手治疗实地教育的障碍与解决方案。

Occupational Therapy Program, Huntington University, Fort Wayne, IN, USA.

J Hand Ther. 2018 Jul-Sep;31(3):308-314. doi: 10.1016/j.jht.2017.05.013. Epub 2017 Aug 10.

STUDY DESIGN

Survey.

INTRODUCTION

Fieldwork education is a vital component of training the next generation of CHTs. Barriers and solutions to fieldwork rotations in hand therapy are examined, as well as proposed solutions, including recommendations for student preparation.

PURPOSE OF THE STUDY

This descriptive study examined barriers for certified hand therapist clinicians to accept students for clinical rotations and clinicians' preferences for student preparation before a rotation in a hand setting.

METHODS

A survey was developed, peer reviewed, and distributed using the electronic mailing list of the Hand Therapy Certification Commission via SurveyMonkey. Aggregate responses were analyzed to identify trends including barriers to student clinical rotations and recommendations for students to prepare for hand rotations.

RESULTS

A total of 2080 participants responded to the survey, representing a 37% response rate. Common logistical barriers were identified for accepting students such as limited clinical time and space. Many clinicians (32% agree and 8% strongly agree) also felt that the students lack the clinical knowledge to be successful. Areas of knowledge, skill set, and experience were surveyed for development before a clinical rotation in a hand setting. Most respondents (74%) reported increased likelihood of accepting a student with the recommended preparation. Novel qualitative responses to improve clinical experiences are presented as well.

DISCUSSION

Student preparation before a clinical rotation in a hand setting appears to be a significant barrier based on the survey results. Areas of recommended knowledge, skill set, and experience may serve to guide both formal and informal methods of student preparation before a hand-specific clinical rotation to facilitate knowledge translation from experienced certified hand therapists to the next generation.

CONCLUSION

Although logistical barriers may be difficult to overcome, hand-specific preparation based on clinician' recommendations may facilitate student acceptance and success in hand specialty clinical rotations.

LEVEL OF EVIDENCE

N/A.

研究设计

调查。

引言

实地工作教育是培训下一代 CHT 的重要组成部分。本文研究了手治疗实地工作轮换中的障碍和解决方案，以及提出的解决方案，包括对学生准备的建议。

研究目的

本描述性研究调查了认证手治疗师临床医生接受学生进行临床轮转的障碍，以及临床医生在手环境中轮转前对学生准备的偏好。

方法

使用手治疗认证委员会的电子邮件列表通过 SurveyMonkey 开发、同行评审和分发了一份调查。对汇总响应进行分析，以确定趋势，包括学生临床轮转的障碍和学生准备手轮转的建议。

结果

共有 2080 名参与者对调查做出了回应，回应率为 37%。接受学生的常见后勤障碍包括临床时间和空间有限。许多临床医生（32%表示同意，8%表示非常同意）还认为学生缺乏成功的临床知识。在进行手特定临床轮转之前，对知识、技能和经验领域进行了调查。大多数受访者（74%）报告说，有推荐准备的学生更容易接受。还提出了改善临床经验的新颖定性反应。