Payton O D
Phys Ther. 1985 Jun;65(6):924-8. doi: 10.1093/ptj/65.6.924.
The purpose of this descriptive study was to analyze physical therapists' clinical problem solving and compare the results with physicians' clinical problem solving. Ten skilled physical therapy clinicians were observed as they performed an initial interview with a patient. Their performance was audiotaped and later analyzed. The therapists defined their problem lists and developed treatment plans early in the interview, as they gathered data. This clinical problem-solving sequence is comparable to a method reported in the literature that is used by physicians. This model of clinical problem solving based on actual performance of clinicians can be used to train physical therapy students and, perhaps, to refine clinical evaluation skills.
这项描述性研究的目的是分析物理治疗师的临床问题解决能力，并将结果与医生的临床问题解决能力进行比较。观察了十位熟练的物理治疗临床医生对一名患者进行初次问诊的过程。他们的表现被录音，随后进行分析。治疗师在问诊过程中收集数据时，早早地就确定了他们的问题清单并制定了治疗计划。这种临床问题解决顺序与文献中报道的医生使用的一种方法相当。这种基于临床医生实际表现的临床问题解决模型可用于培训物理治疗专业学生，或许还能提升临床评估技能。
