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物理治疗实习生在患者管理技能方面是否胜任?对临床和学术物理治疗师观点的评估。

Are physical therapy interns competent in patient management skills? Assessment of the views of clinical and academic physical therapists.

作者信息

Bindawas Saad M, Vennu Vishal, Azer Samy A

机构信息

Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University.

出版信息

J Phys Ther Sci. 2013 May;25(5):649-55. doi: 10.1589/jpts.25.649. Epub 2013 Jun 29.

Abstract

[Purpose] This study aimed at evaluating PT interns' performance from the perspectives of clinical and academic physical therapists (PTs). [Methods] An online questionnaire based on a modified version of the Clinical Internship Evaluation Tool (CIET) was used to evaluate PT interns' performance in patient management skills. Assessors comprised clinical and academic PTs from Saudi Arabia. The survey aimed at assessing the competency of interns in 25 patient management skills comprising four major domains: clinical examination, patient evaluation, diagnosis and prognosis, and intervention. Assessors were also asked to rank the importance of possessing each skill and evaluating the internship programs at their facilities. A multivariate logistic regression analysis assessed whether the demographic variables between the two groups influenced their views. [Results] A total of 148 participants (112 clinical PTs and 36 academic PTs) responded to the survey. The majority of the participants agreed that interns were competent in all 25 skills. Differences between the two groups of assessors were observed for five out of the 25 skills. Interestingly, skills with the highest means were perceived as the most important skills by both groups of assessors. There was no association between sociodemographic variables and evaluation scores. [Conclusion] There were no differences observed between clinical and academic PTs in their evaluation of PT interns in 20 of the 25 clinical skills. There were indications of a need for further improvement in certain competencies and skills such as clinical examination, evaluation, diagnosis and prognosis, and intervention.

摘要

[目的] 本研究旨在从临床物理治疗师(PT)和学术物理治疗师的角度评估PT实习生的表现。[方法] 基于改良版临床实习评估工具(CIET)的在线问卷用于评估PT实习生在患者管理技能方面的表现。评估者包括来自沙特阿拉伯的临床和学术PT。该调查旨在评估实习生在25项患者管理技能方面的能力,这些技能包括四个主要领域:临床检查、患者评估、诊断与预后以及干预。评估者还被要求对掌握每项技能的重要性进行排名,并对其所在机构的实习项目进行评估。多变量逻辑回归分析评估两组之间的人口统计学变量是否会影响他们的观点。[结果] 共有148名参与者(112名临床PT和36名学术PT)回复了调查。大多数参与者认为实习生在所有25项技能上都具备能力。在25项技能中的5项技能上观察到两组评估者之间存在差异。有趣的是,两组评估者都认为平均得分最高的技能是最重要的技能。社会人口统计学变量与评估得分之间没有关联。[结论] 在25项临床技能中的20项技能上,临床PT和学术PT对PT实习生的评估没有差异。有迹象表明,在某些能力和技能方面,如临床检查、评估、诊断与预后以及干预,需要进一步改进。

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