Evan Othmer Nelson, Emily Claire Goetz-Sutinen, Tyler Alan James Amborn, Dale A Gerke
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引用次数: 0
Abstract
Background and purpose: Educational standards require physical therapy (PT) orthopedic and sports residency and fellowship curricula to include diagnostic imaging instruction. Prior research found that clinicians with advanced training through post-professional education had the requisite diagnostic imaging knowledge and skills. Curricular design or graduate proficiency in diagnostic imaging has not been investigated. The purpose of this study was to assess diagnostic and procedural imaging curricula, instructional methods, and graduate expertise in orthopedic and sports physical therapy residency and fellowship programs.
Methods: A 42-item electronic survey was distributed to all American Board of Physical Therapy Residency & Fellowship Education (ABPTRFE) orthopedic and sports programs. Content categories included (1) program characteristics, (2) diagnostic imaging curriculum, (3) instructional methods, (4) self-reported graduate proficiency, and (5) perception that direct referral for diagnostic imaging is within the scope of PT practice.
Results: Survey responses from 101 programs (84 residency; 17 fellowship) represent 67 orthopedic and 34 sports PT programs. Curricula include radiography (n = 90), magnetic resonance imaging (88), computed tomography (77), bone scintigraphy (55), and ultrasound (60). Eighty-two (97%) curricula instruct how to integrate imaging results with other clinical data and 80 (94%) how to incorporate imaging results into clinical decisions. Twenty-five (29.4%) taught how to directly refer patients for imaging studies. Curricula include diverse educational methods, resources, and assessment techniques. Programs perceived graduates were proficient in all requisite diagnostic imaging skills, but the lowest perceived proficiency was referring to imaging studies.
Discussion: Imaging curricula are widely included in post-professional orthopedic and sports PT programs. Learning experiences embedded in the clinical setting are well positioned to provide meaningful training for appropriate imaging utilization.
期刊介绍:
Physiotherapy Research International is an international peer reviewed journal dedicated to the exchange of knowledge that is directly relevant to specialist areas of physiotherapy theory, practice, and research. Our aim is to promote a high level of scholarship and build on the current evidence base to inform the advancement of the physiotherapy profession. We publish original research on a wide range of topics e.g. Primary research testing new physiotherapy treatments; methodological research; measurement and outcome research and qualitative research of interest to researchers, clinicians and educators. Further, we aim to publish high quality papers that represent the range of cultures and settings where physiotherapy services are delivered. We attract a wide readership from physiotherapists and others working in diverse clinical and academic settings. We aim to promote an international debate amongst the profession about current best evidence based practice. Papers are directed primarily towards the physiotherapy profession, but can be relevant to a wide range of professional groups. The growth of interdisciplinary research is also key to our aims and scope, and we encourage relevant submissions from other professional groups. The journal actively encourages submissions which utilise a breadth of different methodologies and research designs to facilitate addressing key questions related to the physiotherapy practice. PRI seeks to encourage good quality topical debates on a range of relevant issues and promote critical reflection on decision making and implementation of physiotherapy interventions.