Physiotherapy continuing education template

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CPA CLINICAL SPECIALTY PROGRAM Candidate Documentation Candidate ID: Date Submitted: CPA Clinical Specialty Program Candidate Documentation © Canadian Physiotherapy Association Page 1 of 10

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Physiotherapy continuing education template

Transcript of Physiotherapy continuing education template

Page 1: Physiotherapy continuing education template

CPA CLINICAL SPECIALTY PROGRAMCandidate Documentation

Candidate ID: Date Submitted:

CPA Clinical Specialty Program

Candidate Documentation

© Canadian Physiotherapy Association Page 1 of 8

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CPA CLINICAL SPECIALTY PROGRAMCandidate Documentation

Candidate ID: Date Submitted:

INSTRUCTIONS

1. Enter your Candidate ID and submission date in the header of this document.2. Reflect on and summarize your experience and development as a clinical specialist. When selecting

documentation to include in your portfolio consider the relevance of the information to the physiotherapist specialty designation.

3. Use the templates below to record examples for each requirement giving consideration to its application to your development as a clinical specialist.

4. It is suggested this document be 10-15 pages in length when complete.

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CPA CLINICAL SPECIALTY PROGRAMCandidate Documentation

Candidate ID: Date Submitted:

Requirement 1: Advanced Clinical Competence in the Clinical Specialty Area

The clinical specialist in physiotherapy has developed advanced clinical competence through applied clinical experience in the clinical specialty area. Clinical competence is assessed directly and indirectly throughout the various components of the submission (Clinical Reflections, Multi-Source Feedback responses, Case Based Discussion and documentation).

Clinical Hours

Number of Years Practicing as a Physiotherapist:

Number of Years Practicing in Specialty Area:

Education

Name of Institution Degree Obtained LocationYear Obtained

Clinical Experience

Name of Employer Responsibilities/Areas of Practice

Location Dates

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CPA CLINICAL SPECIALTY PROGRAMCandidate Documentation

Candidate ID: Date Submitted:

Requirement 2: Professional Leadership in the Clinical Specialty

The clinical specialist in physiotherapy demonstrates commitment to the profession, health care and society by engaging in strategic leadership that promotes best practice. Leadership activities may include teaching, mentorship, volunteer association work, public/community education and other.

2.1 Record all relevant professional development courses/workshops you have taught in your clinical specialty area (note: activities related to students will be noted in section 2.4). Select and include supporting documentation where appropriate:

Date Course Name Name of Post-Secondary

Institution/Organization

Location # of times

course was

taught

2.2 Record all relevant presentations given in your clinical specialty area, including those given to both professional and public audiences:

Date Title Location Audience

2.3 Record your key mentoring experiences (within or outside of the physiotherapy profession).

Dates (indicate length of

time)

Mentee Description of Mentoring Experience Location

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CPA CLINICAL SPECIALTY PROGRAMCandidate Documentation

Candidate ID: Date Submitted:

2.4 Record your key teaching experiences (e.g. clinical placement supervision, lectures for physiotherapy students or other disciplines)

Date Description of Teaching Experience LocationAudience/Student

2.5 Describe how your teaching experiences have influenced your development as a clinical specialist.

2.6 Record associations, organizations, and committees with which you have participated:

DateTitle (i.e. Chair,

President, Member, etc)

Organization Responsibilities

2.7 Record any honours/awards you have received since entry to practice:

Year Award Name Award Donor

2.8 Describe how your professional leadership experiences have influenced your development as a clinical specialist.

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CPA CLINICAL SPECIALTY PROGRAMCandidate Documentation

Candidate ID: Date Submitted:

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CPA CLINICAL SPECIALTY PROGRAMCandidate Documentation

Candidate ID: Date Submitted:

Requirement 3: Continuing Professional Development

The clinical specialist in physiotherapy is involved in continuing professional development. Successful fulfillment of this requirement may be achieved by completing a range of academic and clinical courses or clinical practicum, clinical supervision of students, or experience in an academic environment. Provide copies of certificates for programs including an evaluation component.

3.1 Record the continuing professional development courses that you feel were most important to your development as a clinical specialist. Highlight the 5 key courses with an asterisk (*):

Course Date(mm/yy)

Course Title (include brief description) Location Instructor

3.2 Record workshops, scientific conferences, congresses, symposia you attended that contributed to your development as a clinical specialist:

Date(mm/yy)

Professional Development Activities Attended (other than courses)

Location

3.3 Describe how these learning experiences have influenced your development as a clinical specialist.

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CPA CLINICAL SPECIALTY PROGRAMCandidate Documentation

Candidate ID: Date Submitted:

Requirement 4: Involvement in Research

Candidates are required to demonstrate the integration of research and research findings within their clinical practice. Candidates may demonstrate proficiency in the competencies through various research activities to advance physiotherapy practice.

Activities may include, but are not limited to, the integration of research tools (e.g. outcome measures, systematic reviews, surveys, clinical practice guidelines) into clinical practice, involvement in a research study or program evaluation, documentation of a single case study, dissemination of research findings and the promotion of best practice principles within or outside the candidate’s own practice.

4.1 Describe your involvement in research activities relevant to your clinical practice and your development as a clinical specialist. Provide relevant documentation.

4.2 Describe how your research involvement has contributed to your development as a clinical specialist.

Additional Information

5.1 Provide any additional information regarding your professional activities that you believe should be considered in this application.

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