AFC Eligiblefor Furtherreviewform

AFC Eligiblefor FurtherReviewForm

NAME OF PROGRAM:

ThisformidentifiesalltheeligibilityrequirementsthatmustbeinplaceinorderforanAFCtobeeligibleforfurtherreview.Theprogram completesthisform andattachesitasanappendixtothePreface.ScreeningtodetermineeligibilityforfurtherreviewisperformedbyAccreditationStaff.

Yes/No / AFCEligibleforFurther ReviewForm:Revised(January2018)
Program / Staff / Item / Comment,if applicable
AFC submittedonthePortalbydue date fortheassignedCandidacyCycle / Date submitted:
Theprogramdirectorand anappropriateinstitutionaladministratorhaveattended aDevelopingProgramWorkshop / Datesandnames ofattendees:
LISTthenames,titlesanddate(s) ofattendance:
Theprogramdirectorhasattendeda Self-studyWorkshop
LISTthe PDname,titleand dateofattendance:
AFC is submitted bytheinstitution(s)where theeducationprogramisto belocatedand thatwillaward thedegree.
AFC is completeandincludes all requisiteinformationdescribedinthemostcurrentinstructionsforcompletion/submissionoftheApplicationforCandidacy.
TheApplicationhas beensubmittedelectronicallyusingtheCAPTEAccreditationPortalandtheinstructionsforenteringinformationhavebeenfollowed.
Thecandidacyfeehas beenpreviouslysubmittedin accordancewiththeestablishedreviewcycletimeline / Date sent:
The conflictlist has beenpreviouslysubmittedinaccordancewith theestablisheddecisioncycletimeline. / Date submitted:
TheApplicationforCandidacyand ALLaccompanyingdocumentation areinEnglish.
Thesigned AFCsignaturepage must bescannedandattached to thePrefaceasanappendix.ThesignaturepagefromtheAFC hasbeensignedatleastbythe ChiefExecutiveOfficer(s)of thesponsoringinstitution(s)and theprogramadministrator/directorwho hasresponsibility fortheprogram,attesting totheaccuracyoftheinformationprovidedandindicatingthattheinstitution(s)andprogram
(i)agreenot toenrollstudentsinanycoursesthat arepartof theprofessional/technicalphaseof the programuntilCandidateforAccreditationstatushasbeenachieved,
(ii)agreenot toenrollmorethanonecohort ofstudentsperacademicyearand not toincreaseclass sizeuntilaccreditationhasbeengrantedandthe programiseligibletoseek suchchanges,and
(iii)acknowledgeCAPTE’sRules[§8.5and§8.14(a)]thatthe on-site visitfor initialaccreditation mustoccurin thepenultimatetermand thattheinitialaccreditationdecisionwill bemade at CAPTE’s nextregularlyscheduledmeetingfollowingthe on-site visit.
Note: RegularlyscheduledCAPTE meetingsoccuronlyin thespringand fall
TheApplicationforCandidacyincludesatthetimeofsubmission:
AFC Eligiblefor FurtherReviewForm(thisform!)iscomplete;attached toPreface
A prefacethatincludesthefollowinginformation:
(a)a discussionaboutwhythe institutionbelievesthat aphysicaltherapyprogram(PTor PTA, asappropriate)isconsistentwithitsmissionandwith other institutionalprogramofferingsandhowexistinginstitutionalresourceswillfosterthedevelopment ofa quality program.
(b)a description of theprocessandinformationused bytheinstitutiontodeterminetheneed fortheprogram and todetermineplannedclasssizein relation tocurrentand futureneedsforphysicaltherapypersonnel,
Yes/No / AFC Eligible for Further ReviewForm:Revised(Ja / nuary2018)
Program / Staff / Item / Comment,if applicable
including asummaryof theneeds assessmentthathas beendone.Suchinformationshouldreflectlocaland regionaldatainadditiontonationaldata;
(c)a writtenstatementof theplansfor thenumber ofstudents andfrequencyof cohortstobe admittedduring the fullimplementationof theprogram,includingplansforthenumberof students to beadmittedtothecharterclass;
(d)a contingencyplanforstudentsif theprogram shouldfailtoachievecandidatestatusoraccreditationstatus,includinginformationabout howand whenthis planiscommunicated toprospectivestudents.
If notpreviouslyprovidedwiththe Notification ofIntenttoSeekAccreditation,evidencethattheinstitutionalaccreditingagencyhasapproved thedevelopment/offeringof thephysicaltherapyeducationprogram/degree.Ifinstitutionalaccreditingagencyapprovalisnotnecessary, astatementfromthe institutionalaccreditingagencyto thateffect,or otherrelevantofficialdocumentation,isrequired.
Evidencethattheinstitutionis accuratelycharacterizingtheprogram’s statusin theaccreditationprocessinall informationprovided toprospectivestudentsand thepublic,includingon its websiteandin anymaterials usedforstudentrecruitment.
Provide incolumn toright,thefilename(s)/indicationof wherethisinformationislocated
Evidencethattheinstitutionis providingaccurateinformationto prospectivestudents for thecharterclassthatdescribes:
(a)the plannedtimingoftheCAPTEdecisionin relationtothegraduationdate,
(b)the dateof thefirstlicensureexaminationfor whichthegraduateswouldbe eligibleto sit,and
(c)if applicable,evidencethatanexplanationof theimplicationsof asummergraduationdatewithrespectto thelicensureexamhasbeenprovidedtoprospective andenrolled students.
Evidencethattheinstitutionhas
(a)For PT programs: employedat leastthree(3) full-timefaculty membersincludingtheprogramdirectorand theACCE/DCE andtheprogramhashired,or has executedcontractswith,sufficientqualifiedfaculty toimplementthecompletefirsttwoyearsof theprogram.Theprojectedcomposition ofthecoreandassociatedfaculty necessaryforthe fullimplementationof theprogrammust bedetermined,be reflective of thevariety of faculty responsibilitiesdelineatedin Element8A, and beconsistentwiththeinstitution’sand CAPTE’sexpectationsforfacultyqualifications. At least50% ofthecorefaculty holdacademic doctoraldegreesforboth the currentandprojectedcomposition.
(b)For PTAprograms: employed at leasttwo (2) full-timecorefacultymembers,includingtheprogramdirectorand theACCE/DCE, oneofwhich must be a physicaltherapist,andtheprogramhashired, orhasexecuted contracts with,sufficientqualifiedcoreand/orassociatedfacultyto coverallcoursesandactivitiesforthefullimplementationof theprogram.Thecomposition ofcoreandassociatedfaculty must bereflective ofthevariety offaculty responsibilitiesdelineatedinElement8A,and beconsistentwiththeinstitution’sandCAPTE’sexpectationsforfaculty qualifications.
Clear evidence,asreflectedina currentcurriculumvitae,that the programdirectorpossessesatleastthefollowingminimum qualifications:
For PT programs:
(a)isaphysicaltherapistwhoholdsacurrentlicense topracticein anyUSjurisdiction;
(b)holdsanearnedacademic doctoraldegree,
(c)holdstherankofassociateprofessor,professor,clinicalassociateprofessor, orclinicalprofessor,and
Yes/No / AFCEligibleforFurther ReviewForm:Revised(January2018)
Program / Staff / Item / Comment,if applicable
(d) hasa minimumofsixyearsoffull timehighereducationexperiencewith aminimumofthreeyearsof full-timeexperience ina physicaltherapisteducationprogram.
For PTAprograms:
(a)isaphysicaltherapist orphysicaltherapist assistant whoholdsacurrentlicense/certificationto practicein anyUS jurisdiction;
(b)holdsaminimum of amaster’sdegree;
(c)hasa minimumof fiveyears(orequivalent),full-time,postlicensureexperiencethatincludes a minimumofthreeyears(orequivalent)offull-timeclinicalexperience;
(d)didacticand/orclinicalteachingexperience;
(e)has experienceinadministration/management;
(f)has experienceineducationaltheoryandmethodology,instructionaldesign,studentevaluationandoutcomeassessment,includingtheequivalentofnineacademic creditsofcourseworkineducationalfoundations.
Documentation ofcontractualaccesstosufficientclinicalplacementstomeetthe needsof thefirstfull-timeclinicalexperienceand anyintegratedclinicalexperience(s)thatmayprecede it. At aminimum,it isexpectedthattherearesufficientclinicalplacements(asevidenced bysignedlettersof intentfromarepresentativelocatedat thephysicaltherapydepartmentthatwillprovide theclinicaleducationexperience)for atleast150%of theexpectednumberofstudents tobe enrolledduringthe firstyear(e.g., iftherewillbe a totalof 40students enrolledduringthefirstyear,theprogramisexpected tohavesignedcontractswithenoughfacilitiesto provide atleast60 full-timeexperiences,aswell as60placementsfor anyintegratedclinicalexperiencethatprecedes thefirst full-timeexperience,if any). Requireddocumentationincludes:
(a)copies of signedanddatedLettersofIntentfrom theindividualphysicaltherapysitesthatagreetoprovide atleastoneclinicalplacementpriortothe program’sachievementofinitialaccreditation.Letters ofIntentareexpected tobe ontheletterhead of thesiteandincludethetitleandcredentials of theindividualwhosignsit. Hospitals,healthcaresystemsand healthcarecompanies,includingprivatepracticesthatprovidephysicaltherapyservices at multiplesitesareexpectedtoprovideindividualLetters of Intentfromeachsitethatwilltakestudents,signedbya representativelocated at thatsitewho isresponsible forprovidingtheclinicaleducationexperience.
(b)copies of thefirstpageandthesignaturepageof eachfullyexecuted(datedandsignedbyallparties)contractavailableat thetime of AFCsubmission. Ifacontractdelineatesmultiplephysicalsites,acopyofthatinformationisto beincluded;and
(c)completedAvailableClinicalEducationPlacementstablethatdelineatesthe minimumnumber ofavailableplacementsperexperienceat eachphysicallocation.Thetablemust includethename(s)of thesignatory(ies) foreachLetterofintent,whichmustincludethepersonresponsiblefor theclinicalexperienceat thespecificsite,notjustthesignatureof arepresentativeofmultiplesitesforthesameexperience.
IMPORTANT:Note the following:
•If theLetter ofIntentidentifies a range inthenumberof studentsat agivensite,CAPTEwillusethelowernumberwhencalculatingavailableplacements.
•IncompleteLettersofIntentwill notbe accepted.ALLrequestedinformationisrequired.
•Namesofindividualsidentifiedasthe“CCCE” onthe AvailableClinical EducationPlacementTableMUSTbe the sameas(orincludedin)thenames ofsignatorieson therespectiveLettersofIntent.
•Thenamesandsignaturesofadministrativeofficials, HRrepresentatives,businessowners, oranyothersimilar
Yes/No / AFCEligibleforFurther ReviewForm:Revised(January2018)
Program / Staff / Item / Comment,if applicable
representatives of sitesthatdonot provideclinicalexperiencesmaybe includedinLettersofIntent, but arenotacceptableasthesolesignatories of LettersofIntent.
•Each Letterof IntentMUSTbe signedbythe PT/PTA that willbeprovidingtheclinicaleducationexperienceto students foreachsitelocation. If theclinicaleducationexperienceisprovided byaPTA, thesupervising PTmustalsosignthe Letterof Intentfor thesite.
•If thisexpectationisnotmet,the AFC willNOTbe eligibleforreviewbythe Commission.
It is theresponsibilityof programs tocontacttheAccreditationDepartmentstaff toclarifythis expectation if neededAND to monitortheRulesof PracticeandProcedureforchangesto therelatedrequirements/expectations.
Evidencethatthecurriculumincludesintegratedandfull-timeterminalclinicalexperiences
For PTAprograms:evidencethat theprogramcurriculum,includingallgeneraleducation,prerequisite,technicalandclinicaleducationcourses,canbe completed intwo (2) calendar years:5 semestersor80academicweeksor104consecutiveweeks.
To Be Complete,AllRequiredAppendicesAreProvided,using thefollowingRequiredFileName
AFC Eligiblefor FurtherReview.pdf
CatalogUndergraduate.pdf(PTA Programsand3+3PTPrograms)
CatalogGraduate.pdf(PTProgramsONLY)
CE AvailablePlacementsTable.pdf
CE Contracts.pdf(signedcopies)
CE LettersofIntent.pdf
CE PlacementsNeededFullImplementation.pdf
CE Tool AssessStudent.pdf(ifapplicable)
CEWrittenAgreement.pdf(Blank copyofagreement)
Clinical EducationHandbook.pdf
CV‐LastNameFirstName.pdf(For eachcorefaculty;foreachassociated
involvedin50% ormoreof thecontacthoursofacourse)
Enrollmentagreement.pdf
EquipmentInventory.pdf
HandbookInstitutionFaculty.pdf
Faculty DevelopmentPlans.pdf
HandbookInstitutionStudent.pdf
HandbookProgramFaculty.pdf
HandbookProgramStudent.pdf
Institution NotDegreeGranting.pdf(ifapplicable)
InstitutionalAccreditationProgramApproval.pdf
InstitutionalAccreditation.pdf
InstitutionalFinancialResponsibility CompositeScore.pdf
InstitutionalStateAuthorization.pdf
LibraryResourcesNeeded.pdf
NeedsAssessment.pdf
OrganizationalChart.pdf
OtherPolicies.pdf
Plan ofstudy.pdf
PlanningDocument.pdf
PoliciesandProceduresProgram.pdf
PolicyLocationChart.pdf
PracticalExamGradingRubric.pdf
ProfessionalDevelopmentPlans.pdf
ProgramAssessmentMatrix.pdf
RelevantStudentInformation.pdf
Scholarship-LastNameFirstName.pdf (PTProgramsONLY; for eachcorefaculty member)
Yes/No / AFCEligibleforFurther ReviewForm:Revised(January2018)
Program / Staff / Item / Comment,if applicable
S‐Course PrefixNumber.pdf(for eachcourse)
SignaturePage.pdf
SkillsCheck.pdf(ifapplicable)
SkillList_ExpectedTo Be Competent.pdf
Space.pdf
StudentRecruitmentMaterials.pdf
7A PTContent Chart.pdf (PTProgramsONLY)
7B PTA Content Chart.pdf7B PTContent Chart.pdf
7C PTContent Chart.pdf(PTProgramsONLY)
7D PTACurriculumMap.pdf7D PTCurriculumMap.pdf