Resident Application

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1 Georgetown University Hospital Department of Physical Medicine & Rehabilitation Women s Health Physical Therapy Residency Program Resident Application

2 CONTENTS Page Mission Statement 3 Residency Program Goals 3 General Information 4 Didactic Curriculum 5 Faculty 6 Admissions Requirements 7 Application Process 8 Further Information 9 Application 10 Page 2

3 Residency Mission Statement The primary purpose of the Georgetown University Hospital Women s Health Physical Therapy Residency program is to prepare physical therapists with advanced knowledge in women s health physical therapy integrated with a foundation in basic and applied sciences and scientific inquiry. The program will also prepare residents for independent advanced practice in the area of women s health physical therapy and prepare them for their role as a clinical specialist. Graduates will demonstrate their education through excellence in evidence based practice, the pursuit of clinical research and leadership in Women s Health physical therapy. They will make a strong contribution to their profession and to their community. The program will graduate physical therapists that support and uphold the mission, vision and values held by Georgetown University Hospital. Residency Goals Support the Mission, Vision and Values of Georgetown University Hospital by meeting the needs of our patients, physicians and co-workers through provision of women s health physical therapy services. Contribute to the profession of physical therapy through writing, teaching, leadership in consultative activities in the area of women s health. Be critical consumers of scientific literature and be proficient in incorporating new techniques and knowledge into clinical practice. Exhibit the highest standards of professionalism. Page 3

4 General Information Credentialing: Accreditation is currently being sought from the APTA for the Residency Program; the Program is currently not accredited by the APTA and accreditation is not guaranteed and is not a condition of acceptance or completion. The American Board of Physical Therapy Residency and Fellowship Education states the following: Residents or fellows are considered graduates from a credentialed Program that had submitted a complete application while the residents or fellows were actively enrolled in the Program, and the credentialing was based on that application. Length of Study: 12 months (minimum); 36 months (maximum) Program Entrance Date: Rolling dates Tuition: While enrolled as a resident in the GUH WH Program, there is no fee for tuition. Salary: Residents will receive a salary as an employee of Georgetown University Hospital. Salaries are somewhat lower than those for new gradate physical therapists. (Residents do not carry a full-time case load in order to allow time for didactic coursework, research, mentoring, presentations and projects.) Benefits: Residents are eligible for benefits as an employee of Georgetown University Hospital. This includes employer supported health and dental insurance, employer paid time-off (vacation/sick time, six holidays, educational days, two floating personal holidays). This is not an all-inclusive list. Applicants are directed to the GUH Department of Human Resources for a full description of benefits. Overview: The program is designed to provide residents with a minimum 12 month intensive study in the area of Women s Health Physical Therapy, preparing the resident to sit and pass the Women s Health Specialty Exam administered by the American Board of Physical Therapy Specialties (ABPTS). The program curriculum includes direct patient care, mentoring time, didactic education, projects and presentations. Page 4

5 Didactic Curriculum Residents receive didactic training on topics related to women s health physical therapy which are expected knowledge areas published in the current Description of Specialty Practice for Women s Health Physical Therapy. The content is taught by faculty of the GUH Women s Health Physical Therapy Residency Program and additional continuing education coursework. Residents will also participate in Grand Rounds, Case Presentations, Journal Club and other educational experiences. Learning Unit (Examples) Overview of Women s Health Pelvic Floor Dysfunction Pelvic Pain Continence Issues (Urinary/Fecal) Pre-Natal & Post-Partum Orthopaedic Dysfunction Lymphedema Musculoskeletal Dysfunction Female Athlete Osteoporosis Fibromyalgia/Chronic Pain Post-Surgical Dysfunction Additional didactic coursework opportunities include (but are not limited to): Continuing Education ($2500 per year continuing education credit as GUH employee) o APTA Section on Women s Health o Pelvic Rehabilitation Institute o APTA Orthopaedic Section o Real Time Ultrasound (Scott Epsley, PT, Post Grad Certification Sports Physiotherapy) o International Spine & Pain Institute/NOI Group (David Butler) o Institute of Physical Art o University of St. Augustine for Health Sciences o North American Seminars o Kinetacore (Intramuscular Physical Therapy/Dry Needling) Page 5

6 Clinical Faculty: Faculty Carrie James Pagliano, PT, DPT, OCS, WCS, MTC Scott Epsley, PT, Post Grad Certification Sports Physiotherapy Kendra Harrington, PT, DPT, WCS Lisa Ebb, PT, MSPT, NCS Johanna Murphy, PT, MS Jennifer Thoren, MS, OTR/L Core Academic Faculty: Carrie James Pagliano, PT, DPT, OCS, WCS, MTC Michael Uttecht, PT, MS, ATC, CFMT, OCS, CSCS Scott Epsley, PT, Post Grad Certification Sports Physiotherapy Johanna Murphy, PT, MS Jennifer Thoren, MS, OTR/L Adjunct Physical Therapy Faculty: Michael Uttecht, PT, MS, ATC, CFMT, OCS, CSCS Scott Epsley, PT, Post Grad Certification Sports Physiotherapy Aaron Keil, PT, OCS Patricia Alomar, PT Kurt Van der Schalie, PT, MS, OCS, ATC Scott Juzwak, PT, DPT Sameer Mehta, PT, DPT Blair Watson, PT, DPT Ann Nicholson, PT, DPT, MTC Andy Novick, PT Glenn Thomas, PTA Page 6

7 Admission Requirements 1. Applicants must show proof of graduation from a CAPTE (Commission for Accreditation in Physical Therapy Education) accredited physical therapy program and hold (in good standing) a current license to practice physical therapy in the District of Columbia. Completion of a Pelvic Floor Rehabilitation Course (Level 1 at minimum) is required upon initiation of program (or proof of registration). If applicant is currently a student, the applicant will identify anticipated date of graduation from CAPTE program. 2. A completed application received by the program director 3. Acceptance is based upon interest, ability and aptitude for a career as a women s health physical therapist. The strongest applicants will demonstrate the following: a. Strong academic education and background b. Advanced verbal and written communication skills c. Clinical education, internships and mentoring experiences in women s health physical therapy supervised by a Clinical Specialist in Women s Health d. Strong fundamentals in clinical reasoning/problem solving and the application of examination and treatment procedures related to the practice of women s health physical therapy e. Research experience and interest 4. Residents are selected by the Residency Admissions Committee and their decision is final. Superior candidates will be given an interview, conducted by the members of the Application Committee. Candidates are assessed in the areas of commitment, knowledge of the purpose of the program, interests and personality. Good candidates will possess qualities of flexibility, team building, leadership and a desire to learn. Applicants requesting disability accommodations must do so by filing a request detailing necessary accommodations in writing to the program office. Page 7

8 Application Process 1. To obtain an application: a. Online: available 12/2010 b. Send an to requesting an application. Type Women s Health Residency Application Request in the subject line. c. Mail: Write to the Program Coordinator Carrie James Pagliano and request an application by mail Carrie J. Pagliano, PT, DPT, OCS, WCS, MTC Women s Health Residency Director Georgetown University Hospital Department of Physical Medicine & Rehabilitation Bles Building, CG Reservoir Road, NW Washington, DC In applying for admission the following materials must be submitted: a. Application form with essays (see application packet) b. Three (3) letters of recommendation (see application packet) c. Current resume or summary of career goals, employment history and extracurricular activities d. Official academic transcripts e. Copy of DC Physical Therapy license or proof of application f. Proof of completion of a Pelvic Floor Rehabilitation Course (Level 1 at minimum) is required upon initiation of program (or proof of registration). g. Non-refundable application processing fee of $50.00 payable to Georgetown University Hospital Department of Physical Medicine & Rehabilitation 3. GUH WH Residency Program reserves the right NOT to process any application that is incomplete 4. Within 2-4 weeks after the application is received, applications meeting admission requirements will be invited for a personal interview or phone interview. 5. Acceptance into the program is provisional pending the candidate meeting all conditions of employment of Georgetown University Hospital. Applicants will be notified of their status in the program in writing within 45 days of an interview or within 60 days of receipt of the completed application. Details regarding submission of these materials are provided with the application materials. Page 8

9 Further Information For further information or an application packet, please visit our website: (12/2010) Or contact: Carrie James Pagliano, PT, DPT, OCS, WCS, MTC Women s Health Residency Director Georgetown University Hospital Department of Physical Medicine & Rehabilitation Bles Building, CG Reservoir Road, NW Washington, DC Telephone: Carrie.J.Pagliano@gunet.georgetown.edu This information represents what is current at the time of printing of this publication and is subject to change. Applicants should contact the Women s Health Residency Program at Georgetown University Hospital to verify the requirements for the year in which the application will be submitted. It is the policy of the Women s Health Residency Program to recruit, admit and retain participants on a nondiscriminatory basis. Specifically, the program does not discriminate on the basis of race, creed, color, gender, age, national or ethnic origin, sexual orientation and disability or health status. Page 9

10 Application Checklist Application materials must be submitted directly to the Program Coordinator. Application Form with essays Three (3) letters of recommendation. If you are a recent graduate, please include on recommendation from a clinical instructor. A current resume or CV Official academic transcripts Copy of DC Physical Therapy License Proof of completion of a Pelvic Floor Rehabilitation Course (Level 1 at minimum) is required upon initiation of program (or proof of registration). Non-refundable application processing fee of $50.00 payable to Georgetown University Hospital Department of Physical Medicine & Rehabilitation An interview will be arranged as appropriate after all application materials have been obtained. Interviews are conducted in person when feasible. Phone interviews will be considered if necessary. It is the responsibility of the applicant to insure that all materials (including letters of recommendation) are received by the program director/coordinator in a timely fashion. Applicants lacking materials will not be considered. Applicants will be notified by mail of the Program s decision within 30 days of receipt of the entire application packet. SEND ALL APPLICATION MATERIALS, LETTERS OF RECOMMENDATION AND CORRESPONDENCE TO: o Carrie J. Pagliano, PT, DPT, OCS, WCS, MTC Women s Health Residency Director Georgetown University Hospital Department of Physical Medicine & Rehabilitation Bles Building, CG Reservoir Road, NW Washington, DC Carrie.J.Pagliano@gunet.georgetown.edu Page 10

11 PERSONAL INFORMATION: Name (Last, First, Middle): Mailing Address: City, State & Zip: Until: Permanent Address: City, State & Zip: Social Security Number: Day Phone: Evening Phone: Date of Birth: Are you a United States citizen? Yes No If NO, what country? If NO, do you have US Permanent Resident Status? Yes No RACE/NATIONAL ORIGIN: White (non-hispanic) African American, African Caribbean or Black Alaskan Native or American Indian Asian or Pacific Islander Mexican American Cuban American Puerto Rican Latino/a or other Hispanic Other Do not choose to indicate EMERGENCY CONTACT INFORMATION: Name: Relationship to applicant: Day phone: Address: Evening phone: Have you ever applied to this program before: Yes No When? Have you ever been place on probation or dismissed from a college or university? Yes No If yes, please provide details in attached statement. Have you ever been convicted of a crime (other than a minor traffic violation)? Yes No If yes, please provide details in attached statement. Page 11

12 ACADEMIC BACKGROUND: List all colleges and universities attended. Please enclose official transcripts from all of these institutions. Last Name, First Name Institution City/State From Mo/Yr To Mo/Yr Major Credits Earned Degree Date GPA Does your academic record accurately reflect your capabilities? Yes Describe why or why not. No Have you been certified in any health profession (?) Yes No If yes, please indicate: Profession: Profession: Date: Date: Please list other residency programs to which you are applying this year: PROFESSIONAL LICENSURE: Please indicate the state(s) in which you currently are licensed to practice as a physical therapist. Submit a photocopy of your licensure certificate(s). Last Name, First Name Page 12

13 RECOMMENDATIONS: Please list three (3) individuals you have asked to send letters of recommendation on your behalf: 1. Name Title/Organization 2. Address Name Title/Organization 3. Address Name Title/Organization Address WORK/VOLUNTEER EXPERIENCE: Please attach your resume. Please describe below your healthcare experience beginning with the most recent. Institution: City, State: Position/Title: Volunteer Paid Dates: Description of Responsibilities: Total Hours: Institution: City, State: Position/Title: Volunteer Paid Dates: Total Hours: Description of Responsibilities: Institution: City, State: Position/Title: Volunteer Paid Dates: Total Hours: Description of Responsibilities: Last Name, First Name Page 13

14 APPLICATION ESSAYS: 1) Please describe the motivating factors influencing your decision to apply for a Women s Health Residency at Georgetown University Hospital. Please include in detail your experiences in physical therapy that may have an effect on successful completion of the program. Indicate any strengths/weaknesses that might influence your pursuit of the program. Include educational, clinical, business administration, marketing and research experiences. Limit: 1000 words. 2) Discuss your experiences with and knowledge of autonomous practice and how this may shape your experience as a Women s Health Resident. Limit: 750 words. 3) Please write any additional statement you wish to include supporting your application. This question is optional and intended only to give each candidate full opportunity for selfexpression. Limit: 500 words. ADDITIONAL INFORMATION: How did you learn about the Georgetown University Hospital Women s Health Physical Therapy Residency Program: Check all that apply: Ad in Bulletin (Posting)/Website Conference Referral by physical therapist/student Other: What factors contributed to your decision to apply for admission to our Residency Program? REQUIRED SIGNATURE: To the best of my knowledge, the information on this application is true and accurate. Applicant Signature Date Page 14

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