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Neurological Physical Therapy Residency

The Department of Physical Therapy at the UT Southwestern School of Health Professions offers a 12-month residency-based education program that begins each September. The Neurological Physical Therapy Residency Program supports the American Physical Therapy Association’s vision of providing post-professional clinical training. A residency is defined as a planned program of post entry-level clinical and didactic education that will significantly advance a clinician’s skill and knowledge in the delivery of neurologic physical therapy.

The resident will provide patient care in the faculty practice, as well as in other University clinical settings while working with designated mentors and participating in two intensive educational programs. The curriculum is taught by clinical experts with advanced credentials and extensive teaching and clinical experience.

Clinicians interested in becoming a resident must complete an application. Applications are due by January 31 each year. Applicants selected for participation in the Residency Program will be notified by a faxed or emailed confirmation letter by February 28.

Description

This Neurological Physical Therapy Residency Program is based on a structured, comprehensive approach to examination and treatment of children and adults with neurologic dysfunction. The content is based on the American Physical Therapy Association’s description of advanced clinical practice and includes didactic, laboratory, and clinical practice components under the supervision of accomplished clinical instructors.

One intensive educational course, small group learning with mentors, collaborative clinical care time, research opportunities, and journal club experiences provide the resident the opportunity to develop and refine a framework for use in the examination, evaluation, and treatment of patients. The aim of the Neurological Physical Therapy Residency Program is to promote and develop advanced clinical expertise for the resident in the area of neurological rehabilitation. Educational material is designed to include the core information outlined in the Neurologic Physical Therapy Description of Specialty Practice.

Goal

The goal of the Neurological Physical Therapy Residency Program is to provide the resident with a comprehensive learning experience. The Residency will provide the physical therapist with tools to improve their examination, assessment, and treatment of the neurologic patient. Within three years of completing the Program, the resident is expected to sit for the Neurologic Specialty Examination.

Objectives

At the conclusion of the clinical Neurological Physical Therapy Residency Program, the resident will be able to:

  • Explain the clinical reasoning skills necessary for examination, assessment, and treatment techniques. These same skills will help the therapist develop the ability to continue to monitor their own clinical skill level.
  • Conduct an effective and comprehensive patient interview, which will enable development of a working clinical hypothesis as to the patient’s primary problem, a foundation to performing an objective examination
  • Perform an integrated physical examination, including differential diagnosis, for clients with various neurologic conditions
  • Create appropriate specific clinic and home therapeutic exercise program techniques related to all areas of examination noted above and integrate these techniques into the treatment plan as indicated
  • Critically analyze current scientific literature
  • Conduct clinical research projects

Outcomes

Our measures of success are specialty exam passing rate, employment status and scholarly activity. To date, since the graduation of our first resident in 2013, we have had a 100 percent passing rate on the first attempt for those who have taken the neuro specialist exam. Our two most recent graduates will take the exam in 2020.

One of our graduates is pursuing a Ph.D., two have gained specialty certification in vestibular rehabilitation, three have held faculty positions at UT Southwestern and seven of the eight graduates have or do hold some type of position within the UT Southwestern system. Seven of the eight graduates work in a primarily neuro setting. Four of the eight graduates hold leadership positions in their clinical settings.

Program Outcomes as of June 2023

  • Annual cohort size: 2
  • Number of Program Graduates: 2 annually, 13 total
  • Program completion rate: 87% 
  • Percentage of Program Graduates who pass NCS exam: 82%
  • Percentage of Program Graduates working in neurologic physical therapy after graduation: 100%

General Information

The Neurological Physical Therapy Residency Program runs over a 12-month employment period. The resident treats patients in the Gait Disorders Clinic, as well as at the Inpatient Rehabilitation Unit at Zale Lipshy Pavilion – William P. Clements Jr. University Hospital and works under the supervision of clinical mentors. The resident maintains a patient load of approximately 24 hours/week with an additional four hours reserved for collaborative care with the mentor.

The remaining time each week is devoted to additional learning opportunities at the discretion of the mentor and includes journal club participation, academic teaching in the DPT program, in-service presentations, and research development.

Residency Program Expectations

The Neurological Physical Therapy Residency Program utilizes active learning that requires the resident to participate in independent learning activities and complete assignments in a prompt manner. There are mid-term and final written examples and practical examinations (including live patients) to ensure comprehension of the material and application of specific skills.

Selection Criteria for Residency Assignments

Enrollment is currently limited to two participants. Selection for participation is based on the information and justification comments provided by the applicants and a personal interview. An established residency committee evaluates all applications to ensure that each application is given appropriate consideration. The applications are evaluated based on the following criteria:

  • Pre-professional academic and post-professional clinical education preparation
  • Clinical experience in neurologic physical therapy
  • Previous mentoring, education, and research experience
  • Community service
  • Letters of recommendation

Program Calendar

There is a strict attendance policy.  Failure to comply with all policies may result in termination from the Residency Program. Make-up activities and opportunities are at the discretion of the Residency Director and Residency Advisory Committee.

Independent Learning

The resident will be engaged in structured independent study throughout the residency program.  The material is designed to supplement clinic and classroom learning.

Resident Prerequisites

  • Valid, current licensed physical therapist in the State of Texas
  • Current CPR/BLS certification

Accreditation

The Neurological Physical Therapy Residency Program consists of 314 hours of educational content, a minimum of 150 hours of direct collaborative learning with the supervising mentor, and at least 1,500 hours of direct patient care. This Residency Program is credentialed by the American Physical Therapy Association as a post-professional residency program for physical therapists in neurologic physical therapy.

Financial Information

UT Southwestern employs the residents from September of the first year through August of the next year and compensates the residents. Standard benefits for the job description apply and includes things such as continuing education, full medical and liability insurance coverage, and accrued paid time off.

Financial Fact Form

Benefits to the Participant

The future of physical therapy depends upon our increasing professional stature and ability to function on an independent level as an autonomous profession. UT Southwestern School of Physical Therapy is interested in helping the APTA attain its vision of providing thorough post-professional curricula that result in highly trained clinicians. The Neurological Physical Therapy Residency Program is being offered to accommodate those licensed clinicians who are motivated to achieve this level of training and expertise. Successful completion of the Residency Program will fulfill the educational and credentialing requirements for future fellowship opportunities.

Completion of this Residency will give the therapist clinical tools and problem-solving ability needed to be on the leading edge of where our profession is advancing. It will also equip the therapist to be a resource for developing clinical excellence in other therapists. Our profession is moving toward residency-based training as a standard and this Residency Program provides an opportunity to participate in that standard.

Instructional Level: Advanced

Education Program CEU Accreditation:  Educational programming has been approved by the Texas Board of Physical Therapy for continuing education credit.

ADA Compliance: The UT Southwestern Neurological Physical Therapy Residency Program will take all reasonable measures to guarantee equal access to learning opportunities for clinicians with disabilities. Educational programming will be sensitive to any sensory or physical impairment that requires special arrangements on behalf of the participant. Please indicate on your registration form if you should be contacted regarding any impairment that would require special accommodation to ensure a satisfactory learning experience.