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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

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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 info@physiotherapyalberta.ca 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.

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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

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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.

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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?

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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

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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

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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.

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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.

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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. Professionalpractice@physiotherapyalberta.ca

PT Alberta | Issue 3, 2013 | www.physiotherapyalberta.ca

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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.

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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

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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.

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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.”

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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.”

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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 reects 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 beneďŹ t 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

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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 info@physiotherapyalberta.ca

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.

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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 ďŹ rst 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/ PďŹ zer/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


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Newsletter issue 3 2013