LCCC PTA Program

Continuing Education Course

2012-01-23T08:45:00.002-05:00

We have a Continuing Education course on "Contemporary Topics for the Clinical Instructor " planned for:
March 24, 2012
June 16, 2012
Nov. 10, 2012
The course is a fund raiser for our Scholarship fund, It will provide 3 CEU's, for a suggested donation of $20. Topics include Cultural Competence, the Memorable Student, and Evidence Based Practice.
Contact the program faculty for more details!

Starting the selection - check your email

2012-01-13T07:49:00.003-05:00

We have received the list of applicants from Enrollment Services and are starting to do our sorting. We are sending emails to each student to contact you electronically, and looking to get a response from you - please check the email that you gave when you applied for 2012 program entry, and respond to it, so that we know we can contact you by email to keep you informed, and possibly to set up interviews if you are one of the people selected for an interview.

Get Ohio CEU's For Being a Clinical instructor

2011-10-18T08:42:00.003-05:00

Did you know that you can get PT/PTA CEU's for being a Clinical Instructor? The Ohio OTPTAT Board has changed the laws and rules to allow Clinical Instructors (providing you meet certain requirements) to receive CEU's for being Clinical Instructors to PT/PTA students. What a terrific benefit, huh?

Below is a copy of the text, taken verbatim from the Ohio laws and rules, under the section
"4755-23-08 Continuing education."
(Please see the link: http://www.otptat.ohio.gov/LinkClick.aspx?fileticket=hJuneqaoV8Y%3d&tabid=75 for more information)

"Serving as a clinical instructor will qualify for one contact hour for each eighty hours of clinical
instruction.
(a) To be eligible for continuing education credit in accordance with this paragraph, a physical
therapist must be an APTA certified level I or level II clinical instructor and a physical therapist assistant
must be an APTA certified level I clinical instructor.
(b) A physical therapist may earn up to twelve contact hours per renewal cycle by serving as a
clinical instructor.
(c) A physical therapist assistant may earn up to six contact hours per renewal cycle by serving
as a clinical instructor.
(d) Proof of clinical instruction is a certificate from the student’s school documenting the
number of hours of clinical supervision completed.
(6) Serving as a mentor in an APTA accredited clinical residency or fellowship program will qualify for
one contact hour for each three hours of mentorship.
(a) To be eligible for continuing education credit in accordance with this paragraph, a physical
therapist must meet one of the following criteria:
(i) Currently certified as an APTA certified level I or level II clinical instructor; or
(ii) Currently hold a specialty certification issued by the American board of physical therapy
specialties (ABPTS) or by the hand therapy certification commission (HTCC).
(b) A physical therapist may earn up to twelve contact hours per renewal cycle by serving as a
mentor.
(c) Proof of mentorship is a certificate from the director of the clinical residency or fellowship
documenting the number of hours of mentorship completed.
(7) Continuing education activities identified in paragraph (G) of this rule do not require an Ohio
approval number. Continuing education will be granted in the reporting period in which the academic coursework,
clinical instruction, mentoring, tool, residency, or fellowship is completed."

Congrats Graduating Class of 2011 - Test Results

2011-07-25T11:16:00.002-05:00

Congrats to the 18 graduates - all 18 of them passed their licensing exam on the first attempt. WOW! Great job!! That's not an easy thing to do - we are very proud of all of you!

Is there a Doctor in the house?

2011-05-23T07:58:00.003-05:00

It's official - John and Jim are now Dr. John and Dr. Jim.
We've completed our Doctorates of Physical Therapy and graduated! Yea!

Why is Math Important?

2011-04-04T07:09:00.002-05:00

A student called and left me a voice mail and asked "why is there so much math in the program? Why is it important?" The student referenced the two courses, Technical Math, and Physics for the Allied Health Sciences. I suppose "so much" is a relative term, depending on your perspective. Personally I wouldn't consider two courses a huge amount, but if you hate math and physics, you might. Nonetheless, there really are some pretty functional reasons why they are included in the curriculum. Physical Therapists and Physical Therapist Assistants use math on daily level. When you work with patients, you are constanting thinking about and calculating weights, and forces. The patient is 25% weight bearing - how much weight can they place on that injured leg? We are reading and writing and dealing with units in the medical literature and in patient charts that are both in metric and standard values and need to convert them back and forth. We have a lardge body of scientific literature chock full of numbers and statistics that we have to be able to read and understand, and a passing knowledge of math is necessary for that. We administer drugs to patients via iontophoresis, and I certainly will not allow any student who can't do math to pass a skill with such important consequences unless they can demonstrate the knowledge underlying it. We create ratios, for example with sensory testing (15 out of 18 attempts today, 12 of 15 attempts at previous visit - so is the patient getting better or worse?). These are just a few examples of course, but it gives a sense of why we need math.

Interviews

2011-02-14T08:53:00.002-05:00

We are starting to schedule interviews for March

We are trying to save postage, time, paper. We are using your listed email (if you had one listed at the time of application) as the preferred method to contact you regarding your interview time.
PLEASE be sure to check your emails.
We may also be calling to leave a message to ASK for your email address in order to send you the letter with the interview information.

We will notify those who will NOT be offered an interview as soon as possible. Please remember that if you are not offered an interview, you MUST complete another program application to be considered for next year. The applicant pool was again about 140 valid applicants this year.

For more information on the program and selection process, please carefully review the Frequently Asked Questions sections of the Program website:
http://www.lorainccc.edu/Academic+Divisions/Allied+Health+and+Nursing/Allied+Health+and+Nursing+Programs/Physical+Therapist+Assistant.htm

Thank you - Class of 2010

2010-11-23T09:27:00.003-05:00

Graduating Class of 2010 -
Thank you for your generous gift to the LCCC PTA Scholarship fund.....
That was really terrific of you all.
We can't possibly thank you enough.
Your kindness and thoughtfulness lives on!!

Almost Graduation

2010-05-04T17:15:00.004-05:00

Congratulations.

I'll tell you what - these ladies and gentleman DESERVE it....

When you have 2 years with a group of students, it's different than just teaching them a class or two.
You get to see them go go from the starting point, and help mold them into a complete professional; see them go from not really knowing their craft at all to going to ready to take their exams and start work.

It makes you a bit sad to see them go because you have really gotten to know them, to admire them, respect them and like them.

They work SO hard - more than almost anyone understands. They sacrifice, they make amazing strides personally and professionally, they go much more than they let on to achieve this dream. They learn so much in such a short period of time - more than they or anyone else can imagine - and it's them doing the work. The faculty can't teach it all, all we can do is give them some of the knowledge, and then guide and mentor and facilitate and lead them to the rest. But THEY do the real work and deserve the real credit. They work harder than people could ever know, care more than most realize and contribute more to the community than one could ever imagine.

We're REAL proud of them. And it's an honor to be a part of that.

Spring semester update

2010-03-29T08:54:00.009-05:00

The senior students continue to do an OUTSTANDING job out there in the clinicals. The feedback from the Clinical Instructors is tremendous, the CPI's look GREAT, the excited emails I get from the students themselves are terrific fun, (though Jim gets to have the fun of actually spending time in the clinics with them), the feedback from employers (see attached survey) is right on target with previous years, and the patient survey results are excellent (see attached survey). Nice job, all of you. We can't possibly thank everyone, but the entire community is REALLY responsible - the faculty, students, patients who graciously allow our students to work with them, the clinical sites who are so accommodating in placing students and arranging excellent learning experiences, the dedicated Clinical Instructors....it really is a team effort.

First year students are doing a lot of nail biting with Functional Anatomy and their second Procedures course. It's a LOT of work. Oh did we mention that it's a LOT of work?!!

Interviews for the class to enter next year are ongoing.....looks like another tough decision on our part - thanks goodness it comes down to a point system.

John and Jim are wrapping up another tough semester in their doctoral program, having researched and developed a VERY lengthy and detailed research project and proposal related to selection criteria in PTA programs, especially the effects of generic professional behaviors on the selection process in PTA Programs. This was particularly enlightening given what we're going through at the moment.

Program Interviews

2010-02-22T12:07:00.002-05:00

Notifications for interviews are going out by email and/or "snail mail" this week. Please read any notices VERY carefully for full information and instructions as appropriate.

There was a larger than normal pool this year of extremely qualified applicants, and all who applied can be proud of what they have accomplished so far. However with a large pool and limited spaces, only some can progress to the next phase of selection, based on the selection process as noted in the FAQ's and admission criteria. Please be aware that we must stick firmly to the selection criteria, and therefore cannot consider outside influences such as unsolicted reference letters, requests for reconsideration based on information unrelated to the application materials, etc. Failure to progress to the next phase of the selection process is based simply on the volume of applicants, and a points system as specified. Please also understand there is a large volume of communication we must do in notifying all of their staus, scheduling interviews, etc while we continue to teach, administer the program, handle clinicals, and do all the other day to day parts of the program. Reading and following the instructions in your notification is essential to avoid unnecessary delays for everyone. Thank you for your understanding.

Welcome to Spring Semester

2010-01-13T09:40:00.003-05:00

First Year Students are heading into Functional Anatomy and their second procedures course - whew! Second Year Students will be packing in almost 16 weeks of lecture and labs into 4 condensed weeks before heading out to clinicals full time for 10 weeks - almost done folks!!

I JUST NOW received the list of applicants for next year....a large pool - it will take a while for the program to process this list and come up with the interview list - please be patient - especially considering that the first 4 weeks of the semester are pretty crazy for the faculty with teaching and all the other things that go into getting the semester rolling.

2009-10-13T13:29:00.003-05:00

WOW!!!

Congratulations to the 2009 graduating class!!!!

They attained a PERFECT "first-time pass rate" of 100% on their license exams.

In other words - every single graduate passed their license exam on the first try.....that's an amazing accomplishment - you all deserve a LOT of recognition for that! GREAT JOB!!!

2009-10-08T07:01:00.003-05:00

Check out the new "LibGuide for Physical Therapy" available through the LCCC Library homepage, created by the always amazing Susan Paul:
http://libguides.lorainccc.edu/physicaltherapy

We are really lucky to have some of the best facilities, resources, and Librians/faculty/staff here at LCCC. They're always doing something new, cutting edge, or just plain helpful. Students come back and tell me about how they spends HOURS with them helping them determine if a journal article meets an assignment guideline, or helping them find JUST the RIGHT rersearch for a topic.
Or The PTA faculty will request a book for the library shelves, and Susan comes back with 3 more suggested books she found. Sometimes they don't get enough thanks - so here you go!

A couple more updates -
The second year students are going crazy fundraising. Great job guys!

Service learning projects are in full swing by both first and second year students - thanks to all of you who participate. It makes a difference you know. You have an impact on people.

Jim and John are knee deep in research data and methods in their next course in their doctoral program.

Welcome to our new lab assistant Marlo. She's a keeper!

And lastly, for all you prospective students - remember that the application deadline for a completed program application is Nov 15th.

2009-05-19T08:16:00.002-05:00

Value -
It's great to have it reinforced sometimes - what a TERRIFIC value for the dollar public education can be in ohio - especially at the community college level. Here at LCCC, we are lucky to have the support of our local community through a levy, plus the support of the state, as well as student tuition support. That helps keeps costs extremely affordable for a high-quality education. Our PTA program is estimated to cost about $6,600 for the entire two-year program.
A student we know was just offered a place in a new Ohio private, for-profit, program. The cost of the program for 2 years as quoted to him? $38,000
What else can you say, but -
WOW.

2009-05-08T08:27:00.004-05:00

NEW APTA Guidelines:
The APTA has released updated Guidelines regarding Student/New Graduate Employment Agreements. The PTA program at LCCC has incorporated these guidelines into written program policies.
The 2008 House of Delegates policies, Guidelines: Student/New Graduate Employment Agreements (HOD G06-08-08-09) assist students, new graduates and potential employers in negotiating agreements to provide financial or tuition assistance in return for contracted employment after graduation. The guidelines recommend that all parties seek approopriate legal advise ahead of time, and give suggestions about what agreements should contain.
Please also note that it has always been the long-standing position and policy of the PTA Program at LCCC that student education is not best-served by a student fulfilling any part of their clinical interships in a facility where they work. Students are assigned to a specified variety of types of clinical sites during their internships (called practicums by course name) by program policy, and also to a variety of employers/sites/locations/instructors to best achieve the well-rounded education required of the entry-level clinician.

2009-05-07T19:52:00.007-05:00

CONGRATS TO THE 17 NEW GRADUATES OF THE CLASS OF 2009!!
You've shown tremendous strength, compassion, empathy, professionalism, personality, humor, skills, knowledge, friendship and so much more. We're proud of you all and we'll miss you.

The NEW incoming class for Fall semester 2009 has been selected and notified, as have those who unfortunately, were not able to be offered a position. The selection committee works very hard on those decisions, and they are never easy. We offer our congratulations to those who will be joining us, extend our regards to those who must try again or choose a different path for themselves.

Based on some telephone call questions I have received recently and another regarding a local TV news report that was described to me, I would like to clarify something for those who might be unclear. PTA programs are offered by an education program accredited by an agency or association recognized by the U.S. Department of Education or by the Council for Higher Education Accreditation. The institution is authorized by law to provide a program of postsecondary education. The institution has been approved by appropriate authorities to provide the physical therapist assistant education degree program. Some priopritary or for-profit colleges have been able to seek and achieve the necessary accreditation at the national educational and Commision on Accreditation in Physical Therapy Education levels in order to offer the PTA degree program. However, most health care facilities, private clinics, hospitals, continuing education providers, short-term vocational training providers, or other such entities are not suitably accredited, associate-degree granting colleges and universities capable of offering the PTA degree program on their own. When in doubt please refer to http://www.apta.org/ under the education section for a list of accredited PTA programs (or PT programs, if your preference is to become a physical therapist rather than a physical therapist assistant).

Speaking of becoming a PTA, recent federal data from the US Department of Labor "Occupational Supply Demand System Data" indicates an estimated increase in need of 32.4% for PTA's over the years 2006 to 2016.
The estimate includes both replacement jobs for those leaving the field and new growth in jobs and shows an average need for new PTA's of 2,730 per year across the country. A 32% growth rate is considered QUITE high, by the way!
That's good news.
The other side of the coin is that schools are doing an excellent job of keeping up with demand -
PTA programs are currently producing 4,376 graduates per year. (So nationally, schools are producing roughly 1,600 MORE PTAs than current demand for new and replacement needs.) So we should be in good shape to meet any shortages. See the link for the data tables: https://mymail.lorainccc.edu/exchweb/bin/redir.asp?URL=http://www.occsupplydemand.org/OSD_DemandState.aspx?CLUSCODE=146A-08%26ST=ZZ%26PathNo=1%26sst=0

On a personal note, both John and Jim are in the process of completing the necessary coursework and application materials for starting their doctoral program.

2009-01-27T07:50:00.003-05:00

The Physical Therapist Assistant Program at LCCC is VERY pleased to announce the initiation of a scholarship fund for LCCC PTA students. This was made possible by two gifts, one from the Notheast District of the Ohio Physical Therapy Association, and one from the PTA Program Faculty.
Over time, our hope is is that the fund will be to help support first year students with funds for books, fees and tuition awards.

Alumni, families, employers, clinical sites or other community members and supporters of the program are certainly welcome to make a donation to the fund. Donations would be directed to:

LCCC Foundation
c/o Physical Therapist Assistant Scholarship
1005 Abbe Rd. North
Elyria OH 44035

2008-12-22T10:22:00.003-05:00

We want to welcome our two new lab assistants, Jennifer and Kassi. Both are 2006 graduates of our program, both have additional degrees, and have been out there working clinically for several years now with excellent reputations. We are glad to have their help and assistance.

As always, we thank the community for ALL of it's support - our clinical sites and instructors, the Ohio Board, Advisory Committee, graduates, APTA/CAPTE, OPTA and NE District, PTA Educator's Consortium, employers and many many more. It takes a lot more people than most imagine to move that person from raw recruit to polished licensed clinician. Thank you and happy holidays.

2008-07-19T12:16:00.003-05:00

We are VERY sorry to announce that Connie, our long-time laboratory instructional assistant is going to be leaving us to pursue a full-time clinical position. Connie has been a terrific member of the team and will be very much missed.

That also leaves us in the position of needing to search for a new laboratory assistant. If you, or anyone you know might be interested in discussiong the position, we encourage you to contact John Myers, PT via email (jmyers@lorainccc.edu) or by phone (440-366-7881) to talk about it.

In the Fall 16 week semester, the hours needed for the position are:
Mon and Wed mornings 9 AM-12 noon
Tues and Thurs afternoons 1 PM-4 PM
(plus 1/2 hour prep time where needed)

In the Spring Semester, the hours needed for the position are:
Fri mornings from 8 AM-12 noon for 16 weeks
Tues and Thurs mornings 8 AM - 12:30 PM for 10 weeks
(plus 1/2 hour prep time where needed)

2008-03-08T06:52:00.003-05:00

SNOW!! * * * *
Those people with appointments scheduled today, March 8, 2008, that were missed because of the campus closing due to severe weather, will be rescheduled for next Saturday, March 15, at the times you were assigned.

We're sorry for any inconvenience this may cause you, but obviously, a storm like this can't be anticipated in advance.

2008-01-11T10:36:00.000-05:00

To those 97 students who applied for the program, we appreciate your patience!
We had to wait for Fall Semester grades to be processed, and for the good folks in the Connections Center to gather and sort all the data...(thank GOODNESS for them, believe me!)...
We are working on OUR end now, sorting the list and starting to look at setting up interview dates, etc. PLEASE BE PATIENT.
NO dates have been scheduled yet, and the first 4 weeks of the Spring Semester are extremely busy with classes, etc. So it's likely to be mid-February before you hear if you are in the groups selected for an interview or not.

Additionally, faculty are busy with current student and program needs, so please "hang in there" and wait for a letter to come regarding being selected for an interview or not.

We would also like to announce that John Myers, PT, the Program Director, will be serving as one of the two interim "Co" Deans of the Division of Allied Health and Nursing, while a search for a permanent Dean continues.

2007-10-31T12:35:00.000-05:00

Happy Halloween to all -

just a couple of pictures....

From your scary faculty....

And maybe one of the scary amount of food that sometimes gets consumed in labs!

And one of those VERY scary student presentations.....

Oh - and yes, Native American dress IS completely optional!

2007-10-05T10:17:00.000-05:00

For students applying for entry in Fall 2008, remember that the deadline to apply is November 15, 2007!! You must apply at the Connections Center, IN PERSON, by that date, to be considered. Hurry! Limited supplies! Offer expires soon! :)

First and second year students will be working together along with other allied health students on a Service Learning Project at a Health Fair at St. Mary's Church in Lorain on Sunday Nov. 11th from 11A -1P. Feedback from last year's graduates was so tremendous about the experience that we wanted to have the students participate in this worthy project again.

New, updated program statistics are now posted on the program webpage that you PROBABLY just came from, or can be accessed via the follow link (PDF file):
http://www.lorainccc.edu/NR/rdonlyres/5F9E07E6-5F7C-43B9-8DA9-EEDD217007D9/1726/PTAProgramOutcomes.pdf
Check them out and see how we are doing!

2007-08-28T08:01:00.000-05:00

A few updates.......

Congratulations to our 18 graduates, 17 in May and one in August! So far 16 have taken the license exam, with a first-time pass rate of 87.5%!!

John Myers has been promoted to the rank of Associate Professor.

A new class of 20 incoming students has started the new academic year, starting from a pool of 91 applicants - good luck to the new group!

New program outcomes and statistics data have been compiled and published, and are available for review on the program website.

2007-04-03T08:01:00.000-05:00

The attached survey results are from patients treated by students about to graduate from the program. (Click on the survey data to bring it up to inspect as a larger image).

2007-02-22T13:36:00.000-05:00

Letters have been sent to program applicants as of this date either:
1) inviting them to interviews on March 24 (at various times as specified in the letter they will receive), or
2) notifying them that they unfortunately did not make it into the pool of candidates to be interviewed and considered for selection for the seats for the program for Fall 2007.

Those applicants not offered an interview, who wish to be considered for entry into the program NEXT year, will NEED TO FILE A NEW PROGRAM APPLICATION IN PERSON WITH THE CONNECTIONS CENTER.

2007-01-18T08:40:00.000-05:00

Some recently culled statistics about the program's outcomes:

-80% of students admitted to the program graduate (past 3 year average data)

-72% of graduates who take the licensing exam the first time pass it, while 95% of graduates ultimately pass it within one to three attempts

-100% of graduates reported being employed within 3 months of graduation

2007-01-12T11:08:00.000-05:00

PTA Program SELECTION PROCESS: Thank you to all applicants for your patience. The selection process is still underway, with the Connections Center continuing to process the large volume of applications (approximately 90 applicants for the 20 seats in the program). This has taken a bit longer than normal. The list of applicants should be delivered to me (the PTA Program Director) by late January, and then I will do some sorting and processing of the list and beginning making calls to set up the group interviews for the top 40 students selected for the interview process.

The interviews are likely to be held on a Saturday, probably in March. We will try to give those selected as much notice as possible, and then afterward, contact those NOT selected for an interview to inform them as well.

PLEASE make sure that if you have changed phone or address, that the college has your current information. Otherwise we will be unable to contact you, and unfortunately, there is not enough time to try to "track people down" if your information is out of date or incorrect, or if you fail to return phone calls and messages.

One change that we anticipate this year to speed up the process, is to have those interviewed write their narrative essays ON the day of the interview, rather than taking the form home with them to be returned at a later time. You might with to start thinking NOW about what you might wish to include in that narrative. The instructions for the narrative are as follows:
"Write a narrative about yourself. Include some autobiographical information to tell us about yourself, your background, and why you wish to pursue this field of study. The narrative must be handwritten, in ink. Limit yourself to the lines provided on this page only, and no more than 350 words. Do not write in the margins, on the back, or on another page. Sign, date and print your name in the spaces provided on the back of this page."

In addition, the form for performing and verifying the 40 volunteer/observation hours will be given out during the interviews. There is no need to pick up the form ahead of time.

Thank you for your understanding and patience!

2006-11-21T09:50:00.000-05:00

ALL current clinical sites & students please note: In order to come into full compliance with CAPTE criteria, the program is required to reduce its clinical hours from the current 800 to 720 or less.

In order to do this in the least disruptive manner possible, BEGINNING IMMEDIATELY, it is important that all students and all clinical sites observe the following program guideline......each scheduled clinical practicum day must consist of no greater than 7 hours of clinical contact, patient care activities, mentoring, role modeling, instruction, clinical experiences, interaction with individuals with impairments/functional limitations/disabilities commonly seen in the clinical setting, and other related clinical activities.

If a student is present in the clinic for an 8 hour period, they MUST be given an hour break (e.g. 1 hour lunch, or 30 min. lunch and 2 breaks of 15 min. each) in order for the program to meet the 7 hour limit. Doing so will reduce clinical hours over the period of the program from 800 to 700, thereby allowing the program to come into full compliance.

We sincerely appreciate all of your effects, hard work, and dedication - as students, Clinical Instructors and clinical sites. "Out there" in the clinical sites, is where "the rubber really hits the road", and we know it. The changes in students, in knowledge, skills, confidence, abilities, outcomes.....from week to week, semester to semester are literally dramatic. You can be VERY proud!! We are certainly proud to be a part of the process.

And again, thank you for your help in this change in clinical hours.

2006-10-10T08:29:00.000-05:00

ATTENTION STUDENTS APPLYING FOR THE PROGRAM!

The deadline for application WAS November 15th!
You should have a valid application on file with the Connections Center by NOW in order to be considered for entry for the Fall 2007 class.

2006-09-26T07:51:00.000-05:00

Hope, John and "Winston" - our unofficial little program ambassador!

Picture taken at LCCC FamilyFest 2006

Thanks to ALL our student volunteers!

2006-09-19T07:51:00.000-05:00

John Myers has been informed by the editors, that his biography will be included in the 2007 edition of "Who's Who in America". To the anonymous person who nominated him for this honor, John sends his sincere thanks!!

2006-09-13T07:31:00.000-05:00

Welcome to our new attempt at keeping you updated about events, news, and updates about the Lorain County Community College Physical Therapist Assistant Program!

First off, we'll try not to post anything too trivial here. That means it may not be updated all the time but only as really appropriate.

As for recent news:
We'd like to thank EVERYONE associated with the Program - students, graduates, faculty, clinical instructors, employers, advisory committee members, clinical sites, the ENTIRE college community and everyone else involved with our reaccreditation process.
The Commission on Accreditation in Physical Therapy Education (CAPTE) of the American Physical Therapy Association voted to reaffirm accreditation to the program for a 10 year period.
Thanks to all of you!

After all of that, Program Director John Myers himself underwent training to become a team-leader and on-site evaluator for CAPTE accreditation site visits! Academic Coordinator of Clinical Education Jim Keske, after becoming a Certified Clinical Instructor, took additional training to becoming a Credentialed Clinical Trainer so that he can now train people to become Certified CI's.