Respiratory CareRespiratory Care CurriculumCurriculum

Review-RedesignEl Camino College

Louis M. Sinopoli,RRT,RCP,EdD

Previous State/National StructurePrevious State/National Structure

1 Year Tech1 Year Tech

2 Year AD Therapist2 Year AD Therapist

EntryEntry--LevelLevelPracticePractice

Advanced Advanced TherapistTherapist

SpecialtySpecialty

4 Year BD Therapist4 Year BD Therapist

Current CurriculumCurrent Curriculuml 2 Year Associate Degree Advanced-level

Respiratory Care Program.l Prepared for Advanced-level exam and

practice.l Included entry-level curriculum.l Took the average student at least 2 I/2

years to complete.l 100% took entry-level exam and pass.l 50—60% took advanced, 60=70% pass.

Changes in the ProfessionChanges in the Profession

l State Board for RC changed entry to an associate degree. Eliminated all one-year technician programs

l National Credentialing Board changed entry-level exam to therapist level.

l National accreditation standards to 2 year entry at therapist level.

l Entry has moved up to the therapistlevel of practice and the advanced level is focused on specialty areas and skills.

RC TechniciansRC Technicians

,

Changes in State andChanges in State andNational StructureNational Structure

2 Year AD Therapist2 Year AD TherapistEntryEntry--LevelLevel

PracticePractice

Advanced Advanced TherapistTherapist

SpecialtySpecialty

4 Year Therapist4 Year Therapist

SpecialtySpecialty

SpecialtySpecialty

SpecialtySpecialty

AdvancedAdvancedModuleModule

AdvancedAdvancedModuleModule

AdvancedAdvancedModuleModule

EntryEntry--LevelLevelPracticePractice4 Year BD

Other issues to consider…Other issues to consider…l Increasing difficulty producing

advanced-level practitioners in a 2-year associate degree program.

l CoARC now monitoring threshold levels for all exams if you are advanced-level program.

l All exams need a higher level of preparation.

l Quality of students has been decreasing.

l State pushing for uniform entry-level curriculum for all CCs.

What is ECC’s RC program’s What is ECC’s RC program’s Response to these changes?Response to these changes?

l Redesign curriculum to meet state and national standards– Change curriculum to reflect change in

length and skills at entry.– Create new advanced level program.

l Move both through approval processes and admit students by Spring 2001 under new entry-level curriculum.

l Advanced 2001----

RC Curriculum Redesign Model:RC Curriculum Redesign Model:

OutputsInput ProcessingCurriculumCurriculumBased on:Based on:CommunityCommunityNeedsNeedsState andState andNationalNationalIssuesIssuesTechnologyTechnology

EntryEntry

AdvancedAdvanced

SpecialSpecial

YESYES

YESYES

YESYES

YesYes

YesYes

Skill MatchingSkill Matching

Entry SkillsEntry Skills

AdvancedAdvanced

SpecialSpecial

Entry, masteryEntry, masteryCAI, RCPCAI, RCP--CACA

AdvancedAdvancedDistance LearningDistance LearningWorking RCPsWorking RCPs

Special SkillsSpecial SkillsCollaborativeCollaborativeCertificationCertification

Continuos Feedback LoopContinuous Feedback Loop

Project GoalsProject Goalsl Ultimate goal of project:

– Take existing curriculum and update to meet new State, National, and Local community standards.

• Objectives to accomplish:– Redesign curriculum for entry &

advanced levels of practice.– Get CoARC and College curriculum

approval.– Monitor and revise as indicated.

Public Relations! RePublic Relations! Re--educationeducation

l Advisory Committeel Letters to Human Resourcesl Newslettersl Program InformationlWeb sitel Emails to communities of interestl PowerPoint/Video on CD

Simple StrategySimple StrategylTake single existing program

and create multiple programs:– Entry-level therapist(Associate

Degree)– Advanced-level

therapist(Online/Intern)– Specialties, Neo/Peds, Exercise

TestingFOR MORE INFO... Go to www.nbrc.org for breakdown of entry-

level skills vs advance-level skills.

New RC CURRICULUM MODELNew RC CURRICULUM MODEL

ENTRY

PRACTICE

ADVANCED

Multimedia

VIRTUAL

STUDENT

SPECIAL

SKILLS

State/Nat

ECC/CCC

Affiliates

Outcomes

Technology

EntryEntry--Level Curriculum Level Curriculum EmphasisEmphasis

ComputerLiteracy

Pediatric NeonatalFundementals

Prerequisite CourseworkHigh Touch, High Tech Skills

Basic CPR

Patient AssessmentBasic Skills

Bronchial HygieneDeep Breathing Therapies

Oxygen TherapyAerosol Therapy

Entry Level CurriculumMatched to NBRC Exam Matrix

Point of CareDevices

Basic PatientMonitoring

Ventilator CareAdvanced Life Support

Advanced CPR

Initiate, Monitor, Improve, Wean

Pulmonary Rehab. Basics

A&P, Eng.,Math,and Psychology

Basic PFT

AdvancedAdvanced--Level Curriculum Level Curriculum EmphasisEmphasis

HFJVECMO

PediatricsNeonatal

Exercise and

Stress Testing

Pulmonary Function Testing

Sleep Apnea

Hyperbaric Oxygen

Special Procedures

Pulmonary Rehabilitation

Home Care

Advanced Level CurriculumMatched to NBRC Exam Matrix

Information LiteracyRIS

Advanced Monitoring

Devices

Advanced CardioPulmonary

Monitoring

Patient Assessment

Case Management

Ventilatory CareAdvanced Life Support

EntryEntry--Level CurriculumLevel CurriculumInstructional Technology EmphasisInstructional Technology Emphasis

l In the Classroom– Traditional lecture in

multimedia interactive classroom

– Simulation software and problem-solving

lOutside Classroom– CAI and CAT

matched to entry courses & skills

– Labs for drill and practice

A Virtual Tour of Our CAI/CAT LabA Virtual Tour of Our CAI/CAT LabA Virtual Tour of Our CAI/CAT Lab

YOUR BASIC NETWORKYOUR BASIC YOUR BASIC NETWORKNETWORK

LAN

RadiologicTechnology

RespiratoryCare

Video: Students, FacultyVideo: Students, Faculty

A Learning Environment is created:A Learning Environment A Learning Environment is created:is created:

l Multimedia Classroom

A Learning Environment is created:A Learning Environment A Learning Environment is created:is created:

l Multimedia Classroom

l Simulation Lab for Drill, Practice and Evaluation

A Learning Environment is created:A Learning Environment A Learning Environment is created:is created:

l Multimedia Classroom

l Simulation Lab for Drill, Practice and Evaluation

l Computers, Manikins, TVs, Speakers, Scanners, Digital Cameras, etc.

Better progress, take ventilator Better progress, take ventilator education for example:education for example:

l The old way-– Ventilator in a text book– Ventilator on a test lung(maybe)– Ventilator on an intubated patient

l The new way-– Ventilator on computer– Ventilator on a intubated computer

enhanced lung simulator– Ventilator on an intubated manikin– Ventilator on an intubated patient

WebWeb--based Communication & Learningbased Communication & Learning

ECCRC http://www.elcamino.cc.ca.us/respiratorycare

AdvancedAdvanced--Level Curriculum Level Curriculum Instructional Technology EmphasisInstructional Technology Emphasis

l Virtual Student– Works as entry-

level RCP– Uses WEB/Email to

download/upload assignments, tests and feedback

– Progresses at own pace and location

– Clinical evaluations uploaded as done

Strategies for ImplementationStrategies for Implementation

l Traditional:– Two programs, two accreditations, two sets

of faculty. High cost, High maintenance.

l Semi-traditional– Two programs, one-traditional, one non-

traditional. Medium cost, high maintenance.

l Non-traditional– One program, modules online for advanced

program. Lowest cost, lowest maintenance.

RC CURRICULUM GOALRC CURRICULUM GOAL

Multiskilled

RCP

YEAR

2005

ENTRY

PRACTICE

ADVANCED

Multimedia

VIRTUAL

STUDENT

SPECIAL

SKILLS

PRACTICE

State/Nat

ECC/CCC

Technology

Affiliates

Outcomes

Money

Approvals

Discussion Questions…Discussion Questions…l What about difficulty teaching entry and

advanced in two years?l How are your simulation pass rates?l Are you seeing a drop in quality and

quantity of incoming students?l How easy will it be to meet state demands

for transferable courses if some AS programs are entry and others advanced?

l What if the state mandates all associate degree programs contain approximately 62 units including prerequisites(Florida)?