Colgrove Yvonne M, VanHoose Lisa D
Physical Therapy and Rehabilitation Science Department, University of Kansas Medical Center, 3901 Rainbow Boulevard, Mail Stop 2002, Kansas City, KS 66160, USA. Tel 913-588-0249, fax 913-588-6910.
J Allied Health. 2017 Spring;46(1):1-9.
Doctor of physical therapy (DPT) student learning about role delineation of physical therapist assistants (PTAs) is essential to ethical and legal practice.
Survey assessment of three DPT student cohorts compared collaborative interprofessional case-based learning with PTA students to traditional curriculum delivery strategies. Control cohorts were assessed one time. The intervention group was assessed pre-intervention, immediately post-intervention, and after completing a full-time clinical experience. The case-based learning covered 46% of survey content, allowing for the assessment of content-specific material and potential learning through collaboration.
Following the educational intervention, the intervention group improved significantly in areas inside and outside the case-based study content, outscoring both control groups on 25-34% of the survey items. Following the clinical experience, the intervention group declined answer accuracy for patient evaluation and treatment implementation, suggesting unlearning. Improvement in the administrative section was observed after the clinical experience. Perceptions of the tasks within the PTA role were diminished while tasks outside the scope of practice appeared clarified following the clinical experience.
While case-based collaborative intraprofessional learning proves effective in student learning about the PTA role, changes following the clinical experience raise questions about the influence of the clinical environment on learning and the practical application of recently learned knowledge.
物理治疗博士(DPT)学生了解物理治疗师助理(PTA)的角色界定对于道德和合法执业至关重要。
对三个DPT学生队列进行调查评估,将与PTA学生基于案例的跨专业协作学习与传统课程授课策略进行比较。对对照组进行一次评估。干预组在干预前、干预后立即以及完成全职临床实习后进行评估。基于案例的学习涵盖了46%的调查内容,从而能够评估特定内容的材料以及通过协作可能获得的学习成果。
经过教育干预后,干预组在基于案例的学习内容内外的领域均有显著改善,在25%至34%的调查项目上得分高于两个对照组。经过临床实习后,干预组在患者评估和治疗实施方面的答案准确性下降,表明出现了遗忘。临床实习后观察到行政部分有所改善。临床实习后,对PTA角色内任务的认知有所减少,而超出执业范围的任务似乎更加明确。
虽然基于案例的跨专业协作学习在学生了解PTA角色方面证明是有效的,但临床实习后的变化引发了关于临床环境对学习的影响以及近期所学知识实际应用的问题。