Connection between Residency and a “Culture of Excellence” in a Highly Specialized Area of Rehabilitation
Purpose: There is incredible value in clinicians sharing best practice approaches to elevate the expertise of therapists committed to meeting the diverse needs of persons with spinal cord injury/dysfunction (SCI/D). Research reveals that experts’ knowledge is organized around four core concepts that guide their thinking: curriculum, instruction, assessment, and professional development. Implementation of a focused SCI/D curriculum incorporating these principles will not only engage the learner but enhance the skills of the mentor to elevate an entire staff for a successful professional development experience.
Methods/Description: Our center is one of only five centers in the country to have both SCI Model Systems designation and an APTA credentialed neurologic residency program consisting of varied components designed to advance clinical expertise. Multi-modal educational opportunities enhance the educational experience for all involved. Collaborative learning occurs through active participation in interdisciplinary specialty clinics, structured competency-based lab experiences, and exposure to advanced technology, including robotics and functional electrical stimulation. Utilization of evidence-based training in ISNCSCI classification and education in wound care through the SkinStep further develops the expertise of both mentors and mentees. Clinical educators mentor Residents further through didactic lectures and skills-based labs addressing examination, evaluation, skilled interventions, goal setting, and prognosis for individuals with SCI/D. Advanced wheelchair seating and mobility is also a component, emphasizing prescription, posture, pressure relief, and alternative drive options for individuals with SCI/D. Together, this delivery model for both Residents and non-Residents creates a culture of excellence within this highly specialized team of therapists.
Results/Outcomes: Clinicians at our center are dedicated to fostering a culture of specialization. Of the 78 Neurologic Certified Specialists (NCS) in the state of New Jersey, 30 (38%) are employed within the organization. Curriculum focused on advanced practice in the area of SCI/D is a core component that contributes to achievement of this elite designation and facilitates development of clinical expertise in Residents, non-Residents, and clinical mentors.
Conclusions/Relevance to the conference theme: A structured didactic and experiential SCI/D curriculum can improve functional outcomes, emphasize personal growth and development, and elevate the level of expertise of an organization. Since the inception of the Residency program in 2011, the number of Board-Certified Specialists within this organization increased from 6 to 30. Sharing this comprehensive framework with other centers can lead to enhanced specialization for all qualified clinicians.