DEPARTMENT OF PHYSICAL THERAPY UNIVERSITY OF BRITISH COLUMBIA STRATEGIC PLAN

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1 DEPARTMENT OF PHYSICAL THERAPY UNIVERSITY OF BRITISH COLUMBIA STRATEGIC PLAN STRATEGIC COMMITMENT 1: Student Learning The Department of Physical Therapy at the University of British Columbia provides the professional education necessary for entry level physical therapy practice through rigorous scholarly activity, high standards of instruction and creative learning opportunities. This Master of Physical Therapy (MPT) program incorporates a strong theoretical foundation that supports current and future practice of the profession. Graduates of the program are experts in movement and function for life in a wide variety of settings and contribute to the health of Canadians through cost effective clinical approaches, evidence informed practice, client centered care, and a commitment to health promotion and disease prevention. As home to British Columbia s only entry to practice Physical Therapy program, the Department of Physical Therapy at UBC is committed to providing first class educational opportunities for aspiring and practicing physical therapists. As well, the Department of Physical Therapy participates in two interdisciplinary post graduate programs consisting of an online Master of Rehabilitation Science (MRSc) program and a Master s of Science (MSc)/PhD program in Rehabilitation Science. GOAL 1: To ensure the content in the MPT curriculum is diverse and inclusive As the health care delivery system evolves, so does the role of physical therapists as primary care practitioners and members of collaborative practice teams. In order to maximize the opportunity for UBC graduates to address the present and evolving health needs of society, the MPT curriculum must undergo ongoing renewal to stay abreast of the evolution of the Physical Therapy profession. 1. Develop and incorporate strategies that encompass cultural sensitivity and cultural competence in areas such as Aboriginal Health. 2. Be responsive to current and emerging health issues throughout the MPT curriculum, including a focus on the needs of rural communities, primary health care, and interprofessional education and collaborative practice. 3. Develop courses, modules and/or cases in specialty areas that capitalize on faculty expertise. 1. Content experts in the areas of rural health; aboriginal health; primary health care and interprofessional/collaborative practice. 2. Evaluation expertise to monitor and assess outcomes of MPT curricular changes and university resources for curricular and faculty development. 3. Faculty members teaching assignments. The University of British Columbia Department of Physical Therapy Strategic Plan

2 (Metrics and Qualities) 1. Track curricular changes and ensure accreditation standards are met. 2. Track student participation in initiatives related to cultural diversity, rural health, primary health care, interprofessional learning experiences, or other emerging health issues as they arise. 3. New course/module development. Interprofessional and collaborative practice learning activities Curricular monitoring Course/module development that maximizes faculty expertise complete 2012 Rural practice, primary health care integrated into MPT curriculum 2013 Cultural sensitivity and competence integrated into MPT curriculum Students meet collaborative practice competencies by 2013 refer to National Competency Framework for IP Collaboration ( GOAL 2: To expand the repertoire of instructional skills for curricular delivery To engage adult learners in meaningful and relevant learning, all those involved in teaching within the MPT program need to develop and grow their own set of teaching skills. Specific areas for instructional development include the advancement of technology enabled learning to enrich student learning and to strengthen linkages between the Department of Physical Therapy and its community partners. 1. Incorporate new teaching and learning technologies, including web based platforms and video conferencing as standard practices within the MPT curriculum. 2. Provide in house instructional skill support to ensure competence in curriculum development; instructional design and assessment. 3. Create a structured process of formative and summative peer review of teaching for faculty and instructors, including training of peer reviewers. 4. Provide students and instructors with a prior learning site to communicate expectations and where necessary provide additional materials for self directed learning. 5. Create virtual cases to enhance teaching and learning. 1. Video conferencing capabilities within Friedman Building. The University of British Columbia Department of Physical Therapy Strategic Plan

3 2. Dedicated coordinator for monitoring instructional skill development and providing mentorship for teaching and learning skill development. 3. Coordinator for peer review system and training. 4. Dedicated time for faculty and information technology (IT) staff for development of prior learning and other instructional resources. 5. Government funding for virtual case construction. (Metrics and Qualities) 1. Track usage and effectiveness of instructors use of new technologies. 2. Track resources and skill competencies of instructors and courses, utilizing new instructional strategies and technologies through the use of satisfaction surveys e.g., students, faculty and others. 3. Provide ongoing peer review feedback of teaching skills/instructional methods and teaching evaluation; teaching scores of the department. 4. Evaluate success with prior learning materials through student and teacher usage of the site. 5. Measure the effectiveness of virtual cases as a teaching tool. Prior learning materials developed Videoconferencing capability in Friedman Building 2012 Instructional program for use of web based technologies 2013 Creation and implementation of virtual cases GOAL 3: To strengthen evidence informed practice in the MPT curriculum Excellence in student learning necessitates providing students with the most evidence informed curriculum possible. Clinical skills need to be informed by the best evidence available. Students will need to understand and apply evidence as part of sound clinical reasoning and clinical decision making. The role of clinician scientist allows practitioners to apply research findings and to engage in clinical research when opportunities arise. 1. Integrate PhD trained faculty teaching with clinical experts. 2. Expand clinician involvement in systematic reviews and research projects. 3. Increase MSc and PhD student involvement in teaching in the MPT program. The University of British Columbia Department of Physical Therapy Strategic Plan

4 1. Review of teaching assignments in the Department. 2. Funds for clinician supervision of systematic review/research projects. 3. Funds for graduate student teaching assistantships. (Metrics and Qualities) 1. Track number of courses that facilitate PhD and clinician partnerships and their impact on the inclusion of evidence in the teaching strategies. 2. Track proportion of systematic reviews and research projects engaging clinician collaborators. 3. Track GTA involvement in teaching in the MPT program. Graduate student teaching assistantships One new clinician supervised systematic review/research project per year 2012 Integration of PhD faculty with clinical experts GOAL 4: To promote innovation and excellence in Clinical Education The Department of Physical Therapy supports an integrated provincial network of clinical practice education encompassing a diverse range of placement settings and models with capacity for PT students from UBC and other accredited academic institutions to develop and consolidate clinical problem solving skills and clinical reasoning. With government support of the northern stream, UBC stands to be second to none in the delivery of clinical education in northern and rural settings. 1. Develop, initiate and evaluate innovative and value added placement models in both public and private sectors. 2. Increase capacity and diversity of clinical placements focusing on a) rural/aboriginal and other underutilized areas and b) interprofessional (IP) learning opportunities. 3. Expand preceptor support initiatives. 4. Further develop and strengthen partnerships with the clinical community throughout the province. 5. Provide excellent communication and customer service to clinical sites, preceptors, and other constituents throughout the province. 1. Staff, funding, and partner support for pilot projects. The University of British Columbia Department of Physical Therapy Strategic Plan

5 2. Government funding for Northern/Rural clinical education program. 3. Staff, funding, and partner support for preceptor training. 4. Staff to support clinical education. 5. Support for career development opportunities for staff and Academic Coordinator of Clinical Education. 1. Track number of innovative clinical placements using HSPnet placement system and other databases. 2. Track number of rural/aboriginal placements, Interprofessional Rural Program of BC (IRPbc), and IP clinical placements. 3. Track number of workshops and attendee satisfaction with workshop evaluation forms. 4. Evaluate clinical education symposium and track involvement with Health Authorities (HA)/Physiotherapy Association of British Columbia (PABC) initiatives. 5. Monitor communications and determine customer satisfaction from stakeholders using site feedback forms. At least one student to participate in IRPbc annually Continue with preceptor workshops throughout the province on a regular basis Maintain/increase involvement with HA/Professional Association education initiatives Publish two clinical education newsletters annually, contribute to PABC Directions Provide venue for input of stakeholders into clinical education program and explore initiatives when suggested Disseminate results of innovative projects, e.g., at appropriate conferences Ensure high level of communication through support staff and website Explore feasibility of placement in Forensic Psychiatry Utilize clinical teaching unit principles for a pilot placement in private practice Host Clinical Education Symposium # Increase number of student clinics in the province to three, starting with GF Strong 50% of students to complete a rural placement 20 additional northern/rural placements % of students to complete some type of IP clinical learning experience The University of British Columbia Department of Physical Therapy Strategic Plan

6 Goal 5: To support a post entry level program for physical therapists Education is a life long activity; indeed continuing education is deeply rooted as a core value for physical therapists. The Department of Physical Therapy at UBC is well positioned to provide evidence based education to support specialization and advanced practice for physical therapists. 1. Work with existing graduate programs and clinical partners to develop and implement an appropriate costrecovery educational platform, e.g., clinical masters, for specialty areas to advance practice. 2. Marketing of and development of strengths in areas of specialization in the Department. 1. Allocation of teaching and service workload to the post graduate program and use tuition to support instruction. 2. Staff to support post graduate educational programs. 1. Development of educational plan and implementation of program. 2. Web based enhancement and annual marketing activities. Web based marketing strategy Development of new educational initiative 2012 First of new graduate courses implemented 2013 Full implementation of new educational initiative The University of British Columbia Department of Physical Therapy Strategic Plan

7 STRATEGIC COMMITMENT 2: Research Excellence The Department of Physical Therapy at UBC has a strong and vibrant research environment. The Department advances knowledge and seeks to improve the quality of life experienced by society through the discovery, dissemination, and application of research within physical therapy and across disciplines. Several unique programs and research laboratories are currently led by our faculty members. Our research programs are well integrated with several world class research facilities established here in BC including: Vancouver Coastal Health Research Institute; Arthritis Research Centre; Providence Health Care Research Institute and James Hogg Research Centre; Brain Research Centre; Child and Family Research Institute; Centre for Hip Health and Mobility; and International Collaboration on Repair Discoveries (ICORD). GOAL 1: To increase grant success Acquiring research funds is a critical activity which allows a faculty member to establish an independent funded research program. Success in peer reviewed research funding is a mandatory requirement for promotion and tenure for professorial faculty. Research grant funding is also necessary to enable faculty to train the next generation of graduate students and post doctoral fellows. Lastly, research funds are necessary to facilitate faculty to undertake research which develops an evidence based practice of physical therapy. Unfortunately, acquiring health research funds is Canada is daunting with average national success rates at 15 20% for most health research agencies. Grants are not only highly competitive, but are becoming more complex to prepare and often require substantial pilot data, multiple interdisciplinary team members, and letters of collaboration from consumer groups, hospital partners, and end users. 1. Recruit outstanding faculty with synergistic research and complementary skills to enable the department to develop teams of researchers. Synergistic faculty will be more productive and will be able to mentor junior faculty in their field, as well as compete for large scale grants (e.g., team grants). 2. Provide seed funding to enable pilot data for new investigators or for senior investigator with new lines of research (this funding must be linked to a future multi year national or international grant application). 3. Develop a supportive department environment for grant writing which considers the demands of grantwriting (e.g., critical time periods of writing, need for mentorship). 4. Ensure faculty are appropriately recognized for the time they spend on grant review committees relevant to physical therapy and for efforts which they make to share this information with other faculty. 5. Ensure new faculty are provided with a mentor to provide guidance on topics including grant funding. 6. Encourage faculty (junior and senior) to seek internal review of their grants prior to submission (e.g., Health Research Resource Office Internal review; Faculty of Medicine Grant Development). 1. Faculty retreats to develop priorities for future recruitment (especially on synergy building). 2. Seed funds from the department budget. 3. Continued funding for department grants facilitator. The University of British Columbia Department of Physical Therapy Strategic Plan

8 4. Incentives for faculty to participate as grant reviewers on national panels. 5. Participation in Faculty of Medicine mentorship program. 6. Engagement of faculty and staff to establish a culture that is supportive of grant writing. 1. Identification of synergistic and complementary research skills to target new recruitments. 2. Track number of pilot grants held by faculty members. 3. Track number of grants, grant dollars, and caliber of granting agencies as a PI and Co I per faculty member. 4. Track number of faculty on national/international peer review committees. 5. Track mentorship program and evaluate its effectiveness. 6. Track success of new grants and grant renewal history of faculty. Seed funding available for at least two projects per year All non tenured faculty members will participate in the mentor program Identify target areas for complementary and synergistic fields to guide future recruitment Identify appropriate recognition for significant grant panel participation % of faculty state that the department supports a culture supportive of grant writing % of professorial faculty are supported by at least a two year grant of a national caliber 25% of professorial faculty are serving on national/international peer review committees GOAL 2: To attract and retain promising appropriate trainees The future of the discipline of physical therapy is dependent on the training of the next generation of high quality researchers. Trainees require a supportive environment in terms of their learning opportunities, career development planning, and financial support. 1. Increase MPT research involvement in PHTH 572 and also increase the opportunity for research placements. 2. Implement MPT/PhD Program. 3. Work with Grad Program in Rehab Science to update course offerings. 4. Raise profile of department research (for example: website, seminar series, faculty member lectures). 5. Submit a training grant application, if a funding source becomes available. 6. Provide clinicians with opportunities to conduct research (part time MRSc; MSc/PhD full time programs). The University of British Columbia Department of Physical Therapy Strategic Plan

9 7. Commit to providing thesis based students with TA opportunities and mentor MPT (e.g., CIHR summer student program; Canadian Arthritis Network summer student research program) and thesis based graduate students to develop successful award applications. 1. Support for faculty for research placements and dedicated time in timetable for PHTH Faculty and staff time to develop program. 3. Time for curriculum re development. 4. IT support for marketing on web. 5. Continued funding for grants facilitator. 6. Communication with clinicians on research training opportunities. 7. Funding and mentorship for graduate students. 1. Track number of research placements and devoted research time in MPT. 2. Track application and acceptance numbers. 3. Track course registrations and student evaluations of courses. 4. Track website hits on research profiles. 5. Track application and acceptance numbers, time to completion, and student satisfaction. 6. Track clinician involvement in post entry level graduate programs. 7. Track student awards/funding sources. Minimum three trainees (MSc, PhD or postdoc) per faculty member within three years of appointment and thereafter Each trainee will have a principal author publication stemming from their research Trainees will spend no more than two years at the Masters, four years at the PhD of full time study to earn the degree Minimum three MPT research placements per calendar year New website format completed that highlights faculty research Development of graduate student survey Implement guaranteed GTA offering for all graduate students with PT supervisors in MSc/PhD RS program New MPT timetable incorporating dedicated research time implemented 2012 Course development for MSc/PhD RS complete First intake of MPT/PhD cohort 2013 Submit training grant application The University of British Columbia Department of Physical Therapy Strategic Plan

10 GOAL 3: To strengthen research collaborations Research excellence in the Department could be magnified by combining the individual strength of faculty members into collaborative teams. These teams would also be attractive to trainees. 1. Build teams of researchers within Department, including the clinical faculty. 2. Partner with clinicians, patients and other relevant stakeholders for research projects. 3. Development of seminar series, possibly using the model of School of Human Kinetics. 1. Funding for workshops/symposiums such as those funded by the CIHR Meeting, Planning, Dissemination competition. 2. Continued funding of departmental Grants Facilitator and Knowledge Broker (KB) positions; funding for clinician supervision of systematic review/research projects. 3. Funds for seminar series. 1. Track number of successful grants with clinicians and collaborators within the Department. 2. Track number of successful grants with collaborators outside of the Department, including international collaborators. 3. Monitor participation in and quality of seminar series. Seed funding available for at least two projects per year All non tenured faculty members will be participating in the mentor program Increase of one clinician partnered research project annually Identification of theme for Team Grant in synergist field 2012 Increase of successful collaborative grants by 5% Commence PT Seminar Series Submit a Team Grant that fosters collaborations within the Department The University of British Columbia Department of Physical Therapy Strategic Plan

11 GOAL 4: To develop research foci in areas of strength The research environment is becoming increasingly competitive. To be successful requires the establishment of areas of strength, in which the Department of Physical Therapy can become internationally renowned. 1. Select two research themes mirroring Faculty of Medicine themes in areas with synergistic faculty. 2. Explore the feasibility to develop a research centre. 3. Develop a research agenda and market our strengths. 1. Faculty retreats to develop research themes. 2. Grants coordinator to assess the feasibility to develop a research centre. 3. Web based marketing and selected conferences/meetings. 1. Documentation of research strengths. 2. Proposal for research centre. 3. Establishment of web based marketing plan. Web improvements to highlight research strengths Selection of two research themes Plan for the development of a research center The University of British Columbia Department of Physical Therapy Strategic Plan

12 STRATEGIC COMMITMENT 3: Community Engagement The Department of Physical Therapy at UBC aims to connect in a meaningful way to serve and engage the broader community to advance physical therapy practice globally. In so doing, the Department aspires to have a positive impact on the health and well being of society. GOAL 1: To strengthen the connectedness between the UBC Department of Physical Therapy and its alumni and friends Alumni are lifelong learners, clinical faculty members, ambassadors, volunteers, partners and donors. Strong connections between alumni and current students will ensure continued pride and engagement in the UBC program, serve to foster a sense of community and continuity between generations, and enhance clinicianinformed research and evidence informed practice. By being conversant with who is on faculty and what their area of research is, alumni will take pride in the department and a personal interest in our researchers and those who educate our future physiotherapists. Most alumni are not familiar with who makes up the department, how their physiotherapy practice is reflected in their current work, and what their daily life is like at UBC. A good understanding of who the faculty is will also improve the research to practice translation and increase the involvement of clinicians in research. There is significant overlap between alumni, physiotherapists working in BC, and members of the Physiotherapy Association of British Columbia (PABC) hence alumni and friends. 1. Perform a needs assessment to determine services, activities, and recognition that alumni and clinicians want, e.g., evening seminars, research updates, open houses. 2. Enhancement of UBC PT website for improved communication and continue to contribute to PABC newsletter. 3. Showcase the work of faculty and the accomplishments of the MPT students by liaising with PABC. 4. Work with PABC on joint initiatives, according to results of needs assessment. 5. Hold Alumni and Friends event at PABC Practice Forum. 6. Provide community partners with skills related to defining and applying best evidence through strategies such as the systematic reviews, and faculty outreach educational activities. 1. Survey; who will devise, disseminate and collate responses. 2. IT for website improvements. 3. Staff time for newsletter generation and faculty time to provide content. 4. Funding and resources for partnered initiatives. 5. Faculty, staff and student commitment to the PABC Practice Forum. 6. Continued funding of the Knowledge Broker position and activities. The University of British Columbia Department of Physical Therapy Strategic Plan

13 1. Baseline and follow up surveys to measure change in connectedness/pride. 2. Track number of hits to website to determine if this is an effective avenue of communication. 3. Track number of activities done in conjunction with PABC, i.e., number of lectures/presentations, number of articles appearing in PABC newsletter. 4. Monitor satisfaction with joint initiatives. 5. Track the proportion of faculty and graduate students with posters in PABC practice forum. 6. Monitor clinician comfort with evidence informed practice derived or supported by UBC Dept of PT activities. Web improvements to highlight departmental accomplishments and impact Contributions to PABC publications and activities Baseline survey complete Participation in PABC practice forum and annually thereafter 2012 One sponsored event per year, apart from the PABC practice forum 2013 Follow up survey complete GOAL 2: To increase practice informed research Research has its greatest potential impact when undertaken in conjunction with clinicians. Not only is physiotherapy practice more effective when informed by scientific evidence, but the scientific questions we choose to pursue are more relevant when informed by clinical practice. Inspiring clinicians to create and partake of research and inspiring researchers to seek and include clinician and client input in research should be a core function of an academic physiotherapy program. 1. Identify the baseline for practice informed research, including barriers and facilitators to clinician involvement in research and/or post entry level graduate education and the number of clinician research collaborations currently in place. 2. Continue the focus of the Knowledge Broker position on clinician involvement in research. 3. Develop a consistent communication strategy to stakeholders including research updates focusing on the impact of physiotherapy research occurring in the Department and affiliated groups. 4. Participate in journal clubs, dialogues, seminars, etc. hosted by PABC. The University of British Columbia Department of Physical Therapy Strategic Plan

14 1. Online survey for needs assessment. 2. Sustainable funding for KB position 3. Department newsletter, PABC newsletter, Department and PABC websites with mutual links, profiles on research faculty and on clinicians engaged in research. 4. Faculty, staff and student involvement in webinars, podcasts (journal clubs, dialogues, seminars), etc. hosted by PABC. 1. Identify clinician needs and develop strategies to address them. 2. Track the proportion of projects involving clinician collaborator in research related activities. 3. Monitor print and web based communications. 4. Develop and implement a questionnaire for attendees of journal clubs, dialogues and research updates to gauge levels of relevance and impact on practice. Profiles of clinician collaborators provided in Department newsletters Needs assessment completed Plan for addressing needs developed and implemented UBC PT/PABC website profiles and links in place % of UBC Department of Physical Therapy faculty and graduate students involved in Physiotherapy Practice Forum, PABC webinars, podcasts for research updates, journal clubs etc. 40% of all questionnaires from participants at webinars, podcast for research updates, journal clubs, etc. indicate that there is a positive impact on PT practice 2013 KB funding secured and plan for KB team expansion in place 50% of all UBC Dept of PT research related activities (including MPT projects) incorporate clinician collaborators GOAL 3: To promote physiotherapy contributions to healthy living Physiotherapists are well positioned to be leaders in chronic disease management. Non invasive interventions including health education and physical activity/exercise (health behaviour change) are the evidence based interventions of choice (often superior to pharmacologic and surgical interventions) for the prevention, as well as the management of lifestyle risk factors and the management of their chronic manifestations. The University of British Columbia Department of Physical Therapy Strategic Plan

15 1. Work with PABC, student groups, and other partners as appropriate to increase public (including government/employer) awareness of physiotherapy. 2. Ensure research initiatives and/or research centers have a public awareness component. 3. Ensure educational programs emphasize physiotherapy role in healthy living over the lifespan. 1. Faculty, staff, student participation; funding for activities. 2. Develop expertise in public/media awareness. 3. Stream coordinator time for curricular monitoring. 1. Track activities and media coverage. 2. Track knowledge translation sections of grants to monitor for inclusion of public awareness component. 3. Curricular monitoring. One public awareness activity and annually thereafter Integration of health content in educational programs 2012 Each grant submitted will include a component of public awareness of physiotherapyrelated research GOAL 4: To have the strongest support program for internationally educated physical therapists (IEPs) in Canada Support of internationally educated physiotherapy (IEP) professionals to gain the credentials to practice in Canada adds to the richness of clinical practice in the community and increases the supply of physiotherapists for the community. The IEP program has demonstrated success, with a pass rate on the clinical examination approximating the national average for Canadian trained physiotherapists. 1. Development of online learning resources, including virtual cases. 2. Develop a plan for sustainability of a successful bridging program. 3. Working with partners, PABC, College of Physical Therapists of BC, Government, employers to raise awareness of IEP program. The University of British Columbia Department of Physical Therapy Strategic Plan

16 1. Support of Faculty of Medicine information technology (MedIT) and staff to support IEP Director and virtual case development. 2. External funding required for sustainability plan. 3. IT and other marketing resources. 1. Online resources developed, including virtual cases. 2. Securing sustainable funding and applicant pool. 3. Track enrolment and success rate for IEPs on examinations. Maintain above 90% success rate on the Physiotherapy National Examination First 20 Virtual cases developed Online platform mounted Sustainable funding secured The University of British Columbia Department of Physical Therapy Strategic Plan

17 STRATEGIC COMMITMENT 4: Outstanding Work Environment The Department of Physical Therapy at UBC aims to be the destination of choice for students, staff, faculty, clinical faculty, alumni and friends by creating a welcoming climate of mutual respect and encouragement. GOAL 1: To create a welcoming team based work environment The Department of Physical Therapy at UBC aims to be the destination of choice for students, staff, faculty, clinical faculty, alumni and friends by creating a welcoming climate of mutual respect and encouragement. Dispersion of faculty across the various research centers poses logistical barriers to a team based work environment. 1. Improve main office (flooring, navigation, physical and electronic databases; communication of roles for staff and faculty, phone system with a default to wait on the line for a real person). 2. Have team building and/or social activities, some including families, coffee time, etc. 3. Provide orientation for new staff, faculty, and clinical faculty. 4. Let s go green. 5. Introduce a recognition system. 6. Participate in healthy workplace initiatives, like yoga. 1. Funding for office improvement. 2. Social committee comprised of faculty and staff. 3. Time to develop an orientation process and manual. 4. Funding for events and initiatives. 5. Creativity. 6. Time to develop proposals for funding. 1. Develop a plan for office improvements. 2. Track activities annually. 3. Create new introduction/orientation processes. 4. Track green workplace initiatives. 5. Introduction of recognition system. 6. Track participation in healthy workplace initiatives. The University of British Columbia Department of Physical Therapy Strategic Plan

18 Recognition luncheon Application to Healthy Workplace Initiatives Fund Procedures manual developed Two social activities, one including families, and annually thereafter One new green initiative per year % of staff and faculty will be able to find a file on S or W drives Office improvements complete Orientation developed for staff, faculty and clinical faculty The University of British Columbia Department of Physical Therapy Strategic Plan