FCCPT Course Work Evaluation Checklist CWT - 5

Name: Date: School: Degree: File Number: Country: Dates: Date:

Reviewing Organization: Foreign Credentialing Commission on Physical Therapy Reviewers: FCCPT – Staff and Contract Reviewers Signature of Issuing Organization’s Authorized Representative:

Print Name and Title:

Susan K. Lindeblad, PT, PhD. Director of Credential Services

Note for reviewing organizations: Please affix official organizational seal to each page of the Evaluation Checklist for authentication purposes.

I.

GENERAL EDUCATION

A minimum of sixty (60) semester credits is required. CREDIT A. HUMANITIES TRANSCRIPT REFERENCE One course minimum. HOURS 1. English (see note) 2. English composition (see note) 3. Speech or Oral Communication 4. Foreign Language (other than Native Language) 5. Literature 6. Art 7. Music 8. Native Language Humanities Subtotal:
Note: For rows 1 & 2, if no credit in English or English composition is provided, the licensing jurisdiction should require the applicant to demonstrate English proficiency.

B. PHYSICAL SCIENCES
One semester course in chemistry with laboratory and one semester course in physics with laboratory are required.

CREDIT HOURS

TRANSCRIPT REFERENCE

1. 2. 3. 4.

Chemistry with laboratory* Physics with laboratory* Geology Astronomy Physical Science Subtotal:

*One year of chemistry & physics preferred

V 5.0 © FSBPT 2009

revised: July 2009

3. CREDIT HOURS TRANSCRIPT REFERENCE 1. 2. 6. CREDIT HOURS TRANSCRIPT REFERENCE 1. Statistics Algebra Pre-Calculus Calculus Trigonometry Geometry Mathematics Subtotal: SUBTOTAL GENERAL EDUCATION CREDITS (60 minimum): V 5.00 © FSBPT 2009 Page 2 of 9 . 3. SOCIAL SCIENCES One course minimum. BEHAVIORAL SCIENCES One course minimum. 6. 7. 4. 2. 4. 5. History Geography Sociology Economics Religion Political Science Social Science Subtotal: CREDIT HOURS TRANSCRIPT REFERENCE E. 4. 3. 2. BIOLOGICAL SCIENCES One course minimum. 5. 1. 6. MATHEMATICS One course minimum.FCCPT Course Work Evaluation C. 3. Psychology* Anthropology Philosophy Ethics Behavioral Sciences Subtotal: *required F. Biology Anatomy* Physiology* Zoology Kinesiology Neuroscience Genetics Biological Sciences Subtotal: * One year of anatomy & physiology preferred D. 2. CREDIT HOURS TRANSCRIPT REFERENCE 1. 4. 5.

Neurology Orthopedics Pediatrics Geriatrics Cardiopulmonary Pharmacology General Medical Surgical/ Metabolic Conditions B. Cardiopulmonary System V 5. 2. This must include but is not limited to 1–7. MEDICAL SCIENCE Clinical medicine pertinent to physical therapy. Examination b. 3. CLINICAL SCIENCE: EXAMINATION AND EVALUATION Physical Therapy course work must include but is not limited to 1a–5b. Pathology A. Human Physiology (Specific to Physical Therapy) 3. Kinesiology or Functional Anatomy 5. CREDIT HOURS TRANSCRIPT REFERENCE JUSTIFICATION 1. 4. Subtotal: C. CREDIT HOURS TRANSCRIPT REFERENCE JUSTIFICATION 1. A. PROFESSIONAL EDUCATION 1. II. Evaluation 4. Examination b. Neuromuscular System a. 7.00 © FSBPT 2009 Page 3 of 9 . BASIC HEALTH SCIENCE CREDIT TRANSCRIPT JUSTIFICATION Must include but not limited to areas HOURS REFERENCE 1–5. Subtotal: B. Integumentary System a. Human Anatomy (Specific to Physical Therapy) 2. Evaluation 2. 5. Musculoskeletal System a.FCCPT Course Work Evaluation A minimum of ninety (90) semester credits is required. 6. Evaluation 3. Neuroscience (Neuroanatomy or Neurophysiology) 4. Examination b.

power. and work barriers 8. Posture 18. Sensory integration (including proprioception and kinesthesia) 23. respiration. Ergonomics and body mechanics 9. Subtotal: Examination and Evaluation Content Area Summary Note: Within the credit hours assigned in Clinical Science: Examination & Evaluation above. CREDIT HOURS TRANSCRIPT REFERENCE JUSTIFICATION V 5. content for which you found evidence for items 1-23.29. and circulation Adapted from: Evaluative Criteria for Accreditation of Education Programs for the Preparation of Physical Therapists. Muscle performance (including strength. indicate on the examination and evaluation content area summary below. Arousal. CLINICAL SCIENCE: INTERVENTIONS Must include but not limited to areas 1–4. Cranial nerve integrity 7. protective. Metabolic Problems a. Prosthetic requirements 19. Environmental. Present = √ Absent = Ø Transcript Reference 1. Motor function 13.1996. Commission on Accreditation in Physical Therapy Education. and endurance) 14. and supportive devices 16.FCCPT Course Work Evaluation a.00 © FSBPT 2009 Page 4 of 9 . Evaluation 5. school or play) reintegration 6. Gait. Pain 17. and cognition 4. Aerobic Capacity 2. Community and work (job. Integumentary integrity 11. mentation. Ventilation. Evaluation C. assisted locomotion. home. Examination b. Joint integrity and mobility 12. Neuromotor development and sensory integration 15. Examination b. D. Self-care and home management (including ADL & IADL) 22. Reflex integrity 21. Anthropometric characteristics 3. Assistive and adaptive devices 5. Orthotic. Range of motion 20. p. and balance 10.

Functional training in self-care and home management (including ADL and IADL) 6. fabrication of assistive. Present = √ Absent = Ø Transcript Reference Airway clearance techniques Debridement and wound care Electrotherapeutic modalities Functional training in community work (job. p. and intervention. examination. work hardening. The applicant must have a minimum of two (2) full time clinical internships of no less than 800 total that are supervised by a physical therapist. Physical Agents/Electro D. Manual therapy techniques 7. Prescription. Patient-related instruction 8. Musculoskeletal Interventions 3. indicate on the intervention content area summary below. E. Commission on Accreditation in Physical Therapy Education. Integumentary Interventions 2. total 800 hours Excess Clinical Hours TRANSCRIPT REFERENCE JUSTIFICATION Note: Clinical education must include physical therapist-supervised application of physical therapy theory. evaluation. and prosthetic devices and equipment 10. Subtotal Intervention Content Area Summary Note: Within the credit hours assigned above.30. and as appropriate. Physical agents and mechanical modalities 9.00 © FSBPT 2009 Page 5 of 9 . Neuromuscular Interventions 4. CLINICAL CREDIT EDUCATION HOURS** Two Clinical Internships. RELATED PROFESSIONAL COURSE WORK Must include but not limited to areas 1–12. Therapeutic exercise (including aerobic conditioning) Adapted from: Evaluative Criteria for Accreditation of Education Programs for the Preparation of Physical Therapists. F. or play) reintegration (including IADL. 1. protective. Cardiopulmonary Interventions 5. **Maximum number of full time clinical education credits is 23. CREDIT HOURS TRANSCRIPT REFERENCE JUSTIFICATION V 5. and work conditioning) 5. content for which you found evidence for items 1–10. 3. 2. school. application. supportive.FCCPT Course Work Evaluation 1. 4. adaptive. 1996. orthotic.

00 © FSBPT 2009 Page 6 of 9 . Screening & Delegation F. Consultation.S. 4. Cultural Competency 12. SUMMARY Total General Education Credits (60 minimum) Total Professional Education Credits (90 minimum) V 5. Status (recognition or accreditation) within the country’s educational system: 2. Professional Behaviors Administration Community Health Research and Clinical Decision Making 5. Subtotal SUBTOTAL PROFESSIONAL EDUCATION CREDITS (90 minimum): III. Other (CAPTE accreditation. Emergency Procedures 11. 2. is the Master’s degree or higher. ACADEMIC INSTITUTION A.): This degree does/does not satisfy the minimum number of 150 semester credits that is required for a U.FCCPT Course Work Evaluation 1. The first professional degree in the U.): IV. Legal and Ethical Aspects of Physical Therapy Practice 9. Describe the academic level of the educational program and the institution within the context of the country’s educational system: 1. 3. Communication (related to client/patient care) 8. The curriculum is/is not substantially equivalent in content to the first professional physical therapy degree in the United States. Medical Terminology 7. etc. Psychosocial Aspects in Physical Therapy Practice 10. 4. Degree equivalence (Baccalaureate.S. Entry requirements (secondary education): 3. etc. master’s degree. Educational Techniques 6.

00 © FSBPT 2009 Page 7 of 9 .FCCPT Course Work Evaluation Total Credits from Appendix B Total Credits (150 Minimum) V 5.

C. GENERAL EDUCATION COURSES FAILED AND NOT REPEATED1 YEAR TRANSCRIPT REFERENCE CREDITS GRADE ISSUED (not included in total credits) B. EQUIVALENT YEAR TRANSCRIPT REFERENCE CREDITS GRADE ISSUED (not included in total credits) A. Credits for courses that have been attempted. V 5.S. D.00 © FSBPT 2009 Page 8 of 9 . COURSES REPEATED FOR CREDIT2 YEAR TRANSCRIPT REFERENCE CREDITS GRADE ISSUED (not included in total credits) C. but are not included as part of General Education or Professional Education and are not included in total credits for reasons of insufficient academic performance or duplication of content. Subtotal 1. Subtotal 2. GRADES NOTED WITH U. Credits for courses that have been passed once and later retaken to earn a better grade will only be counted once toward the totals for graduation and general education or professional education.FCCPT Course Work Evaluation APPENDIX A COURSES NOT USED AND NOT CREDITED ON CWT Courses listed in Appendix A appear on the transcript. GRADE EQUIVALENT BELOW C. Subtotal 3. Credits for courses that appear on a higher education transcript but were remedial in nature and cannot count toward the requirements for a degree. A. unless the course is subsequently retaken and passed. Subtotal B. REMEDIAL COURSE WORK3 YEAR TRANSCRIPT REFERENCE CREDITS GRADE ISSUED (not included in total credits) D. but failed do not count toward the total number of hours for graduation.

They deserve inclusion in the overall total because they are college-level and can be used to meet degree requirements. but are not included as part of General Education or Professional Education. COURSES NOT AWARDED AS ENTRY-LEVEL PHYSICAL THERAPY YEAR TRANSCRIPT REFERENCE C. BUT CREDITED IN TOTAL Courses listed in Appendix B appear on the transcript. A. Subtotal CREDITS V 5.00 © FSBPT 2009 Page 9 of 9 .FCCPT Course Work Evaluation APPENDIX B COURSES NOT USED. Subtotal CREDITS B. COURSES NOT AWARDED AS GENERAL EDUCATION YEAR TRANSCRIPT REFERENCE B. COURSES WITHOUT COURSE DESCRIPTIONS YEAR TRANSCRIPT REFERENCE A. Subtotal CREDITS C.