Greg Massie, PT, DPT, OCS Developing Leadership Skills for Clinical Practice Through Residencies and Specialty Certifications

Learning objectives Understand the benefits of completing a residency and board certification Explain habits of effective individuals as it relates to career development Identify leadership traits that can be applied to achieving academic and professional goals

Bio Education Credentials Professional Doctor of Physical Therapy Misericordia University Orthopaedic Physical Therapy Residency St. Luke’s University Healthcare System Certificate in Executive Healthcare Leadership Cornell University Credentials Board Certified in Orthopaedic Physical Therapy APTA Credentialed Clinical Instructor Professional Facility Director Physical Therapy at St. Luke’s Residency Faculty Member Alumni Board Member

“The greatest leader is not necessarily the one who does the greatest things. He is the one that gets the people to do the greatest things.” Ronald Reagan

What is a PT residency? Occur after receiving a license to practice Can use temporary license Not to be confused with an “internship” Program requirements Minimum of 1,500 hours 9-36 months to complete http://www.abptrfe.org/ResidencyPrograms/About/ http://www.abptrfe.org/ResidencyPrograms/About/

Residency Overview 233 Accredited residency programs All residents must have At least 150 hours of 1:1 mentoring 75 hours of didactic instruction Written and live practical examinations Focused specifically to specialty area http://www.abptrfe.org/ResidencyPrograms/Overview/ http://www.abptrfe.org/ResidencyPrograms/Overview/

Residency Specialties Acute care Cardiovascular and Pulmonary Clinical Electrophysiology Geriatrics Neurology Orthopaedics Pediatrics Sports Women’s Health Wound Care Management http://www.abptrfe.org/apta/abptrfe/Directory.aspx?navID=10737432672 http://www.abptrfe.org/apta/abptrfe/Directory.aspx?navID=10737432672

My Residency experience St Luke’s University Healthcare System (SLUHN) Allentown/Bethlehem, PA One year program beginning in January or July Specifics 4 hours of 1:1 hands-on mentoring each week 4 hours of classroom/lab 5 hours of experiential learning, research & inter-professional collaboration 29 hours of clinical practice

Residency and Leadership Confidence Increased knowledge base of current evidenced based practice “Go to” clinician regarding complex patient cases Opening of career doors

Real life example of Residency and Leadership Almost 90% of the graduates from SLUHN Orthopaedic Physical Therapy Residency have moved into either a director or senior clinician role

St. Luke’s residency contact information Stephen Kareha, PT, DPT, OCS, ATC, CMP, CSCS Program Director 501 Cetronia Rd., Suite 145, Allentown, PA 18104 P: (484)-426-2544 F: (484)-426-2444 Stephen.Kareha@sluhn.org

Board certifications “The specialist certification program was established to provide formal recognition for physical therapists with advanced clinical knowledge, experience, and skills in a special area of practice and to assist consumers and the health care community in identifying these physical therapists.” http://www.abpts.org/Certification/About/

Specialty areas Cardiovascular and Pulmonary Clinical Electrophysiology Geriatrics Neurology Orthopaedics Pediatrics Sports Women’s Health

Eligibility Option A Option B Evidence of 2,000 hours of clinical practice 25% must have occurred in the past 3 years Option B Completion of an APTA residency in specialty area within the past 10 years

Current specialty statistics As of June 2016, there were 20,144 certified specialists http://www.abpts.org/About/Statistics/

What does board certification require? In-depth knowledge of evidenced based practice in a specific area Advanced clinical decision making and reasoning Commitment to learning

Impact on personal practice Survey of clinical specialists had the following responses 83% report increase in prestige in clinical setting 68% report increase in prestige in academic setting 86% report an increase in self confidence 72% report increase in personal fulfillment http://www.abpts.org/ForSpecialists/Marketing/ImpactofSpecialistCertification/

Which option is better? http://www.abptrfe.org/Residency/About/Benefits/

Specific pass rates http://www.abptrfe.org/Residency/About/Benefits/

Importance of effectiveness Patient satisfaction Productivity standards Interprofessional approach CONFIDENCE

Leadership and Physical Therapy The 7 Habits of Highly Effective people Stephen R Covey Transitions Dependence Independence Interdependence Book moves readers through phases that we can directly relate to the transition of PT school to post graduate practice and leadership Dependence – Relying on others Independence – make our own decisions and take care of ourselves Interdependence – work together to achieve things that cannot be achieved independently

Habits Being Proactive Begin with the end in mind Put first things first Proactive – taking the bull by the horns mentality – using resourcefulness to solve problems. Change life through things you can influence rather than external forces Begin with the end in mind – where do you want to be, what do you want to end up doing? First things first – ID key roles and make time for them. Make a plan and stick to your plan

Habits continued Think Win/Win Seek first to understand, then to be understood Synergize Sharpen the saw W/W – Find relationships that are mutually agreeable and seek them out. Don’t reward win/lose relationships Understand – effective listening, put yourself in the other persons perspective listening for feeling and meaning Synergize – listen, leverage differences to make the whole greater than individual Saw – continue to grow, continue to refine your skills

Putting it all together How do the habits relate to: Residency? Board certifications? Professional and personal leadership?

Questions???