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AMERICAN BOARD OF PHYSICAL THERAPY SPECIALITIES:
ENHANCING PROFESSIONAL DEVELOPMENT THROUGH
CERTIFICATION
The Path to Clinical Excellence
Clinical Excellence: Necessities
KnowledgeClinical
Reasoning
Movement
Virtues
Philosophy of PT
Practice
MultidimensionalPatient-centered
Collaborative with patient-
Reflective Practice
Caring, Commitment
Ethical Practice
Primary focus; Centered on
function
Jensen GM et al (2000) Phys Ther 80(1):28 – 43.
Clinical Excellence: The Common Path
Entry level graduation Years of experience Continuing education
Accountability Competency
Post –professional residency Specialization Post-professional degrees
OBJECTIVESUpon completion of this presentation, you'll be able to:
Understand the Specialty Certification process Understand the ABPTS certification and maintenance of
specialty certification program Describe the process for certification and maintenance of
specialty certification Describe the minimum eligibility requirements for
certification and recertification for specialization List the current areas of Areas of Specialty Practice Describe the role of clinical residencies in the certification
process Identify top motivations to pursue ABPTS Specialty
certification
What is Clinical Specialty Certification?
Specialization is a process for physical therapist Established to provide formal recognition for physical
therapists with advanced clinical knowledge, experience, and skills in a special area of practice
Professional education and development Clinical Expertise in specific areas of practice
Clinical specialization responds to a specific area of patient need
Assist consumers and the health care community in identifying physical therapists who are specialists in a unique area of practice
Physical Therapy Specialist Certification
Recognizing Recognizing Clinical Clinical ExcellenceExcellence
What does Clinical Specialization Require?
Broad based foundation of physical therapy education and clinical practice
Combined with… Depth and breadth of
knowledge in specialty area
KnowledgeKnowledge
Advanced clinical expertise, skills, and experience unique to a specialized practice area
Expertise in clinical reasoning applied to specialty practice area
What does Clinical Specialization Require?
KnowledgeKnowledge
How does our profession recognize advanced knowledge & clinical expertise?
Clinicians who have specialized area of practice and seek professional recognition and advancement
Engage in rigorous process for Board Specialty Certification Application criteria and standards Board examination Maintenance of specialty certification
Process overseen by American Board of Physical Therapy Specialties (ABPTS) Specialty Councils
Purposes of Board Certification
Promote highest possible level of physical therapy care
Promote ongoing development of science and art underlying each specialty practice
Purposes of Board Certification
Recognize specialists through a reliable and valid method for certification of specialty practitioners
Identify for the consumers and the health care community physical therapists who are specialists in a unique area of practice
Important Elements of Board Certification
VoluntaryUnrestrictiveCoordinated
Areas of Specialty Practice Recognized through Board Certification
1. Cardiovascular & Pulmonary2. Clinical Electrophysiologic 3. Geriatrics4. Orthopaedics5. Pediatrics6. Neurology7. Sports8. Women’s Health
Minimum Eligibility Requirements for Clinical Specialization Certification
Current license to practice physical therapy in the United States, the District of Columbia, Puerto Rico, or the Virgin Islands
Practice eligibility requirement is 2,000 hours minimum of direct patient care in the specialty area, 25% (500) of which must have occurred in the last 3 years.
Minimum Eligibility Requirements
Direct patient care must include activities in each of
the elements of patient/client management applicable to the specialty area and included in the Description of Specialty Practice
Minimum Eligibility Requirements
Practice elements of patient/client management as defined in the Guide to Physical Therapist Practice Examination Evaluation Diagnosis Prognosis Intervention
Minimum Eligibility Requirements
Other requirements specific to the specialty such as:Emergency care certificationACLS certificationPatient reportsCase reflections
Other Options to Meet the Eligibility Requirements for Specialty Certification
Clinical Residency A planned program of post-professional clinical
and didactic education that is designed to advance significantly the physical therapist's preparation as a provider of patient care services in a defined area of clinical practice
Specialty councils may allow completion of an APTA-credentialed clinical residency to replace all or a portion of the practice eligibility requirements
AssessmentBoard Examination
The Specialty Councils of ABPTS develop the specialist certification examinations
Specialists must pass a rigorous examination that tests the application of advanced knowledge and clinical skills In conjunction with the
National Board of Medical Examiners
Criterion referenced exam
Another exam!!!
Assessment of Specialty Practice & Expertise
Patient Care Teaching Administration Consultation Communication Interpretation of Research
Components of the Examination
How are advanced clinical knowledge and skills determined for Board Certification?
Description of Specialty Practice (DSP) Describes the
advanced knowledge, skills, and abilities for clinical practice in the specialty area
Reliable and valid process for assessing expertise domain and current standards of specialty practice
Description of Specialty Practice (DSP)
Based on data from an extensive practice analysis research studyConducted by Specialty
Councils and ABPTS Document from which
the certification exam is developed
Professional Development Path Toward Clinical Specialization
Clinical experience in specialty area
Seek mentor Board certified specialist
Professional development Knowledge and skills Continuing Education Post professional clinical
residency Post professional
education
How to Prepare for the Board Certification?
Resources Description of Specialty Practice Resources available from APTA sections
Recommended textbooks
Reading lists
Advanced Clinical Practice Courses
Study Groups
***ABPTS does not approve or review material or course content
Specialist Certification Application Process
Application APTA Professional Development office
Deadline: July of the preceding yearTo sit for the 2012 exam, applications must be
postmarked by July 31, 2011 Each application undergoes a review to evaluate
eligibility of the applicant to sit for board examination
Specialty Certification Fees
Certification is valid for ten years with no maintenance fees
APTA member Non-member
Applicant Review $500 $845
Examination $800 $1,525
Total $1,300 $2,370
When is the certification exam administered?
Exams are offered once per year for a two-week exam period
Candidates may sit for the exam between February-March
●2011– February 26–March 12, 2011●2012-
Examination Format
Computerized examinations, administered at Prometric, Inc. testing centers
FORMAT: Multiple choice questions including case scenarios, videos, pictures
Recognition of Certified Clinical Specialists
Recognized at Opening Ceremony of APTA Combined Sections Meeting (CSM)
Recognized by sections and chapters Inclusion in online Directory of Certified
Specialists Only individuals who have successfully
completed the ABPTS certification process may use the term “Board-Certified Clinical Specialist”
Board-Certified Clinical Specialist- Certified Specialist Initials
CCS - Cardiovascular & Pulmonary Certified Specialist
ECS - Electrophysiologic Certified Specialist GCS - Geriatric Certified Specialist NCS - Neurologic Certified Specialist OCS - Orthopaedic Certified Specialist PCS - Pediatric Certified Specialist SCS - Sports Certified Specialist WCS - Women’s Health Certified Specialist
Board-Certified Clinical Specialists
Who Are They?
Total Numbers of Certified Specialists by Year
0100200300400500600700
1985 1988 1991 1994 1997 2000 2003 2006 2009
Total 2010- 10,348 individuals
Total Numbers of Certified Specialists by Area
Wmen's 82 Electro 146
Cardio 148 Neuro 841
Sports 854 Peds 1011
Geri 1109 Ortho 6157
10%
1.5% 1.5%
11%
8%
8%
59%
1%
AgeAge - Certified Clinical Specialists
0% 10% 20% 30% 40% 50%
Under 30
Age 30-39
Age 40-49
50 and over
GenderGender - Certified Clinical Specialists
54%
46%
Female Male
Top 3 Work Settings:Certified Clinical Specialists
Private PT OfficeHealth system or hospital-based
outpatient facility or clinic Academic Institution
Top 4 Positions held by Certified Clinical Specialists
Supervisor/Director of PT Staff or Senior PT Sole Owner/Partner PT PracticeAcademic Faculty
Why do physical therapists become Board Certified Clinical Specialists?
Top Motivations to Pursue ABPTS Certification Proof of expertise in
specialty area Personal challenge or
achievement Professional career
goal Earn a credential that
reflects advanced practice to patients, physicians, & payers
Source: Survey of certified specialists (2007)
What is the impact of the board certification process on the specialists?
Specialists report that board certification has had a positive impact on . . . Sense of personal achievement Self-confidence & professional growthPatient care, including better outcomes Increased credibility with patients & referral
sourcesRecognition in clinical, academic and
community settings
Sources: Survey of certified specialists (2007)
How has board specialty certification influenced specialists careers?
Opened doors for professional growth Consultations Invited Presentations New job opportunities Leadership & service Teaching opportunities Research collaboration Networking
Do employers support the certification process?
Employer Support of ABPTS Certification 48% of employers pay at least some of the costs
associated with obtaining clinical specialization. Of these employers, 64% indicate that they
subsidize all the costs of obtaining specialist certification
Value expertise of specialist High patient care standards Serve as mentors for others Provide team leadership
Source: Survey of candidates (2007)
Value of ABPTS Certificationto Certified Specialists
79% report that certification is a indicator of clinical competence
90% report that certification is an indicator of depth and breadth of knowledge in an area of specialty practice
High rate (68%) of specialist choose to recertify
Source: Survey of certified specialists (2007)
Is there a Renewal Process for the Specialty Certification ?
Yes!! What is the process?
Maintenance of Specialty Certification
Currency of clinical practice and expertise in the specialty
Currency of advanced knowledge and skills in the specialty
Maintenance of Specialty Certification Process
Initial Certification is valid for 10 years.
To maintain the credential, a specialist must meet the requirements of maintenance of certification before his or her certificate expires
ABPTS has developed process for assessing currency and recertification standards
Ensures to the public the validity of advanced skills and expertise of the specialist
Purpose of Maintenance of Specialty Certification
To verify current competence as an advanced practitioner in the specialty area
Evaluation of professional development and clinical experience
To encourage ongoing education and professional growth
Maintenance of Specialty Certification Requirements
Direct patient care hours in specialty (2000 hr)
Professional Development Portfolio (PDP)
OR Current written examination
FUTURE MODEL Maintenance of Specialty Competency
Continued Competency Process in development
Professional Development Portfolio
Documentation of professional development activities and advanced clinical practice related to specialty practice since initial certification
Examples:√ Continuing Education courses√ Clinical Supervision√ College/University courses√ Teaching continuing education or college courses√ Research presentations (platform or poster)√ Presentations to professional groups, classes, or in-services√ Presentations to community or client-based groups√ Author or editor of book chapters, journal articles, grant
proposals√ Committee membership in professional organization√ Consultation
Board Certified Clinical Specialists
Professionals with clinical expertise Advancing our profession Making a difference in lives of our
patients
CCS, ECS, GCS, NCS, OCS, PCS, SCS, WCS
For more information contact
APTA
Residency/Fellowship & Specialist Certification Department
1111 North Fairfax Street
Alexandria, VA 22314
800/999-2782, ext 8520
http://www.apta.org/specialist_certification
Literature about Specialization or Specialists
Bryan J, Blake A. How do other health care professionals view specialist certification? PT Magazine. 2004;12(9):54-57.
Bryan J, Gill-Body K, Blake A. How employers view specialist certification. PT Magazine. 2003;11(1):50-51.
Thompson M. The role of higher education in the career paths
of board-certified clinical specialists in geriatric physical
therapy: implications for professional and post professional education. J Phys Ther Educ. 2001;15(2):10-16.
Literature about Specialization or Specialists
Hart DL, Dobrzykowski EZ. Influence of orthopaedic clinical specialist certification on clinical outcomes
J Orthop Sports Phys Ther. 2000;30(4):183-193 Milidonis MK, Godges JJ, Jensen GM. Nature of clinical
practice for specialists in orthopaedic physical therapy.
J Orthop Sports Phys Ther. 1999;29(4):240-247 Ellison J, Becker M, Nelson AJ. Attitudes of physical
therapists who possess sports specialist certification.
J Orthop Sports Phys Ther. 1997;25(6):400-406
Literature about Specialization or Specialists
Smith LC. The decision to specialize. 2001;9(6):52-59 Edmonds MM. What if? PT Magazine. 1999;7(4):44-49 Wynn KE. Why recertify? PT Magazine. 1996;4(11):68-70 Williams DO. Answering the bell: PTs & school sports.
PT Magazine. 1996;4(12):36-39 Woods EN. What’s so special about specialist certification?
PT Magazine. 1994;2(2):46-51 Ferrier MPB. One stage in professional evolution.
Clinical Management. 1991;11(2):66-70