Next Application Deadline: Thursday, February 15, 2018
Applications must be submitted to Janna Studts Wirth at
600 Highland Ave, Mail Code 2424
Madison, WI 53792-2424.
Applications will be accepted until 5pm on Thursday, February 15, 2018
Application Forms include a checklist of the requirements for advancement.
Are Review Board members permitted to give advice to applicants?
Review Board members may provide guidance, including coaching, to all therapists interested in learning about the process. In doing so, however, the Review Board member does not speak for the Review Board and nothing in regards to the guidance or coaching infers that the therapist's future application will be given any preferential treatment or approved by the Review Board.
Can a therapist who is an Advanced Clinician or Expert Clinician apply for a position that is posted at the Clinician level?
The internal postings will be made at the Clinician level, but all Clinicians, Advanced Clinicians, and Expert Clinicians have the ability to apply for the internal transfer and if transferred the therapist maintains their current title following the criteria outlined in the preceding paragraph. Advanced Clinicians and Expert Clinicians have the same transfer rights as Clinicians. Staff does not have the ability to promote to another practice level through transfer.
Can I be demoted under the Professional Advancement and Recognition Program?
The PAR model is designed to have fluidity for promotion and demotion. Occurrences of demotion are expected to be the overwhelming exception. The existing contract between SEIU District 1199 Wisconsin and the University of Wisconsin Hospital and Clinics Authority has contractual language specific to demotion. Since the PAR model is based on defining different job expectations at each level, the subcommittee acknowledges that situations may occur in which a therapist that promotes to an advanced level of practice may not maintain the requirements of their advanced position. Demotion could be initiated voluntarily by the therapist who no longer believes he/she is able to meet the requirements of the position. Demotion also could be initiated by management in the event that management believes that a therapist is no longer meeting the requirements of his/her position. Involuntary demotion is considered a performance issue, and for this reason, any action leading to demotion will take place between the therapist and the therapist's manager. Management and all bargaining unit representatives retain all contractual rights related to performance and discipline.
Do you have to be a member of a committee to be recognized as an Advanced Clinician or Expert Clinician?
Advanced Clinicians are expected to actively participate in discipline-specific, departmental or organizational committees, task forces, and other work groups. Expert Clinicians are expected to take a leadership role in these areas of work. However, there are no specific requirements with regard to the extent or scope of involvement.
Do you have to publish in order to be recognized as an Advanced Clinician or Expert Clinician?
While some Advanced Clinicians and Expert Clinicians have published articles in various journals, it is not a requirement for recognition at any level in the program.
How can the Review Board understand the diversity of clinical practice within and across the various areas of clinical specialty at UWHC?
The Review Board is comprised of experienced occupational therapists and physical therapists working across a variety of practice settings and teams. If an applicant practices in an area unfamiliar to the Review Board, a technical expert may be utilized. Applicants have the opportunity to recommend technical experts as part of their application.
How do I select a patient experience for a clinical narrative?
Your clinical narrative should be about a clinical event or situation that is representative of your practice within the past six months. Your clinical narrative should reflect the level of practice for which you are seeking recognition. Think of a situation where you felt your interventions made a difference or one that captures the essence of your practice. You can find tips on writing clinical narratives in your team's Professional Advancement and Recognition Program resource book.
How does the Review Board make decisions regarding advancement?
A decision by consensus is a decision in which all the group members find common ground. It means that everyone understands the decision and can explain why it is best. It means that everyone can live with the decision. The Review Board reaches consensus when making decisions regarding advancement.
How is the interview structured and what questions will be asked?
The full Review Board develops questions that are specific to each applicant and that serve as the foundation for the interview. The questions focus on the themes and sub-themes not fully evident in the application materials and chart review. The interview team conducts the interview. The lead interviewer is always a member of your discipline. The purpose of the interview is to provide applicants an opportunity to illustrate their practice and to provide further information that their practice reflects the level for which they are applying.
How long do I have to wait after being successfully promoted to a higher level before I can apply for promotion to another higher level?
How long do I have to work at UWHC before I can apply for Advanced Clinician or Expert Clinician?
How much paid time will I be allowed to use for preparation of my application materials?
Staff is granted two (2) hours per year to complete the annual clinical case presentation and an additional two (2) hours per year to complete their clinical narrative. Entry Clinicians applying to the Clinician level are not granted additional time for completing their application. Staff applying to the Advanced Clinician level are granted two (2) hours of blocked time, and staff applying to the Expert Clinician level are granted three (3) hours of blocked time to apply for these levels of practice. This extra time is in addition to the time set aside for therapists to complete their clinical case presentation or case report as well as their clinical narrative. As part of the annual requirements and/or application process, the time that a therapist spends meeting with their manager and interviewing with the Review Board (if applicable) is paid time.
How soon after being denied a promotion can I re-apply to the review board?
Therapists may re-apply as soon as the deficiencies in their application have been addressed.
How soon after starting employment at UWHC can I apply for promotion to the Clinician level?
How soon will my wages be adjusted after being notified that I my application for promotion was approved?
Therapists approved for advancement by the Review Board are eligible for higher compensation within one (1) month following the start of the next quarterly deadline. For example, a therapist who applies for advancement for the February 15th application deadline and receives Review Board approval in that quarter for advancement would receive higher compensation no later than June 15th of the same year.
I have heard that the interview part of the process is intense. How do I prepare for it?
Many therapists feel that talking about themselves and their practice is difficult. The therapist may review the "Tips for Interviewing" and "Sample Interview Questions" available on UConnect. Be familiar with your application materials and the charts selected for your chart review. Consider asking a colleague or manager to conduct a mock interview with you. Talk with someone who has been through the process and can share their experience and offer advice. Relax and remember the interview is an opportunity for you to discuss your practice.
In the Professional Advancement and Recognition Program materials there are frequent mentions of the clinicians “current practice”, what does this mean?
Current practice is then defined as the most recent six months of practice prior to the therapist submitting their application. Therefore, all elements in the portfolio (cover letter, resume/CV, letters of recommendation), clinical narrative, and clinical case presentation or case report must reflect the therapist's practice in the previous six months on their current unit/department.
Is it mandatory to seek recognition at the Advanced Clinician or Expert Clinician level?
No. Seeking recognition at the Advanced Clinician and Expert Clinician level is voluntary. The decision about whether to seek recognition is yours to make.
Is there an educational requirement to apply for Advanced Clinician or Expert Clinician?
There is no educational requirement for Advanced Clinicians or Expert Clinicians beyond Wisconsin licensure.
What happens if you transfer to a new practice area? Are you still recognized at the same practice level?
Any occupational therapist or physical therapist that transfers is allowed to maintain their existing pay grade and title for one (1) year following the transfer. Prior to the one (1) year timeframe, Advanced Clinicians are required to re-apply and be approved to maintain their status as an Advanced Clinician or to promote to an Expert Clinician. Prior to the one (1) year timeframe, Expert Clinicians are required to re-apply and be approved to maintain their status as an Expert Clinician or to receive approval at the Advanced Clinician level. If the therapist's re-application is approved at the Advanced Clinician or Expert Clinician level then title, pay grade, and responsibilities would be commensurate with that practice level. If the therapist does not re-apply to or if their re-application is not approved at the Advanced Clinician or Expert Clinician level then title, pay grade, and responsibilities would be commensurate with the Clinician level. Therapists at the Clinician level who transfer would not need to apply to maintain their Clinician level status.
What is a case report?
A case report is a document, potentially written for publication, which refers to descriptions of practice that do not involve "research methodology". Case reports are similar to sharing experiences through conversation, but involve a more formal style of writing than a clinical narrative and follow a specific organization of the material presented. The purpose of a case report is to describe practice and not to determine cause and effect relationships. Issues highlighted in the case report may include: patient/client management, ethical dilemmas, use of equipment or devices, or administrative or educational concerns.
What is a clinical narrative?
The clinical narrative is a tool that allows therapists to describe their practice within a specific case (over a number of days or treatment sessions) or at a specific point in time. The clinical narrative is a document written in an informal manner in the first person used to facilitate reflection by the therapist regarding their practice and to provide opportunities in which to show a therapist's practice level. A clinical narrative is a detailed description of a clinical situation including intentions and interpretations of events, chronology of action and outcomes (Benner, 1987).
What is Advanced Clinician level of practice?
At this level the therapist's experience allows him or her to borrow from extensive or intensive experience in order to detect critical themes within and across specific types of interactions in order to respond appropriately in a variety of situations. The Advanced Clinician is beginning to intuitively understand a given situation. At this stage of professional development, the therapist primarily takes an analytical approach in clinical decision making. Advanced Clinicians are viewed as strong mentors and good collaborators.
What is Clinician level practice?
Staff at this level have a broad range of experience in caring for patients, are able to develop effective therapeutic relationships with patients and families, and demonstrate effective teamwork skills. Advancement to Clinician is expected of all staff, but is only granted after completing the requirements for advancement to this level, including obtaining approval by the manager.
What is Entry level practice?
The Entry Clinician will be filled by new graduate occupational therapists and physical therapists with less than one (1) year of professional experience. After successful completion of probation, therapists in the Entry Clinician level can apply to the Clinician level.
What is Expert Clinician level of practice?
At this level of practice, the therapist intuitively understands the situation and the action to take. Expert Clinicians have a broad knowledge base and likely have in-depth knowledge of a specific area or areas of clinical practice. The manner and degree of engagement and involvement with patients, families, caregivers, and care team members is finely tuned. They skillfully work with and through others. Therapists at this level anticipate current and future needs of those being served and take action accordingly. Expert Clinicians are seen as leaders at an organizational, local, regional, and/or national level. Expert Clinicians are highly skilled at directing the advancement of specific aspects of clinical practice.
What is the make up of the review board?
The Transition Review Board also will have eight (8) members and will include four (4) occupational therapists and four (4) physical therapists with five (5) of the eight (8) positions coming from represented staff positions and three (3) of the eight (8) positions coming from management. A maximum of six (6) of the eight (8) Transition Review Board representatives may come from the current TEC PAR Subcommittee. Of the Transition Review Board members, four (4) representatives would serve two year appointments, and four (4) representatives would serve three (3) year appointments. Following the completion of the first three (3) years of the program, one half of the Review Board will turnover annually.
What is the Practice Model Continuum?
The Practice Model Continuum (PMC) is grounded in the theory of expert clinical practice in rehabilitation and provides a structured framework in which to assess practice across all four practice levels. Each of the four (4) different levels of practice defines the elements of practice that are expected from staff and valued by the organization. The PMC provides objectivity to staff in terms of how their practice will be assessed at each level and what practice elements must be achieved in order to advance to higher levels of practice. The PMC sets different performance expectations at each level, and these expectations increase as therapists advance to higher levels of practice, especially at the Advanced Clinician and Expert Clinician levels.
What is the required dress code for the review board interview?
The dress code requirements for the interview with the board members are the same as the requirements for daily practice at UWHC (Policy 9.16).
What is the Review Board’s process in reviewing my application?
Each member of the Review Board reads and reviews your application as a way to understand your practice. They look for evidence of the criteria in the five themes of practice, at the level for which you are applying. The full Review Board makes a decision on recognition after a thorough discussion based on the information from the application materials, chart review, and interview. All decisions are made by consensus.
What will be the level at which positions will be posted externally?
All positions will be posted externally at the Clinician level.
What will be the level at which positions will be posted internally?
All positions will be posted internally at the Clinician level.
When was the Professional Advancement and Recognition Program implemented?
The concept of the Professional Advancement and Recognition (PAR) model was developed as a result of the 2004 contract bargain between SEIU District 1199 Wisconsin and the University of Wisconsin Hospital and Clinics Authority. Specific contract language from this bargain may be found in Letter of Understanding #9. The PAR model was finalized during the 2006 wage re-opener bargain between SEIU District 1199 Wisconsin and the University of Wisconsin Hospital and Clinics Authority. Specific bargained contract language may be found in Letter of Understanding #4. The PAR Subcommittee Final Report, dated September 12, 2006, outlines the design and structure of the PAR model, and by contract, the PAR model was implemented June 24, 2007.
Who is eligible for the Professional Advancement and Recognition Program?
All occupational therapists and physical therapists (including per diems) are eligible for participation in the PAR model. No caps exist on the number of therapists that may attain any practice level at any point in time.
Will I be given a chance to choose a technical expert to participate in my interview?
As part of the interview process, the Review Board will determine if a technical expert from outside the Review Board is necessary to evaluate practice for a given area of clinical specialization. An applicant will be able to provide a list of technical experts for the Review Board to consider. The Review Board may select an individual that the applicant does not include on their list, but the Review Board will be charged to consider all individuals suggested by the applicant as possible technical experts.
Will I be permitted to block time on my schedule to continue non-direct patient care activities related to being an Advanced Clinician or Expert Clinician once I am promoted to that level?
On a prorated basis for part-time staff, full-time Advanced Clinicians receive two (2) hours of administrative time per week and full-time Expert Clinicians receive four (4) hours of administrative time per week. The administrative time is flexible so that it may be converted to months, quarters, or some other time frame, based on individual and departmental needs.
Will I be required to show active involvement in administration, education, research, and community service?
At all levels of practice, therapists are required to be engaged in at least two of the following areas: administration, education, research, and outreach.
Will my past accomplishments beyond six months be considered?
Yes, your accomplishments throughout your career will be taken into account.
Review Board Contacts for Mentoring and Guidance