MARYLAND HIGHER EDUCATION COMMISSION ACADEMIC PROGRAM PROPOSAL PROPOSAL FOR:

MARYLAND HIGHER EDUCATION COMMISSION ACADEMIC PROGRAM PROPOSAL PROPOSAL FOR: X NEW INSTRUCTIONAL PROGRAM SUBSTANTIAL EXPANSION/MAJOR MODIFICATION COOPERATIVE DEGREE PROGRAM WITIDN EXISTING RESOURCES or_ REQUIRING NEW RESOURCES (For each proposed program, attach a separate cover page. For example, two cover pages would accompany a proposal for a degree program and a certificate program.) Wor-Wic Community College Institution Submitting Proposal September 2015 Projected Implementation Date A.A.S Award to be Offered Physical Therapist Assistant Title of Proposed Program 5219 51.0806 Suggested HEGIS Code Suggested CIP Code Physical Therapist Assistant Department of Proposed Program Jon Waxham Name of Department Head Dr. Stephen L. Capelli scapelli@worwic.edu 41 0-334-2813 Contact Name Contact E-Mail Address Contact Phone Number President/Chief Executive Approval Tb4te Date Endorsed/Approved by Governing Board

New Academic Proposal Physical Therapist Assistant (PTA) Program Wor-Wic Community College, Salisbury, Maryland August 2014 A. Centrality to Institutional Mission Statement and Planning Priorities: 1. Provide a description of the program and how it relates to the institution's approved mission. Consistent with the mission and goals of Wor-Wic Community College, The Physical Therapist Assistant {PTA} Program provides an affordable and comprehensive education to students from the lower Eastern Shore of Maryland that desire to work in the field of Physical Therapy. The program is based on the core principles of integrity, excellence, diversity, compassion, and professionalism. The program provides the foundation of knowledge and clinical skill required for graduates to pass the National Physical Therapy Examination, work as an entry level Physical Therapist Assistant under the direct supervision of a Physical Therapist, function as an integral part of the healthcare team, promote health and wellness in the community, and advance the profession of Physical Therapy. The Physical Therapist Assistant program is a 2 year program that culminates in the awarding of an Associate of Applied Science (A.A.S.} degree in Physical Therapist Assistant. The program provides a limited number of spaces and acceptance into the program will be competitive. The criteria for selection will be based entirely on GPA during the program pre-requisite coursework. The program includes general education courses as well as technical education courses to provide the foundation of knowledge and the necessary skills for the Physical Therapist Assistant student. The curriculum concludes with two clinical rotations where students are presented the opportunity to work under the supervision of a Clinical Instructor (CI} as a fully functioning Physical Therapist Assistant. The clinical rotations are designed to foster independence in practice and to expose the students to a variety of clinical settings and patient experiences. Courses in the Physical Therapist Assistant program are designed to build technical competence sequentially (with a primary focus on patient safety}, to foster clinical reasoning skills, and to instill the foundational behaviors desired and expected by employers in a healthcare professional. The technical portion of the program will be taught by two core faculty members, the Department Head, and the Academic Coordinator for Clinical Education (ACCE}. This relates directly to the institution's approved mission that the college enhances local economic growth by addressing the education, training and workforce development

requirements of the residents of Worcester, Wicomico, and Somerset counties. The PTA program specifically meets the following mission-based institutional goals: a) Provide service area residents with access to a quality education at a reasonable cost. b) Offer programs for immediate entry into the local workforce c) Offer courses and programs for residents to pursue career advancement, earn licensures and certifications, and for personal development. d) Promote economic development by providing programs and services that are compatible with the needs of business, government, nonprofits, and other community groups. e) Ensure the quality of student learning, support services, and institutional performance through the assessment process. 2. Explain how the proposed program supports the institution's strategic goals and provide evidence that affirms it is an institutional priority. The PTA Program's strategic plan articulates the program's future vision and guides the program development in focused areas of development in line with the institution's strategic plan. The program strategic plan is for a minimum of 3 years; however, most of the goals will be on an ongoing basis. The strategic plan includes all of the following: the plan is based on program evaluation and an analysis of external and internal environments; the long-term goals are based on the vision and mission of both the institution and the specific needs of the program; measurable action steps with expected timelines to reach goals or identify goals as ongoing; person(s) responsible for action steps; and evidence of updated action steps and goals as they are met or changed The proposed program supports the institution's strategic goals as follows: Institution's Goals PTA Program Goals Expand courses, facilities, and Develop and obtain accreditation programs to meet the changing for the Physical Therapist Assistant needs of the local work force. program through the Commission on Accreditation in Physical Therapy Education (CAPTE). Enhance the quality of the Complete development and college's academic programs, implementation of the curriculum courses, and services through and assessment methods for the the integration of assessment, PTA Program. planning and budgeting, and the dissemination of results.

Develop additional revenue resources to support college programs and services. Expand the use of technology to improve work processes and increase institutional effectiveness. Identify, pursue, and apply for grants to further improve and support the PTA Program. Explore development, inclusion, and implementation of hybrid and/or distance learning methods for the PTA Program. B. Adequacy of curriculum design and delivery to related learning outcomes consistent with Regulation.10 of this chapter: 1. Provide a list of courses with title, semester credit hours and course descriptions, along with a description of program requirements. See curriculum structure below. This structure is pending the application for waiver from the 60 credit requirement as mandated in the State of Maryland, College and Career Readiness and College Completion Act of 2013. Pre-Ph_ysical Therapist Assistant Courses Credit Hours BIO 202 Anatomy and Physiology I 4 ENG 101 Fundamentals of English I 3 MTH 152 Elementary Statistics 3 PSY 101 Introduction to Psychology 3 SDV 100 Fundamentals of College Study 1 14 Remaining Courses Fall PTA 101 Introduction to PTA 3 PTA 110 Therapeutic Procedures I 4 BIO 203 Anatomy and Physiology II 4 ENG 151 Fundamentals of English II.3. 14 Spring PTA 120 Functional Anatomy and Biomechanics 3 PTA 130 Cardiopulmonary/Integumentary Issues 3 PTA 140 Physical Agents 4 PTA 150 Therapeutic Procedures II 1 14 Summer PTA 180 Pathology for the PTA 3 PTA 200 Ethics and Professional Issues 2 PTA 210 Neurology for the PTA 4 PTA 220 Clinical Practice I z 11

Fall PTA 230 Special Populations 3 PTA 240 Orthopedics for the PTA 4 PTA 250 Advanced Issues.2. 9 Spring PTA 260 Clinical Practice II 4 PTA 270 Clinical Practice III 1: 8 PTA Program Course Descriptions as follows: PTA 101 Introduction to PTA {3 credits) This course is designed to introduce students to the profession of Physical Therapy and the role of the Physical Therapist Assistant (PTA). Topics covered include the history of Physical Therapy, the evolution of the Physical Therapist Assistant, the Physical Therapist (PT)/PTA relationship, the healthcare team, the current state of healthcare in America, and the ethical and professional characteristics of the PTA. In addition students will be introduced to reading and understanding physical therapy literature, the fundamentals of medical terminology, medical documentation and billing, and documentation standards in physical therapy. Hours: 39/ecture. Prerequisite: Permission of the department head. Course fee: $60. Usually offered in the fall. PTA 110 Therapeutic Procedures I {4 credits) The purpose of this course is to provide students with fundamental skills necessary for the PTA. Topics covered include basic patient care skills and communication, PTA scope of practice, data collection, and principles of therapeutic exercise. By course completion students will demonstrate safety and competence in the following: body mechanics, goniometry, manual muscle testing, anthropometric measurements, vital signs, patient positioning/draping, posture, pain scales, sensation testing, basic therapeutic exercise program development and progression, and documentation. Hours: 39/ecture, 39 laboratory. Prerequisite: Permission of the department head. Corequisite: PTA 101. Course fee: $80. Laboratory fee: $35. Usually offered in the fall. PTA 120 Functional Anatomy & Biomechanics {3 credits) This course is built on the foundation created in Anatomy and Physiology I and II, and is designed to educate students in the biomechanical principles of human movement, tissue injury and repair, and how the neuromuscular and musculoskeletal systems relate to normal and abnormal function and disability. Students will participate in both classroom and laboratory activities to promote competency in palpation, knowledge of stages of tissue healing, joint structure and function, body mechanics, gait and locomotion, and posture. Hours: 26/ecture, 26/aboratory. Prerequisites: PTA 110, B/0203, and permission of the department head. Corequisite: PTA130, PTA 140 and PTA 150. Course fee: $60. Laboratory fee: $35. Usually offered in the spring.

PTA 130 Cardiopulmonary/Integumentary Issues (3 credits) The purpose of this course is to review the anatomy and function of the cardiopulmonary and integumentary systems and apply that information to clinical care in Physical Therapy. Students will examine pathologies commonly encountered as a PTA, their impact on function, and identify and incorporate treatment techniques that assist with the healing and/or function of the cardiopulmonary and integumentary systems. Discussions will include the impact of cardiovascular and pulmonary disease in society and the role of the PTA in education and intervention strategies in the community. In addition students will be educated on equipment and important factors when working with patients in a hospital setting. At the end of this course students will demonstrate safety and competency in the following: wound care, sterile and isolation techniques, universal precautions, use of topical agents for skin protection and repair, patient positioning, techniques to improve ventilation and drainage, and exercise and relaxation principles to improve cardiopulmonary function. Hours: 26 lecture, 26 laboratory. Prerequisites: PTA 110 and permission of department head. Corequisites: PTA 120, PTA 140 and PTA 150. Course fee: $60. Laboratory fee: $35. Usually offered in the spring. PTA 140 Physical Agents (4 credits) This course is designed to provide the basic science, clinical reasoning, and effective use of physical agents used by the PTA under the direction and supervision of the Physical Therapist. Discussion will include scientific principles, precautions, indications and contraindications for use, and assessment of patient response to applied agents. Students will safely demonstrate the application of compression therapies, cryotherapy, superficial and deep thermal agents, electrotherapeutic agents, athermal agents, hydrotherapy, light agents, mechanical motion devices, and traction. Competency will include incorporation of prior learned principles of proper patient positioning and draping, and proper documentation of delivery of applied agents. Hours: 391ecture, 39laboratory. Prerequisites: PTA 101, PTA 110 and permission of the department head. Corequisites: PTA 120, PTA 130 and PTA 150. Course fee: $80. Laboratory fee $35. Usually offered in the spring. PTA 150 Therapeutic Procedures II (4 credits) This course is designed to build on principles learned in Therapeutic Procedures I and to instruct students in manual treatment techniques, gait training with and without assistive devices, adaptive and assistive equipment, transfers, bed mobility, balance, wheelchair mobility, and the use of standard measurement tools for balance, mobility, and gait. In addition students will be educated on the concepts of Activities of Daily Living (ADLs), Instrumental Activities of Daily Living (IADLs), and the impact of treatment techniques on improving daily function. Hours: 391ecture, 39laboratory. Prerequisites: PTA110 and permission of the department head. Corequisites: PTA 120, PTA 130 and PTA 140. Course fee: $80. Laboratoryfee: $35. Insurance fee: $30. Usually offered in the spring. PTA 180 Pathology for the PTA (3 credits) This course includes a basic overview of the etiology, diagnosis, treatment, prognosis, and prevention of pathological diseases and conditions for different body systems. Focus will be on aspects of diseases and conditions that affect patient management and treatment in physical therapy. The course will include a basic overview of pharmacological interventions in healthcare that may be encountered by the PTA. Hours: 39lecture. Prerequisite: PTA 150 and permission of the department head. Corequisites: PTA 200, PTA 210 and PTA 220. Course fee: $60. Usually offered in the summer.

PTA 200 Ethics and Professional Issues (2 credits) This course is designed to cover a variety of issues related to professional behaviors, core values, and the development of an entry level professional PTA. Topics include principles of teaching and learning, clinical problem solving, evidence based practice, treatment plan modification and plan of care progression, the APTA standards for practice, patient rights, federal and state regulations regarding PTAs, healthcare administration, safety and emergency procedures, health and wellness, professional development, and the role of the APTA in the profession. Hours: 261ecture. Prerequisites: PTA 150 and permission of the department head. Corequisites: PTA 180, PTA 210 and PTA 220. Course fee: $40. Usually offered in the summer. PTA 210 Neurology for the PTA (4 credits) This course focuses on the study of neurological physiology, anatomy, development, and pathology as well as motor control and motor learning across the lifespan. This knowledge and these principles will be applied to a variety of neurological diseases and conditions commonly encountered in physical therapy practice. Students will be expected to apply appropriate data collection, treatment techniques, and documentation skills to case studies involving patients with neurological pathologies. In addition students will demonstrate the use of clinical reasoning skills in the safe application of treatment interventions. Hours: 39 lecture, 261aboratory. Prerequisites: PTA 150 and permission of the department head. Corequisites: PTA 180, PTA 200 and PTA 220. Course fee: $80. Laboratoryfee: $35. Usually offered in the summer. PTA 220 Clinical Practice I (2 credits) This course provides students with an opportunity to observe and participate as directed by a Clinical Instructor (CI} in patient care in a clinical setting. Students will be placed into a clinical setting for one day a week to begin to apply the knowledge, principles and techniques learned in the didactic portion of the curriculum while under the direct supervision of a licensed PT or PTA. Hours: 10 lecture, 80 clinical. Prerequisites: PTA 150 and permission of the department head. Corequisites: PTA 180, PTA 200 and PTA 210. Course fee: $40. Usually offered in the summer. PTA 230 Special Populations (3 credits) This course focuses on physical therapy care for unique patient populations including but not limited to pediatric patients, geriatric patients, women's health patients, amputees, oncology patients, and incontinent patients. Course topics will include special considerations, equipment, and treatment techniques to meet the needs of these patients. Hours: 261ecture, 261aboratory. Prerequisites: PTA 220 and permission of the department head. Corequisites: PTA 240 and PTA 250. Course fee: $60. Laboratoryfee: $35. Usually offered in the fall. PTA 240 Orthopedics for the PTA (4 credits) This course focuses on the study of musculoskeletal physiology, anatomy, development, and pathology across the lifespan. This knowledge will be applied to a variety of orthopedic diseases and conditions commonly encountered in physical therapy practice. Students will be expected to apply appropriate data collection, treatment techniques, and documentation skills to case studies involving patients with orthopedic pathologies. In addition students will demonstrate the use of clinical reasoning skills in the

safe application of treatment interventions. Hours: 39lecture, 261aboratory. Prerequisites: PTA 220 and permission of the department head. Corequisites: PTA 230 and PTA 250. Course fee:$ 80. Laboratory fee: $35. Usually offered in the fall. PTA 250 Advanced Issues {2 credits) This course is designed to integrate didactic and clinical experiences completed to date in the context of more advanced healthcare, patient care, ethical, and professional situations. In addition topics covered will include licensing examination preparation, licensure requirements, career development, clinical research review, and the dynamics of human interaction. Hours: 261ecture. Prerequisites: PTA 220 and permission of the department head. Corequisites: PTA 230 and PTA 240. Course fee: $40. Usually offered in the fall. PTA 260 Clinical Practice II (4 credits) This course is the first of two terminal clinical experiences. This is a six week supervised clinical assignment in a hospital, extended care facility, rehabilitation facility, specialty facility or outpatient facility. Students are expected to apply previously learned didactic and clinical material to patient care and demonstrate consistent weekly progress towards goals established for chart review, documentation, patient treatment, time management, and staff interaction. Students will be expected to make a verbal presentation to the staff at the host facility on a topic to be determined with the Clinical Instructor. Hours: 240 clinical. Prerequisites: PTA 250 and permission of the department head. Corequisite: PTA 270. Course fee: $80. Laboratory fee: $35. Insurance fee: $30. Usually offered in the spring. PTA270 Clinical Practice Ill (4 credits) This course is a seven week assignment in a hospital, extended care facility, rehabilitation facility, specialty facility or outpatient facility. Students are expected to build on prior knowledge and clinical experiences to progress to entry level competence as a physical therapist assistant. Students will be expected to complete a service project for the host facility as agreed upon with the Clinical Instructor. Hours: 280 clinical. Prerequisites: PTA 250 and permission of the department head. Corequisite: PTA 260. Course fee: $80. Laboratory fee: $35. Usually offered in the spring.

2. Describe the educational objectives and intended student learning outcomes. The educational objectives and intended learning outcomes are grounded in the program's mission and goals and incorporate all of the elements as described in the American Physical Therapy Association's (APTA) Normative Model of Physical Therapist Assistant Education, the APTA position on the minimum required skills of an entry level physical therapist assistant, and the evaluative criteria for PTA program accreditation by the Commission on Accreditation in Physical Therapy Education (CAPTE). Listed below is the expected student learning outcomes for the PTA program. Upon successful completion of the Physical Therapist Assistant Program at Wor-Wic Community College, the graduate will demonstrate knowledge, skills, and problem solving ability to: Communication/Administration o Recognize the appropriate time for communication with the supervising PT and provide effective and timely communication as needed to ensure patient safety and progress. o Demonstrate effective verbal, non-verbal and written communication skills when working with patients/families, colleagues, members of the healthcare team, and others. o Recognize individuals with social or cultural differences and appropriately modify communication and treatment during all aspects of physical therapy services. o Demonstrate an understanding of the administrative duties required of the Physical Therapist Assistant during the delivery of Physical Therapy services. Professionalism o Demonstrate an understanding of the role of Physical Therapist Assistant in healthcare and promote improved understanding of the profession to other healthcare providers and members of the community. o Communicate an understanding of the role of the Physical Therapist Assistant as it pertains to the PTA/PT relationship, and as a member of the healthcare team in a variety of practice settings. o Exhibit conduct that is safe, ethical, legal, and consistent with the APTA's core values, Standards of Ethical Conduct for the Physical Therapist Assistant, and the Guide for Conduct of the Physical Therapist Assistant. o Read and understand health care literature to support evidence-based practice in clinical decision making. o Communicate the importance of self-assessment and professional development that enhance the Physical Therapist Assistant's skill level and professional knowledge. o Discuss the responsibility of the Physical Therapist Assistant to participate in activities that advance the profession and improve the community.

Practice o Demonstrate an understanding of the plan of care established by the physical therapist prior to initiating patient intervention. o Demonstrate safe and competent interventions consistent with the minimum required skills of an entry level Physical Therapist Assistant as outlined by the American Physical Therapy Association. o Provide safe interventions that comply with appropriate jurisdictional law, practice guidelines, scope of ability, code of ethics and facility policy, as directed by the physical therapist in the plan of care. o Provide effective instruction to the patient and others to achieve the goals and outcomes described in the plan of care. o Collect data to quantify the patient's responseto interventions as directed and supervised by the physical therapist. o Modify the patient intervention as indicated, to ensure patient safety and to progress the patient towards the goals established in the plan of care. o Complete thorough, accurate, concise, timely and legible documentation consistent with guidelines and format required by state practice acts, the practice setting, and other regulatory agencies. o Recognize the PTA's responsibility and role in responding to patient and environmental emergencies in the work setting. o Pass the National Physical Therapy Examination for Physical Therapist Assistants. 3. Discuss how general education requirements will be met, if applicable. General education requirements are met in accordance with COMAR and the institutional policy stating that at least 20 general education credit hours are required for an Associate of Applied Science (A.A.S.) degree. ENG 101 is required for all Associate degrees. The Arts and Humanities requirement is met with ENG 151. PSY 101 meets the requirement for one course in one of the five social/behavioral science disciplines. BIO 202 meets the requirements for one course in one of the biological/physical science disciplines. MTH 152 meets the requirement for one course in mathematics. The additional general education requirement, BIO 203 was selected based on the science requirements of the APTA and CAPTE. 4. Identify any specialized accreditation or graduate certification requirements for this program and its students. Wor-Wic Community College has been recognized by CAPTE as a developing PTA program. Wor-Wic will submit its Application for Candidacy for Accreditation on December 1, 2014. Upon successful review, the PTA program will be recognized as a bona fide Candidate for Accreditation in Spring, 2015 and will begin accepting students into the program for the Fall, 2015 term. The first cohort of students will be expected to graduate in the Spring of 2017.

It is anticipated the PTA program will be awarded full accreditation during the final term of the first cohort of PTA students. Graduation from an accredited program is required to sit for the National Physical Therapy Examination and become licensed as a Physical Therapist Assistant. 5. Contracting with another institution. This section is not applicable. C. Critical and compelling regional or statewide need as identified in the State Plan: The program and standards are consistent with and support the 5 objectives of the Maryland State Plan for Postsecondary Education. More specifically, the program addresses: GoalS: Promote economic growth and vitality through the advancement of research and the development of a highly qualified workforce. Contained within this goal is the stated need for "the development of a high quality workforces" and more specifically the additional healthcare workers required in specific occupations as well as the growing gap between the need and supply of qualified applicants. This section specifically addresses a "qualified worker shortage" occupational group in the State which the proposed program falls within. Physical Therapist Assistant is also identified by the Department of Health and Mental Hygiene (DHMH) to MHEC as a healthcare occupational shortage program. D. Quantifiable and reliable evidence and documentation of market supply and demand in the region or state. The State of Maryland Integrated Workforce Plan, Section 1, associated with Workforce Investment Act and Wagner Peyser Act, July 1, 2012 through June 30, 2017 states: "Although Maryland has identified other industry sector priorities, the Health Care and Social Assistance subsector has been and will continue to be a key economic driver in Maryland. Advancing at an annual rate of 3.4% since 2007 and adding an estimated 30,600 through 2011, the industry was virtually unscathed by the recent downturn. Gains in health care employment occurred in each of the state's regions over this period-an expansion which increased the market share of this industry in each regional economy..." It further identifies: "Maryland's Health Care and Social Assistance industry is poised for continued growth. Among the underlying factors expected to propel future expansion are the continuing technological advances in patient care, increasing emphasis on preventative care, and changing population demographics which show that Maryland's 65+ population is expected to rise by more than 41% through 2020. Additionally, with federal health care reform at the forefront, in order to successfully implement reform and expand coverage

60% SO% to uninsured individuals, the demand in primary care utilization is expected to increase and additional workers will be needed." The PTA program will be the only fully delivered program available to students on the Eastern Shore of Maryland. According to the labor market analysis (Economic Modeling Specialists Inti., 2014) the occupational demand for Physical Therapist Assistants will grow by 24.4% nationally, 22.0% statewide but by 35.1% regionally between 2013 -- 2020 (covering the 7 counties of the lower shore of Maryland). The following table shows the significant increase in demand for graduates of this program projected through 2024: 0% ::::012 2020 2022 2024 Region 2013 Jobs 2020 Jobs %Change Region 66 90 35.1% State 1,443 1,760 22.0% Nation 71,689 89,164 24.4% The only competitive provider of graduates to this need is out-of-state and therefore constitutes a significant barrier to Maryland residents seeking to enter this occupation. E. Reasonableness of program duplication: 1. Identify similar programs in the State and/or same geographical area. Discuss similarities and differences between the proposed program and others in the same degree to be awarded. There are currently 5 accredited PTA programs in the State of Maryland. The closest program geographically is 1) the Chesapeake Area Consortium for Higher Education (CACHE) which includes Chesapeake College (60 miles from Wor-Wic). Chesapeake College provides approximately 6 slots annually for PTA students. Students enrolled at Chesapeake College

complete general education requirements at Chesapeake College and complete their professional training at Anne Arundel Community College (90 miles from Wor-Wic). The other programs include 2) Allegany College of Maryland in Cumberland, Maryland, 3) Baltimore City Community College in Baltimore, Maryland, 4) Carroll Community College in Westminster, Maryland, and 5) Montgomery College in Takoma Park, Maryland. In addition to the 5 accredited programs, there are 2 developing programs, 1) Howard Community College in Columbia, Maryland, and 2) Cecil College in North East, Maryland. All programs are structured to meet the standards and criteria established by CAPTE. 2. Provide justification for the proposed program. Wor-Wic Community College will have the only Physical Therapist Assistant Program available to students on the lower Eastern Shore of Maryland. F. Relevance to Historically Black Institutions (HBis) This section is not applicable. G. The PTA program will not be proposing distance education at this time. H. Adequacy of faculty resources. The PTA Department Head/Program Director must be a licensed physical therapist or physical therapist assistant in the state where the program is located, must have a minimum of an earned Master's degree, and must have 5 years of experience as apt or PTA that includes clinical practice, didactic and/or clinical teaching, and experience in administration. Jon Waxham, PT, MPT, CSCS was hired in May, 2014 as the Department Head and Associate Professor for the Physical Therapist Assistant program. Mr. Waxham holds Bachelor's degrees in Physics, and Physical Therapy from the University of Maryland, and a Masters of Physical Therapy degree from the University of Maryland. He is currently licensed as a Physical Therapist in Maryland and Delaware. He has 16 years working as a clinician with experience as a clinical instructor, and experience in administration as a practice owner. CAPTE standards dictate that PTA programs applying for accreditation must employ at the time of application at least 2 core faculty members, the program director, and the Academic Coordinator for Clinical Education (ACCE}. The ACCE is a full time faculty member responsible for coordinating the clinical portion of the PTA program as well as teaching during the technical portion of the program. This position is in the process of being filled at the time of this proposal writing. Faculty teaching responsibilities will be evenly split between the two core faculty members and the classes each will be responsible for will be based on their experience and areas of expertise. CAPTE requires justification regarding courses to be taught by each faculty member based on

experience and expertise. The proposed faculty to student ratio will be 1:16 for both lecture and laboratory courses. I. Adequacy of library resources. Students in the PTA program will have ready access to a supply of current and relevant books, journals, periodicals, computers, software, and other reference materials needed to meet the requirements of the curriculum. The program budget allocates funding for specific reference materials. Wor-Wic uses an electronic library that supports the academic needs of constituents. Multiple Media Centers are staffed to provide research assistance. Web-delivered subscription databases cover academic disciplines, including PTA. Wor-Wic students also have privileges for the libraries at University of Maryland Eastern Shore, which has a PT doctoral program, and Salisbury University. J. Adequacy of physical facilities, infrastructure, and instructional equipment. Completed in 2011, the Allied Health Building (AHB) at Wor-Wic houses the emergency medical services, nursing, radiologic technology, and occupational therapy assistant programs. In addition to those programs, the building was planned and completed with classroom, laboratory, storage, and resource space for the Physical Therapist Assistant Program. The PTA program classroom, storage area, and ADL Home Care Laboratory are on AHB's 2nd floor. The PTA program has a designated classroom that has mobile seating for 16 students, which can be rearranged to meet various class and teaching needs. It is large enough to allow treatment areas to be set up around the student seating for mats, plinth tables, treatment modules, etc. The Home Care Laboratory is a fully-equipped functional apartment with kitchen, laundry, bathroom, dining, bedroom, and living room areas. Walls are half height for easy viewing. The Home Care Laboratory can be used for any independence, patient & care giving training and retraining, home care, ADL, and assistive technology needs. Both classroom and home care laboratory are fully smart (see technology list). Additionally, the hospital simulation rooms on the 1st floor can be used for PTA laboratory needs. The dedicated PTA storage area is attached to the PTA classroom/laboratory, and is equipped with shelving and cabinetry for organized storage. Both the dedicated classroom and Home Care Laboratory are secure and locked. The PTA Home Care Laboratory also has storage space/cabinetry and closets in the following areas: kitchen, bathroom, bedroom, and dining. Home care, ADL, and assistive equipment can be stored in these areas for teaching, simulation and practice. The dedicated storage areas for Nursing and for OTA could be used for overflow or shared equipment if necessary. The PTA Program Director and faculty have office space consistent with institutional practice. The program director has a private office that allows for management activities as well as student advisement on all levels. The Fieldwork Coordinator/Instructor has a separate office to accommodate the same. Adjunct faculty will have separate office space that also meets institutional practice and meets the needs for academic planning and student advisement. The

PT Program Director and faculty also have access to the Departmental Conference Room and additional empty office space should there be other training, planning, advisement or meeting needs. The PTA Program will have appropriate and sufficient equipment and supplies, provided by the institution, for student use and for the didactic and supervised fieldwork components of the curriculum. A comprehensive budget was submitted to Wor-Wic by the PTA Department Head. This comprehensive budget includes all necessary equipment and supplies for the start-up PTA program. The following budgeted items are included: personnel (adjunct), equipment, evaluative/treatment methodologies/tools, supplies (instructional and consumable), library resources, software, instructional aids, and technology. The requested equipment was approved for purchase in the 2014-15 and 2015-2016 fiscal years prior to the start of PTA classes. K. Adequacy of financial resources with documentation. Please see attached TABLE 1: RESOURCES and TABLE 2: EXPENDITURES L. Adequacy of provisions for evaluation of program. All programs at Wor-Wic Community College are part of an institutional-wide process for evaluation and assessment. Metrics are defined for evaluation criteria at multiple levels of the institution. These metrics are then utilized for reporting and progress assessment. Metrics are defined down through the program level to course level. A technology based system of data collection is utilized for course level achievement which is then aggregated up to assess program achievement. Programs report on an annual basis with respect to achievement of objectives and department heads formulate necessary action plans to facilitate improvement with the aid of faculty members. Many programs (including the proposed PTA program) also fall under the scrutiny of accreditation agencies which have independent oversight and assessment of evaluation mechanisms as well as results. M. Consistency with the State's minority student achievement goals. Wor-Wic Community College maintains a cultural diversity plan which states: "Wor-Wic Community College is committed to a plan of cultural diversity that promotes inclusivity of diverse students and employees. The college has created a welcoming atmosphere on campus and has infused cultural diversity in all college programs, services, and communications. The college has demonstrated this commitment to cultural diversity through the vision, values, mission, and goals stated in the strategic plan. The strategic plan of the college is in alignment with the diversity goals of the Maryland State Plan for Higher Education, including implementation strategies and timelines for meeting the goals. The college adheres to the definition of cultural diversity as inclusion of those racial and ethnic groups and individuals

that are or have been underrepresented in higher education [ Education Article, Annotated Code of Maryland 11-406-(b) (1) (iii)]." This plan identifies how cultural diversity and minority achievement is addressed in each of the vision, mission, and values statements as well as long term goals and strategic initiatives. Additionally, each year Wor-Wic produces a cultural diversity report in compliance with the Maryland Higher Education Commission reporting requirements for college cultural diversity plans [Education Article, Annotated Code of Maryland 11-406-(b) (1) (iii)]. The report describes the set of initiatives and achievements accomplished in support of the diversity plan for each year. N. Relationship to low productivity programs identified by the Commission The proposed program has no relationship with any other programs offered by the college.

PTA FINANCE NARRATIVE Resources 2.a. This program is a limited admission program. Numbers in the first three years will be restricted to 16 per year (fall intake). In year four, the cohort size may increase to 24 students per year in line with other limited admission programs offered. Values represent the number of full time students in both years 1 and 2 of the 2 year program, as well as the cohort size associated with pre-admission requirements in the year prior to entry. 2.b. Annual tuition is calculated as the expected number of credits taken during the first and second years (33 and 23 respectively) multiplied by the tuition rate plus student and course fees applied over the respective years. Additionally, annual tuition includes the number of pre-admission credits taken by the cohort in the year prior to entry (14 credits) multiplied by the tuition rate for the respective year. Values shown for each year represent the average tuition per student for those enrolled in the prerequisite PTA, year 1 PTA and Year 2 PTA courses. There is a budgeted increase of 3% per year for tuition only. Tuition for FY 2016 will be $103 per credit hour. 3. Grants include planned MSDE allocations from Perkins grant money applied on an annual basis as well as grant monies made available by local authorities to directly support the program. Please note: external sources do NOT include annual state appropriations received from the CADE state formula for FTE in any year following enrollment. Expenditures 1.b. Salaries are budgeted at 2 FTE per year with an annual increase of 3%. 1.c. Benefits are budgeted at 25% of total salaries. 2 & 3 Administrative and support staff is already in place and has the capacity to absorb work requirements to accommodate the proposed program. No additional expenditures are required. 4. In addition to equipment and facilities already in place for the program, equipment expenditures represent further costs on startup instructional equipment with ongoing minor repair, replacement and maintenance in years 2-5. 7. Other expenses represent instructional supplies required on an ongoing basis as well as accreditation expenses associated with annual dues and accreditation site visit (year 2)

TABLE 1: RESOURCES; Resource Categories Year 1 Year2 Year3 Year4 YearS 1. Reallocated Funds 2. Tuition/Fee Revenue (c + g below) a. Number of FIT Students 97,600 155,424 172,480 209,344 238,752 cohort 16 cohort 32 cohort 32 cohort 40 cohort 48 pre-pta 16 pre-pta 16 pre-pta 24 pre-pta 24 pre-pta 24 b. Annual Tuition/Fee Rate# 3,050 3,238 3,080 3,271 3,316 c. Total FIT Revenue (ax b) 97,600 155,424 172,480 209,344 238,752 d. Number ofpit Students e. Credit Hour Rate f. Annual Credit Hour Rate g. Total PIT Revenue (dxexf) 3. Grants, Contracts & Other External Sources * 4. Other Sources 125,000 115,000 115,000 10;ooo 10,000 TOTAL (Add 1-4) 222,600 270,424 287,480 219,344 248,752 # Please note this is the average tuition/fee rate per student * Please note the reference to the exclusion of CADE funding in the PTAFinance Narrative, Resource section, para. (3)

. TABLE 2: EXPENDITURES: Resource Categories Year 1 Year2 Year3 1. Faculty (b + c below) 187,500 193,125 198,919 a. #PTE 2 2 2 b. Total Salary 150,000 154,500 159,135 c. Total Benefits 37,500 38,625 39,784 Year4 YearS 204,886 211,032 2 2 163,909 168,826 40,977 42,206 2. Admin. Staff (b + c below) a. #PTE b. Total Salary c. Total Benefits 3. Support Staff(b + c below) a. #PTE b. Total Salary c. Total Benefits 4. Equipment 4,000 2,000 2,000 2,000 2,000 5. Library 6. New or Renovated Space 7. Other Expenses 5,000 7,000 5,000 TOTAL (Add 1-7) 196,500 202,125 205,919 5,000 5,000 211,886 218,032