1. Going to Scale A National Rehabilitation Scholarship Model Angela Rosenberg, DrPH, PT l

2. “In theory there is no difference between theory and practice; in practice, there is”  Variously attributed to  Jan La Van De Snepscheut or Albert Einstein or Yogi Berra

3.  Academic-NFP Organization Partners  Joint decision-making process  Non-ownership  Creating a “new culture”  Community of Practice ◦ Education and Training ◦ Clinical Practice ◦ Research ◦ Advocacy and Fundraising

4.  Neurology ◦ Sensory-motor ◦ Balance ◦ Proprioception  Orthopedics ◦ Gait ◦ Assistive devices ◦ Orthotics

5.  Radiography and Pharmacology ◦ MRI ◦ Current and emerging drug therapies  Cardiopulmonary ◦ Fatigue ◦ Breath control ◦ Exertion Assessment and QOL Scales

6. ◦ Curriculum Model  Tier One: Faculty and Chapter  Tier Two: Volunteer Leadership Team  Tier Three: Scholars  Tier Four: Individuals with Diagnosis/Family members  Tier Five: Other practitioners and community members

7. ◦ Education  Increased numbers of graduates with specialized knowledge and skills  Scholarship funding  Increased awareness by interdisciplinary mentor- practitioners  Increased knowledge dissemination through scholarly products  Enhanced curriculum opportunity for all students

8. ◦ Clinical Practice  Increased numbers of physical therapists with specialized knowledge  Increased skills and knowledge: increased # of publications, participation in local/regional/national forums related to PT clinical relevance/MS  Increased awareness of community of interdisciplinary practitioners  Increased level of clinical competency of graduates (post and CMSC certification post 1 year)  Enhanced practice of local/regional/state PT’s and Directory of PT’s with specialized knowledge

9. ◦ Research (Post 5-10 years of program)  Increased numbers of rehabilitation professionals with specialized knowledge  Increased discipline specific clinical research  Increased research collaboration with interdisciplinary practitioners  Increased clinical research grants by discipline related to specific diagnosis  Enhanced rehabilitation techniques due to increasing evidence-base

10.  Service and Advocacy  Increased numbers graduate sponsored activities and fundraising  Increased scholar learning opportunities (e.g. Scholar participation on Chapter Board, CAC)  Scholar support for NFP fundraising and advocacy efforts (e.g. MS Walk)  Scholar – Chapter education and training (e.g. Speakers at State Conference, Book Reviews)  Increased interdisciplinary collaboration  Increased knowledge dissemination (Scholar fundraisers)  Enhanced service opportunities for all students

11.  First implement then scale-up with attention to science and practice  Requirements ◦ Practice Level (Chapter Staff, Academic Faculty, Community MS Practitioners, National Course Facilitators) ◦ Organizational Level (MS Society Chapters and Directors, Chapter Volunteer Committee, NMSS, Clinical Advisory Committee, University / College) ◦ System Level (Funders, NMSS Support, Regulatory Bodies)

12. PT/MS Scholars Community Support MS Society Chapter Endowment or Funding PT Academic Program

13. Individual endowment MS Chapter/NMSS University In-kind MS Chapter/ Volunteer Committee PT Program Academic Support Faculty mentor(s) MS Clinical Advisory Committee Community of Practice PT Academic Program FundingMS Chapter

14.  Adopt what we know  Clear and standardized implementation path  Ensure fidelity and good outcomes  Ensure fidelity despite staff/volunteer turnover

15.  Receptive University/Academic PT Program ◦ Dean/Director Support ◦ Faculty support and mentorship ◦ Faculty “Champion” ◦ Receptive ACCE ◦ Academic Public Relations ◦ Academic Fundraising / Foundation ◦ Receptivity to MS Chapter partnership

16.  Receptive MS Chapter ◦ Rehabilitation need in community ◦ Receptive Chapter director and staff ◦ Chapter “designated” PT volunteer committee ◦ Chapter Clinical Advisory committee link ◦ Chapter Public Relations/ Material development ◦ Receptive to academic partnership

17.  Receptive Community of MS Clinical Practitioners ◦ PT ACCE Faculty liaison to UNC Core ◦ Chapter Clinical Advisory committee ◦ Available community of MS Clinical mentors ◦ Receptive interdisciplinary practice mentors (e.g. Neurologists, Nurse Practitioners) ◦ Receptive PT clinical affiliation sites

18.  Receptive Community of MS Clinical Practitioners ◦ Chapter Sponsored Clinical Advisory Committee ◦ ACCE and Clinical affiliate sites both local/national  Fundraising Campaign ◦ Development plan ◦ Public Relations plan ◦ Academic and Organizational development partnership ◦ Service and Specialized funding opportunities

19.  Implementation is not achieved by doing more or better research on the model  The usability of the model has to do with the “fit” and commitment of the new site with the anticipated outcomes of the original program ◦ The outcomes of the UNC MS/PT Scholars program does help a program decide whether they have the ‘right combination’ to implement ◦ Evidence of UNC success does not equal success of new programs

20.  A Purveyor ◦ An individual or group of individuals representing a program or practice who actively work to implement the initiative with fidelity and good effect ◦ Purveyors accumulate data and experiential knowledge and become more effective and efficient over time

21.  Excellence in: ◦ Diffusion and dissemination of information ◦ Training of mentors and clinical preceptors ◦ Curriculum elements and support(s) ◦ Policies and financial support

22. Evaluated Model : UNC MS/PT Purveyor: NFP Organization And Academic Partner Scholarship Program Engaged practice community Enhanced rehabilitation services and research

23. Successful Scholarship Model Purveyor Fidelity and Outcome Measures Evidence- based Model

24.  Physical Therapy / MS Scholarship  Curriculum Link  Fundraising Links  Videos and You-Tube links  Educational Links  Other