Rocky Mountain University of Health Professions, Provo, Utah.
Sports and Spine Physical Therapy, University of Wisconsin, Mt. Horeb, Wisconsin.
Phys Ther. 2020 Dec 7;100(12):2254-2265. doi: 10.1093/ptj/pzaa154.
The number of physical therapists with imaging ordering privileges is increasing; however, a known level of competency and knowledge is generally lacking within the profession, as is a method to determine practitioner competency. The purpose of this study was to develop a valid musculoskeletal (MSK) imaging competency examination for physical therapists.
This 3-round Delphi method study utilized experts to reach consensus on examination content and development. Round 1 was completed by 37 experts. The last 2 rounds were completed by 35 experts. Experts rated questions on a 5-point Likert rating scale of importance (1 = not at all important, 5 = very important). Consensus was achieved with an a priori decision of (1) >75% agreement of the expert panel rating and ≥4 on the Likert scale, and (2) ≥.90 on Cronbach alpha and intraclass correlation coefficients. Experts recommended a passing score of 75%. The examination was subsequently reviewed by a panel of 5 radiologists.
The Delphi method and radiologist panel review resulted in the 151-question Burley Readiness Examination (BRE) for MSK Imaging Competency. Interrater agreement and internal consistency of the Delphi panel were excellent, with an average intraclass correlation coefficient and Cronbach alpha of .928 and .950, respectively.
The BRE is a tool that has the potential to demonstrate practitioners' level of baseline competency with MSK imaging. Additional testing among physical therapists will provide further validation and reliability of the examination.
The use and application of diagnostic imaging is becoming more widespread in physical therapist practice throughout the United States. The BRE could potentially have broader implications for health care utilization and cost in the area of MSK imaging.
具有影像检查权限的物理治疗师人数正在增加；然而，该专业普遍缺乏已知水平的能力和知识，也没有确定从业者能力的方法。本研究的目的是为物理治疗师开发一种有效的肌肉骨骼（MSK）成像能力考试。
本 3 轮 Delphi 方法研究利用专家就考试内容和发展达成共识。第 1 轮由 37 名专家完成。最后两轮由 35 名专家完成。专家对问题进行 5 点李克特评分重要性（1=一点也不重要，5=非常重要）。通过专家小组的评价达成一致（1）>75%的专家小组评分和≥4 的李克特量表，以及（2）>.90 的 Cronbach alpha 和组内相关系数。专家建议通过分数为 75%。随后，该考试由 5 名放射科医生小组进行审查。
Delphi 方法和放射科医生小组审查产生了用于 MSK 成像能力的 151 题 Burley 准备考试（BRE）。Delphi 小组的评分者间一致性和内部一致性非常好，平均组内相关系数和 Cronbach alpha 分别为.928 和.950。
BRE 是一种能够证明从业者在 MSK 成像方面基线能力水平的工具。在物理治疗师中进行更多测试将进一步验证和验证考试的可靠性。
在美国，物理治疗师实践中使用和应用诊断成像的范围越来越广。BRE 可能会对肌肉骨骼成像领域的医疗保健利用和成本产生更广泛的影响。
