Professionalism: Developing Learners, Workers and Citizens for

the Future

Julie Gahimer PT, HSDProfessor, Physical TherapyUniversity of Indianapolis

July 18, 2014COBEC Conference

pro·fes·sion·al·ism

noun \prə-ˈfesh-nə-ˌli-zəm, -ˈfe-shə-nə-ˌli-\ : the skill, good judgment, and polite behavior that is expected from a person who is trained to do a

job well

21st Century…

Learner?

Worker?

Citizen?

“Learner”

• Values Inventory Assessment (VIA free tool)• Professional Development Project (Samples)• Class Code of Professional Conduct• Cultural Competence

Values Inventory Assessment (VIA)

Professional Development ProjectPTPP 538 Interprofessionalism

Make a graphic representation (i.e. something you could put up on your wall) of your mission, philosophy, goals, and plan. You can utilize concept maps, Inspiration 7.6 software, tables, or any other graphic organizer. Be creative, and make this a tool you will LIKE to use! Develop 1- year and 5- year professional goals. How do these goals fit within the context of the goals of your work setting (i.e., your employer, corporation etc.) and your personal life (family, home, spiritual etc.)? Develop a plan that meets these goals. Integrate the following topics from this course within your plan: Contemporary Health Care System, Ethical Decision Making, Professionalism and Professional Behaviors, Cultural Competence, Novice to Expert, Evidence-based Practice, The Future, other areas of interest

One Year Goals Five Year GoalsProfessional Development Plan

Mission Golden Rule Philosophy Mission• Highest standard of practice• APTA vision 2020• Evidence-based practice• Develop state of the art PT/OT gym• Advocate for patients and PT. Dept. needs

• Treat people with dignity and respect• Ensure individualized treatment programs• Promote cultural competence• Develop a formal mentoring program• Foster a learning environment for PT staff/students• Patient advocacy within the changing healthcare system• Compassion and altruism

• Excellence • Commitment• Professional Duty• Promoting health and wellness• Evidence- based practice

ProfessionalismProfessionalism tDPT Student DPT Graduate• Complete 3 DPT courses• Provide 5 basic NDT workshops for novice PT/OT therapists• 1 guest lecture or presentation on TBI• Volunteer in sports clinics for high school/ SIU athletes

• DPT with direct access• Clinical decision making• Provide routine guest lectures/ presentations on TBI• Become Clinical Director at CCS• Publish an article in a PT journal

DPT Class 2011 CODE OF PROFESSIONAL CONDUCT

•

• Be accountable to myself and others – Be reliable, trustworthy, and respectful in class and in groups– Demonstrate responsibility and integrity with learning

• Adhere to the highest standards– Eager to learn; active in the learning process– Demonstrate creativity and flexibility– View learning opportunities as positive experiences– Willing to take risks for learning; push yourself

• Respect different perspectives– Respect individual differences and opinions– Value the benefit of a well-rounded education– Be open-minded to other viewpoints

• Facilitate a supportive environment– No classmates left behind– Accept and provide praise and constructive feedback– Collaborate with and mentor peers and others– Communicate openly with peers and faculty– Create an environment where we can learn and take risks

• Promote the school, program and profession– Volunteer work– Clinical experiences

• Maintain a personal balance – Have a sense of humor– Relax and have fun– Become ridiculously good at 9-square!!

Class Code of Conduct KSPT Class of 2012

• “Golden Guidelines”We, the KSPT Class of 2012 has established that we will strive to demonstrate the following values in our daily lives as students. We commit to:

Active engagement in the learning processSelf-motivation; willingness to ask questions and try new things; curiosity and a love of learning; willing to

take risks; learn from mistakes and move on; love what you doValuing what others have to teach us

Open-minded to new ideas; willing to learn from others; respecting the contributions of others; listen well; seek constructive feedbackShowing respect, caring and compassion for others

Sensitive of others needs, appreciating differences in othersSupporting each other

Be a team player; help classmates and peers; be approachable; hold each other accountable; give constructive feedback to othersMaintaining a balance in life

Have fun; laugh; take a break when needed; optimism throughout

Cultural Competence (Purnell Model)

“Worker”

• Core Values of the APTA• Generic Abilities/Inabilities of the APTA• A Hog on Ice and Other Curious Expressions• Steven Covey’s Maturity Continuum• Generational Differences• The Fish Philosophy• United States Department of Labor Activities• All I Ever Need to Know I Learned in Kindergarten

Core Values of the American Physical Therapy Association

• Accountability• Altruism• Compassion/Caring• Excellence• Integrity• Professional Duty• Social Responsibility

Generic Abilities (May, 1997)1.Commitment to Learning

The ability to self-assess, self-correct, and self-direct; to identify needs and sources of learning; and to continually seek new knowledge and

understanding.2. Interpersonal Skills

The ability to interact effectively with patients, families, colleagues, other health care professionals, and the community and to deal effectively with cultural and ethnic diversity issues.

3. Communication Skills The ability to communicate effectively (i.e., speaking, body language, reading, writing, listening) for varied audiences and purposes.

4. Effective Use of TimeThe ability to obtain the maximum benefit from a minimum investment of time and resources.

5. Use of Constructive FeedbackThe ability to identify sources of feedback and seek out feedback and to effectively use and provide feed back for improving personal interaction

Generic Abilities (May 1997)6. Problem Solving

The ability to recognize and define problems, analyze data, develop and implement solutions, and evaluate

7. ProfessionalismThe ability to exhibit appropriate professional conduct and to represent the profession effectively.

8. ResponsibilityThe ability to fulfill commitments and to be accountable for actions and outcomes.

9. Critical ThinkingThe ability to question logically; to identify, generate, and evaluate elements of a logical argument; to recognize and differentiate facts, illusions,

assumptions, and hidden assumptions; and to distinguish the relevant from the irrelevant.10.Stress Management

The ability to identify sources of stress and to develop effective coping behaviors.

Factors that Contribute to Generic Inabilities

• Silence

• Misunderstanding of Motivations

• Academic and Clinical Education Disparities

• Anti-Role Modeling Behavior

A Hog on Ice and Other Curious Expressions

• On one’s high horse• Take the bull by the horns• Wear one’s heart on one’s sleeve• Put the cart before the horse• Small fry• To get cold feet• To rain cats and dogs• To break the ice• To go scot free• To hold the bag

• An Achilles heel• Till the cows come home• To turn the tables• In hot water• To sweat blood• A big shot• The lion’s share• Between the devil and the deep blue

sea• To split hairs• The spill the beans• To bark up the wrong tree

The Maturity ContinuumSteven Covey

The Four Generations

Boomers

34%

Gen Xers18%

Millenials33%

Silents15%

Silents (1933-1945) Gen X (1965-1976)

Boomers (1946-1964) Millennials (1977-1998)

Generational Differences

1940s

23

1950s

24

1960s

25

1970s

26

1980s

27

1990s

28

2000s

29

Fish Philosophy• BE THERE

– The power of active listening• CHOOSE YOUR ATTITUDE

– Leave problems at home, share stories• MAKE THEIR DAY

– Acts of kindness• PLAY

– Grounded in the concept of possibilities, we only use 4 buttons on the remote with 150 functions

– Natural energy is impossible to resist

United States Department of LaborProfessionalism Activities

• Communication

• Enthusiasm/attitude

• Teamwork

• Networking

• Problem solving/critical thinking

All I Really Need to Know I Learned in Kindergarten, Robert Fulghum

1. Share everything.2. Play fair.3. Don't hit people4. Put things back where you found them.5. CLEAN UP YOUR OWN MESS.6. Don't take things that aren't yours.7. Say you're SORRY when you HURT somebody.8. Wash your hands before you eat.9. Flush.10. Warm cookies and cold milk are good for you.11. Live a balanced life - learn some and drink some and draw some and paint some and sing and dance and play and work everyday some.12. Take a nap every afternoon.13. When you go out into the world, watch out for traffic, hold hands, and stick together.14. Be aware of wonder. Remember the little seed in the Stryrofoam cup: The roots go down and the plant goes up and nobody really knows how or why, but we are all like that.15. Goldfish and hamster and white mice and even the little seed in the Styrofoam cup - they all die. So do we.16. And then remember the Dick-and-Jane books and the first workd you learned - the biggest word of all - LOOK.”

“Citizen”

• 7 Dimensions of Wellness• The Eight Irresistible Principles of Fun• The Value of Time• Lifelong Learning

The 7 Dimensions of Wellness

The Seven Dimensions of Wellness

“Your” 7 Dimensions of Wellness

1. Physical2. Emotional3. Spiritual4. Intellectual5. Psychological6. Social7. Environmental

Physical Wellness

Brain Rules, John Medina, 2008

Emotional Wellness

One Small Step Can Change Your LifeRobert Maurer, 2014

• Think small thoughts• Think small actions• Solve small problems• Bestow small rewards• Identify small moments

The Kaizen Philosophy

• Kaizen means "improvement"• Japanese workplace philosophy which focuses

on making continuous small improvements • The philosophy involves everyone in an

organization• Kaizen urges everyone to make never-ending

efforts for improvement

One Small Step Can Change Your LifeRobert Maurer 2014

Spiritual Wellness

The Rhythm of LifeMatthew Kelly, 2004

• The “classroom of silence” can be deafening

• Being the “best version of yourself”• Life changes when our habits change• “Carefree timelessness”

Intellectual/Vocational Wellness

Information Overload• “What information consumes is rather

obvious: it consumes the attention of the recipients. Hence, a wealth of information creates a poverty of attention”

Herbert Simon, the late Nobel laureate economist

Your Attention PleasePaul B. Brown, 2006

• Information age is only about 30 years old• Can barely remember a time before personal

computers, PDA’s, digital cable, TiVo, ipods, ipads, cellphones and all of the other devices that bring us a constant flood of data

• Overloaded with information: email, texts, voicemail, tweets, Facebook messages, memos, newspapers, radios, television, ………

Attention Dysfunctions and Ailments of Our Time

1. Multitasking mania- everything is being speedily and simultaneously accomplished, while the reality is that nothing is being done2.Hyperchoice syndrome- so much stuff, so little substance: information has become like junk food, brightly colored pieces of sugar, with absolutely no nutritional value (M&M) 3.Information anxiety- inability to deal with, understand, manipulate, or comprehend the epidemic of data that increasingly dominates our life4.Attention deficit trait- brain overload, distractibility, inner frenzy, impatience5.ADHD- recognized by the American Psychiatric Association, more than 8 million Americans

Psychological Wellness

A Whack on the Side of the HeadRoger Van Oech, 1992

1. The Right Answer 2. That's Not Logical 3. Follow the Rules 4. Be Practical 5. Play is Frivolous 6. That's Not My Area 7. Don't Be Foolish 8. Avoid Ambiguity9. To Err Is Wrong 10. I'm Not Creative

Social Wellness

The Fred FactorMark Sanborn, 2004

• Postman who delivers exceptional customer service

• Everyone makes a difference• Success is built on relationships• You must continually create value for others• You can re-invent yourself regularly• “Being a Fred”• “Identifying Fred’s in your life”

Environmental Wellness

Choosing CivilityPM Forni, 2002

1.Pay attention to others and listen attentively2. Speak kindly to and of others and do not speak ill3. Consider how what you say, and how you say it, will affect others.

We want to share with our readers some Irresistible Principles of Fun. Read this presentation and more………

Eight Irresistible Principles of FunMichael Bungay Stanier

1. Stop hiding who you really are.2. Start being intensely selfish.3. Stop following the rules.4. Start scaring yourself.5. Stop taking it all so damn seriously.6. Start getting rid of the crap.7. Stop being busy.8. Start something.

Time• Telling time• Time flies when you are having fun• The best of times• The worst of times• In my time• Being on time• Time and time again• One step at a time• Hard times• Good times• Time saver• Time-clock• What time is it?• Time heals all wounds• There is no time like the present

Time• I don’t have time• The time is right• Time changes things• Remember the time• Loosing time• Take the time• Time is money• Running out of time• Wasted time• Time heals all wounds• Make good use of your time• Killing time

Places To Educate Yourself• MIT, Tufts, Harvard Medical, Yale, Open

Courseware• Khan Academy• Itunes U• YouTube.edu• TeacherTube• SlideShare

Mark Twain said it well……..