Department of Health Professions, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia.
Department of Health Professions, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia.
J Physiother. 2021 Jan;67(1):56-61. doi: 10.1016/j.jphys.2020.12.001.
Does student clinical performance differ according to healthcare sector? Does student clinical performance at Macquarie University differ from other Australian graduate entry-level programs?
A longitudinal observational study with comparison to national data.
A total of 284 physiotherapy students from Macquarie University.
Each student's clinical performance was evaluated by a clinical educator using the Assessment of Physiotherapy Practice (APP) tool at the end of four 5-week clinical placements. Four measures of clinical performance were analysed: Total APP score, Employability Skills, Clinical Skills and a global rating of performance. A between-group difference in the APP results of 5% was nominated a priori as large enough to be considered important.
Of the 1,136 placements, 533 (47%) were undertaken in the private sector. Among their four placements, 99% of students had at least one private sector placement and 70% had two or more private sector placements. There were negligible differences between private and public sector placements in Total APP scores (MD 0%, 95% CI -1 to 1), Employability Skills scores (MD 2% higher in the public sector, 95% CI 1 to 3) and Clinical Skills scores (MD 1% higher in the private sector, 95% CI -1 to 3). On the global rating of performance, 88% of placements in each sector were rated as being either good or excellent. Students in the private sector were 9% (95% CI 3 to 14) more likely to be rated as excellent compared with the public sector. There were negligible differences in clinical performance between the Macquarie University and other Australian graduate-entry students.
Macquarie University's practice of increasing private sector participation in clinical education had no adverse effects on student clinical performance, and it is likely to be beneficial in better preparing students for work in the private sector.
学生的临床表现是否因医疗保健部门而异？麦考瑞大学的学生临床表现是否与其他澳大利亚研究生入门级课程不同？
一项具有纵向观察性的研究，并与全国数据进行比较。
共有 284 名来自麦考瑞大学的物理治疗学生。
每位学生的临床表现由临床教育者使用评估物理治疗实践（APP）工具在四个为期 5 周的临床实习结束时进行评估。分析了四项临床表现措施：总 APP 分数、就业技能、临床技能和整体表现评分。之前确定了 5%的 APP 结果差异为足够大，被认为是重要的。
在 1136 个实习中，有 533 个（47%）是在私营部门进行的。在他们的四个实习中，99%的学生至少有一个私营部门的实习，70%的学生有两个或更多的私营部门的实习。在总 APP 分数（MD 0%，95%CI-1 到 1）、就业技能分数（MD 公立部门高 2%，95%CI 1 到 3）和临床技能分数（MD 私营部门高 1%，95%CI-1 到 3）方面，私营部门和公共部门之间几乎没有差异。在整体表现评分方面，每个部门的 88%的实习都被评为良好或优秀。与公共部门相比，私营部门的学生有 9%（95%CI 3 到 14）更有可能被评为优秀。麦考瑞大学与其他澳大利亚研究生入学学生的临床表现几乎没有差异。
麦考瑞大学增加私营部门参与临床教育的做法对学生的临床表现没有不利影响，而且可能有助于更好地为学生在私营部门工作做好准备。
