The program serves as the formal process for promotion and advancement to develop and recognize clinical expertise
What is a Clinical Narrative?
- It is a story written from the therapist's perspective describing a specific clinical case that happened within the last year
- It provides the therapist with a tool for self reflection on their current practice
- It enables the therapist to depict her/his current clinical practice
- It presents information in a way that promotes discussion with colleagues
What should the Clinical Narrative be about?
- A patient interaction in which your intervention made an impact on the patient's outcome
- A situation that was challenging or particularly meaningful to you, but could also be rather ordinary in nature, as an example of your current practice
- A situation that you frequently experience that highlights your role in the patient care team that gives you new insight into your role as a therapist
What should be included in the Clinical Narrative?
- A detailed account of the case that helps the reader to visualize and understand the situation even if they are unfamiliar with your specific clinical role
- A discussion of your thoughts, feelings and actions surrounding the situation - your description should indicate the rationale for your actions
- Aspects of the situation that concerned you at the time
- Why this situation was important to you
- Conversations you had with others including, but not limited to the patient, family members and the patient care team
- Present the story from your point of view, changing the patient's name and any other identifying information
- You may find it helpful to review the story with a colleague who is familiar with the patient's case
- Have someone who is unfamiliar with the patient read your Narrative to identify areas that lack clarity
- Include your thought and decision making process to help illustrate how and why you made your choices in this situation as it took place
- Be specific. Give the reader an accurate picture of the situation. Avoid general or summary statements
Benner P. From Novice to Expert: Excellence and Power in Clinical Nursing Practice. Addison-Wesley Publishing Company. 1984; 2001.
Jensen GM, Gwyer JM, Hack LM, Shepard KF. Expertise in Physical Therapy Practice. Second Edition. St. Louis: Saunders. 2007.
Mattingly C. Healing dramas and clinical plots: The narrative structure of experience. Cambridge University Press. 1998.