PT 583 Critical Inquiry
III: Course Syllabus and Objectives
ATTENTION 2002
and 2003 MPT graduates: The entry-level Master’s graduates from 2002 and 2003 have already completed
the courses PT 591 Critical Inquiry IV and PT 995 Scholarly Project. Therefore, 2002 and 2003 MPT graduates will
register and complete
PT 590 Directed Studies in Physical Therapy during the Spring
2005 semester to fulfill the research requirements for the transitional DPT
degree.
The following index describes or
links to the information and tools for completing the objectives of this course. Click on the links with your mouse to quickly
move between the information.
After the completion
of this course the student will have:
- Completed the HIPPA online training module
- Completed UND Institutional Review Board Human Subjects
Research Educational Requirements
- Developed a research topic
- Completed
and submitted an IRB proposal if
required for their research/scholarly project
- Completed and submitted a Program of Study
- Completed a Research/Scholarly Project Proposal for
the UND-PT department
- UND Graduate School Scholarly Project Topic Form
- Submitted
an outline of their Scholarly/Research Project
HIPPA Training (top)
1.
Go to http://www.med.und.nodak.edu/
2.
Click on HIPAA (left
side of screen)
3.
Click on HIPAA Training
(left side of screen)
4.
Click web link: HIPAA
Training (middle of page)
5.
Enter Learner ID (NAID
number except for the hyphen and final number (example if your NAID number was
12345-6 use 12345)), and password, click
Secure Login
The first time logging-on everybody’s password
will be: hello
6. Click
Lesson Plan (top right of page) This will open the HIPAA lesson plans
available. The icon looks like this: 
7. Click
on HIPAA Basic Overview
8. Read
through the information pages using the Previous Page and Next Page buttons 
. Once
you’ve completed reading the
materials take the test by clicking on the test icon 
9. To
print out a HIPAA completion
certificate click on Lesson Plan. You
will see something that resembles
the image below. Click on AHIMA. Print the certificate. Then click the back button on your browser
bar and click on EduCode. Print the certificate.
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Assigned Lesson (click to begin learning)
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Lesson
Eval
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Test
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CEU/CPE-
Hours
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Complete
Lesson By
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Completed
On
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Learning
Completed
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Testing
Completed
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Score
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Pretest
Completed
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Pretest
Score
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HIPAA Basic
Overview
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eval
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test
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04-19-2003
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04-14-2003
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04-14-2003
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100
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Once you have successfully completed the HIPPA training, print out your
certificate and fax it to ATTN: Dave
Relling at 701 777-4199. This will complete the HIPPA requirement for the PT 583
course. You may retake the exam as many
times as needed to achieve a 100% score and pass.
If you have any questions please contact
Kylie at (701)777-6429 or kbehm@medicine.nodak.edu.
UND Institutional Review Board Human
Subjects Educational Modules(top)
As part of this course and the
Doctorate of Physical Therapy program, each student must complete the human subject educational module
available through the University of North Dakota
Institutional Review Board (IRB). This
training is required prior to approval of any IRB approved research
proposals. The online training is made
available through a consortium including UND and others. When you first access the website, you will
need to click on the Register for the CITI Course
link.
The next web page will ask you for your institution…UND is located under
the “All Others” section. The next page will ask you to create a username and
password…I would suggest your medicine e-mail account and a password you will
remember or use frequently. The next
page will ask for information such as your name, address, etc. Finally, you will be asked to designate a
group (either biomedical research or
behavioral research). You may choose
either. You will need to complete all of the modules for the basic
course. To pass the training you must complete the modules at an 80% or higher level. You will then have completed
the IRB training and should receive an e-mail from
the UND IRB office. Forward this e-mail
to Dave Relling at drelling@medicine.nodak.edu
as confirmation of completing this component
of the PT 583 course.
The following information is taken
from the UND IRB Researchers
Handbook, Chapter III.R. available at http://www.und.nodak.edu/dept/orpd/regucomm/irb/Researcher%20Handbook.htm
regarding the necessity and procedure for completing human subjects education.
“ Required
Human Subject Education
1. Why is training necessary?
As a result of recent suspensions of research organizations because of noncompliance with regulations governing human subjects research, the Department of Health and Human
Services (DHHS) has emphasized the need for those individuals involved in this
kind of research to understand their obligations under the regulations. Recent
regulations have specified that an educational program must be provided for
investigators by institutions operating
under the federal regulations governing human subjects
research.
2. Who has to take the training?
Principal Investigators and those individuals in contact with subjects
and/or data and identifiers (key personnel) will need to complete the training.
3. When do I need to complete
this training?
Effective June 1st, 2001, all investigators and key personnel submitting proposals or Research Project Review and
Progress Reports will be required to complete
the training before approval of their proposal is granted by the IRB. The
Principal Investigator should ensure that all key personnel have completed the training prior to submitting their Research Project Review and Progress
Report or proposal. Approval will be suspended until all key personnel have completed training.
4. What education am I required
to complete?
Three educational options are available:
a. IRB Basics workshop
Instructors may call (701) 777-4079 to schedule a workshop for the entire
class that will be completing research projects. Regular monthly workshops
will be scheduled and details will be available in the University Newsletter.
The length of the workshop will be approximately three hours.
b. Handbook Quiz
Individuals may call (701) 777-4079 to obtain a copy of the quiz. The quiz
will consist of 20 open-ended questions based on the content of the
Researcher's Handbook. All quiz questions must be completed
and a score of 80% is required to pass. The quiz will take about two hours to complete.
c. On-Line Educational Modules
Individuals may register at www.citiprogram.org
to complete the required modules.
The IRB is requiring all Principal Investigators and key personnel to choose
which track best fits the type of research they wish to conduct, the Biomedical Research track or the Social &
Behavioral Research track. All required modules must be completed.
Depending on the type of research to be conducted, one or more of the optional
modules may need to be completed as
well. Each Module will take 10 to 30 minutes. The total required time is
estimated to be two to three hours. The course does not have to be completed in one sitting
and can be completed in any order.
The passing score required is 80%. If you fail the training, please contact the
ORPD at (701) 777-4079. The failed modules will be cleared to allow you to
retake those modules. If you have already registered for the online training (CITI), here is the link to complete the online modules.
The Collaborative IRB Training Initiative (CITI) and the
University of Miami
have developed a re-certification set of modules designed to meet the need for
ongoing education. The required modules for the Refresher Course must be completed to meet the continuing
education requirement. Registration for the modules is available at http://www.citiprogram.org/.
Occasionally, researchers may have completed
human subject education at another institution. The researcher must provide a
copy of the certification indicating
the type of education and the date of completion
to the IRB for review. The researcher will be informed if the human subject
education is acceptable and meets the UND IRB requirements.
5. Whom do I
contact regarding questions?
Please contact the IRB Coordinator at (701) 777-4079.”
Developing a research topic(top)
As part of the transitional DPT curriculum, each student
must complete a research
project. The most recent graduates, 2002
and 2003, have already received credits for a scholarly project when completing
their entry level MPT educational requirements.
Therefore, 2002 and 2003 graduates will complete
their research projects under the course PT 590 Directed Studies in PT during
the Spring 2005 semester. All other t-DPT students will complete there research projects during the courses
PT 591 Critical Inquiry IV and PT 995 Scholarly Project. In either event, the following provides some information about what a “Scholarly/Research
Project” should be and some examples
of possible topics…this information is also available through the UND-PT website under
“Current Students”.
To complete this
portion of the PT 583 course, you will need to submit a topic idea to the PT
faculty committee overseeing the PT
583 course at drelling@medicine.nodak.edu Initially, this
topic may be just an idea. You should
attempt to complete this part of the
course very early in the semester as the rest of the semester can be spent
developing the formal topic proposal.
What is a Scholarly Project? (top)
A scholarly project is a process of scientific inquiry which
exposes the doctorate of physical therapy student to the mechanics of research
while developing problem-solving skills.
To demonstrate completion of
these goals, the scholarly project should incorporate hypothesis formulation,
data collection, analytical thinking and interpretation of results. The scholarly project culminates into a
written, bound document for dissemination and display.
Possible topics of scholarly projects: (top)
The following are examples of possible topic areas which
would be acceptable for the research component
of your transitional DPT program. These are guidelines,
your final topic must be approved by the committee
overseeing the PT 583 Critical Inquiry III course in Fall 2004. These are
topic areas to assist you in developing some
different topic ideas.
1. Case Study: To be accepted as a scholarly project, the
case study must follow the guidelines for case studies published by the
APTA. The case study must add to the
practice of physical therapy and display exceptional quality. The case study is to be submitted to a peer
reviewed journal. Examples of possible
journals may include Physical Therapy
or one of the journals for the APTA sections.
2.
Research
Study-Basic or Clinical Sciences: To
be accepted as a scholarly project, the research study must add to the body of
knowledge in physical therapy practice.
The research study should ask an answerable question through the
analysis of existing or new data
collection. The
University of North Dakota
Physical Therapy department has the following
research equipment available: Peak Motus motion analysis system, Noraxon
telemetry EMG, Balance Master, Pressure mapping, Lite
gait treadmill system,
3.
Research
Study-Survey: To be accepted as a
scholarly project, the research study must add to the body of knowledge in
physical therapy practice. The research
study-survey must ask an answerable question through the analysis of new data
collection. Utilization of an existing survey instrument or development of a new
survey instrument is acceptable in answering the research question.
4.
Perform a
Clinical/Administrative Needs Assessment and Program Implementation: To be accepted as a scholarly project, the
student must perform a clinical/administrative needs assessment for the
possible program to be implemented.
After assessing the need for the program, the student will develop and
implement the program into their practice.
Examples: Problem--- are all notes signed, completed
in a timely manner, are medicare certifications completed, review of charges and charge coding,
etc. Intervention--- decide if these areas meet
your facilities expectations. If not, implement a
training or educational intervention or some
other idea. Then re-assess to see if the outcome
has been improved.
5. Clinical Outcomes
Study: At your facility, you may
develop and incorporate clinical outcomes
data to be used in your facility. This
is similar to #4 above except that a needs assessment may not be included in
the project. To complete
the clinical outcomes study, current
or previous data will be utilized to determine outcomes
of individual or groups related to practice patterns as published in the APTA
“Guide to Physical Therapist Practice” 2nd edition.
Areas of Faculty Interest and Possible
Research Projects UND-PT Fall 2004: (top)
- EMG
activity of lower trapezius in a group of
patients with shoulder pathology (Sue Jeno)
- Quality
Improvement studies related to practice setting. Would include working through the FOCUS
PCDA cycle to determine the potential sources of problems, collecting data, reviewing the data for improvement,
then implementing the change
including education as necessary.
Examples:
Reviewing the safety procedures in your department and developing
new training modules and policies/procedures as appropriate.
Looking at
denied days and the reasons for them and how to correct the problem
Comparison of different therapists regarding length
of stay and/or success of goal attainment in the listed time frames
Documentation
– what is currently in the charts, how can it be improved, etc.
Scheduling…
Referrals
and order generation to the department
- Outcome Studies on any data you currently collect,
or can collect from patient
charts. Can consist of outcomes for a specific diagnosis, patient
satisfaction, etc. Outcome studies can also be done as a multi-center
analysis – compile data from multiple sites for analysis (group project).
- Use of
specific standardized tools with stroke patients:
Looking at the consistency of use of a tool across settings, use of a tool within a setting by different therapists, and/or outcome issues with the tool.
- There
are standardized tools which can be applied to clients in your practice
area such as balance
assessments, flexibility measures, etc.
The use of the standardized tool
could be used as a method to evaluate a treatment program, discharge
planning, or morbidity associated with your facility or the treatment
protocol.
- Falls
& Balance--
Assessment of balance and fall outcomes
in a population of clients.
Possible uses in acute care, rehab, outpatient, SNF/extended care.
Could also look at balance scale and use of teaching…i.e. do those with a
poor balance score receive appropriate teaching.
- Different
opportunities exist for working with patients with amputations, such as:
Outcome measures with different types of prosthetic
devices
Success of
different patient populations with use of prosthetic device
Education
programs can be developed and implemented for working with this patient
population (or any other)
- Chart
Reviews: can be used for outcome studies, case studies, case series, quality improvement, etc.
- Case
Studies-Explained previously. Must
conform to APTA guidelines and be submitted for publication. Does not need to be accepted for
publication. You can further
develop a case study already submitted for coursework in the program.
- Grant
Writing: Grant writing
opportunities may exist in the following areas: 1) Accessibility of services to
individuals within your current setting,
especially if that setting is
rural or culturally diverse. 2) The
role of cultural differences/diversity in access to healthcare
services. 3) The role of cultural
differences/diversity in outcomes
of physical therapy interventions.
**Note that diversity can be associated with an elderly or
pediatric population.
- Development
of a training program for all staff or new staff members on a topic
- Development
of a new program or service to include a needs assessment, development of
the idea, a marketing plan, and
implementation plan/schedule.
- Development
of patient education materials:
Targeted
for those with a different primary language (non-English speaking)
New/different
technique or method
For a group exercise class – ie.
Development of group ex video
- Projects
or research related to work injury prevention, ergonomics,
or outcome studies
One possible option would be to
initiate a study of work stations within your facility and determine the ergonomic appropriateness of the workstations. Based on
the outcome, you may then need to
establish a plan for improvement.
- Collaboration
on a project looking at the development of a screening tool for fall
assessment of health care workers
- Cost/benefit
analysis of having students in the clinic
- Cost/benefit
analysis of clinical site visits
- Submission
of an entry for “Evidence in Practice” is also possible as a project. This would include a systematic review
of the topic for submission.
- Osteoporosis
- effectiveness of a particular treatment intervention or a retrospective
study to determine if patients receiving
pharmacologic intervention are being educated and instructed in the
benefits of exercise and diet to promote
BMD
Collaborative Research: (top)
Collaborative research between classmates in the t-DPT
program is allowed for completion of
your scholarly project. Ideally, the
collaboration would occur between students in the same geographical area. It is expected that each student within a
collaboration/group would contribute an equal amount to the overall project.
Program of Study(top)
You will receive a copy of your official program of study to
be submitted to the UND graduate school.
The program of study courses will be taken from
the student tracker website. When you
receive the program of study, you are responsible for checking its accuracy
prior to signing and returning it to the UND Physical Therapy department. The official program of study will be
submitted to the UND
Graduate School
and will act as a “contract” whereby once you complete
the courses on the program of study you will have completed
the coursework component of your DPT
degree. Therefore, it is important that
the list of courses on your program of study be exactly the same as the courses
you have and plan to complete within
the t-DPT program.
Scholarly Topic Proposal
Guidelines for UND-PT Faculty Research Committee: (top)
NEW!!8/31/2004 Right
Click then Save Target As 
The Research/Scholarly Project proposal guidelines and forms
are available at the Blackboard course website.
The procedure and deadlines for completing the research/scholarly project requirements
are:
- September 17, 2004--Submit a preliminary topic
for your research project or choose one of the topics provided by the
UND-PT faculty.
- October 15, 2004--Upon receiving preliminary
approval, complete and submit
the “Research Proposal” document (you can download this from the blackboard site under course
information). The research
proposal will be reviewed and returned to you with an “approved”,
“approved with revisions”, or not approved designation.
- November 19, 2004--After receiving approval for
your research proposal, you must submit your topic proposal to the UND
Graduate School. Approval of your final topic of study
is dependent on UND graduate school approval.
Graduate School
Form: Scholarly Project Topic(top)
Download
Graduate School Forms
INSTRUCTIONS
FOR PROPOSAL OF SCHOLARLY PROJECT, DESIGN PROJECT, THESIS OR
DISSERTATION TOPIC
The proposal of a topic for an
Scholarly Project, design project, thesis or dissertation must be approved
before a student may become a
candidate for a degree. Students will
not be permitted to graduate in the same semester or summer session in which
they become a candidate and,
therefore, must receive approval prior to their final semester. The proposal should be submitted and approved
before substantial work on the topic is undertaken.
Students needing approval from
the Institutional Review Board for the use of human subjects should contact the
Office of Research and Program development (Twamley
Hall, Room 101) to obtain
information.
The proposal must include 1) a title, 2) a brief description
of the nature of the problem or study, 3) the procedure or methodology to be
followed, and 4) the anticipated results.
The information presented should be such as to aid the advisor or
advisory committee in ascertaining
whether the problem or study is appropriate for the diploma
or degree sought.
Using the page provided, type the proposal, secure the
necessary approval signatures in accord with the “Degree Requirements” section
of the Graduate Bulletin, then
submit the original and three copies to the
Graduate School. The advisor, department, and the student will
receive an approved copy.
THE PROPOSAL MUST BE FILED IN THE
GRADUATE SCHOOL
BEFORE ADVANCEMENT TO CANDIDACY.
TOPIC PROPOSAL
UNIVERSITY
OF NORTH DAKOTA
GRADUATE
SCHOOL