Comparisons of Clinical Competency and Job Responsibilities of Physical Therapists With and Without Postprofessional Training
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Published:2023-08-01
Issue:4
Volume:37
Page:332-341
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ISSN:1938-3533
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Container-title:Journal of Physical Therapy Education
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language:en
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Short-container-title:JOPTE
Author:
Briggs Matthew S.,Gulla Nicholas,Howald Heidi,Weber Mark D.,Olson-Kellogg Becky J.,DeWitt John J.,Hensley Craig P.,Harrington Kendra L.,Kidder Melissa S.,Farrell Joseph P.,Tichenor Carol Jo
Abstract
Introduction.
Understanding how educational pathways may influence clinical competence and work responsibilities is important in providing guidance to academic and clinic stakeholders and physical therapists (PTs) on PT career development. The purpose of this paper was to compare perceived clinical competency and job duties between PTs with formal mentored postprofessional clinical education with PTs without formal postprofessional clinical education.
Review of Literature.
The understanding of self-perceived clinical competence of PTs overall in the United States is limited, especially as related to the impact of postprofessional education. Furthermore, there is limited understanding of the career pathways and development of job duties of PTs in the United States.
Subjects.
Two thousand three hundred thirty-four PTs in the United States.
Methods.
An online survey was sent to licensed PTs. This survey included items measuring self-perceived clinical competency and questions related to weekly job responsibilities. Participants were categorized as residency trained, fellowship trained, or non–residency/fellowship trained. Frequency analyses and Kruskal–Wallis tests with pairwise post hoc tests were performed comparing the 3 groups.
Results.
Residency-trained (P < .007) and fellowship-trained (P < .001) groups demonstrated elements of higher self-perceived clinical competency compared with the non–residency-/fellowship-trained group. Both the residency- and fellowship-trained groups spent less time with patient care and more time with other responsibilities (e.g., teaching, mentoring, and research) (P < .02) during an average workweek. Fellowship-trained PTs (P < .001) spent more time with administrative duties compared with the non–residency-/fellowship-trained group.
Discussion and Conclusion.
Results from this paper demonstrate that residency- and fellowship-trained PTs have elements of higher self-perceived clinical competency and spend more of their job duties outside of direct patient care compared with PTs who were not residency or fellowship trained. These results may help guide PTs, academic institutions, and employers in planning and achieving specific career paths.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Subject
General Medicine,Physical Therapy, Sports Therapy and Rehabilitation,Rehabilitation,Health Policy
Reference33 articles.
1. Physical therapy residency and fellowship education: Reflections on the past, present, and future;Furze;Phys Ther,2016
2. Residency education: Is it now or never?;Hartley;Phys Ther,2021
3. Residency education in every town: Is it just so simple?;Kulig;Phys Ther,2014
4. An orthopedic manual physical therapy fellowship training's impact on professional development, involvement, personal lives, and income–a survey study;Whitman;J Man Manip Ther,2020
5. The impact of physical therapy residency or fellowship education on clinical outcomes for patients with musculoskeletal conditions;Rodeghero;J Orthop Sports Phys Ther,2015