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Clinical Center Information Form (CCIF) 2006

Below you will find the completed CCIF. Much of this information can be found elsewhere in this web page, but it is consolidated here so the ACCE or student can print a copy.

Part I - Information for Academic Programs

I. Information About the Clinical Center

Tripler Army Medical Center
Attn: MCHK-PTP, Major Jesse Ortel, CCCE
1 Jarrett White Rd.
Tripler AMC, HI 96859-5000

Facility Phone: (808)433-6958/6764
PT Department Phone: (808)433-6958/6764
Fax Number: (808)433-9849

Name of Director of Physical Therapy: Colonel (COL) Megan Mills
Name of Center Coordinator of Clinical Education (CCCE): Major (MAJ) Jesse Ortel

Clinical Center Accreditation/Ownership

1. Is your clinical center accredited/certified? YES
2. JCAHO - December 2004
3. Facility owned by: U.S. Army
4. Facility's Primary Classification:

Acute Care/Hospital Facility
-university teaching hospital
-urban

Ambulatory Care/Outpatient Center
-geriatric
-orthopedic PT

Federal/State/County Health
-VA

1a. Secondary Site / Part of Tripler AMC

U.S. Army Health Clinic at Schofield Barracks
Attn: Physical Therapy Section
Schofield Barracks, HI 96857-5460
PT Department Phone: (808) 433-8025/8026

Director of Physical Therapy: MAJ Christine Bigham
Center
Coordinator for Clinical Education: MAJ Christine Bigham

5. If your clinical center provides inpatient care, what are the number of:
229 licensed beds

II. Information About the Physical Therapy Service

6. P.T. Service hours:

Monday - 7:30 a.m. to 4:30 p.m.
Tuesday - 7:30 a.m. to 4:30 p.m.
Wednesday - 7:30 a.m. to 4:30 p.m.
Thursday -8:30 a.m. to 4:30 p.m.
Friday - 7:30 a.m. to 4:30 p.m.
Saturday - Inpatient services only
Sunday - Inpatient services only

7. Indicate the number of full-time and part time budgeted (B) and filled (F) positions:

PTs (Full time) 8 budgeted 9 filled
PTAs (Full time) 7 budgeted 7 filled
Receptionist 3 budgeted 3 filled

8. Estimate an average number of patients per therapist treated per day in the PT department:

Inpatient
1-7 Individual PT
3-12 Individual PTA
39 Total PT service per day

Outpatient
6-14 Individual PT
6-39 Individual PTA
109 Total PT Service per day

9. Use the following code to indicate the patient population seen (by age) for inpatient and outpatient services, if appropriate.

1 = Frequently
2 = Occasionally
3 = Rarely
4 = Not Available

Inpatient
3 - <1 (neonate)
3 - 1-4 (preschool)
3 - 5-12 (school)
2 - 13-19 (adolescent)
1 - 20-64 (adult)
1 - 65 and older (geriatric)

Outpatient
4 - <1 (neonate)
3 - 1-4 (preschool)
2 - 5-12 (school)
2 - 13-19 (adolescent)
1 - 20-64 (adult)
2 - 65 and older (geriatric)

10. List all PT and PTA education programs with which you currently affiliate.

PT Schools
U.S. Army-Baylor University Doctoral Program in Physical Therapy
Boston University
Loma Linda University
Pacific University
Shenandoah University 
The University of Utah
University of Puget Sound
University of North Dakota
Belmont University

PTA Schools
AMEDD Center and School 
Kapiolani Community College
Loma Linda University

11. Does your clinical facility use:
- its own clinical facility contract

12. What criteria do you use to select Clinical Instructors?
- years of experience
- therapist initiative/volunteer
- demonstrated strength in clinical teaching
- clinical competence

13. How are Clinical Instructors trained?
- clinical center in-services
- 1:1 individual training (CCCE:CI)
- professional cont. ed.

14. Which of the following sources are used to evaluate clinical instructors?
- students
- CCCE
- Director of Physical Therapy Services

15. Abbreviated Resume for Center Coordinators of Clinical Education

Name: MAJ Jesse Ortel
Date: June2004
Present Position: Chief, physical therapy outpatient section, Tripler Army Medical Center
Length of time as the CCCE: 54 months
Length of time as a CI: 9 years
Length of time in practice: 10 years
Licensure: Virginia
Board Certification: Orthopedics, CSCS, McKenzie MDT Certification

Summary of College and University Education
Temple University
– 2004-2006 – Physical Therapy – DPT

Baylor University - 1994-1996 - Physical Therapy - MPT
University of Puget Sound - 1988-1992 - Business Leadership Program

Summary of Primary Employment
U.S. Army - Tripler Army Medical Center – Chief, physical therapy rehab section, June  2004- Present
U.S. Army – Fort Hood MEDDAC – Assistant Chief, Physical Therapy, March 2003 – June 2004
U.S. Army – Fort Hood Bennett Health Clinic – Chief, Physical Therapy, July 2002 – February 2003

Continuing Professional Preparation Related directly to Clinical Teaching Responsibilities

 

 

Clinical Instructor Information

LTC David Gohdes – US Army/Baylor University - MPT Program - 1989 - 17 yrs clinical practice- 14 yrs clinical teaching – Graduate of US Army Baylor Ortho residency - OCS - Licensed

 

MAJ Jesse Ortel -US Army/Baylor University - MPT Program - 1996 - 10 yrs clinical practice- 9 yrs clinical teaching - OCS, CSCS, Cert MDT - Licensed

CPT Jennifer Swanlund- US Army/Baylor University - MPT Program - 2002 - 4 yrs clinical practice -  1yr. Clinical teaching - Licensed

PTAs

Celeste VanTreese-Osaki - Kapiolani Community College - 1995 - 11 yrs clinical practice - 10 yrs clinical teaching, PTA

Schofield Barracks
 

PTs
MAJ Christine Bigham – US Army/Baylor University – MPT Program -  1995 – 11 yrs clinical practice – 9 yrs of Clinical teaching – OCS - Licensed

 

16. Check professional education levels at which you accept PT and PTA students for clinical experiences.

PT
- intermediate affiliations
- late affiliations
- entry-level post-professional residency

PTA
- early affiliations
- intermediate affiliations
- late affiliations

17. Indicate the range of weeks you will accept students for any one full-time (>35 hrs/wk) clinical experience: 2 to 12 weeks

18. Indicate the range of weeks you will accept students for any one part-time (<35 hrs/wk) clinical experience: N/A

19. Average number of PT and PTA students affiliating per year: 3 PTs, 2 PTAs

20. Indicate your typical ratio of CIs to students: 1:1

21. What other CI to student ratios would you consider?
N/A

22. What is the procedure for managing students with exceptional qualities that might affect clinical performance (e.g. outstanding students, students with learning/performance deficits, learning disability, physically challenged, visually impaired)?

Discussion with ACCE. If we mutually decide that we can adequately accommodate the student, we will.

23. Answer if the clinical center employs only one PT. Explain what provisions are made for students if the physical therapist is ill or away from the center.
N/A

24. Use the following code to describe the diagnosis related learning experiences available at your facility:
1=Routinely
2=Occasionally
3=Rarely
4=Not Available

1-Arthritis
2-Amputations
1-Athletic injuries
3-Burns
1-Cardiac Conditions
2-Cerebral vascular accident
1-Chronic pain/Pain
3-Congenital/Developmental
2-Connective tissue diseases
1-Critical care/Intensive care
1-Degenerative diseases
1-General medical conditions
2-General surgery
1-Hand/Upper extremity (OT does all hands, PT does elbow/shoulder)
3-Industrial injuries
4-Mental retardation
2-Obstetrics/Gynecological conditions
1-Oncology conditions
1-Orthopedic/Musculoskeletal (Our bread and butter!)
4-Pulmonary conditions
3-Spinal cord injury
3-Traumatic brain injury
2-Other neurologic conditions
1-Other (Neuromusculoskeletal screening)

25. Use the following code to describe special programs/activities/learning opportunities available to students during affiliations, or as part of an independent study.

1=Routinely available
2=Available on special request
3=Developing program, rarely available
4=Not available

4-Aquatic therapy
1-Back School
4-Biomechanics lab
2-Cardiac rehabilitation
4-Community/Re-entry activities
2-Critical care/Intensive care
4-Departmental administration
4-Early intervention
2-Employee intervention
2-Employee wellness program
1-Group programs/Classes
4-Home health program
4-Industrial/Ergonomic PT
1-Inservice training/Lectures
4-Neonatal care
4-Nursing home/ECF/SNF
4-On the field athletic injury
2-Orthotics/Prosthetics fabrication
2-Pain management program
2-Pediatric-General (emphasis on): (Civilian PT that works for Pediatric Service)
4-classroom consultation
3-Developmental program
4-Mental retardation
2-Neurological
2-Orthopedic
2-Prevention/Wellness
4-Pulmonary rehabilitation
2-Quality Assurance/CQI/TQM
1-Radiology
3-Research experience
1-Screening/Prevention
1-Sports physical therapy
1-Surgery (observation)
1-Team meetings/Rounds
4-Work Hardening/Conditioning
3-Wound care

26. Please check all Specialty Clinics available as student learning experiences.

Hand Clinic  
Other- EMG/NCV/ESI observation

27. Please check all health professionals at your clinical center with whom students might observe and/or interact.

Administrators
Dentists
Dietitians
Nurses
Occupational therapists
Physicians - all specialties
Podiatrists
Psychologists
Social workers
Speech therapists
Other-Orthotists/Prosthetists

28. Does your clinical facility provide its own written clinical education objectives to students? - Yes

29. Do these objectives accommodate the:
- student's objectives? Yes
- students prepared at different levels within the academic curriculum? Yes
- academic program's objectives for specific learning experiences? Yes
- students with disabilities? Yes

30. Are all professional staff members in the physical therapy department acquainted with the clinical center's learning objectives? Yes

31. When do the CCCE and/or CI discuss the clinical center's learning objectives with students?
- beginning of the affiliation
- at mid-affiliation
- at end of affiliation
- other-ongoing when planning experiences

32. How do you provide the student with an evaluation of his/her performance?
- written and oral mid evaluation
- written and oral summative final evaluation
- ongoing feedback throughout the clinical experience

33. Do you require a specific student evaluation instrument other than that of the affiliating academic program? No
OPTIONAL: If you have any additional information you would like to share about your clinical center, please feel free to use the space provided below.

The Tripler Army Medical Center (TAMC) Physical Therapy Section serves Army, Navy, Marine, Air Force, and Coast Guard service members and their family members, military retirees, veterans and Trust Territory beneficiaries from the Pacific Basin. In addition to a diverse outpatient load, care is provided for inpatients in this 209-bed facility.

Of special interest to the ACCE may be the opportunity for performing primary neuromusculoskeletal evaluation. Army physical therapists have practiced in a direct access environment since 1972. Consequently, our clinical privileges include ordering radiographs, braces, limited medications, etc. Special emphasis is placed upon completing a detailed, thorough and accurate subjective and objective exam.

Of additional interest is the option for some students to participate at the US Army Health Clinic, Schofield Barracks, which provides outpatient care for 15,000 infantry troops. Two physical therapists generate a patient count of 2,000 visits per month, including 250 neuromusculoskeletal evaluations. Historically, students have found a week at this facility to be an exceptionally valuable part of their affiliation.

The TAMC Physical Therapy Section is divided into three subsections. In the outpatient subsection, we evaluate and treat the spine and upper extremity. Students will have the opportunity to differentiate typical patterns for spinal problems of discogenic, facet, foraminal central stenotic or soft tissue origin. Most common are all stages of discogenic derangements among our active duty population and radiculopathies among our retirees. Typically upper extremity problems here are rotator cuff tears/impingement syndrome, adhesive capsulitis, shoulder dislocations, plexus lesions, various elbow and wrist overuse syndromes and post-mastectomy patients.

In the gym subsection, we evaluate and treat the hip, knee, ankle and foot. Students will have the opportunity to evaluate  acute instabilities, meniscal injuries, plica and patellofemoral syndromes, and patellar subluxations. Because patellofemoral problems are rampant, students gain considerable practice in biomechanical evaluation at all lower extremity joints. Grade II inversion and eversion ankle injuries are as common, and students will pick up positive anterior drawers and talar tilts. Stress reactions and CRPS are also found. In terms of treatment equipment, we offer manual therapy and standard equipment such as Biodex,  UBE, isotonic machines, Nordic Trac, Stairmaster, Sportcord, Baps, Fitter Board and Bodyblades.

The ward subsection receives referrals primarily from the Orthopedic, Surgery and Medicine Services. Most commonly treated on the wards are post-operative patients who have had knee or ankle arthroscopies/reconstructions, fracture fixations, joint replacement or spinal injuries. Also treated are those inpatients with multiple medical problems, cardiac and cardiothoracic surgery patients, stroke, oncology and pediatric patients.

Information for Students - Part II

I. Information About the Clinical Center

1. Hours clinical center is open:

Monday - 7:30 a.m. to 4:30 p.m.
Tuesday - 7:30 a.m. to 4:30 p.m.
Wednesday - 7:30 a.m. to 4:30 p.m.
Thursday - 7:30 a.m. to 4:30 p.m.
Friday - 7:30 a.m. to 4:30 p.m.
Saturday - N/A
Sunday - N/A

2. Do students receive the same official holidays as staff? Yes

Medical Information

3. Is a Mantoux TB test required? Yes, skin test less than 12 months old or chest films

4. Is a Rubella Titer Test or immunization required? Yes

5. Are any other health tests or immunizations required pre-affiliation?  Yes, Hepatitis B vaccine and history of Chicken Pox or titer.

6. Are any other health tests or immunizations required on-site? No

7. Is the student required to provide proof of OSHA training? No

8. Is the student required to have proof of health insurance? Yes and it can be on file with the Academic Program

9. Is the student required to be CPR certified? Yes and it can not be done on-site

10. Is the student required to be certified in First Aid? No

11. Is emergency health care available for students? Yes and the student is responsible for the cost.

12. Is other non-emergency medical care available to students? No
 

Housing

14. Is housing provided for:
male students? No
female students? No

15-21 N/A

22. If housing is not provided for either gender:
Is there a person to contact to get information on housing in the area of the clinic? No
No list of housing in area is available
 

Transportation
 

23. Will a student need a car to complete the assigned clinical experience? Yes

24. Is parking available at the clinical center? Yes and it is free

25. Is a parking permit required? No

26. Can the student use a bicycle to safely get to the clinical center? No

27. Is public transportation available? Yes, but not acceptable, too long of a commute

28. How close is the nearest stop to your facility by:
- bus? doorstep
- train? N/A
- subway? N/A

29. Briefly describe the area, population density, and any safety issues in which the clinical center is located: Safety issues- "road rage" commuting through Honolulu. Tripler, “Pink Lady” a 375-acre complex on Moanalua Ridge is the major military medical facility in the Pacific. (close to 3000 staff members, 4600 pathology procedures daily, over 380 radiological procedures daily, a total of 2,224 outpatient clinic visits per day)

30. If you have printed directions and/or a map to your facility, please include them with this completed form. Available on this Web Page for Download.
 

Meals

31. Are meals available for students on-site? Yes
Breakfast: cost per day - $1-3.00
Lunch: cost per day - $1-5.00
Dinner: cost per day - $2-6.00
Mess Hall meals are ala carte

32. Are facilities available on-site for:
cooking meals? Microwave only
refrigeration of food? Yes
dining area? yes
33. Is a stipend provided for students? No

34-36. N/A
37. Is there a student dress code? Yes

Specify dress code:
Casual but professional with closed toe shoes.  Lab coat optional. No blue jeans, shorts, T-shirts or generally distracting accessories/apparel.

Special Information

38. Using the coding system below, indicate any special tasks student(s) or the clinical center needs to complete.
F=Facility sends prior to affiliation
S=Student completes prior to affiliation
O=Provided on-site
 

S-Call CI/CCCE prior to affiliation
O-Health forms
O-Inservice requirement
O-Policy and procedures manual
O-Specific rules & regulations
O-Student objectives & goals
O-Suggested readings
Other-All information is available online through the clinic Home page so no information packet will be sent to the student. If the academic program does not have internet access a welcome packet will be sent.

Other Student Information
 

39. Do you provide the student with an on-site orientation to your facility? Yes
What does the orientation include?
- Documentation/Billing
- Goals of the affiliation
- Patient information/assignments
- Quality assurance
- Student expectations
- Tour of facility/department

40. Which of the following services are available to the student at your facility?
- Computer lab
- Duplicating services
- Educational media/equipment
- Library facilities
- Lounge area
- Private area for consultation with CI
- Quiet study space/desk
- Research resources
 

Thank you for taking the time to complete this form thoroughly and accurately.