Physical Therapy Pro Bono Services: Not Just Free Therapy
Objectives
1. Identify examples of pro bono services currently offered in physical therapy programs
2. Describe a student-run model
3. Identify strengths and weaknesses of a student-run model
4. Identify ways in which physical therapist programs might meet community & student needs in a legal, ethical, and collaborative manner
Presenters
• Jill Black – Associate Professor & Pro Bono Services Coordinator
• Tim Golder – 2nd year DPT student & Clinic Coordinator on the Student Board
• Tyler Suruskie – 2nd year DPT student & Outcomes Coordinator on the Student Board
• Kerstin Palombaro – Associate Professor & Community Engagement Coordinator
• Daria Porretta – 2016 graduate & former Clinic Coordinator on the Student Board
• Ellen Erdman – Clinical Assistant Professor & Director of Clinical Education
• Robin Dole – Associate Dean & Program Director
Outline Intro & overview of the prevalence & characteristics of
pro bono physical therapy service in physical therapy programs (Black)
The student-run pro bono clinic model (Golder)
Clinic outcomes & the client experience (Suruskie)
Experience of the student leaders & new graduates (Palombaro)
Impact on student performance in first full-time clinical experience (Porretta & Erdman)
From the perspective of the program director (Dole)
Future Vision (Golder)
Panel discussion with Q & A (30 minutes)
Intro & Overview
History of Professional Pro Bono Service
• The Law Profession
• The Medical Profession
• The Nursing Profession
• The Physical Therapy Profession
Pro Bono Publico
Charity vs. “For the Public Good”
Toxic Charity
• Give once and you elicit Appreciation
• Give Twice and you create Anticipation
• Give Three times and you create Expectation
• Give Four times and it becomes Entitlement
• Give Five times and you establish Dependency
Lupton R., Toxic Charity, p. 130.
PT Pro Bono Model National Survey
• Background
• Methodology
– The Survey
• Respondents
• Findings
• Discussion
• Next Steps
A Student-Run Model
Student
Clinic
Coordinator
Operations
Coordinator
Health &
Wellness
Coordinato
r
Physician
Marketing
Officer
Funds
OfficerClient
Advocate
Alumni /
Supervisor
Relations
Student
Scheduler
Licensed Faculty
and PT
Supervisors
Providing clinical
supervision of
students
Faculty
Board
Overseeing Student
Board
administration
Social
Media
Marketing
Officer
CLINIC ORGANIZATIONAL MODEL
Outcomes
Coordinator
Conference
Chair
National
Honor
Society Chair
DPT Students
working with
clients in the
clinic
STUDENT BOARD
Constituent Advisory Board
Clinic & Client Outcomes
Developing & Enhancing Tracking Mechanisms
Clinic Stats Over Seven Years
YEAR 1st 2nd 3rd 4th 5th 6th 7th Totals#ClientVisits
297 422 845 871 1003 842 924 5204
#NewEvals
25 50 60 70 63 58 53
#Sup 12 20 25 28
32 30 25
%Students
34% 66% 78% 100% 100% 100% 100% 700students
MedicareEquiv$
$139,068.83 $116,635.47 $127,287.30 $384,000.00
Additional Tracking
• Client Race / Ethnicity
• Zip Code
• Diagnoses
• Referral Source
• # of visits before discharge
• Costs that would have been billed
Client Experience
• Client Satisfaction Survey
• Client Outcome Measures• Phase I
• Phase II
• Client Video
Evolution of Grand Rounds
• Response from Client Satisfaction Surveys
• Designed and proposed by Class of 2015 Student Board
• Piloted by Class of 2016 Student Board
• Outcomes Project Class of 2016 Student Board
• Published manuscript December 2016
• Recent additions & changes
An Investigation of the Influence that Service in a Pro Bono Clinic has on a First Full Time Clinical Education Experience
Daria Porretta, SPT, Jill Black, Ellen Erdman,
Kerstin Palombaro
Published December 2016
Impact on Full-Time Clinic Experience
• Background
• Methodology
• Participants
• Data Collection
• Data Analysis
• Themes
• Discussion
• Next Steps
The Student Leadership Experience as Students & as New Professionals
Student Experiences in Creating & Launching a Student-Led Physical Therapy Pro Bono Clinic
• Background
• Methodology
• Participants
• Findings / Themes
• Discussion
• Next Steps
New Graduate Perceptions of How Their Previous Student Board Experience Has
Impacted Their Early Professional Career
• Introduction
• Survey
• Findings
• Discussion
• Next Steps
From the Perspective of the Program Director
Program Director Perspective
• Students
• Curriculum
• Alumni
• Program
• Community
• University
• Profession
Pursuit of a New Vision….
2017 Eastern Regional Conference 2017 Western Regional Conference
Seattle, WAApril 8th-9th, 2017
Philadelphia, PAMarch 10th-11th, 2017
Visit www.chestercommunitypt.com/pt-pro-bono-newtorkWatch for Call for Proposals and Registration
beginning in September 2016Both are sponsored by the Physical Therapy Pro Bono Network
and partially powered by:
Keynote SpeakerDr. Sue Klappa
Thank You
References
• Black JD, Palombaro KM, Dole RD. Student experiences in creating and launching a student-led physical therapy pro bono clinic: a qualitative investigation. Physical Therapy Journal. 2013;93(5):637-648.
• Darnell JS. Free Clinics in the United States: a nationwide survey. Arch Intern Med. 2010;170(11):946-953.
• Lattanzi JB, Pechak CM. Educating globally-minded physical therapist students: curriculum strategies to equip the next generation. Journal of Physical Therapy Education. 2012; 26(1):55-60.
• Palombaro KM, Dole RL, Black Lattanzi, J. A case report of a student-led pro bono clinic: a proposed model for meeting student and community needs in a sustainable manner. Phys Ther. 2011:91(11);1627-1635.
• Smith S, Thomas R, Cruz M, Griggs R, Moscato B, Ferrara A. Presence and characteristics of student-run free clinics in medical schools. JAMA. 2014;312(22):2407-2411.
• Black JD, Bauer K, Spano G, Voelkel S, Palombaro KM. Grand Rounds: A method for improving student learning and client care continuity in a student-run physical therapy pro bono clinic. International Journal for the Scholarship of Teaching and Learning. In press.
• Porretta DC, Black JD, Erdman EA, Palombaro KM. An Investigation of the Influence that Service in a Pro Bono Clinic has on a First Full Time Clinical Education Experience. Internet Journal of Allied Health Sciences and Practice. In press.
Contact Information
• Jill Black –[email protected]
• Tim Golder – [email protected]
• Tyler Suruskie – [email protected]
• Kerstin Palombaro –[email protected]
• Daria Porretta – [email protected]
• Ellen Erdman – [email protected]
• Robin Dole – [email protected]