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For: Hartley GW, Rapport MJ, Osborne R, Briggs MS, Jensen GM. Residency Education: Is It Now or Never? Phys Ther 2021;101:6048921. [PMID: 33367835 DOI: 10.1093/ptj/pzaa225] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2020] [Accepted: 11/27/2020] [Indexed: 11/14/2022]

For:	Hartley GW, Rapport MJ, Osborne R, Briggs MS, Jensen GM. Residency Education: Is It Now or Never? Phys Ther 2021;101:6048921. [PMID: 33367835 DOI: 10.1093/ptj/pzaa225] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2020] [Accepted: 11/27/2020] [Indexed: 11/14/2022]

Number

Cited by Other Article(s)

DeWitt JJ, Weber MD, Tichenor CJ, Farrell JP, Kidder MS, Olson-Kellogg BJ, Hensley CP, Harrington KL, Briggs MS. The Impact of Physical Therapy Postprofessional Education Programs on Productivity in a Large Academic Medical Center. JOURNAL, PHYSICAL THERAPY EDUCATION 2025:00001416-990000000-00153. [PMID: 39878780 DOI: 10.1097/jte.0000000000000395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/11/2024] [Accepted: 11/17/2024] [Indexed: 01/31/2025]

Abstract

INTRODUCTION

Emerging evidence shows positive impact of postprofessional physical therapy education (residency and fellowship) specific to participants; however, outcomes on organizational impact are largely unknown. The purpose of this project was to describe the impact residency and fellowship training has on financial metrics. A secondary purpose of this case study was to describe trends associated with higher productivity.

REVIEW OF LITERATURE

Previous studies have demonstrated positive professional behavior and generalized operational impact of postprofessional education. No studies have evaluated the impact of residency and fellowship training on individual physical therapist (PT) productivity.

SUBJECTS

Individual productivity from 191 PTs was collected over a 10-year time frame from a large, ambulatory, rehabilitation department within an academic medical center. Productivity was compared between 4 groups: nonresidency- or fellowship-trained clinicians; residency-trained clinicians; fellowship-trained clinicians; and dual residency and fellowship-trained clinicians.

METHODS

Physical therapists' productivity data were manually extracted retrospectively from operational reports over a 10-year period. Additional data elements extracted included the following: board specialty certification and years employed at the medical center. Data were then categorized as nonresidency/fellowship -trained, residency trained, fellowship trained, or dual residency and fellowship trained. Data were analyzed using descriptive statistics and 1-way analysis of variance (ANOVA).

RESULTS

Forty-five clinicians with postprofessional training collectively produced $253,617 more in financial annual return to the organization. Fellowship-trained clinicians demonstrated the highest productivity followed by residency-trained and dual residency and fellowship-trained clinicians. Specialty board certification also positively increased productivity regardless of postprofessional training.

DISCUSSION AND CONCLUSION

Postprofessional training within physical therapy continues to be evaluated in the spectrum of professional development. Evidence supports positive professional behaviors and patient outcomes; however, little is known regarding its impact on productivity metrics. Although no significance was found between the groups with and without postprofessional training, meaningful financial return was demonstrated in clinicians with postprofessional training. The lack of significance may have been influenced by compression because of departmental productivity guidelines. This preliminary data may assist organizations in justifying resources for sustaining and sponsoring future programs.

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Affiliation(s)

John J DeWitt John J. DeWitt is the associate director, education and professional development and associate clinical professor in the Rehab Services at The Ohio State University Wexner Medical Center, and School of Health & Rehabilitation Sciences, College of Medicine, The Ohio State University, 453 W 10th Ave, Rm 516, Columbus, OH 43210 . Please address all correspondence to John J. DeWitt Mark D. Weber is the associate director School of Physical Therapy, professor, Women's University Carol Jo Tichenor is the contributed service faculty in the Department of Physical Therapy at the School of Pharmacy and Health Professions at the Creighton University Joseph P. Farrell is the faculty emeritus in the Department of Physical Therapy at the School of Pharmacy and Health Professions at the Creighton University, and is a clinical instructor in the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Melissa S. Kidder is the orthopaedic residency director and lecturer in the Rehab Services at The Ohio State University Wexner Medical Center, and in the School of Health & Rehabilitation Sciences at the College of Medicine at The Ohio State University Becky J. Olson-Kellogg is the associate professor and director geriatric residency in the Division of Physical Therapy at the Department of Rehabilitation Medicine, Medical School at the University of Minnesota Craig P. Hensley is the assistant professor in the Department of Physical Therapy and Human Movement Sciences at the Feinberg School of Medicine at the Northwestern University Kendra L. Harrington is the director in the American Physical Therapy Association at the Residency & Fellowship Education Matthew S. Briggs is the assistant professor in the rehab services at The Ohio State University Wexner Medical Center, and in the School of Health & Rehabilitation Sciences, College of Medicine at the The Ohio State University, and in the Sports Medicine Research Institute at the The Ohio State University Wexner Medical Center, and in the Department of Orthopedics is the The Ohio State University Wexner Medical Center
Mark D Weber John J. DeWitt is the associate director, education and professional development and associate clinical professor in the Rehab Services at The Ohio State University Wexner Medical Center, and School of Health & Rehabilitation Sciences, College of Medicine, The Ohio State University, 453 W 10th Ave, Rm 516, Columbus, OH 43210 . Please address all correspondence to John J. DeWitt Mark D. Weber is the associate director School of Physical Therapy, professor, Women's University Carol Jo Tichenor is the contributed service faculty in the Department of Physical Therapy at the School of Pharmacy and Health Professions at the Creighton University Joseph P. Farrell is the faculty emeritus in the Department of Physical Therapy at the School of Pharmacy and Health Professions at the Creighton University, and is a clinical instructor in the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Melissa S. Kidder is the orthopaedic residency director and lecturer in the Rehab Services at The Ohio State University Wexner Medical Center, and in the School of Health & Rehabilitation Sciences at the College of Medicine at The Ohio State University Becky J. Olson-Kellogg is the associate professor and director geriatric residency in the Division of Physical Therapy at the Department of Rehabilitation Medicine, Medical School at the University of Minnesota Craig P. Hensley is the assistant professor in the Department of Physical Therapy and Human Movement Sciences at the Feinberg School of Medicine at the Northwestern University Kendra L. Harrington is the director in the American Physical Therapy Association at the Residency & Fellowship Education Matthew S. Briggs is the assistant professor in the rehab services at The Ohio State University Wexner Medical Center, and in the School of Health & Rehabilitation Sciences, College of Medicine at the The Ohio State University, and in the Sports Medicine Research Institute at the The Ohio State University Wexner Medical Center, and in the Department of Orthopedics is the The Ohio State University Wexner Medical Center
Carol Jo Tichenor John J. DeWitt is the associate director, education and professional development and associate clinical professor in the Rehab Services at The Ohio State University Wexner Medical Center, and School of Health & Rehabilitation Sciences, College of Medicine, The Ohio State University, 453 W 10th Ave, Rm 516, Columbus, OH 43210 . Please address all correspondence to John J. DeWitt Mark D. Weber is the associate director School of Physical Therapy, professor, Women's University Carol Jo Tichenor is the contributed service faculty in the Department of Physical Therapy at the School of Pharmacy and Health Professions at the Creighton University Joseph P. Farrell is the faculty emeritus in the Department of Physical Therapy at the School of Pharmacy and Health Professions at the Creighton University, and is a clinical instructor in the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Melissa S. Kidder is the orthopaedic residency director and lecturer in the Rehab Services at The Ohio State University Wexner Medical Center, and in the School of Health & Rehabilitation Sciences at the College of Medicine at The Ohio State University Becky J. Olson-Kellogg is the associate professor and director geriatric residency in the Division of Physical Therapy at the Department of Rehabilitation Medicine, Medical School at the University of Minnesota Craig P. Hensley is the assistant professor in the Department of Physical Therapy and Human Movement Sciences at the Feinberg School of Medicine at the Northwestern University Kendra L. Harrington is the director in the American Physical Therapy Association at the Residency & Fellowship Education Matthew S. Briggs is the assistant professor in the rehab services at The Ohio State University Wexner Medical Center, and in the School of Health & Rehabilitation Sciences, College of Medicine at the The Ohio State University, and in the Sports Medicine Research Institute at the The Ohio State University Wexner Medical Center, and in the Department of Orthopedics is the The Ohio State University Wexner Medical Center
Joseph P Farrell John J. DeWitt is the associate director, education and professional development and associate clinical professor in the Rehab Services at The Ohio State University Wexner Medical Center, and School of Health & Rehabilitation Sciences, College of Medicine, The Ohio State University, 453 W 10th Ave, Rm 516, Columbus, OH 43210 . Please address all correspondence to John J. DeWitt Mark D. Weber is the associate director School of Physical Therapy, professor, Women's University Carol Jo Tichenor is the contributed service faculty in the Department of Physical Therapy at the School of Pharmacy and Health Professions at the Creighton University Joseph P. Farrell is the faculty emeritus in the Department of Physical Therapy at the School of Pharmacy and Health Professions at the Creighton University, and is a clinical instructor in the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Melissa S. Kidder is the orthopaedic residency director and lecturer in the Rehab Services at The Ohio State University Wexner Medical Center, and in the School of Health & Rehabilitation Sciences at the College of Medicine at The Ohio State University Becky J. Olson-Kellogg is the associate professor and director geriatric residency in the Division of Physical Therapy at the Department of Rehabilitation Medicine, Medical School at the University of Minnesota Craig P. Hensley is the assistant professor in the Department of Physical Therapy and Human Movement Sciences at the Feinberg School of Medicine at the Northwestern University Kendra L. Harrington is the director in the American Physical Therapy Association at the Residency & Fellowship Education Matthew S. Briggs is the assistant professor in the rehab services at The Ohio State University Wexner Medical Center, and in the School of Health & Rehabilitation Sciences, College of Medicine at the The Ohio State University, and in the Sports Medicine Research Institute at the The Ohio State University Wexner Medical Center, and in the Department of Orthopedics is the The Ohio State University Wexner Medical Center
Melissa S Kidder John J. DeWitt is the associate director, education and professional development and associate clinical professor in the Rehab Services at The Ohio State University Wexner Medical Center, and School of Health & Rehabilitation Sciences, College of Medicine, The Ohio State University, 453 W 10th Ave, Rm 516, Columbus, OH 43210 . Please address all correspondence to John J. DeWitt Mark D. Weber is the associate director School of Physical Therapy, professor, Women's University Carol Jo Tichenor is the contributed service faculty in the Department of Physical Therapy at the School of Pharmacy and Health Professions at the Creighton University Joseph P. Farrell is the faculty emeritus in the Department of Physical Therapy at the School of Pharmacy and Health Professions at the Creighton University, and is a clinical instructor in the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Melissa S. Kidder is the orthopaedic residency director and lecturer in the Rehab Services at The Ohio State University Wexner Medical Center, and in the School of Health & Rehabilitation Sciences at the College of Medicine at The Ohio State University Becky J. Olson-Kellogg is the associate professor and director geriatric residency in the Division of Physical Therapy at the Department of Rehabilitation Medicine, Medical School at the University of Minnesota Craig P. Hensley is the assistant professor in the Department of Physical Therapy and Human Movement Sciences at the Feinberg School of Medicine at the Northwestern University Kendra L. Harrington is the director in the American Physical Therapy Association at the Residency & Fellowship Education Matthew S. Briggs is the assistant professor in the rehab services at The Ohio State University Wexner Medical Center, and in the School of Health & Rehabilitation Sciences, College of Medicine at the The Ohio State University, and in the Sports Medicine Research Institute at the The Ohio State University Wexner Medical Center, and in the Department of Orthopedics is the The Ohio State University Wexner Medical Center
Becky J Olson-Kellogg John J. DeWitt is the associate director, education and professional development and associate clinical professor in the Rehab Services at The Ohio State University Wexner Medical Center, and School of Health & Rehabilitation Sciences, College of Medicine, The Ohio State University, 453 W 10th Ave, Rm 516, Columbus, OH 43210 . Please address all correspondence to John J. DeWitt Mark D. Weber is the associate director School of Physical Therapy, professor, Women's University Carol Jo Tichenor is the contributed service faculty in the Department of Physical Therapy at the School of Pharmacy and Health Professions at the Creighton University Joseph P. Farrell is the faculty emeritus in the Department of Physical Therapy at the School of Pharmacy and Health Professions at the Creighton University, and is a clinical instructor in the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Melissa S. Kidder is the orthopaedic residency director and lecturer in the Rehab Services at The Ohio State University Wexner Medical Center, and in the School of Health & Rehabilitation Sciences at the College of Medicine at The Ohio State University Becky J. Olson-Kellogg is the associate professor and director geriatric residency in the Division of Physical Therapy at the Department of Rehabilitation Medicine, Medical School at the University of Minnesota Craig P. Hensley is the assistant professor in the Department of Physical Therapy and Human Movement Sciences at the Feinberg School of Medicine at the Northwestern University Kendra L. Harrington is the director in the American Physical Therapy Association at the Residency & Fellowship Education Matthew S. Briggs is the assistant professor in the rehab services at The Ohio State University Wexner Medical Center, and in the School of Health & Rehabilitation Sciences, College of Medicine at the The Ohio State University, and in the Sports Medicine Research Institute at the The Ohio State University Wexner Medical Center, and in the Department of Orthopedics is the The Ohio State University Wexner Medical Center
Craig P Hensley John J. DeWitt is the associate director, education and professional development and associate clinical professor in the Rehab Services at The Ohio State University Wexner Medical Center, and School of Health & Rehabilitation Sciences, College of Medicine, The Ohio State University, 453 W 10th Ave, Rm 516, Columbus, OH 43210 . Please address all correspondence to John J. DeWitt Mark D. Weber is the associate director School of Physical Therapy, professor, Women's University Carol Jo Tichenor is the contributed service faculty in the Department of Physical Therapy at the School of Pharmacy and Health Professions at the Creighton University Joseph P. Farrell is the faculty emeritus in the Department of Physical Therapy at the School of Pharmacy and Health Professions at the Creighton University, and is a clinical instructor in the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Melissa S. Kidder is the orthopaedic residency director and lecturer in the Rehab Services at The Ohio State University Wexner Medical Center, and in the School of Health & Rehabilitation Sciences at the College of Medicine at The Ohio State University Becky J. Olson-Kellogg is the associate professor and director geriatric residency in the Division of Physical Therapy at the Department of Rehabilitation Medicine, Medical School at the University of Minnesota Craig P. Hensley is the assistant professor in the Department of Physical Therapy and Human Movement Sciences at the Feinberg School of Medicine at the Northwestern University Kendra L. Harrington is the director in the American Physical Therapy Association at the Residency & Fellowship Education Matthew S. Briggs is the assistant professor in the rehab services at The Ohio State University Wexner Medical Center, and in the School of Health & Rehabilitation Sciences, College of Medicine at the The Ohio State University, and in the Sports Medicine Research Institute at the The Ohio State University Wexner Medical Center, and in the Department of Orthopedics is the The Ohio State University Wexner Medical Center
Kendra L Harrington John J. DeWitt is the associate director, education and professional development and associate clinical professor in the Rehab Services at The Ohio State University Wexner Medical Center, and School of Health & Rehabilitation Sciences, College of Medicine, The Ohio State University, 453 W 10th Ave, Rm 516, Columbus, OH 43210 . Please address all correspondence to John J. DeWitt Mark D. Weber is the associate director School of Physical Therapy, professor, Women's University Carol Jo Tichenor is the contributed service faculty in the Department of Physical Therapy at the School of Pharmacy and Health Professions at the Creighton University Joseph P. Farrell is the faculty emeritus in the Department of Physical Therapy at the School of Pharmacy and Health Professions at the Creighton University, and is a clinical instructor in the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Melissa S. Kidder is the orthopaedic residency director and lecturer in the Rehab Services at The Ohio State University Wexner Medical Center, and in the School of Health & Rehabilitation Sciences at the College of Medicine at The Ohio State University Becky J. Olson-Kellogg is the associate professor and director geriatric residency in the Division of Physical Therapy at the Department of Rehabilitation Medicine, Medical School at the University of Minnesota Craig P. Hensley is the assistant professor in the Department of Physical Therapy and Human Movement Sciences at the Feinberg School of Medicine at the Northwestern University Kendra L. Harrington is the director in the American Physical Therapy Association at the Residency & Fellowship Education Matthew S. Briggs is the assistant professor in the rehab services at The Ohio State University Wexner Medical Center, and in the School of Health & Rehabilitation Sciences, College of Medicine at the The Ohio State University, and in the Sports Medicine Research Institute at the The Ohio State University Wexner Medical Center, and in the Department of Orthopedics is the The Ohio State University Wexner Medical Center
Matthew S Briggs John J. DeWitt is the associate director, education and professional development and associate clinical professor in the Rehab Services at The Ohio State University Wexner Medical Center, and School of Health & Rehabilitation Sciences, College of Medicine, The Ohio State University, 453 W 10th Ave, Rm 516, Columbus, OH 43210 . Please address all correspondence to John J. DeWitt Mark D. Weber is the associate director School of Physical Therapy, professor, Women's University Carol Jo Tichenor is the contributed service faculty in the Department of Physical Therapy at the School of Pharmacy and Health Professions at the Creighton University Joseph P. Farrell is the faculty emeritus in the Department of Physical Therapy at the School of Pharmacy and Health Professions at the Creighton University, and is a clinical instructor in the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Melissa S. Kidder is the orthopaedic residency director and lecturer in the Rehab Services at The Ohio State University Wexner Medical Center, and in the School of Health & Rehabilitation Sciences at the College of Medicine at The Ohio State University Becky J. Olson-Kellogg is the associate professor and director geriatric residency in the Division of Physical Therapy at the Department of Rehabilitation Medicine, Medical School at the University of Minnesota Craig P. Hensley is the assistant professor in the Department of Physical Therapy and Human Movement Sciences at the Feinberg School of Medicine at the Northwestern University Kendra L. Harrington is the director in the American Physical Therapy Association at the Residency & Fellowship Education Matthew S. Briggs is the assistant professor in the rehab services at The Ohio State University Wexner Medical Center, and in the School of Health & Rehabilitation Sciences, College of Medicine at the The Ohio State University, and in the Sports Medicine Research Institute at the The Ohio State University Wexner Medical Center, and in the Department of Orthopedics is the The Ohio State University Wexner Medical Center

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Tovin MM. The Past, Present, and Future of Excellence in Physical Therapist Education Across the Continuum. Phys Ther 2024;104:pzae154. [PMID: 39611579 DOI: 10.1093/ptj/pzae154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/20/2024] [Accepted: 10/24/2024] [Indexed: 11/30/2024]

Osborne R, Briggs MS, Kraft S, Rapport MJ, Black L, Tichenor CJ, Hartley GW, Bailey CE, Jensen GM. National Study Examining Excellence and Value in Physical Therapist Residency Education: Part 2-A Call to Action. Phys Ther 2024;104:pzae145. [PMID: 39611577 DOI: 10.1093/ptj/pzae145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Revised: 05/08/2024] [Accepted: 06/21/2024] [Indexed: 11/30/2024]

Briggs MS, Osborne R, Hartley GW, Kraft S, Bailey CE, Tichenor CJ, Rapport MJ, Black L, Jensen G. National Study Examining Excellence and Value in Physical Therapist Residency Education: Part 1-Design, Methods, and Results. Phys Ther 2024;104:pzae144. [PMID: 39611578 DOI: 10.1093/ptj/pzae144] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/07/2023] [Revised: 05/08/2024] [Accepted: 06/21/2024] [Indexed: 11/30/2024]

Abstract

OBJECTIVE

A challenge in health professions is training practitioners to navigate health care complexities, promote health, optimize outcomes, and advance their field. Physical therapist residency education offers a pathway to meet these needs in ways that "entry-level" (professional) education may not. Identifying key aspects of excellence in residency education and understanding its value in developing adaptive expertise will help devise strategies to enhance program, resident, and patient outcomes. The objective of this study was to examine current physical therapist residency education practices to identify and describe examples of excellence and value.

METHODS

A multi-site, multi-specialty qualitative case series was conducted, examining exemplary physical therapist residency programs and their contextual environments using a social constructivist theoretical lens. Six residency programs operating 20 individual residencies that were considered exemplar were selected for the study to participate in site visits. Qualitative case studies were generated from individual interviews, focus groups, review of artifacts, and field observations. The residencies were diverse in specialty area of practice, setting, and geographic location.

RESULTS

A conceptual framework was generated grounded in the domains of excellence and value. These domains were connected by 3 signature indicators: (1) atmosphere of practice-based learning, (2) embodiment of professional formation, and (3) elevated practice. These signature indicators represent the aggregate effects of the interchange between the excellence and value domains which sustain residency education.

CONCLUSION

This study builds upon the work of the Physical Therapist Education for the 21st Century (PTE-21) study and identifies key elements of excellence in residency education, the value of such education, and related outcomes. Findings from this study substantiate the need for a postprofessional phase of physical therapist education founded in practice-based learning encapsulated in residency education.

IMPACT

Results from this study could have compelling and powerful implications on the dialogue and strategic direction in physical therapist residency education.

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Peterson JA, Black L, Christensen N, Hartley GW, Jensen GM. Outcomes of Residency Education: Insights Into the Professional Formation of the Physical Therapist Resident. JOURNAL, PHYSICAL THERAPY EDUCATION 2024;38:231-238. [PMID: 39150258 DOI: 10.1097/jte.0000000000000335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Accepted: 12/15/2023] [Indexed: 08/17/2024]

Abstract

INTRODUCTION

The definition of excellence in physical therapy (PT) education is evolving, yet the role of postprofessional residency education remains uncertain. Arguments in favor of required residency have emerged through the re-visioning of PT education across the continuum. Yet, little evidence exists whether residency education further develops clinical skills, clinical knowledge, and clinical reasoning abilities.

REVIEW OF LITERATURE

Previous studies have explored the development of the novice physical therapist in the first 2 years of practice; however, there is little evidence about the outcomes of PT residency education. Thus, this study looked to explore the development of learners through their residency education and to identify the critical elements of the teaching and learning environment in residency education.

SUBJECTS

Eleven PT residency programs and 13 residents participated in a qualitative study to explore the learner development through residency. Each residency program consisted of a residency program director, one or more mentors identified by the residency program director, and at least one physical therapist resident. Semistructured interviews were conducted with program participants, and journal entries were collected from residents.

METHODS

Using a purposeful sample of convenience, an exploratory, multiple-site/specialty area qualitative case study design was conducted.

RESULTS

Three emerging themes were identified including growth of self, becoming a member of the community of practice, and facilitation of learning through mentoring. Through the transformative journey of residency education, there are critical elements of the learning environment supporting deep learning within the community of practice. These elements include the provision of opportunities and adequate time and space for learning to occur.

DISCUSSION AND CONCLUSION

The intentional design of the community of practice through residency education facilitates the development of the novice clinician to experienced clinician in an accelerated period of time. In addition, residency graduates develop characteristics similar to adaptive learners through planned teaching and learning opportunities. Finally, the structure of residency education mattered to the resident participants such that the learning environment enhanced peer learning and the development of professional relationships.

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Affiliation(s)

Julie A Peterson Julie A. Peterson is an associate professor in the Department of Physical Therapy at the Creighton University, 2500 California Plaza, Omaha, NE 68178 . Please address all correspondence to Julie A. Peterson Lisa Black is a professor in the Department of Physical Therapy at the Creighton University Nicole Christensen is a professor and Chair in the Department of Physical Therapy at the Samuel Merritt University Gregory W. Hartley is an associate professor in the Department of Physical Therapy at the University of Miami Miller School of Medicine Gail M. Jensen is a professor in the Department of Physical Therapy at the Creighton University
Lisa Black Julie A. Peterson is an associate professor in the Department of Physical Therapy at the Creighton University, 2500 California Plaza, Omaha, NE 68178 . Please address all correspondence to Julie A. Peterson Lisa Black is a professor in the Department of Physical Therapy at the Creighton University Nicole Christensen is a professor and Chair in the Department of Physical Therapy at the Samuel Merritt University Gregory W. Hartley is an associate professor in the Department of Physical Therapy at the University of Miami Miller School of Medicine Gail M. Jensen is a professor in the Department of Physical Therapy at the Creighton University
Nicole Christensen Julie A. Peterson is an associate professor in the Department of Physical Therapy at the Creighton University, 2500 California Plaza, Omaha, NE 68178 . Please address all correspondence to Julie A. Peterson Lisa Black is a professor in the Department of Physical Therapy at the Creighton University Nicole Christensen is a professor and Chair in the Department of Physical Therapy at the Samuel Merritt University Gregory W. Hartley is an associate professor in the Department of Physical Therapy at the University of Miami Miller School of Medicine Gail M. Jensen is a professor in the Department of Physical Therapy at the Creighton University
Gregory W Hartley Julie A. Peterson is an associate professor in the Department of Physical Therapy at the Creighton University, 2500 California Plaza, Omaha, NE 68178 . Please address all correspondence to Julie A. Peterson Lisa Black is a professor in the Department of Physical Therapy at the Creighton University Nicole Christensen is a professor and Chair in the Department of Physical Therapy at the Samuel Merritt University Gregory W. Hartley is an associate professor in the Department of Physical Therapy at the University of Miami Miller School of Medicine Gail M. Jensen is a professor in the Department of Physical Therapy at the Creighton University
Gail M Jensen Julie A. Peterson is an associate professor in the Department of Physical Therapy at the Creighton University, 2500 California Plaza, Omaha, NE 68178 . Please address all correspondence to Julie A. Peterson Lisa Black is a professor in the Department of Physical Therapy at the Creighton University Nicole Christensen is a professor and Chair in the Department of Physical Therapy at the Samuel Merritt University Gregory W. Hartley is an associate professor in the Department of Physical Therapy at the University of Miami Miller School of Medicine Gail M. Jensen is a professor in the Department of Physical Therapy at the Creighton University

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Applebaum DL. 2023 Pauline Cerasoli Lecture: It Takes a Village to Raise a Profession. JOURNAL, PHYSICAL THERAPY EDUCATION 2024;38:258-269. [PMID: 38684104 DOI: 10.1097/jte.0000000000000344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/18/2023] [Accepted: 02/01/2024] [Indexed: 05/02/2024]

Briggs MS, Gulla N, Howald H, Weber MD, Olson-Kellogg BJ, DeWitt JJ, Hensley CP, Harrington KL, Kidder MS, Farrell JP, Tichenor CJ. Comparisons of Clinical Competency and Job Responsibilities of Physical Therapists With and Without Postprofessional Training. JOURNAL, PHYSICAL THERAPY EDUCATION 2023;37:332-341. [PMID: 38478789 DOI: 10.1097/jte.0000000000000295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Accepted: 05/25/2023] [Indexed: 06/25/2024]

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.

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Affiliation(s)

Matthew S Briggs Matthew S. Briggs is the Director of The Ohio State University Wexner Medical Center Sports Physical Therapy Residency and is an Assistant Professor-Practice in the Department of Orthopaedics, Jameson Crane Sports Medicine Institute, 2835 Fred Taylor Drive, Columbus, OH 43202 ( ). Please address all correspondence to Matthew S. Briggs Nicholas Gulla is a physical therapist at The Ohio State University Wexner Medical Center, and is a faculty member at the Ohio State University Wexner Medical Center Orthopaedic Residency and Orthopaedic Manual Physical Therapy Fellowship Heidi Howald is a physical therapist at the Shirley Ryan Ability Lab Mark D. Weber is the Interim Director at the School of Physical Therapy Texas Woman's University Becky J. Olson-Kellogg is an Associate Professor and is the Director of the Geriatric Residency at the University of Minnesota Medical School, Program in Physical Therapy John J. DeWitt is the Associate Director of Education and Professional Development at The Ohio State University Wexner Medical Center and Assistant Clinical professor at The Ohio State University, Division of Physical Therapy Craig P. Hensley is an Assistant Professor at Northwestern University in the Department of Physical Therapy and Human Movement Sciences Kendra L. Harrington is the Director of APTA Residency/Fellowship Education and Accreditation at the American Physical Therapy Association Melissa S. Kidder is the Director of The Ohio State University Wexner Medical Center Orthopaedic Residency and Assistant Professor of Practice, School of Health and Rehabilitation Sciences Physical Therapy Division Joseph P. Farrell is a faculty emeritus at the Kaiser Northern California Orthopaedic Manual Physical Therapy Residency & Fellowship Programs, and is a clinical instructor at the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Carol Jo Tichenor is a contributed service faculty, assistant clinical professor in the Department of Physical Therapy at Creighton University
Nicholas Gulla Matthew S. Briggs is the Director of The Ohio State University Wexner Medical Center Sports Physical Therapy Residency and is an Assistant Professor-Practice in the Department of Orthopaedics, Jameson Crane Sports Medicine Institute, 2835 Fred Taylor Drive, Columbus, OH 43202 ( ). Please address all correspondence to Matthew S. Briggs Nicholas Gulla is a physical therapist at The Ohio State University Wexner Medical Center, and is a faculty member at the Ohio State University Wexner Medical Center Orthopaedic Residency and Orthopaedic Manual Physical Therapy Fellowship Heidi Howald is a physical therapist at the Shirley Ryan Ability Lab Mark D. Weber is the Interim Director at the School of Physical Therapy Texas Woman's University Becky J. Olson-Kellogg is an Associate Professor and is the Director of the Geriatric Residency at the University of Minnesota Medical School, Program in Physical Therapy John J. DeWitt is the Associate Director of Education and Professional Development at The Ohio State University Wexner Medical Center and Assistant Clinical professor at The Ohio State University, Division of Physical Therapy Craig P. Hensley is an Assistant Professor at Northwestern University in the Department of Physical Therapy and Human Movement Sciences Kendra L. Harrington is the Director of APTA Residency/Fellowship Education and Accreditation at the American Physical Therapy Association Melissa S. Kidder is the Director of The Ohio State University Wexner Medical Center Orthopaedic Residency and Assistant Professor of Practice, School of Health and Rehabilitation Sciences Physical Therapy Division Joseph P. Farrell is a faculty emeritus at the Kaiser Northern California Orthopaedic Manual Physical Therapy Residency & Fellowship Programs, and is a clinical instructor at the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Carol Jo Tichenor is a contributed service faculty, assistant clinical professor in the Department of Physical Therapy at Creighton University
Heidi Howald Matthew S. Briggs is the Director of The Ohio State University Wexner Medical Center Sports Physical Therapy Residency and is an Assistant Professor-Practice in the Department of Orthopaedics, Jameson Crane Sports Medicine Institute, 2835 Fred Taylor Drive, Columbus, OH 43202 ( ). Please address all correspondence to Matthew S. Briggs Nicholas Gulla is a physical therapist at The Ohio State University Wexner Medical Center, and is a faculty member at the Ohio State University Wexner Medical Center Orthopaedic Residency and Orthopaedic Manual Physical Therapy Fellowship Heidi Howald is a physical therapist at the Shirley Ryan Ability Lab Mark D. Weber is the Interim Director at the School of Physical Therapy Texas Woman's University Becky J. Olson-Kellogg is an Associate Professor and is the Director of the Geriatric Residency at the University of Minnesota Medical School, Program in Physical Therapy John J. DeWitt is the Associate Director of Education and Professional Development at The Ohio State University Wexner Medical Center and Assistant Clinical professor at The Ohio State University, Division of Physical Therapy Craig P. Hensley is an Assistant Professor at Northwestern University in the Department of Physical Therapy and Human Movement Sciences Kendra L. Harrington is the Director of APTA Residency/Fellowship Education and Accreditation at the American Physical Therapy Association Melissa S. Kidder is the Director of The Ohio State University Wexner Medical Center Orthopaedic Residency and Assistant Professor of Practice, School of Health and Rehabilitation Sciences Physical Therapy Division Joseph P. Farrell is a faculty emeritus at the Kaiser Northern California Orthopaedic Manual Physical Therapy Residency & Fellowship Programs, and is a clinical instructor at the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Carol Jo Tichenor is a contributed service faculty, assistant clinical professor in the Department of Physical Therapy at Creighton University
Mark D Weber Matthew S. Briggs is the Director of The Ohio State University Wexner Medical Center Sports Physical Therapy Residency and is an Assistant Professor-Practice in the Department of Orthopaedics, Jameson Crane Sports Medicine Institute, 2835 Fred Taylor Drive, Columbus, OH 43202 ( ). Please address all correspondence to Matthew S. Briggs Nicholas Gulla is a physical therapist at The Ohio State University Wexner Medical Center, and is a faculty member at the Ohio State University Wexner Medical Center Orthopaedic Residency and Orthopaedic Manual Physical Therapy Fellowship Heidi Howald is a physical therapist at the Shirley Ryan Ability Lab Mark D. Weber is the Interim Director at the School of Physical Therapy Texas Woman's University Becky J. Olson-Kellogg is an Associate Professor and is the Director of the Geriatric Residency at the University of Minnesota Medical School, Program in Physical Therapy John J. DeWitt is the Associate Director of Education and Professional Development at The Ohio State University Wexner Medical Center and Assistant Clinical professor at The Ohio State University, Division of Physical Therapy Craig P. Hensley is an Assistant Professor at Northwestern University in the Department of Physical Therapy and Human Movement Sciences Kendra L. Harrington is the Director of APTA Residency/Fellowship Education and Accreditation at the American Physical Therapy Association Melissa S. Kidder is the Director of The Ohio State University Wexner Medical Center Orthopaedic Residency and Assistant Professor of Practice, School of Health and Rehabilitation Sciences Physical Therapy Division Joseph P. Farrell is a faculty emeritus at the Kaiser Northern California Orthopaedic Manual Physical Therapy Residency & Fellowship Programs, and is a clinical instructor at the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Carol Jo Tichenor is a contributed service faculty, assistant clinical professor in the Department of Physical Therapy at Creighton University
Becky J Olson-Kellogg Matthew S. Briggs is the Director of The Ohio State University Wexner Medical Center Sports Physical Therapy Residency and is an Assistant Professor-Practice in the Department of Orthopaedics, Jameson Crane Sports Medicine Institute, 2835 Fred Taylor Drive, Columbus, OH 43202 ( ). Please address all correspondence to Matthew S. Briggs Nicholas Gulla is a physical therapist at The Ohio State University Wexner Medical Center, and is a faculty member at the Ohio State University Wexner Medical Center Orthopaedic Residency and Orthopaedic Manual Physical Therapy Fellowship Heidi Howald is a physical therapist at the Shirley Ryan Ability Lab Mark D. Weber is the Interim Director at the School of Physical Therapy Texas Woman's University Becky J. Olson-Kellogg is an Associate Professor and is the Director of the Geriatric Residency at the University of Minnesota Medical School, Program in Physical Therapy John J. DeWitt is the Associate Director of Education and Professional Development at The Ohio State University Wexner Medical Center and Assistant Clinical professor at The Ohio State University, Division of Physical Therapy Craig P. Hensley is an Assistant Professor at Northwestern University in the Department of Physical Therapy and Human Movement Sciences Kendra L. Harrington is the Director of APTA Residency/Fellowship Education and Accreditation at the American Physical Therapy Association Melissa S. Kidder is the Director of The Ohio State University Wexner Medical Center Orthopaedic Residency and Assistant Professor of Practice, School of Health and Rehabilitation Sciences Physical Therapy Division Joseph P. Farrell is a faculty emeritus at the Kaiser Northern California Orthopaedic Manual Physical Therapy Residency & Fellowship Programs, and is a clinical instructor at the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Carol Jo Tichenor is a contributed service faculty, assistant clinical professor in the Department of Physical Therapy at Creighton University
John J DeWitt Matthew S. Briggs is the Director of The Ohio State University Wexner Medical Center Sports Physical Therapy Residency and is an Assistant Professor-Practice in the Department of Orthopaedics, Jameson Crane Sports Medicine Institute, 2835 Fred Taylor Drive, Columbus, OH 43202 ( ). Please address all correspondence to Matthew S. Briggs Nicholas Gulla is a physical therapist at The Ohio State University Wexner Medical Center, and is a faculty member at the Ohio State University Wexner Medical Center Orthopaedic Residency and Orthopaedic Manual Physical Therapy Fellowship Heidi Howald is a physical therapist at the Shirley Ryan Ability Lab Mark D. Weber is the Interim Director at the School of Physical Therapy Texas Woman's University Becky J. Olson-Kellogg is an Associate Professor and is the Director of the Geriatric Residency at the University of Minnesota Medical School, Program in Physical Therapy John J. DeWitt is the Associate Director of Education and Professional Development at The Ohio State University Wexner Medical Center and Assistant Clinical professor at The Ohio State University, Division of Physical Therapy Craig P. Hensley is an Assistant Professor at Northwestern University in the Department of Physical Therapy and Human Movement Sciences Kendra L. Harrington is the Director of APTA Residency/Fellowship Education and Accreditation at the American Physical Therapy Association Melissa S. Kidder is the Director of The Ohio State University Wexner Medical Center Orthopaedic Residency and Assistant Professor of Practice, School of Health and Rehabilitation Sciences Physical Therapy Division Joseph P. Farrell is a faculty emeritus at the Kaiser Northern California Orthopaedic Manual Physical Therapy Residency & Fellowship Programs, and is a clinical instructor at the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Carol Jo Tichenor is a contributed service faculty, assistant clinical professor in the Department of Physical Therapy at Creighton University
Craig P Hensley Matthew S. Briggs is the Director of The Ohio State University Wexner Medical Center Sports Physical Therapy Residency and is an Assistant Professor-Practice in the Department of Orthopaedics, Jameson Crane Sports Medicine Institute, 2835 Fred Taylor Drive, Columbus, OH 43202 ( ). Please address all correspondence to Matthew S. Briggs Nicholas Gulla is a physical therapist at The Ohio State University Wexner Medical Center, and is a faculty member at the Ohio State University Wexner Medical Center Orthopaedic Residency and Orthopaedic Manual Physical Therapy Fellowship Heidi Howald is a physical therapist at the Shirley Ryan Ability Lab Mark D. Weber is the Interim Director at the School of Physical Therapy Texas Woman's University Becky J. Olson-Kellogg is an Associate Professor and is the Director of the Geriatric Residency at the University of Minnesota Medical School, Program in Physical Therapy John J. DeWitt is the Associate Director of Education and Professional Development at The Ohio State University Wexner Medical Center and Assistant Clinical professor at The Ohio State University, Division of Physical Therapy Craig P. Hensley is an Assistant Professor at Northwestern University in the Department of Physical Therapy and Human Movement Sciences Kendra L. Harrington is the Director of APTA Residency/Fellowship Education and Accreditation at the American Physical Therapy Association Melissa S. Kidder is the Director of The Ohio State University Wexner Medical Center Orthopaedic Residency and Assistant Professor of Practice, School of Health and Rehabilitation Sciences Physical Therapy Division Joseph P. Farrell is a faculty emeritus at the Kaiser Northern California Orthopaedic Manual Physical Therapy Residency & Fellowship Programs, and is a clinical instructor at the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Carol Jo Tichenor is a contributed service faculty, assistant clinical professor in the Department of Physical Therapy at Creighton University
Kendra L Harrington Matthew S. Briggs is the Director of The Ohio State University Wexner Medical Center Sports Physical Therapy Residency and is an Assistant Professor-Practice in the Department of Orthopaedics, Jameson Crane Sports Medicine Institute, 2835 Fred Taylor Drive, Columbus, OH 43202 ( ). Please address all correspondence to Matthew S. Briggs Nicholas Gulla is a physical therapist at The Ohio State University Wexner Medical Center, and is a faculty member at the Ohio State University Wexner Medical Center Orthopaedic Residency and Orthopaedic Manual Physical Therapy Fellowship Heidi Howald is a physical therapist at the Shirley Ryan Ability Lab Mark D. Weber is the Interim Director at the School of Physical Therapy Texas Woman's University Becky J. Olson-Kellogg is an Associate Professor and is the Director of the Geriatric Residency at the University of Minnesota Medical School, Program in Physical Therapy John J. DeWitt is the Associate Director of Education and Professional Development at The Ohio State University Wexner Medical Center and Assistant Clinical professor at The Ohio State University, Division of Physical Therapy Craig P. Hensley is an Assistant Professor at Northwestern University in the Department of Physical Therapy and Human Movement Sciences Kendra L. Harrington is the Director of APTA Residency/Fellowship Education and Accreditation at the American Physical Therapy Association Melissa S. Kidder is the Director of The Ohio State University Wexner Medical Center Orthopaedic Residency and Assistant Professor of Practice, School of Health and Rehabilitation Sciences Physical Therapy Division Joseph P. Farrell is a faculty emeritus at the Kaiser Northern California Orthopaedic Manual Physical Therapy Residency & Fellowship Programs, and is a clinical instructor at the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Carol Jo Tichenor is a contributed service faculty, assistant clinical professor in the Department of Physical Therapy at Creighton University
Melissa S Kidder Matthew S. Briggs is the Director of The Ohio State University Wexner Medical Center Sports Physical Therapy Residency and is an Assistant Professor-Practice in the Department of Orthopaedics, Jameson Crane Sports Medicine Institute, 2835 Fred Taylor Drive, Columbus, OH 43202 ( ). Please address all correspondence to Matthew S. Briggs Nicholas Gulla is a physical therapist at The Ohio State University Wexner Medical Center, and is a faculty member at the Ohio State University Wexner Medical Center Orthopaedic Residency and Orthopaedic Manual Physical Therapy Fellowship Heidi Howald is a physical therapist at the Shirley Ryan Ability Lab Mark D. Weber is the Interim Director at the School of Physical Therapy Texas Woman's University Becky J. Olson-Kellogg is an Associate Professor and is the Director of the Geriatric Residency at the University of Minnesota Medical School, Program in Physical Therapy John J. DeWitt is the Associate Director of Education and Professional Development at The Ohio State University Wexner Medical Center and Assistant Clinical professor at The Ohio State University, Division of Physical Therapy Craig P. Hensley is an Assistant Professor at Northwestern University in the Department of Physical Therapy and Human Movement Sciences Kendra L. Harrington is the Director of APTA Residency/Fellowship Education and Accreditation at the American Physical Therapy Association Melissa S. Kidder is the Director of The Ohio State University Wexner Medical Center Orthopaedic Residency and Assistant Professor of Practice, School of Health and Rehabilitation Sciences Physical Therapy Division Joseph P. Farrell is a faculty emeritus at the Kaiser Northern California Orthopaedic Manual Physical Therapy Residency & Fellowship Programs, and is a clinical instructor at the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Carol Jo Tichenor is a contributed service faculty, assistant clinical professor in the Department of Physical Therapy at Creighton University
Joseph P Farrell Matthew S. Briggs is the Director of The Ohio State University Wexner Medical Center Sports Physical Therapy Residency and is an Assistant Professor-Practice in the Department of Orthopaedics, Jameson Crane Sports Medicine Institute, 2835 Fred Taylor Drive, Columbus, OH 43202 ( ). Please address all correspondence to Matthew S. Briggs Nicholas Gulla is a physical therapist at The Ohio State University Wexner Medical Center, and is a faculty member at the Ohio State University Wexner Medical Center Orthopaedic Residency and Orthopaedic Manual Physical Therapy Fellowship Heidi Howald is a physical therapist at the Shirley Ryan Ability Lab Mark D. Weber is the Interim Director at the School of Physical Therapy Texas Woman's University Becky J. Olson-Kellogg is an Associate Professor and is the Director of the Geriatric Residency at the University of Minnesota Medical School, Program in Physical Therapy John J. DeWitt is the Associate Director of Education and Professional Development at The Ohio State University Wexner Medical Center and Assistant Clinical professor at The Ohio State University, Division of Physical Therapy Craig P. Hensley is an Assistant Professor at Northwestern University in the Department of Physical Therapy and Human Movement Sciences Kendra L. Harrington is the Director of APTA Residency/Fellowship Education and Accreditation at the American Physical Therapy Association Melissa S. Kidder is the Director of The Ohio State University Wexner Medical Center Orthopaedic Residency and Assistant Professor of Practice, School of Health and Rehabilitation Sciences Physical Therapy Division Joseph P. Farrell is a faculty emeritus at the Kaiser Northern California Orthopaedic Manual Physical Therapy Residency & Fellowship Programs, and is a clinical instructor at the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Carol Jo Tichenor is a contributed service faculty, assistant clinical professor in the Department of Physical Therapy at Creighton University
Carol Jo Tichenor Matthew S. Briggs is the Director of The Ohio State University Wexner Medical Center Sports Physical Therapy Residency and is an Assistant Professor-Practice in the Department of Orthopaedics, Jameson Crane Sports Medicine Institute, 2835 Fred Taylor Drive, Columbus, OH 43202 ( ). Please address all correspondence to Matthew S. Briggs Nicholas Gulla is a physical therapist at The Ohio State University Wexner Medical Center, and is a faculty member at the Ohio State University Wexner Medical Center Orthopaedic Residency and Orthopaedic Manual Physical Therapy Fellowship Heidi Howald is a physical therapist at the Shirley Ryan Ability Lab Mark D. Weber is the Interim Director at the School of Physical Therapy Texas Woman's University Becky J. Olson-Kellogg is an Associate Professor and is the Director of the Geriatric Residency at the University of Minnesota Medical School, Program in Physical Therapy John J. DeWitt is the Associate Director of Education and Professional Development at The Ohio State University Wexner Medical Center and Assistant Clinical professor at The Ohio State University, Division of Physical Therapy Craig P. Hensley is an Assistant Professor at Northwestern University in the Department of Physical Therapy and Human Movement Sciences Kendra L. Harrington is the Director of APTA Residency/Fellowship Education and Accreditation at the American Physical Therapy Association Melissa S. Kidder is the Director of The Ohio State University Wexner Medical Center Orthopaedic Residency and Assistant Professor of Practice, School of Health and Rehabilitation Sciences Physical Therapy Division Joseph P. Farrell is a faculty emeritus at the Kaiser Northern California Orthopaedic Manual Physical Therapy Residency & Fellowship Programs, and is a clinical instructor at the Northwestern Department of Physical Therapy and Human Movement Science OMPT Fellowship Program Carol Jo Tichenor is a contributed service faculty, assistant clinical professor in the Department of Physical Therapy at Creighton University

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Osborne R, Bailey C, Bourassa A, Bourassa M, Dinsmore D. Student Physical Therapists' Orientation to Postprofessional Education and Perceptions of Strain: Identification of 4 Subgroups of Students Based on Cluster Analysis. JOURNAL, PHYSICAL THERAPY EDUCATION 2023;37:155-162. [PMID: 38478830 DOI: 10.1097/jte.0000000000000273] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Accepted: 12/16/2022] [Indexed: 03/27/2025]

Abstract

INTRODUCTION

Determining why physical therapists choose certain pathways to expertise is not well understood. Developing an understanding of these different choices is important for the physical therapy profession and the future of postprofessional education.

REVIEW OF LITERATURE

Pathways to expertise as a physical therapist have evolved over the history of the profession, including the most recent emergence of residency education. Regardless of the path taken, physical therapists have a societal duty to be lifelong learners. The decision on which path to pursue is influenced by many factors, including financial stress, personal factors, and relational obligations. Developing an understanding of these different pathways and barriers for physical therapists is essential if the physical therapy profession is to advance with the evolving needs of society.

SUBJECTS

Participants were from a stratified purposive sample of Doctor of Physical Therapy Students (n = 124) across the eastern, central, and western regions of the United States.

METHODS

This study was a secondary analysis using hierarchical cluster analysis based on students' orientation toward lifelong learning and future professional engagement, self-rated likelihood of pursuing various postprofessional education pathways, and perception of personal and interpersonal strains as a barrier to postprofessional education.

RESULTS

The cluster analysis resulted in a 4-cluster solution representing different student subtypes: clinically oriented average learners; resilient, clinically oriented lifelong learners; academically oriented lifelong learners; and strain-limited, clinically oriented lifelong learners.

DISCUSSION AND CONCLUSION

Results from this study describe important differences in how student physical therapists view postprofessional education and the pathways they choose to pursue. Factors such as lack of awareness and the perception of personal or interpersonal strain may influence these decisions. Understanding postprofessional education decision making of student physical therapists is of particular interest to the physical therapy profession given the current debates related to student debt and the necessity of residency education. Further research is needed to understand how to increase awareness and diminish barriers to quality postprofessional education for physical therapists.

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Affiliation(s)

Raine Osborne Raine Osborne is assistant professor in the Department of Physical Therapy at the University of North Florida and Research Faculty for the Brooks Institute of Higher Learning . Please address all correspondence to Raine Osborne Chloe Bailey is research coordinator for the Brooks Rehabilitation Clinical Research Center Allison Bourassa is clinical assistant professor in the East Tennessee State University Doctor of Physical Therapy Program Michael Bourassa is associate professor in the East Tennessee State University Doctor of Physical Therapy Program and Program Director for the Physical Therapy Residency and Fellowship Programs Daniel Dinsmore is professor and associate dean in the College of Education and Human Services at the University of North Florida
Chloe Bailey Raine Osborne is assistant professor in the Department of Physical Therapy at the University of North Florida and Research Faculty for the Brooks Institute of Higher Learning . Please address all correspondence to Raine Osborne Chloe Bailey is research coordinator for the Brooks Rehabilitation Clinical Research Center Allison Bourassa is clinical assistant professor in the East Tennessee State University Doctor of Physical Therapy Program Michael Bourassa is associate professor in the East Tennessee State University Doctor of Physical Therapy Program and Program Director for the Physical Therapy Residency and Fellowship Programs Daniel Dinsmore is professor and associate dean in the College of Education and Human Services at the University of North Florida
Allison Bourassa Raine Osborne is assistant professor in the Department of Physical Therapy at the University of North Florida and Research Faculty for the Brooks Institute of Higher Learning . Please address all correspondence to Raine Osborne Chloe Bailey is research coordinator for the Brooks Rehabilitation Clinical Research Center Allison Bourassa is clinical assistant professor in the East Tennessee State University Doctor of Physical Therapy Program Michael Bourassa is associate professor in the East Tennessee State University Doctor of Physical Therapy Program and Program Director for the Physical Therapy Residency and Fellowship Programs Daniel Dinsmore is professor and associate dean in the College of Education and Human Services at the University of North Florida
Michael Bourassa Raine Osborne is assistant professor in the Department of Physical Therapy at the University of North Florida and Research Faculty for the Brooks Institute of Higher Learning . Please address all correspondence to Raine Osborne Chloe Bailey is research coordinator for the Brooks Rehabilitation Clinical Research Center Allison Bourassa is clinical assistant professor in the East Tennessee State University Doctor of Physical Therapy Program Michael Bourassa is associate professor in the East Tennessee State University Doctor of Physical Therapy Program and Program Director for the Physical Therapy Residency and Fellowship Programs Daniel Dinsmore is professor and associate dean in the College of Education and Human Services at the University of North Florida
Daniel Dinsmore Raine Osborne is assistant professor in the Department of Physical Therapy at the University of North Florida and Research Faculty for the Brooks Institute of Higher Learning . Please address all correspondence to Raine Osborne Chloe Bailey is research coordinator for the Brooks Rehabilitation Clinical Research Center Allison Bourassa is clinical assistant professor in the East Tennessee State University Doctor of Physical Therapy Program Michael Bourassa is associate professor in the East Tennessee State University Doctor of Physical Therapy Program and Program Director for the Physical Therapy Residency and Fellowship Programs Daniel Dinsmore is professor and associate dean in the College of Education and Human Services at the University of North Florida

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Furze JA, Black L, McDevitt AW, Kobal KL, Durning SJ, Jensen GM. Clinical Reasoning: The Missing Core Competency in Physical Therapist Education and Practice. Phys Ther 2022;102:6628208. [PMID: 35781736 DOI: 10.1093/ptj/pzac093] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Revised: 03/22/2022] [Accepted: 06/08/2022] [Indexed: 11/13/2022]

Residency Education as a Catalyst for Quality Amidst the Shifting Climate of Health Care. REHABILITATION ONCOLOGY 2022. [DOI: 10.1097/01.reo.0000000000000283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]

Mulligan EP. Attributes, Attitudes, and Motivations of Personnel Involved with Sports Physical Therapy Residency Training. Int J Sports Phys Ther 2021;16:1145-1157. [PMID: 34386292 PMCID: PMC8329317 DOI: 10.26603/001c.25465] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Accepted: 04/09/2021] [Indexed: 11/18/2022] Open

Abstract

BACKGROUND

Post-professional residency training in sports physical therapy has undergone rapid growth since its inception over 20 years ago with 58 programs currently accredited.

PURPOSE

The purpose of this survey was to describe and contrast the demographics, motivations, and selection influences from the perspective of both potential training applicants and program faculty.

STUDY DESIGN

Cross-sectional descriptive survey.

METHODS

156 physical therapists identified as stakeholders in sports residency and fellowship training were invited to participate in a 115-item survey. Descriptive measures of central tendencies to describe the data and Mann Whitney Rank Sum tests were used to detect differences between the perspectives of applicants and faculty.

RESULTS

50 program faculty and 57 applicants responded to the survey for a 69% response rate. Motivations for post-professional training categorized as extremely important were largely intrinsic behavioral modifiers centering on improved knowledge, skills, and outcomes while satisfying a passion for sports specialty training and enhancing job opportunities in the field. 7 of the 10 highest rated application motivations were rated as significantly more important by applicants than faculty members (p<0.05). The two most highly rated influences for choosing to apply to a specific residency site were the perception for subsequent job opportunities and perceived relationship and qualifications with the residency director and staff. The importance of job opportunities in sports PT was rated much higher by the applicant than the faculty (p=0.003).

CONCLUSIONS

While the motivations for residency training may be slightly different between groups the importance of information acquisition and methods for residency selection criteria seem more congruent. Residency faculty may underestimate the importance of some of the most important motivations that prompt interest in residency training. Recognition of these factors may alter the presentation and content design of residency curriculums.

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