Physical Therapy Pro Bono Services: Not Just Free Therapy

Objectives

1. Identify examples of pro bono services currently offered in physical therapy programs

2. Describe a student-run model

3. Identify strengths and weaknesses of a student-run model

4. Identify ways in which physical therapist programs might meet community & student needs in a legal, ethical, and collaborative manner

Presenters

• Jill Black – Associate Professor & Pro Bono Services Coordinator

• Tim Golder – 2nd year DPT student & Clinic Coordinator on the Student Board

• Tyler Suruskie – 2nd year DPT student & Outcomes Coordinator on the Student Board

• Kerstin Palombaro – Associate Professor & Community Engagement Coordinator

• Daria Porretta – 2016 graduate & former Clinic Coordinator on the Student Board

• Ellen Erdman – Clinical Assistant Professor & Director of Clinical Education

• Robin Dole – Associate Dean & Program Director

Outline Intro & overview of the prevalence & characteristics of

pro bono physical therapy service in physical therapy programs (Black)

The student-run pro bono clinic model (Golder)

Clinic outcomes & the client experience (Suruskie)

Experience of the student leaders & new graduates (Palombaro)

Impact on student performance in first full-time clinical experience (Porretta & Erdman)

From the perspective of the program director (Dole)

Future Vision (Golder)

Panel discussion with Q & A (30 minutes)

Intro & Overview

History of Professional Pro Bono Service

• The Law Profession

• The Medical Profession

• The Nursing Profession

• The Physical Therapy Profession

Pro Bono Publico

Charity vs. “For the Public Good”

Toxic Charity

• Give once and you elicit Appreciation

• Give Twice and you create Anticipation

• Give Three times and you create Expectation

• Give Four times and it becomes Entitlement

• Give Five times and you establish Dependency

Lupton R., Toxic Charity, p. 130.

PT Pro Bono Model National Survey

• Background

• Methodology

– The Survey

• Respondents

• Findings

• Discussion

• Next Steps

A Student-Run Model

Student

Clinic

Coordinator

Operations

Coordinator

Health &

Wellness

Coordinato

r

Physician

Marketing

Officer

Funds

OfficerClient

Advocate

Alumni /

Supervisor

Relations

Student

Scheduler

Licensed Faculty

and PT

Supervisors

Providing clinical

supervision of

students

Faculty

Board

Overseeing Student

Board

administration

Social

Media

Marketing

Officer

CLINIC ORGANIZATIONAL MODEL

Outcomes

Coordinator

Conference

Chair

National

Honor

Society Chair

DPT Students

working with

clients in the

clinic

STUDENT BOARD

Constituent Advisory Board

Clinic & Client Outcomes

Developing & Enhancing Tracking Mechanisms

Clinic Stats Over Seven Years

YEAR 1st 2nd 3rd 4th 5th 6th 7th Totals#ClientVisits

297 422 845 871 1003 842 924 5204

#NewEvals

25 50 60 70 63 58 53

#Sup 12 20 25 28

32 30 25

%Students

34% 66% 78% 100% 100% 100% 100% 700students

MedicareEquiv$

$139,068.83 $116,635.47 $127,287.30 $384,000.00

Additional Tracking

• Client Race / Ethnicity

• Zip Code

• Diagnoses

• Referral Source

• # of visits before discharge

• Costs that would have been billed

Client Experience

• Client Satisfaction Survey

• Client Outcome Measures• Phase I

• Phase II

• Client Video

Evolution of Grand Rounds

• Response from Client Satisfaction Surveys

• Designed and proposed by Class of 2015 Student Board

• Piloted by Class of 2016 Student Board

• Outcomes Project Class of 2016 Student Board

• Published manuscript December 2016

• Recent additions & changes

An Investigation of the Influence that Service in a Pro Bono Clinic has on a First Full Time Clinical Education Experience

Daria Porretta, SPT, Jill Black, Ellen Erdman,

Kerstin Palombaro

Published December 2016

Impact on Full-Time Clinic Experience

• Background

• Methodology

• Participants

• Data Collection

• Data Analysis

• Themes

• Discussion

• Next Steps

The Student Leadership Experience as Students & as New Professionals

Student Experiences in Creating & Launching a Student-Led Physical Therapy Pro Bono Clinic

• Background

• Methodology

• Participants

• Findings / Themes

• Discussion

• Next Steps

New Graduate Perceptions of How Their Previous Student Board Experience Has

Impacted Their Early Professional Career

• Introduction

• Survey

• Findings

• Discussion

• Next Steps

From the Perspective of the Program Director

Program Director Perspective

• Students

• Curriculum

• Alumni

• Program

• Community

• University

• Profession

Pursuit of a New Vision….

2017 Eastern Regional Conference 2017 Western Regional Conference

Seattle, WAApril 8th-9th, 2017

Philadelphia, PAMarch 10th-11th, 2017

Visit www.chestercommunitypt.com/pt-pro-bono-newtorkWatch for Call for Proposals and Registration

beginning in September 2016Both are sponsored by the Physical Therapy Pro Bono Network

and partially powered by:

Keynote SpeakerDr. Sue Klappa

Thank You

References

• Black JD, Palombaro KM, Dole RD. Student experiences in creating and launching a student-led physical therapy pro bono clinic: a qualitative investigation. Physical Therapy Journal. 2013;93(5):637-648.

• Darnell JS. Free Clinics in the United States: a nationwide survey. Arch Intern Med. 2010;170(11):946-953.

• Lattanzi JB, Pechak CM. Educating globally-minded physical therapist students: curriculum strategies to equip the next generation. Journal of Physical Therapy Education. 2012; 26(1):55-60.

• Palombaro KM, Dole RL, Black Lattanzi, J. A case report of a student-led pro bono clinic: a proposed model for meeting student and community needs in a sustainable manner. Phys Ther. 2011:91(11);1627-1635.

• Smith S, Thomas R, Cruz M, Griggs R, Moscato B, Ferrara A. Presence and characteristics of student-run free clinics in medical schools. JAMA. 2014;312(22):2407-2411.

• Black JD, Bauer K, Spano G, Voelkel S, Palombaro KM. Grand Rounds: A method for improving student learning and client care continuity in a student-run physical therapy pro bono clinic. International Journal for the Scholarship of Teaching and Learning. In press.

• Porretta DC, Black JD, Erdman EA, Palombaro KM. An Investigation of the Influence that Service in a Pro Bono Clinic has on a First Full Time Clinical Education Experience. Internet Journal of Allied Health Sciences and Practice. In press.

Contact Information

• Jill Black –jdblack@widener.edu

• Tim Golder – tmgolder@mail.widener.edu

• Tyler Suruskie – tssuruskie@mail.widener.edu

• Kerstin Palombaro –kpalombaro@mail.widener.edu

• Daria Porretta – dcporretta@mail.widener.edu

• Ellen Erdman – eaerdman@mail.widener.edu

• Robin Dole – rldole@widener.edu