Lopopolo Rosalie B, Schafer D Sue, Nosse Larry J
Department of Physical Therapy, Arcadia University, 450 S Easton Rd, Glenside, PA 19038, USA.
Phys Ther. 2004 Feb;84(2):137-50.
The knowledge and skills needed by physical therapists entering practice in the areas of leadership, administration, management, and professionalism (LAMP) are not known. Using the LAMP components identified by American Physical Therapy Association's Section on Administration, this study sought to define the range of LAMP content pertinent to physical therapy clinical management and to explore LAMP knowledge and skills required of physical therapists upon entry into the profession.
Thirty-four physical therapist managers participated in a Delphi study to (1) create a comprehensive list of defined LAMP components, (2) determine the perceived importance of each component in the management of clinical practices, and (3) identify the level of knowledge and skill for each component believed to be necessary for a new physical therapist graduate.
Respondents agreed that 178 items should be on the LAMP component list. They perceived that almost all LAMP components are important in the management of a clinical practice, and they indicated that new graduates needed moderate to extensive knowledge in 44% of them. They believed that new graduates needed no skill in 29% of the components, whereas they needed at least intermediate skill for 22% of them. Top-ranked component categories across the 3 scales (importance, knowledge, and skill) were communication, professional involvement and ethical practice, delegation and supervision, stress management, reimbursement sources, time management, and health care industry scanning.
This study provides a basis for further exploration of which LAMP components should be included in professional (entry-level) physical therapist curricula and which components should be learned after graduation.
尚不清楚进入领导力、行政管理、管理和专业素养（LAMP）领域执业的物理治疗师所需的知识和技能。本研究利用美国物理治疗协会行政管理分会确定的LAMP组成部分，试图界定与物理治疗临床管理相关的LAMP内容范围，并探讨物理治疗师进入该行业时所需的LAMP知识和技能。
34名物理治疗师管理者参与了一项德尔菲研究，以（1）创建一份全面的LAMP组成部分清单；（2）确定每个组成部分在临床实践管理中的感知重要性；（3）确定新毕业的物理治疗师认为每个组成部分所需的知识和技能水平。
受访者一致认为LAMP组成部分清单应包含178项内容。他们认为几乎所有LAMP组成部分在临床实践管理中都很重要，并且表示新毕业生在其中44%的内容上需要中等至广泛的知识。他们认为新毕业生在29%的组成部分上不需要技能，而在22%的组成部分上至少需要中级技能。在重要性、知识和技能这三个量表上排名靠前的组成部分类别包括沟通、专业参与和道德实践、授权与监督、压力管理、报销来源、时间管理以及医疗行业审视。
本研究为进一步探索哪些LAMP组成部分应纳入专业（入门级）物理治疗师课程以及哪些组成部分应在毕业后学习提供了依据。
