes
Emily Johnson
Mamatha Namboory
Laura Sawler
Cancelled or Alumni
Steven Jones
Brandi Nikolovski
Dana Schepp
Maie Abdullah
Surabhi Kaul
Trisha Novak
Harpreet Singh
Noele Arial
Erla Kenway
Kaylan O’Meara
Karthik Somasundaram
Donna Balmain
Justin Koch
Lizanne Pereira
Candice Stapleton
Aislin Beaulieu
Daniel Krebs
Lincoln Pisio
Gopalaramanujam Sudhakar
Kara-Lee Blais
Janine Lange
Katarzyna Ploch
Veeraragava Thangavel
Lorraine Blondeel
Natalie Loncan
Mary Pothacamuri
Jennifer Tremblay
Avaleigh Boily
Roselyn Longares
Venkata Naga Mahesh Pothula
Jessica Van Soest
Claire Bouchard
Lisa Lydiatt
Smitha Prakash
Cherylyn Vande Glind
Thera Breau
Crystal MacLellan
Jennifer Rees
Vanessa Velasco
Debbie Bristow
Shannon MacLeod
Jessica Richardson
Subha Velusamy
Sarah Buddingh
Bradley Merkley
Mark Robertson
Leah Wetter
Rafyoullah Burhani
Lindsay Milne
Audrey Rose
Janine Wilton
Carolyn Carey
Amanda Moores
Susan Rutherford
Katie Wray
Anna Cavanagh
Muniswamy Munieaswara Moorthy
Kenda Salmon
Lucia Zdenekova
Lisa Chandra
p. 7
PT Alberta | Issue 3, 2013 | www.physiotherapyalberta.ca
Leadership + Regulation
Sherry Mengering
Danielle Bonnenfant
Gussie Merritt
Mark Cabrera
Mary-Jane Minni
Matthew Cairns
registration requirements, may use title
Rachel Mitchell
Liadhan Casey
physiotherapist and, if authorized, perform a
Kyley Mohrenberger
Carmen Chan
restricted activity independently.
Dhivakar Nagarajan
Angela Chung
Lisa Noss
Rhianne Davies
only under supervision and must use title
Roberta Nowlan-Smith
Malika Dharani
physiotherapist intern.
Olivia Olson
Jason Dyck
Carrie Osicki
Travis Gaudet
Karen Oura
Blake Goehring
Kinjal Patel
Emma Graham
Dawn Pauls
Sarah Hall
Sarah Pearce-Gieck
Laura Hemsing
Candice Penz
Irfan Jessa
Sharon Petkau
Zachary Kheong
Tracy Potter
Paul Klann
Pat Prest
Maureen Klettl
Carol Puri
Jen Kloepfer
Shari Quinn
Kyle Kortegaard
Shaan Rather
Vijay Kulasekaran
Maureen Ribi
Geralynn Lederhos
Victoria Richardson
Sarah MacDonald
Alaina Risi
Kimberley MacGillivray
Veronica Rodriguez
Brittany Markiewicz
Heather Rumbolt
Jason Martyn
Jacquie Russell
Kerri May
Samir Sahdev
Mary McEwen
Kurt Shanski
Erin Middlebrook
Jennifer Sherstan
Michelle Moon
Theodore Simmons
Kelsey Mountain
Megan Stone
January Muhlbeier
Erin Sturch
Shannon Murray
Emily Takana
Laura Nabuurs
Lois Taylor
Oluwaseyi Osho
Connor Van Bavel
Sarah Pettipas
Kirsten Van Campenhout
Jeannine Phillips
Heidi Van Ry
Mandiramoorthy Ramamoorthy
Judy Woronuk
Gillian Richardson
Janna Yopyk
Janelle Schmidt
Mary Young
Jessica Smith
Nicole Zacharias
Sarah Smith
Evangeline Tejada
 General Register: member meets all
 Provisional Register: member may practice
 Cancelled or Alumni member: no longer
practicing in Alberta.
Luke Chang
Heather Charette
Krystle Chilibecki
Nancy Chisholm
Ally Christie
Carolyn Clark
Lisa Conacher
Michele Crites Battie
Gregory Cutforth
Sylvia Darcel
Danielle Dawson
Rebecca Des Roches
Douglas Dirk
Anne Dobson
Katherine Drysdale
Vanessa Durham-Muniz
Heather Enns
Erica Farrell
Megan Fisher
Jennifer Frey
Neil Fulton
Lisa Fuoco
Hugh Gilbert
Caroline Gill
Gerald Gosselin
Tina Gover
Kim Grunling
Natasha Herman
Patricia Higgins
Chelsey Hobson
Patricia Holmes
Jennifer Holubetz
Alyson Huang
Megan Hudson
Selenia Iacchelli
Kimberly Jackson
Laura Jespersen
Anita Jones
Renee Jones
Matthias Karner
Kjariene Kasa
Tarah Katerenchuk
Nadia Keshwani
Nicole Kilberg
Kristin King
Megan Kohansal
Courtney Kosheiff
Angie Krasnay
Brenda Lee-Kemp
Shawna Legault
Tanis Lod
Darren Lonsdale
Ann MacDonald
Dolly Magee
Thomas Grunling
Jane Malmberg
Lee-Anne Hall
Jacqueline McAllister
Provisional
Lorraine Hammermeister
Moyra McAllister
Oluwasanjo Ajayi
Tania Haslinger
Jill McAulay
Andrea Allison
Stephanie Hathaway
Krystina McGuire-Eggins
Carli Bennett
PT Alberta | Issue 3, 2013 | www.physiotherapyalberta.ca
Melanie Vaillancourt
Michael Wilkinson
p. 8
Leadership + Regulation
Council News
Strategic Plan: The 2013-2016 Strategic Plan was
approved along with the 2014 operating and capital
budgets. See page 22 for more details on the Strategic
Plan.
2013 audit: Council appointed Peterson Walker as
auditors for the 2013 fiscal year.
Resignations and appointments: Council accepted the
resignation of Greg Cutforth and appointed Nancy Littke
for the remainder of Mr. Cutforth’s term of office. Grant
Irwin was elected President and Simone Hunter was
elected Vice-President. A new Executive Committee
was formed including Grant Irwin, Simone Hunter and
Candis Whittall.
Natasha Tiemstra was appointed to the Competence
Committee. Rakib Mohammed was appointed to the
Registration Committee.
Elections 2014: Council approved an election process by
electronic vote to take place between April 2-23, 2014.
Nominations for election are due by January 20, 2014.
For more information, turn to page 6.
Authorization for diagnostic imaging: Council clarified
that the clinical experience requirement of five years
must be within the Canadian health system.
Conduct Matters
A Hearing Tribunal made a finding of unprofessional conduct against a regulated member who inappropriately
accessed the personal health information of approximately 100 individuals who were not on her client list, and
attempted to share the personal
health information of one of those
individuals with a fellow employee.
The Tribunal ordered a reprimand and
suspended the member’s practice
permit for a period of 30 days. The
reprimand was ordered to remain
on the member’s registration record
for a period of one year. The Tribunal
required the member provide
written notification to the College
confirming the name of her employer
should she resume employment as
a physiotherapist in Alberta within
one year of its decision, and provide
the employer a copy of the Hearing
Tribunal’s Decision.
p. 9
PT Alberta | Issue 3, 2013 | www.physiotherapyalberta.ca
Professional Practice + Development
Moving
Towards
Collaborative
Teams
We’ve all had to work directly or indirectly as part of a team of health-care providers. Collaborative care leads to
better patient outcomes and effectively working as a team is essential to promoting patient safety and avoiding
patient harm. However, just because you work in a team doesn’t necessarily mean you’re producing good teamwork.
Collaborative care, or interprofessional practice, is “the
The National Interprofessional Competency Framework
process of developing and maintaining effective working
(NICF)2 has been adopted in Alberta for outlining
relationships with learners, practitioners, patient/
competencies expected for collaborative practice. NICF
clients/families and communities to enable optimal
breaks the competencies, knowledge, skills and attitudes
health outcomes.”1 In essence groups of providers
that are required for collaborative practice into six domains:
work in partnership with the patient, their families and
1.
Role Clarification
2.
Patient/family/community-centered care
communities towards creating better health for all.2
Alberta’s Ministry of Health has set out its vision for
•
collaborative practice in Collaborative Practice and
Practitioners seek out, integrate and value as
a partner, the input and the engagement of
1
Education- the Framework for Change and the Workplan
for Change. Alberta is moving from systems that focus
patient/client/family/community in designing and
on individualized style of care to integrated care models.
implementing care/services.
3
The emergence of interprofessional health education
courses for entry-level health profession training programs,
Family Care Clinics and collaborative practice initiatives
within Alberta Health Services are all signs of the new
3.
Team Functioning
•
Practitioners understand principles of team
dynamics and group processes to enable effective
interprofessional team collaboration.
collaborative care wave.
PT Alberta | Issue 3, 2013 | www.physiotherapyalberta.ca
p. 10
4.
Collaborative Leadership
•
Practitioners work together with all participants,
including patients/clients/families to formulate,
implement and evaluate care service to enhance
health outcomes.
5.
Interprofessional Communication
6.
Interprofessional Conflict Resolution
Role clarification
The Alberta Framework envisions collaborative care
as being carried out by regulated and unregulated
providers.1,3 All too often a significant stumbling block to
collaborative care presents in the area of achieving role
clarification (understanding and appreciating roles and
responsibilities of regulated and unregulated providers).6
Regulated health providers can rely on their scope of
practice statements and competency profiles to describe
their roles. Unregulated providers may or may not have
role descriptions available for their group.
Physiotherapists can use the Essential Competency
Profile for Physiotherapists in Canada7 to describe the
role of physiotherapists to other health-care providers.
The Profile lists the knowledge, skills and attitudes
physiotherapists require to work in the Canadian healthcare system. Physiotherapy Alberta’s Reflective Practice
Review prepares physiotherapists for engaging with other
professionals in a discussion around physiotherapist
scope and role. In addition to the physiotherapist
essential competency profile Physiotherapy Alberta’s
website has links to:
•
•
team processes. Physiotherapy Alberta’s Concurrent
Health Professions Act – schedule 20 which describes
Care Practice Standard implies that treatment goals
the physiotherapist’s scope and role
are established with patients and that when other
Essential Competency Profile for Physiotherapist
health providers are treating the patient for the same
Assistants
problem, the physiotherapist ensures treatment goals
and techniques are compatible with the goals and
The physiotherapist’s role will be to help the team
understand the importance of functional goals and
assist with setting and tracking them. Tools such as
techniques of other providers. Simply put some type
of communication with patient’s other health-care
providers must take place.
the Goal Attainment Scale4, specifically designed for
collaborative goal setting in rehabilitative settings or
Here are some tools proven to improve team
the Patient Specific Function Scale helps to articulate
communication and collaboration in health care that are
and communication patient’s functional goals to all team
worth considering for your team:
members. These tools could be adapted for integrated
1.
5
patient care plans.
Interprofessional communication
Team STEPPS9 is a formal program for improving
team work, patient safety and care. Team STEPPS
was developed by the United States Department of
Defense’s Patient Safety Program in collaboration
Team dysfunction including breakdown in communication
with the Agency for Healthcare Research and Quality.
is a leading cause of patient safety events.8 Effective,
The program is scientifically rooted in more than 20
respectful communication builds trust between health
years of research and lessons from application of
providers and creates a foundation for all other
teamwork principles.
p. 11
PT Alberta | Issue 3, 2013 | www.physiotherapyalberta.ca
It can be adopted in full or part to foster teamwork and
communication Team STEPPS is:
References
1)
• An effective solution to improving patient
health.alberta.ca/initiatives/collaborative-practice-education.
safety, care practices and processes within your
html.
organization.
• An evidence-based teamwork system to improve
2)
care professionals.
http://www.cihc.ca/files/CIHC_IPCompetencies_Feb1210.pdf.
3)
• A source for ready-to-use materials and a training
Government of Alberta. Collaborative Practice and EducationWorkplan for Change. Available at: http://www.health.alberta.
ca/initiatives/collaborative-practice-education.html.
curriculum to successfully integrate teamwork
principles into all areas of your health-care system.
Canadian Interprofessional Health Collaborative. A National
Interprofessional Competency Framework. Retrieved from:
communication and teamwork skills among health
2.
Government of Alberta. (2012) Collaborative Practice and
Education- Framework for Change. Available at: http://www.
4)
Turner-Stokes, L. (n,d). Goal Attainment Scaling (GAS) in
Rehabilitation: a Practical Guide. King’s College London.
SBAR (Situation, Background, Assessment,
Retrieved from http://www.csi.kcl.ac.uk/files/Goal%20
Recommendation) is a way to improve
Attainment%20Scaling%20in%20Rehabilitation%20%20a%20
communication between providers (usually a provider
and physician).10 First developed by the U.S. military,
practical%20guide.pdf.
5)
the technique has been adapted successfully for use
Stratford, P. Assessing disability and change on individual
patients: a report of a patient specific measure.
in rehabilitation settings.10,11
Physiotherapy Canada; 1995 47(4):258-263.
SBAR assists providers in putting the patient’s situation
6)
into relevant context, in a consistent and identifiable
communication as core competencies for collaborative
practice. Journal of Interprofessional Care; 2009 23.1:41-51.
manner. The SBAR technique organizes communication
into four types of information including situation,
Suter, Esther, et al. Role understanding and effective
7)
National Physiotherapy Advisory Group. 2011. Essential
background, assessment and recommendation.
competency profile of physiotherapists in Canada. Retrieved
An adapted SBAR template is available to facilitate
from http://www.physiotherapyalberta.ca/physiotherapists/
interprofessional communication in rehabilitation
what_you_need_to_know_to_practice_in_alberta/
10,11
competencies_for_physiotherapists.
11
settings.
8)
Interprofessional conflict resolution
Healthcare: Promoting Effective Teamwork in Healthcare in
Canada. www.chsrf.ca.
When working in teams it is not a question if team
conflict will occur but when. Physiotherapists must gain
9)
Team STEPPS. Retrieved from http://teamstepps.ahrq.gov/
about-2cl_3.htm.
the skills necessary to effectively respond to and resolve
any naturally occurring conflicts.
Canadian Health Services Research Foundation. Teamwork in
10) Canadian Foundation for Healthcare Improvement. How can
we improve communication between healthcare providers?
Tuckman’s model of group development12 which consists
Lessons from the SBAR (Situation, Background, Assessment,
of five phases or stages of team development: forming,
Recommendation) Technique. Retrieved from http://www.
storming, norming, performing and reforming is a
cfhi-fcass.ca/OurImpact/ImpactStories/ImpactStory/08-11-01/
df6c08e1-5bf3-4fa0-8e0c-ee905675b184.aspx#sthash.
commonly used reference in analyzing and managing
team conflict. Physiotherapy Alberta’s Guide to Managing
11)
Velji, Karima, et al. Effectiveness of an Adapted SBAR
Challenging Situations13 has information to assist with
Communication Tool for a Rehabilitation Setting. Healthcare
analyzing where the conflict in organizations lies (within
Quarterly 2008; 11.3:72-9. Retrieved from http://www.
an individual, between individuals, within or between
groups) and individual conflict management styles
(avoiding, accommodating, compromising, competing,
collaborating) and assertive communication techniques.
longwoods.com/content/19653.
12) Tuckman’s Stages of Group Development. Retrieved from
http://en.wikipedia.org/wiki/Tuckman%27s_stages_of_group_
development.
13) Physiotherapy Alberta. 2007. Managing Challenging
Physiotherapy Alberta recognizes collaborative care is in
the patient’s best interest because it leads to positive
health outcomes. As you gather information to support
Situations: a Resource Guide for Physiotherapists. http://
www.physiotherapyalberta.ca/files/resource_guide_
managing_challenging_situations.pdf.
collaboration in your workplace, consider contacting the
practice advisory service to learn if there are additional
resources to help you.
[email protected]
PT Alberta | Issue 3, 2013 | www.physiotherapyalberta.ca
p. 12
Professional Practice + Development
We Said, They Said:
Physiotherapists and Pharmacists Discuss
the Collaborative Prescribing Model
In 2008, Physiotherapy Alberta and the Alberta College of Pharmacists agreed to test the merits of collaborative prescribing
between pharmacists and physiotherapists in an effort to deliver appropriate drug therapy to Albertans with musculoskeletal
conditions.
The Alberta Collaborative Prescribing Model was implemented to evaluate if the referral process from a physiotherapist to a
pharmacist with additional prescribing authorities is feasible and if the model provides a positive patient experience.
Project description
The project ran for six months and involved four communities: Calgary, Medicine Hat, Barrhead and Cold Lake. Upon completing an
assessment, determining a clinical diagnosis and identifying the possible need for drug therapy, the physiotherapist made a referral
to a pharmacist with additional prescribing authorization. The pharmacist subsequently assessed the patient to determine whether
drug therapy could be beneficial, and if so, prescribed an appropriate drug therapy.
A few years after the project, a physiotherapist and a pharmacist were asked to discuss the project – its challenges, how it affected
their practice and how they would like this project to continue.
2. Why did you get involved with the prescribing
project?
I was contacted by the College and was immediately
interested, as access to timely and effective medication is
a significant problem in my community where there are too
few doctors for the population. An acute client could wait
weeks to see a doctor or would have to sit in the emergency
room just for a prescription of anti-inflammatories or muscle
relaxants. Combining the scope of practice of physiotherapy
and pharmacy allowed much more direct access.
3. What were the benefits of the project for your
own practice and your patients?
The project built a working relationship between myself
and the pharmacist with additional prescribing authority.
Without it, I would not have known to direct clients to her
in order to access appropriate medications. Prior to the
project, clients were often using off the shelf medication
which may or may not have been appropriate. The referral
also provided education to each client about their overall
health and medication use.
Physiotherapist
Name: Angela Forte, PT
1. Describe your professional background and practice
setting.
I am a private practice physiotherapist working in a rural
community. I have also worked in a larger centre in public
practice.
p. 13
4. What did you learn from collaborating with a
pharmacist?
As I said, I was not aware that some Alberta pharmacists
could prescribe medication. I have great respect for the role
that pharmacists play in our health-care system. I know that
they are the experts regarding medication and was further
impressed by my counterpart’s thorough knowledge and
skill in communicating their knowledge and information to
the patient. I hope the reverse is also true; that pharmacists
PT Alberta | Issue 3, 2013 | www.physiotherapyalberta.ca
involved saw physiotherapists as movement experts and
would recommend physiotherapy services beyond back pain
and ankle sprains.
2. Why did you get involved with the prescribing
project?
The inclusion criterion was quite limiting. Many patients with
acute injuries would have benefited more but were under 18
or WCB clients. Getting participants to follow through with
the evaluations took little effort and follow-up.
I got involved in the project because I think that it is
important to work collaboratively with other health-care
professionals. I feel that this project was important to
demonstrate that collaborative relationships between
health-care professionals can result in appropriate and
timely care for patients.
6. What would you say about the collaborative
prescribing project to your own colleagues?
3. What were the benefits of the project for your
own practice and your patients?
I would suggest that they find out which pharmacists in their
community have additional prescribing authority and strongly
encourage they use them as a valuable resource in order to
provide efficient, effective and client-centered service. It
was awesome not to have to wait for a client’s next doctor
visit in order to have them begin appropriate pharmaceutical
management to help the rehabilitation process.
I found that the project gave me an opportunity to better
assess patients requiring medication for pain and/or
inflammation. I was able to read the physiotherapist’s
assessment and therefore felt more confident with my
recommendations and the need for therapy. The patients
benefited because they did not have to wait in the
emergency department or wait to get an appointment to
see their doctor. They were able to start therapy sooner
and hopefully reach their therapy goals quicker. Also, the
physiotherapist and pharmacists both followed up with the
patient to assess effectiveness and safety.
5. What were the challenges?
7. Any other comments?
Clients loved it! They were also surprised that this service/
resource was available. I still tell people about it and can’t
wait until my project counterpart is back at work!
4. What did you learn from collaborating with a
physiotherapist?
I learned that collaborative relationships can work very well
and that communication is very important. I learned that it
is important that each person’s roles and responsibilities
are clearly defined.
I also learned that it is important each health professional
explain the process to the patients so that expectations
are realistic. Knowing how each health-care professional
works and communicating this to the patient is vital for the
process to run smoothly.
5. What were the challenges?
It was challenging in the beginning until we worked out
the logistics. For example, what to do if a patient showed
up and I was not working. The other challenge I faced was
that many of the patients referred to me weren’t regular
patients of ours or used another pharmacy. This made it a
little more difficult to follow up with the patients.
6. What would you say about the collaborative
prescribing project to your own colleagues?
Pharmacist
Name: Janelle Fox
1. Describe your professional background and
practice setting.
I would like to say that the project was an excellent way
to demonstrate how various health-care professionals
can work together to help their patients. I also feel that
it is important to make connections in the community in
which you practice and get to know each other’s roles and
areas of expertise. I would encourage my colleagues to get
involved in this type of collaborative project whether it be
formal or simply one that you have created yourself.
I graduated from the University of Alberta in 2006. I have
practiced in a community setting since graduation. I received
my additional prescribing authority in December 2009 and
became a Diabetes Educator in May 2010.
PT Alberta | Issue 3, 2013 | www.physiotherapyalberta.ca
p. 14
Professional Practice + Development
Research How-To: Using Physiopedia
In the last edition of PT Alberta we discussed using the TRIP
•
Articles and videos on conditions, examinations, special
Database to quickly and easily find evidence without the need
for specialized search skills. In this edition, we continue the
tests and treatments. The database includes hundreds
of articles in various stages of completion. Topics cover
theme of providing busy clinicians with tools to quickly find
everything from Achilles rupture to the Yegusson’s test.
evidence-based information regarding physiotherapy practice.
This time around we will focus on Physiopedia, a website that
•
Resources including case studies, clinical practice
guidelines, outcomes measures, rehabilitation protocols
and patient guides.
provides the busy clinician with free and open access to upto-date physiotherapy knowledge.
•
What is Physiopedia?
Audiovisual lectures and presentations on a variety of
clinic topics. All presentations are required to undergo a
quality review before being posted.
•
Projects currently taking place within Physiopedia.
Search interface
The Physiopedia search interface is very easy to navigate.
Simply enter a search term or click on the articles for an
alphabetical listing of topics. The search interface also sorts
articles and content into categories based on practice areas.
Content is shareable on social media
Physiopedia is built on the same concept as Wikipedia. It is an
online repository of knowledge created, edited and updated
by experts from around the world. The content in Physiopedia
is driven by physiotherapy experts with a goal to drive an
evidence-based approach to patient care.
Features of Physiopedia
If you’re looking for physiotherapy-related content to share
on social media networks, then Physiopedia allows you to link
to articles on Facebook, Twitter and LinkedIn. It’s as simple
as clicking the share buttons to link to your own social media
networks.
Is the content accurate?
Physiopedia claims the information is up-to-date, reliable
and provided by reputable sources. Like any wiki, if the
information is not accurate this is generally corrected
quickly by the world wide community reviewing the
materials. Physiopedia has many academic, professional and
organizational partners including the World Confederation for
Physical Therapy.
So next time you’re looking for specific physiotherapy
information on a condition, test or treatment then check out
Physiopedia.
p. 15
PT Alberta | Issue 3, 2013 | www.physiotherapyalberta.ca
Physiotherapy Alberta’s
Exercise + Rehabilitation Conference
The Exercise + Rehabilitation Conference was a success!
This year, tickets sold out a month in advance – even
after more seats were added. 175 people attended to
discuss the latest evidence and network with other
physiotherapists.
The weekend was off to a good start with the Honourable
Fred Horne, Minister of Health bringing greetings from
Alberta Health. Dr. Julia Alleyne followed with her
keynote address on the Wellness Connection. The rest
of the weekend showcased a number of workshops on
exercise prescription, functional testing and more.
The weekend ended with an inspiring talk from Krishna
Tailor and his brother Nino, a Special Olympics athlete.
Krishna discussed the health issues facing his brother
and other Special Olympics athletes and how they work
to overcome them. Nino also shared his personal story
about the value of Special Olympics.
The pre-conference low back pain course, Management
of Low Back Pain for Primary Care Providers, was also a
hit with over 90 people attending at the Lister Centre on
Friday, October 25. Attendees learned about managing
low back pain in a primary care setting.
Thank you to those of you who attended the conference,
it would not have been such a success without you!
• 97% agreed or strongly agreed the conference
provided value for their money.
• 98% agreed or strongly agreed that the conference
was clinically relevant.
• 98% would recommend the conference to their
colleagues.
Comments include:
Former President Greg Cutforth was also presented with a
many
painting of his hometown of Hinton as a thank-you for his
service.
of
years
PT Alberta | Issue 3, 2013 | www.physiotherapyalberta.ca
• “Quality of speakers and relevance of information
provided was very impressive. A lot of excellent
clinical material was shared, as well as latest
scientific research. Thank you!”
• “Very informative. I felt like it was a great weekend
to get all the updates on recent research and was
very clinically relevant. I have already started using
some of this information in my clinic this week.”
p. 16
Professional Practice + Development
Alberta Medical Association (AMA)
Youth Run Club
Ever Active Schools and the Alberta Medical Association
teamed up last spring to increase physical activity levels
in children and youth across Alberta.
After a spring pilot project exceeded expectations with 74
participating schools and 4,000 runners, this September
was the official roll out of the provincial Alberta Medical
Association (AMA) Youth Run Club. To date, over 200
schools are actively participating in the AMA Youth Run
Club with over 8,000 students running.
The AMA Youth Run Club is a free, fun, school-based
running program designed to increase physical activity
levels and instill healthy habits among Alberta children
and youth. Schools receive resources, a coach’s t-shirt,
prizes for all participants and general support from a
provincial run club coordinator.
Physiotherapy Alberta has come on board to team up
with the Alberta Medical Association and Ever Active
Schools on this great initiative. Physiotherapists will lead
messaging and education around injury prevention and
will be engaged with the run clubs at a community level.
Check out the website for further updates: www.
everactive.org/alberta-medical-association-youth-runclub.
Dr. Kim Kelly out for a run with her son.
Success Story:
Dr. Kim Kelly still has trouble believing that her promotion of a partnership between Ever Active Schools and the
Alberta Medical Association back in April 2013, has blossomed into a program that is now represented in over 200
Alberta schools!
Dr. Kelly discovered the Ever Active Schools program while researching ways to combat childhood obesity. “I decided
to initiate this health promotion program at my sons’ school in Edmonton,” she says. The Belgravia Elementary Ever
Active program is now in its second year and has implemented several healthy initiatives like a walking school bus,
a fruits and vegetables fundraiser, an outdoor adventure club and a community-partnered skating party.
Belgravia Elementary was one of 74 schools that participated in the pilot project of the AMA Youth Run Club in the
spring of 2013. Belgravia’s running club had never operated in the spring, and this change allowed for a longer
running season with more parent volunteers. Two direct benefits of increased volunteers were the accommodation
of more interested students and the ability of the club to run off of school grounds in the beautiful river valley.
Dr. Kelly has observed that it does take time for the school community to become engaged. However, she feels that
the support of one person can have a lot of impact on the health of an entire community. “By participating in or
initiating healthy activities at your local school,” says Dr. Kelly, “we can combat childhood obesity together.”
p. 17
PT Alberta | Issue 3, 2013 | www.physiotherapyalberta.ca
Good Practice Reminder:
Protection of Patient Privacy and
Informed Consent
Privacy
Consent
There is significant variation in how protection of
The Informed Consent practice guideline was recently
privacy and consent to treatment is approached within
updated, although the basic tenants of consent have
physiotherapy practices. Some organizations have lengthy
not changed. As the guideline states, “obtaining consent
policy and procedure manuals that set out privacy
is an ongoing communication process, not a one time
policies while others have no privacy policies in place.
event. Its purpose is to provide information to enable
Some physiotherapists have administrative staff who
patients to make informed decisions/choices about
ensure patients complete a consent form as part of the
accepting/refusing proposed treatment. The consent
intake process, while others document consent obtained
process should include an explanation of the diagnosis
in detail in the patient record. It is important that you
and recommended treatment including: benefits, risks
consider best practices in these two policy areas to
and other options for treatment. It is important that
protect yourself and your patients.
patients understand the nature/purpose of what is being
Physiotherapy Alberta has resources available to assist
physiotherapists in better understanding how to manage
these issues.
proposed and have an opportunity to ask questions or
get further clarification if required. The process is further
helped by communicating to patients in plain, easy to
understand language; technical terms or jargon is not
The Privacy Guide for Alberta Physiotherapists is designed
recommended”
to provide both general and practical information on
privacy legislation, policies and procedures. Privacy is a
complicated topic and is governed by both federal and
provincial legislation, so this guide attempts to make it
Guidelines for consent include that it must be
• Given voluntarily
• Given by a patient who has capacity
as simple as it can be. There are tools and a sample policy
template that might be helpful to you in your practice.
• Referable both to the treatment and to the person
who is to administer the treatment
Key recommendations in the guide include:
• Given by a patient who is informed
1.
Appoint a privacy officer
2.
Develop a privacy policy
3.
Obtain consent
4.
Adopt physical, technical and administrative
Further, these guidelines are based on a set of
safeguards for personal information
more detailed principles. While all are important to
understand, physiotherapists should be specifically aware
that it is the physiotherapist providing the treatment
who is responsible to obtain the consent and that
informed consent must be based on a careful discussion
5.
Institute processes to facilitate access to personal
of relevant information and consideration regarding the
information
proposed treatment. In the end, the patient has the
The full Privacy Guide can be found at www.
right to refuse any treatment proposed and your job is to
physiotherapyalberta.ca/physiotherapists/resources_to_
make sure that they have the information necessary to
help_you_meet_practice_standards/privacy.
make an informed decision.
The practice guideline can be found at www.
physiotherapyalberta.ca/physiotherapists/resources_to_
help_you_meet_practice_standards/informed_consent.
PT Alberta | Issue 3, 2013 | www.physiotherapyalberta.ca
p. 18
Communication + Marketing
Member Spotlight: Working
in a Family Care Clinic
Coreen Dutton has spent the last year working at the East Calgary Family Care Centre, where she works
with a number of other health-care disciplines. In this issue’s Member Spotlight, Coreen reflects on taking
on an underdeveloped physiotherapy role in a Family Care Clinic.
1.
Tell us about your role in the Family Care Clinic.
My role in the Family Care Clinic has been and continues to
be an evolving process.
My primary role is to screen and assess clients
presenting to our clinic with functional limitations and/or
musculoskeletal pain issues and determine their need or
appropriateness for therapy services. Clients can access
physiotherapy directly if they identify a need, or they
may be referred from other members of our team. Team
members will frequently consult with me to determine
if a client would benefit from further follow up or a
physiotherapy assessment.
After screening, I then work with the client to determine
the right environment or program they require and assist
with access. This may necessitate referrals for imaging,
consultation with other health providers for further
testing, or direct referral to other rehabilitation agencies
and programs. Therapy treatment may be provided
p. 19
for those who do not have access to other services,
primarily in the form of education and exercise/activity
recommendations.
As we become more established with our clientele, I
see a strong role for physiotherapy in this setting in
being able to identify gaps in service and barriers to
access that exist in the current framework. I see this as
leading to further development of our relationships with
community partners, both within and outside of Alberta
Health Services to enhance community wellness and
provide opportunities for healthy lifestyles.
There is a considerable amount of consultation, education
and collaboration with other specialties on the role
physiotherapy can play both in terms of rehabilitation
and in wellness and lifestyle management education.
Assisting clients to learn self-management skills for
chronic and complex health conditions is a part of all the
roles within the primary care setting.
PT Alberta | Issue 3, 2013 | www.physiotherapyalberta.ca
2. Who else works in the Family Care Clinic?
The model for our clinic is for an interdisciplinary
team. This includes eight physicians and five nurse
practitioners that work varying hours. There are eight
registered nurses, divided into two subgroups – family
with is an ongoing process. Additionally, there are those
areas that are common to more than one discipline.
Learning to trust others and identifying and establishing
standardized practices for areas of overlap will always be
an area for development.
care and chronic disease management. The team
also consists of a pharmacist, social workers, mental
It was also a challenge to educate other providers on the
role of physiotherapy within the clinic, as it was a new
health, physiotherapists, dieticians, a diabetes educator
position and the caseload was largely unknown. I initially
anticipated my role would primarily be consultation
and multiple clerks. A secretary manages the general
processes of the clinic. The team is overseen by a Clinic
Manager and a Medical Director.
At any one time in the clinic a physician or nurse
practitioner will be present, along with registered nurses
and varied other members of the team.
3. How have you sorted out roles and who does
what?
Role clarity remains an ongoing development. We have
had some opportunity to shadow other disciplines and
discuss and view unique skills and strengths. More
formally, we have worked on creating role clarity
documents, which not only outline scope of practice,
but also indicate areas of more specialized training and
experience. We also indicated skills or training we would
and system navigation, but have found a large portion
is education and often unexpected treatment needs.
While physiotherapy is a profession focused primarily
on functional mobility, there are many aspects to that
depending on the clientele. So, frequently I will be
consulted by another staff member with the questions
– can you deal with this specific issue, and have to
consider “Do I have the necessary expertise”?
We began as one large team with differing shifts and
shifting caseloads. So communication and trust building
were challenges. Different providers had different
comfort levels and expectations, and there was an
amount of frustration that accompanied getting to
know each of the team member’s comfort level. Our
clinic expanded quickly, so we all had to learn in a
like to develop further.
trial and error way. To facilitate better communication
and trust building, the clinic moved to the creation of
The clinic and staff were all new at approximately
the same time, so learning and developing roles and
smaller medical teams within the large team – these
responsibilities has been a process of trial and error. A lot
smaller teams consisted of specific physicians, nurse
practitioners and nursing staff with a defined clientele.
of our processes, how they are performed and by whom
have evolved over time. Regular team meetings
and request for input from all staff has helped
to streamline some of the processes and triage
decisions.
Additionally, there has been ongoing informal
and formal discussion among smaller groups on
those areas that can be performed or assessed
by different providers. For example, diabetic
foot screening can be performed by several
providers. So we have met to trial standardizing
the assessment and ensuring that each provider
is comfortable with the process.
4. What have been the biggest challenges
working with others?
Learning the scope and boundaries of each
provider has been challenging. Within a
discipline, each provider has special skills,
interests and comfort areas, so learning what
each individual within the team feels confident
PT Alberta | Issue 3, 2013 | www.physiotherapyalberta.ca
p. 20
Within these smaller teams it was easier to set
not so eager to have the dietician provide information
boundaries, establish comfort with scope of practice and
build trust. Client caseloads were assigned to each team,
on Activity Guidelines. Awareness of these protective
allowing more continuity of care with complex clients. As
provider at the right time” means in practice.
one of the specialty providers, I am not attached to any
one team.
6.
Developing client trust in this model was another
challenge – clients typically want to see a physician when
they first seek medical care, so some reluctance to start
with other providers has been encountered. By providing
tendencies allows constant questioning of what “right
What advice would you give to other
physiotherapists considering working in a
family care team?
The newly developing roles within the Family Care Clinic
thorough explanation of the roles and specialties involved
provide an excellent opportunity for physiotherapists to
learn and expand their scope. The interdisciplinary team
in the clinic, as well as ensuring that the client has
model is a powerful platform for growth and shared
knowledge of the team approach, the majority of our
clients feel very satisfied with seeing the right provider
learning. As a profession, we have a strong background
in independent thinking, innovation and client education
at the right time.
skills. Flexibility, uncertainty and ongoing practice
5.
evaluation are guaranteed in this environment. Not all
Family Care Clinics and teams will be the same, as they
will vary to meet the needs of the community they serve.
What have been some of the surprises?
This experience has provided the closest collaboration
with a diverse group of practitioners that I have had.
It has been a surprise to see the impact this has made
on our clients. Very frequently, clients express comfort
in their health care as the team is all providing and
reinforcing the same messages. Having the diversity
of providers also ensures that all the client’s physical,
psychosocial and economic concerns are part of the
picture with health planning and often the level of
engagement increases dramatically.
I have been surprised and inspired by the commonality
that we all share within the team. Several months after
opening we were tasked with developing our mission
This allows endless opportunity for completing yearly
professional competency – I have difficulty selecting
which of the many learning goals will take precedence.
Team building, setting boundaries and creating trust
among interdisciplinary members is a process and
early days can be quite overwhelming, particularly
in unfamiliar settings. It helps to remember that all
members are going through the same process and the
end goal is the same – enhanced health-care provision for
our clients.
Continuing to develop and maintain a community of
“primary care physiotherapists” will aid in establishment
of new positions in these settings.
statement. We formed small groups to each develop a
statement, then through voting and tweaking, came up
with the statement that resonated most significantly
with all of us. I found this exercise to be powerful in
building trust, primarily by making each of us aware of
what our bottom line goals for the clinic and our clientele
was, and realizing how much we had in common. This
shared responsibility for how the clinic operates has been
reinforced with many of our process modifications and
role identification and development and really enhances
the team concept.
I have also been surprised at recognizing in myself some
of my “turf guarding” behaviors. Working in a team with
fuzzy boundaries makes a person constantly evaluate
unique scope and those areas of shared expertise. I have
Coreen Dutton graduated
from the University of
Alberta Physical Therapy
Program in 1998. She
moved to BC shortly after
graduation and worked in
rotating positions in acute,
rehab and outpatient
settings. In 2002, she
returned to Alberta and
for the past 11 years has
worked at a number of
sites encompassing all
areas of the rehabilitation continuum of care.
found myself eager to provide information on the Canada
Food Guide to a client (more dietician expertise), but
p. 21
PT Alberta | Issue 3, 2013 | www.physiotherapyalberta.ca
Physiotherapy Alberta
Strategic Plan
Council approved a Strategic Plan that will guide Physiotherapy Alberta for the next three years. The Strategic
Plan was created with Council and staff input with the intent of refocusing the purpose of Physiotherapy
Alberta and how to achieve the mission through critical success factors, goals and tactics. Moving forward,
Physiotherapy Alberta staff will determine a more specific plan and schedule on how the goals set out in the
plan will be achieved. To view the plan in whole, contact Physiotherapy Alberta at [email protected]
Vision
Physiotherapists are an essential resource for healthier Albertans.
Mission
Govern physiotherapists, ensure professionalism & support the
delivery of quality physiotherapy practice.
Values
Council and staff working on behalf of Physiotherapy Alberta are
committed to: excellence, innovation, professionalism, collaboration,
accountability & evidence-informed decision making.
Critical Success Factors, Goals
Quality patient
care
Engaged
members
Physiotherapists
Public &
stakeholder
confidence
High
performing
organization
Patients receive
quality physiotherapy
care from competent
are engaged with
The public and
The organization is
Physiotherapy Alberta,
stakeholders are
high performing,
physiotherapists and
within the profession
confident in the work of
healthy and effective
support personnel
and the health system
Physiotherapy Alberta
PT Alberta | Issue 3, 2013 | www.physiotherapyalberta.ca
p. 22
Communications + Marketing
2013 Award Winners
Every year, Physiotherapy Alberta gives three awards to three outstanding Alberta physiotherapists.
Award recipients are nominated by fellow physiotherapists and determined by the Awards Committee.
Pinnacle Award of
Distinction
Award for Excellence in
Innovation
Student Leadership Award
Awarded to: Mary Wood
Awarded to: Jodi Boucher
Awarded to: Jade Huynh
This award recognizes one physiotherapist
who significantly contributes to Alberta’s
physiotherapy profession through
excellence in practice and/or promotion of
the profession.
This award recognizes one clinically-based
physiotherapist who is directly involved in
advancing the profession through research
focused on improving the quality of care
or delivery of physiotherapy services, e.g.,
practice models, program development.
Physiotherapy Alberta recognizes the
leadership skills of future members
by annually presenting the Student
Leadership Award to one individual in
each academic year who demonstrates
leadership.
Reasons for Nomination
Reasons for Nomination
“Jodi is an excellent nominee... for
developing a program that serves a
patient population while working within
the constraints of public health funding
and limited resource allocation. By
offering an education class as a first
point of contact, she has allowed a
much more efficient method of triage for
postpartum women who have sustained
perineal tears. As well, the ones
who truly need to see a physician or
physiotherapist will get that care faster
than before.”
“Ms. Huynh shows a high-level of
enthusiasm for physiotherapy, eager to
learn and face any challenge she was
fronted with. She is eager to learn and
uses her skills to make clear diagnosis
as well as differential diagnosis. She
has had the opportunity to meet with
physicians and present the physiotherapy
profession. She is also a caring individual
towards her clients and establishes great
rapport with her clients and all staff.”
Reasons for Nomination
“Mary is an incredible ambassador for
our profession. Mary is consistently
out speaking in the community about
the merits of physiotherapy, be it
to physicians who have specifically
requested she talk about pelvic health
to new moms through Alberta Health
Services... Mary is absolutely dedicated
to professional development and this is
apparent in her encouragement for her
employees to take extra courses, along
with the regular inservices we hold at
the clinic.”
About Jade Huynh
About Mary Wood
About Jodi Boucher
Mary graduated from the U of A in 1981,
and has worked in private practices in
Edmonton, hospitals in Toronto and rural
Alberta. She is the Clinic Director of CURA
Physical Therapies which opened in 2003
with a vision of collaborative practice
that successfully combines pelvic health
and orthopedics. Mary is a passionate
lifelong learner in all aspects of life and
continues to explore ways to improve
patient outcomes. She is on the board of
the Pain Society of Alberta and actively
involved in the
Alberta Council
of Professionals
for Sexual
Health and
Pelvic Health
Physiotherapists
of Alberta.
She recharges
her energy by
spending time
with family and
gardening.
Jodi is a physiotherapist with a passion
for women’s health and pelvic health
promotion. Jodi got a bachelor’s degree in
physiotherapy from the University of Alberta
in 1996 and a Master of Rehabilitation
Science from the University of British
Columbia in 2013. She is the current public
relations chair for the Women’s Health
Division of the Canadian Physiotherapy
Association. Jodi believes in the value of
community and is grateful to be a part of a
vibrant pelvic health physiotherapy group.
To learn more
about the work
she is doing
in postpartum
pelvic health
check out her
‘Your Body After
Baby’ workshops
run through
Women’s Health
Resources in
Calgary.
p. 23
Born and raised in Calgary, Jade always
had an interest in healthcare. Jade
completed her Bachelor’s of Science
in Exercise and Health Physiology at
the University of Calgary. After being
involved in a car accident, she attended a
physiotherapy clinic and felt that it would
be the perfect career choice. She recently
completed her Master’s of Physical
Therapy at the University of Alberta and
will be working at Diverse Sports Physical
Therapy Ltd in Calgary in the New Year.
She enjoys being
active and playing
sports like soccer,
badminton,
curling, and
snowboarding.
She is excited
to embark
on the next
chapter of her
life and develop
her skills as a
physiotherapist.
PT Alberta | Issue 3, 2013 | www.physiotherapyalberta.ca
Department of
Physical Therapy
University News
Clinical Placements on the Other Side of the World
Each year, several MScPT students work with the Department’s Clinical Education team, Mark Hall and Jon
Gabbai, to secure international placements in their last term. This fall six students went to Indonesia, two to
Kuwait, and one each to Australia, New Zealand and Sri Lanka. Some funding is available for select locations
but students do pay the bulk of their expenses. These invaluable opportunities offer students a chance to live
and work in another part of the world and to have some fun!
“Indonesia was an
absolutely incredible trip
that exposed us all to
unique cultural experiences
and different aspects of
PT/healthcare that you
definitely don’t see everyday
in Canada. I am very
grateful for the opportunity
to do an international
placement... and now even
more grateful for the health
care and resources we have
access to in Canada!”
Dr. Nawand Takarini, PT demonstrates for UofA MScPT Students at the Pediatric
- Kelsea Bain, MScPT 2014
Neurodevelopmental Centre in Indonesia
MScPT Students perform a Javanese dance
PT Alberta | Issue 3, 2013 | www.physiotherapyalberta.ca
p. 24
University News
Congrats MScPT Class of 2014!
Congratulations to the 10th graduating class of the MScPT Program. With the academic and clinical coursework
behind them, most of the 92 grads have already secured employment and entered the clinical workforce. This
graduating class includes the second cohort of twelve MScPT students to complete the MScPT Program at the
UofA Augustana campus in Camrose.
p. 25
Andrea Allison
Jade Huynh
Sarah Pettipas
Jytte Apel
Phi Huynh
Carolyn Plewes
Kelsea Bain
Travis Jones
Aaron Rude
Colin Bialkoski
Carol Kalnins
Amber Sandeman-Allen
Darren Bishop
Zachary Kheong
Janelle Schmidt
Matt Cairns
Imran Kiani
Colleen Sharp
Demian Carson
Elina Kim
Kaylynn Shewaga
Carmen Chan
Jennifer Kloepfer
Sonja Shouldice
Sarah Chisam
Kyle Kortegaard
Jessica Smith
Heather Clay
Brett Kurio
Sarah Smith
Joshua Collier
Alan Lam
Nicole Smolik
Wes Collinge
Robin Langner
Jessica Sobiewski
Michelle Cuthbert
Sean Lazuardi
Mary Stang
Robert De Fleuriot de la Coliniere
Joshua Lehman
Katelyn Starkey
Samantha Dollmaier
Roberta Little
Sarah Tan
Nellie Dow
Alexander Loach
Kirsten Taylor
Christy Drever
Kimberley MacGillivray
Shauna Telford
Jason Dyck
Kyla Majewski
Kelsey Tompkins
Luckmini Fernanado
Brittany Markiewicz
Nele Van Aerde
Marc-Andre Filion
Amanda Martel Poirier
Michael Walper
Kelli Franklin
Jason Martyn
Jeremy Warford
Kayla Friesen
Kerri May
Amber Willcocks
Stephanie Gilbert
Hilary McDermott
Kyle Wilson
Kimberly Gillis
Mary McEwen
Jane Wong
Blake Goehring
Lisa McTaggart
Yung Yung Wong
Laura Hagstrom
Carli Milner
Afton Worobeck
Dani Hannigan
Andrea Mitchell
Laurin Wright
Laura Hemsing
Tyler Moncur
Shannon Yemen
Brooke Hender
Michelle Moon
Eric Young
Stephanie Henderson
Kelsey Mountain
Shu Juan Zhou
Grant Hutchings
Shannon Murray
PT Alberta | Issue 3, 2013 | www.physiotherapyalberta.ca
The Corbett Hall Student PT Clinic also
Alberta Internationally Educated
Physiotherapy Bridging (AIEPB) Program
continues to offer unique placements to UofA
The first cohort of IEPT students are now near
students as well as students from other
completion of their second academic course in the
Canadian and some International physiotherapy
14-month AIEPB Program. The experience for all
Schools. Under the shared guidance of
involved has been very rewarding. Thanks especially
Michelle Barnes, Geoff Bostick, Heather Bredy,
to all the clinicians who are providing ongoing
Judy Chepeha, Kim Dao and Katelyn Brown,
mentoring to the IEPTs. The next AIEPB Program
students work with a mixed caseload of
Admission assessments will be Saturday January
patients. One morning may be patients with
18, 2014 in Edmonton and Saturday March 1, 2014 in
neurological conditions while the afternoon
Calgary. Watch the AIEPB Program website for more
could be patients with chronic pain. The next
information.
day is patients with musckuloskeletal and
sports injuries followed by a Better Choices,
Better Health class. Students love the variety
University News
Corbett Hall Student PT Clinic Update
http://www.physicaltherapy.ualberta.ca/en/AB%20
Internationally%20Educated%20PT%20Bridging%20
Program.aspx
and requests to complete placements at the
clinic are high. The student clinic approach
differs from a regular service in that the
supervising physiotherapists do not carry their
own caseload. Students organize and run the
service, learning from the supervisors as well
as from each other. One to four students work
in the clinic at any one time.
Department News
Congratulations to Dr. Geoff Bostick for his CAN/
Pfizer/TAS Post-Doctoral Fellowship Award received
through the Arthritis Society in October 2013.
Congratulations to Mark Hall! Dr. Hall convocated
with a PhD in Rehabilitation Science in November
2013.
Submitted by: Bernadette Martin, Associate Chair
PT Alberta | Issue 3, 2013 | www.physiotherapyalberta.ca
p. 26
The Movement Specialists.
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