Core Competency–Related Professional Behaviors During Patient Encounters: A Report From the Association for Athletic Training Education Research Network

Author:

Welch Bacon Cailee E.12,Cavallario Julie M.3,Walker Stacy E.4,Bay R. Curtis1,Van Lunen Bonnie L.3

Affiliation:

1. Department of Interdisciplinary Health Sciences, A.T. Still University, Mesa

2. School of Osteopathic Medicine in Arizona, A.T. Still University, Mesa

3. College of Health Sciences, Old Dominion University, Norfolk, VA

4. School of Kinesiology, Ball State University, Muncie, IN

Abstract

Context To enhance the quality of patient care, it is important that athletic trainers integrate the components of the core competencies (CCs; evidence-based practice [EBP], patient-centered care [PCC], health information technology [HIT], interprofessional education and collaborative practice [IPECP], quality improvement [QI], professionalism) as a part of routine clinical practice. In what ways, if any, athletic training students (ATSs) are currently integrating CCs into patient encounters (PEs) during clinical experiences is unclear. Objective To describe which professional behaviors associated with the CCs were implemented by ATSs during PEs that occurred during clinical experiences. Design Multisite panel design. Setting A total of 12 professional athletic training programs (5 bachelor's, 7 master's level). Patients or Other Participants A total of 363 ATSs from the athletic training programs that used E*Value software to document PEs during clinical experiences participated. Main Outcome Measure(s) During each PE, ATSs were asked to report whether professional behaviors reflecting 5 of the CCs occurred (the professionalism CC was excluded). Summary statistics, including means ± SDs, counts, and percentages were tabulated for the professional behaviors of each CC. Results Data from 30 630 PEs were collected during the study period. Professional behaviors related to EBP were the most frequently incorporated during PEs (74.3%, n = 22 773), followed by QI (72.3%, n = 22 147), PCC (56.6%, n = 17 326), HIT (35.4%, n = 10 857), and IPECP (18.4%, n = 5627). Conclusions It is unsurprising that EBP and PCC behaviors were 2 of the most frequently incorporated CCs during PEs due to the emphasis on these competencies during the past several years. However, it is surprising that ATSs did not incorporate behaviors related to either HIT (in 65% of PEs) or IPECP (in 82% of PEs). These findings suggest that directed efforts are needed to ensure that ATSs are provided opportunities to incorporate professional behaviors related to the CCs during clinical experiences.

Publisher

Journal of Athletic Training/NATA

Subject

Physical Therapy, Sports Therapy and Rehabilitation,Orthopedics and Sports Medicine,General Medicine

Reference34 articles.

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3. Sauers EL. Health profession recommendations: considerations for athletic training education and practice. NATA News. 2005; (December): 40– 41.

4. Verma S, Paterson M, Medves J. Core competencies for health care professionals: what medicine, nursing, occupational therapy, and physiotherapy share. J Allied Health. 2006; 35(2): 109– 115.

5. O'Brien CW, Anderson R, Ayzenberg B, et al. Employers' viewpoint on clinical education. J Allied Health. 2017; 46(3): 131– 137.

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