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Orthopedic Physical Therapy Residency

The mission of the Fairview Orthopedic Physical Therapy Residency is to provide advanced clinical training and professional development in the field of orthopedic specialty patient care. Program graduates will gain the knowledge and skills to provide exceptional orthopedic patient care, learn to integrate evidence with clinical practice and serve as an advocate for physical therapy to consumers and colleagues in the communities we serve through education and community service.

The Fairview Orthopedic Physical Therapy Residency Program will:
1. Provide each resident with the advanced education and skills necessary to allow practice as a primary care specialist in orthopedic physical therapy.

2. Educate each resident in the advanced skills necessary for the analysis of relevant orthopedic scientific literature and the clinical application of evidence.

3. Educate each resident to contribute to the orthopedic PT knowledge base through a clinical research project or through a leadership track capstone project.

4. Promote advocacy of PT to consumers and colleagues in the communities we serve through education and community service.

5. Prepare each resident to obtain ABPTS board certification as a clinical specialist in orthopedic physical therapy.

Fairview Orthopedic Physical Therapy Residency
The Fairview Orthopedic Physical Therapy Residency is a post-professional clinical and didactic education experience designed for PT’s who wish to significantly advance their preparation as a specialty provider of orthopedic patient care services. It combines ongoing clinical mentoring with a theoretical basis for advanced practice and scientific inquiry. Not more than three Physical Therapists will be accepted into Residency each year. Two resident positions are available for our clinical research track. One resident position is available for our professional leadership track. This orthopedic residency is hosted within Fairview Health Services by the Institute for Athletic Medicine, and its strategic partner, OSI Physical therapy. Both are organizations that are dedicated to excellence in orthopedic care.

The Leadership Track and Research Track residents will all complete the same comprehensive Fairview orthopedic PT Residency clinical and didactic curriculum and experiences. The residents will each then participate in capstone/research project work based on the track they are enrolled in.

Program Graduates will:
* Develop advanced knowledge, clinical decision making and practical skills to succeed in orthopedic specialty Physical Therapy Practice
* Develop advanced professional and interpersonal skills necessary for successful interaction with caregivers and patients across the spectrum of orthopedic care
* Develop advanced skills necessary for the analysis of relevant orthopedic scientific literature and the clinical application of evidence.
* Promote advocacy of PT to consumers and colleagues in the communities we serve through education and community service.
* Contribute to the orthopedic PT knowledge base through a Research track clinical research project or Leadership track capstone project.
* Expand their preparation for board certification as an orthopedic clinical specialist in Physical Therapy

Our Orthopedic Physical Therapy residency includes:
* One to one clinical mentoring including shadowing and/or co-treating with wide range of content experts in orthopedic Physical Therapy.
* Didactic clinical education modules covering the full spectrum of content areas found within an orthopedic specialty practice.
* Skill development in orthopedic clinical practice areas including: examination, treatment interventions and clinical decision making.
* Advanced training in manual therapy for the spine and extremities including mobilization and manipulation techniques.
* Skill development in the use of evidence based practice, best practice guidelines and clinical prediction rules.
* Dedicated time and supportive resources for research and community service projects.
* Participation in lecture and/or practical laboratory teaching of orthopedic content to local university DPT and or PTA students and to physician residents
* Specialty clinician (MD, PT, OT, DC) shadowing and clinical practice/surgery observation
* Practice and professional interaction with a wide variety of orthopedic care providers
* Weekly mentoring meetings for clinical case discussion and two way performance feedback
* Participation in monthly Grand Rounds conferences and presentation of one grand rounds conference during the residency
* Participation in evidence based journal club meetings. Literature discussion and article presentation at each meeting.
* Opportunity for participation in IAM specialty orthopedic programs including the Back in Balance Program, the Throwing program, the Running program, the Dance Program, the Next Step return to sport program, the Golf program.
* Attendance at the annual two-day Twin Cities Marathon Conference – October
* Attendance at the annual two-day Current Concepts in Sports Medicine Conference - Spring
* Preparation for taking the OCS exam.

Residency Weekly Hours (may vary throughout the year)
* Direct patient care: 20
* 1:1 supervision/mentoring: 6-10
* Classroom instruction:2-4
* Laboratory Instruction: 1-2
* Physician shadowing/surgical observation: 2-4
* Research/community service project: 4
* Weekly resident/faculty meeting: 1

Salary and Benefits
Each Resident is currently paid at an hourly rate of $19.03 per hour, a salary of $39,582 for the residency year. Each resident is provided access to full health, dental, liability, disability insurance benefit and two weeks paid time off as per Fairview Health Service employee standard

Tuition
There is no tuition or fee involved with the residency

Resident Evaluation
Residents are evaluated throughout the year in a number of ways, in accordance with recommendations made by the American Physical Therapy Association (APTA). These evaluations are used to improve the Residents’ performance and strengthen the curriculum:
* Quarterly 360 Degree Evaluation by faculty and other staff who interact with them (Residency faculty, clinical and administrative staff) via New Innovations, an online evaluation tool. A similar evaluation tool, completed by the Residents, provides feedback about faculty, the curriculum and Resident structure
* Completion of learning experience and residency activity logs with discussion of progress and content.
* Clinical Case Presentation at Grand Rounds Conference.
* Evidence-Based Journal Club Presentations – two annually
* Quarterly Case/Record Review by faculty - a review of patient records and comparison of findings against accepted patient care standards.
* Live patient exams assessing knowledge of procedural skills.
* Completion of residency track capstone project:
o Research Track Project: Novel project or participate in ongoing FV research project, or other scholarly orthopedic clinically based project
o Leadership Track Project: clinically based leadership, engagement, process improvement, staff development, or other orthopedic clinically related capstone project
* Completion of a Community-based orthopedic health Project or completion of scheduled community service clinic hours.
* Individualized Learning Plan - Residents identify three learning objectives for the year and strategies to achieve them. This plan will be revised at six-months and at conclusion of the Residency.

Core Components of the residency
* Clinical practice including 1:1 mentoring and independent clinical practice focusing on the following clinical components:
o Examination
o Evaluation
o Diagnosis
o Prognosis
o Intervention
o Management of a patient
* Completion of an orthopedic health based community service health project
* Patient education
* Research
* Supervision of other health care providers

Length of Residency
One year appointment beginning August 1st of each year, ending on July 31st of the following calendar year.

Accreditation:
Accredited by the American Board of Physical Therapy Fellowship and Residency Education through August 31st 2017. Reaccreditation through ABPTRFE is underway.

Application Process
Applications to the Fairview Orthopedic Physical Therapy Residency are carried out via RF-PTCAS via the ABPTFRE website. Application must be received on or about the last week of February of each calendar year for the next year’s residency class. Specific application deadline date is found on the RF-PTCAS website.

Required application content is detailed on the RF-PTCAS website and will include the following items:

* Cover Letter of application with submission of complete applicant contact information

* Curriculum Vitae including academic achievement and work history

* Completion of essay questions submitted online via RF-PTCAS website essay describing your reasons for, and interest in pursuing this orthopedic residency. Describe the goals you plan to achieve by completing residency. Describe any particular research interest you may have.

* Provide three letters of recommendation. One must be from a professional colleague or work supervisor

Selected candidates will be invited to participate in an interview process

Applicant must be licensed to practice Physical Therapy in Minnesota

Acceptance into the program is provisional pending the candidates meeting all conditions of employment with Fairview Health Services and the Institute for Athletic Medicine/OSI Physical Therapy.

Direct any and all correspondence to:
Fairview Orthopedic Physical Therapy Residency Program
Attn: Paul Breyen MA, PT, OCS, Cert. MDT
The Institute for Athletic Medicine
14101 Fairview Drive, #300
Burnsville, MN. 55337
952-460-4457 Pbreyen1@fairview.org

Leadership Track Information
The Leadership Track residency position within the Fairview orthopedic PT residency program is designed to develop future leaders of our profession through additional leadership and business management training opportunities and planned learning. This leadership track position goes beyond the comprehensive orthopedic clinical practice training in residency by developing reflective, collaborative, and innovative PT practice and leadership skills. This position fits within the larger mission of the Fairview Orthopedic PT Residency program. Our mission is to provide advanced clinical training and professional development in the field of orthopedic specialty patient care. Our Leadership track allows the resident to gain the knowledge and skills necessary to provide exceptional orthopedic patient care, learn to integrate evidence with clinical practice, and serve as an advocate for physical therapy to consumers and colleagues in the communities we serve through education and community service.

Leadership Track Project:
Each resident accepted to the leadership track of the FVOPTR will develop, with the assistance of the Residency Director, Residency Faculty, and Clinical Mentor a capstone project to satisfy the leadership track requirements of the residency. The leadership capstone project is an opportunity for the resident to perform data gathering, data analysis, and data synthesis in order to present a thorough capstone report and presentation for local practice leaders and managers. Each capstone option correlates to real life topics or challenges practice owners, leaders, and managers face in today’s rapidly changing market.

Research Track Project:
* Each resident accepted to the research track of the FVOPTR will develop, with the assistance of the Residency Director, Residency Faculty, Clinical Mentor, and the Residency Research Consultant, a research project or scholarly project that satisfies the residency mission and goal of advanced preparation for analysis of, and contribution to, orthopedic scientific literature and the clinical application of evidence. Each resident will choose one of two options to satisfy the research component of the residency.

Option 1 – Novel Project:
Residents will select, develop, and carry out one novel research project during the Residency in their area of interest. Fairview encourages Residents to develop a project that can be completed within the Residency year. Residents will write a research proposal to include: title page, abstract, cost and resource analysis, introduction, literature review and preliminary observations, research design and methods, informed consent and ethical considerations, references. The proposal should be submitted to the Research Committee for review by the end of the second week of September during a given residency year.

Residents will be required to submit their research proposal to the appropriate Institutional Review Board (IRB) for approval before research is initiated.

Option 2 – Collaborative Project:
Residents will join a Fairview or partnering organization’s research project that is already on-going. In this project, the Resident must be one of the principle investigators and have responsibilities that include, but are not limited to: subject recruitment, data collection, statistical analysis, IRB approval, writing up the research. In addition, the Resident must write and submit for publication a manuscript/review of the topic being investigated. The manuscript/review paper must be ready to submit for publication by the last business day in June of a given Residency year.

The research will be presented to Residency faculty in July and evaluated by residency faculty on the following parameters: completeness and relevancy of literature review, methodology, statistical analysis, results, clinical implications and application to the orthopedic community, and the presentation of the research study.
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