CAPP Case Reflections – Courses in women’s health
- Elements to Satisfy CAPP Case Reflection Expectations (PDF)
- CAPP Case Reflection Scoring Rubric (PDF)
- CAPP Application and Checklist (PDF)
- Sample Case Reflection (PDF)
Purpose and Mission of the CAPP Case ReflectionRead more
The final requirement in the CAPP certification process involves earning a passing score for writing and submitting a case reflection.
The CAPP case reflection is an intensive analysis of a patient who received specialized pelvic or obstetric physical therapy services from you. If you are applying for CAPP-PF, the case reflection must focus on a patient who received pelvic floor physical therapy. If you are applying for CAPP-OB, the case reflection must focus on a patient who received obstetric physical therapy. CAPP-OB case reflection submissions cannot involve a patient whose primary diagnosis is a pelvic floor condition.
Describe your patient and detail the physical therapy treatment he or she received. Explain your decision-making process and how it relates to current scientific literature. Use the CAPP Case Reflection Expectations information on the SoWH website as a guide in creating your case reflection. Prior to submitting the case reflection, review the CAPP Case Reflection Rubric to ensure that all of the items required for a passing score are included and in the correct sections. These tools will provide clarity regarding CAPP case reflection expectations, enhancing each candidate’s ability to earn the CAPP certification.
Choose a subject that highlights your knowledge in the field of pelvic or obstetric physical therapy. While considering a subject that offers an interesting, unusual, or insightful set of circumstances is encouraged, a typical patient seen in the specialty practice (of pelvic floor or obstetrics) is acceptable. The case should demonstrate utilization of tests, assessment, and treatment as learned throughout the CAPP education. The case should provide a clear picture of how the pelvic floor or obstetric specialist provided care beyond that of an entry level practitioner. Avoid choosing a case that does not highlight typical skills. For example, a case reflection submitted for the Pelvic CAPP should involve a patient who received internal assessment and treatment. Describe what you learned from the patient’s outcome, so others might learn from your clinical experience. The same case reflection cannot be submitted for both CAPP-OB and CAPP-Pelvic.
Feel free to contact the following Lead Case Reviewers with questions:
Karen Snowden PT, DPT, WCS (CAPP-OB, CAPP-PF): firstname.lastname@example.org
Melissa Aul PT, WCS (CAPP-PF) email@example.com
CAPP and WCS Case ReflectionsRead more
For those pursuing the WCS, the CAPP Case Reflection scoring rubric was intentionally designed to follow the major headings of the WCS Case Reflection. An author would likely be able to make modifications to use the same case for both case reflections (if the case fit in the pelvic or OB category, depending on the CAPP being pursued). However, it should be noted that case reflections for the CAPP are graded following the documents described and linked to on this page.
For more information specific to the American Board of Physical Therapy Specialties’ Women’s Health Certified Specialist, click here.
Elements to Satisfy CAPP Case Reflection ExpectationsRead more
These instructions offer thorough guidelines for selecting and authoring your case, examples of AMA (American Medical Association) style referencing, and a thorough description of the sections of the case reflection as they are also listed in the scoring rubric.
CAPP Case Reflection Scoring RubricRead more
CAPP Application and Case Submission TimelineRead more
The following items should be submitted to SoWH’s Program Manager:
- Completed CAPP Application (PDF)
- CAPP Case Reflection
- Letter of Recommendation from a Colleague (see below for description)
Occasionally, the timeframes may have to be altered due to high volumes of submissions; you will be notified of altered dates if this occurs. But in general, the timeframes for submitting and receiving case reflection results are as follows:
CASE SUBMISSIONS AND RETURNS TIMELINE
Cases received by this date: February 15th
Will be returned to the author with results by this date: May 15th
Cases received by this date: May 15th
Will be returned to the author with results by this date: August 15th
Cases received by this date: August 15th
Will be returned to the author with results by this date: November 15th
Cases received by this date: November 15th
Will be returned to the author with results by this date: February 15th
Letter of Recommendation from a ColleagueRead more
The letter should be:
- Written by someone who has worked with the applicant as a colleague (fellow PT, physician, nurse, etc.) or supervisor, and who knows the applicant’s skills, abilities, and professionalism
- No more than 1 page in length
- Addressed to “Section on Women’s Health” and include the following:
- Name of applicant being recommended for the CAPP
- Capacity and number of years that the letter write has known the applicant
- Reasons for recommending the applicant
When and how will I hear back after submitting my application and case reflection?Read more
Case Reflection Reviewing ProcessRead more
Once your case is received by the Section on Women’s Health, you will receive a confirmation of receipt email. Your case will then be placed in the queue based on the timeline table noted above.
Your case will then go through the following process:
- The case is blinded by our Association Administrator. The means that any information identifying the author is removed from the case.
- The case is then sent to two trained case reflection reviewers. Since the author information is removed, these two reviewers are blinded to the author.
- The two blinded reviewers will use the CAPP Case Reflection Scoring Rubric to grade the case.
- The reviewers will return the completed rubric to the Association Administrator.
- The results of the two reviews will determine the next steps.
If both reviewers pass the case:
- The Association Administrator will send the CAPP certificate to the author. Your CAPP is complete!
If both reviewers request resubmission (meaning the case did not pass yet):
- The Association Administrator will return the rubrics to the author.
- The author will have 6 months to make revisions for all items marked as “no” on the scoring rubric. (Requests for extensions may be made to firstname.lastname@example.org.)
- The case will be re-submitted, being queued into the timeline table as noted above.
- The Lead Reviewer will review the case for the items that had previously been marked as a “no” on the former rubrics.
- If the Lead Reviewer determines all items can now be marked as “yes,” then the case passes and the CAPP is received. If items still need revisions, the case will again be returned to the author with the newest graded rubric for beginning the resubmission process again.
If one reviewer passes the case, and the other reviewer requests resubmission:
- The case is considered a “split case” and is sent to the Lead Reviewer to perform a blinded tie-breaking review.\
- If the Lead Reviewer passes the case, then the case passes and the CAPP is received.
- If the Lead Reviewer requests resubmission, then the two rubrics with requests for submission are sent to the author for beginning the resubmission process.
What if I need to resubmit my case?Read more
Do I need IRB (Institutional Review Board) approval for my case?Read more
An IRB is a committee within a university or other organization receiving federal funds to conduct research that reviews research proposals. The IRB reviews the proposals before a project is submitted to a funding agency to determine if the research project follows the ethical principles and federal regulations for the protection of human subjects. The IRB has the authority to approve, disapprove, or require modifications of these projects.
When should you submit your case to, or seek advising from, an IRB?
When the case is considered research or a part of a research project. All research with collection of data from human subjects must be submitted to the Office for the Protection of Research Subjects (OPRS). Some research activities are exempt from full IRB review. The OPRS staff confirms the type of review required and issues a determination of exemption on the IRB’s behalf.
What is considered “research”?
- Key aspect: Has systematic designs in place prior to intervention, utilizing a scientific approach or protocol, for the definite purpose of contributing to the generalizable knowledge.
- The “Common Rule” definition: ” . . . a systematic investigation including research development, testing and evaluation designed to develop or contribute to generalizable knowledge.”
- The “Belmont Report” definition: ” . . . the term ‘research’ designates an activity designed to test a hypothesis, permit conclusions to be drawn, and thereby to develop or to contribute to generalizable knowledge. . . . Research is usually described in a formal protocol that sets forth an objective and a set of procedures to reach that objective.”
- When there is clear intent prior to treating the patient to use systematically collected data that would not ordinarily be collected in the course of clinical practice in reporting and publishing a case study. Treating with research intent should be distinguished from innovative treatment practices.
- When a series of patient observations is compiled to allow possible extrapolation of the results from the reported cases, it probably does represent research. A safe rule of thumb is to contact the IRB office for advice if reporting on more than one patient.
- If statistics are utilized to analyze the observations from patients in a report you probably have crossed the line into research.
- When the patient’s condition or disease is so rare that by discussing the case and identifying yourself, you are identifying the subject
Regardless of whether or not IRB review/approval is required, care must be taken to protect the confidentiality of private information associated with the patient involved in the case reflection.
Publishing Your Case and Patient ConsentRead more
However, if you are considering submitting your case for publication, or if you will need IRB approval for your case, then you would likely need to obtain permission from your patient. You may utilize the release form here. However, check with the publication journal or IRB to confirm what forms you may need to use.