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Application Instructions and Guidelines for Course Providers
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Application Instructions and Guidelines for Course Providers

Application Instructions and Guidelines for Course Providers

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Instructions for Provider Application Form

  1. Detailed course description: Detailed explanation of course and how this course directly relates to physical therapy practice, including how participation in the course should improve the clinical outcomes of the participants.
  2. Specific, measurable learning objectives, related to the course description (at least 5, with at least one that refers specifically to a review of current evidence): Clearly written outcome statements denoting the attitudes, knowledge, and/or skills that participants should attain by the conclusion of the course. These should directly tie back to the course description. Due to the importance of evidence-based practice in healthcare professions, one of these must refer to a review of current evidence. There should be a minimum of 3 objectives for a 1.0-4.0 CEU course, or 5 for a course with more than 4.0 CEUs.
  3. Presenter(s)’ credentials/qualifications to teach the specific course material (full CVs required for primary presenters; bio-sketch CVs accepted for other presenters): Full CVs (often several pages) are required to determine the qualifications of the primary course instructor(s). Bio-sketch CVs (2-3 pages) are required for every other type of presenter, instructor, lab assistant, or another other such person involved with the educational process. These CVs should specifically demonstrate why the particular presenter is qualified to teach this particular course.
  4. References, including at least 5 works within the past 10 years, of which at least 2 works must be within the last 5 years: References should follow a professional formatting style, such as AMA or APA style, so that all necessary information to verify the accuracy of the reference is possible, including page numbers. For electronic resources, the same formatting style should apply; consumer websites are not acceptable as references. There should be a minimum of 3 references in the last 10 years (with 1 in last 5 years) for a 1.0-4.0 CEU course, or 5 in the last 10 years (with 2 in last 5 years) for a course with more than 4.0 CEUs. Recent references are important for providing participants with current knowledge.
  5. Detailed course agenda/schedule, justifying the requested CEUs (or for asynchronous course, a detailed explanation of instructional methods – discussion boards, videos, tests, documents to read, etc. – with expected time to complete each learning module): CEUs will not be awarded for activities that do not relate to the educational experience; this includes breaks, meals, registration, and course/instructor evaluation. These items should still appear on course agendas for clarity. If estimations are used for time to complete online or home study activities, a detailed explanation of how this time schedule was determined should be attached.
  6. Method for verification of attendance (e.g., participant signs in and initials out each day, and for each course in a conference/symposium, with time of each signature; or for asynchronous courses, a record of time elapsed in a course): Sample sign-in/out sheet for each session should be attached. If course occurs over a meal break, then additional sign in/out columns should occur for the meal break. For multiple days, multiple sign-in/outs will be required. For multiple courses or modules, each distinct course or module requires its own sheet. The participant needs only to sign in the first time, as all additional sign-ins/outs may be initials. Each signature or initials must be time-stamped individually. Short breaks (15 minutes or less) do not require signing in/out. If sign-in/out sheets are not being used, a detailed explanation of the process for recording attendance must be attached (with a sample, as applicable).
  7. Sample course and instructor evaluation form: As feedback from the participant is important to assess whether the planned course objectives were met, a sample feedback form is required.
  8. Sample course completion certificate, with room to note APTA Indiana approval number: Required items on the completion certificate include the course title, number of CEUs, course sponsor, course instructor, participant name, APTA Indiana approval number, course dates of attendance or completion, course location (if applicable), and signature of the instructor or sponsor designee.
  9. Method of assessing student learning: Explain in detail how the instructor will determine that learning objectives have been met. Possible options include but are not limited to Q&A session, post-test, and observation of lab practice. For asynchronous courses, a copy of the post-test must be submitted.

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