scholarly journals Objective structured clinical examination (OSCE) to assess physical therapy students' clinical skills when using physical agents

2021 ◽  
Vol 69 (3) ◽  
pp. e83545
Author(s):  
Hernán Andrés De la Barra-Ortiz ◽  
Luis Adrián Gómez-Miranda ◽  
Juan Ignacio De la Fuente-Astroza

Introduction: The use of Physical Agents (PA) in the practice of physical therapy (PT) specialty requires clinical reasoning and knowing their risks and contraindications; however, sometimes deficiencies are observed when used in clinical practice. Objective: To implement the Objective Structured Clinical Evaluation (OSCE) methodology for the assessment of clinical skills in physical therapy specialty students when using PA. Materials and methods: A pilot non-experimental cross-sectional study was conducted in 114 physical therapy students enrolled during the first semester of 2019 in a PA course offered at the Universidad Andres Bello, Santiago, Chile. The OSCE consisted of seven peer-validated stations in which various skills were implemented in simulated clinical scenarios to achieve learning outcomes associated with the use of PA, namely: S1: Connective tissue flexibility; S2:Muscle relaxation; S3:Analgesia; S4:Drainage; S5:Strengthening; S6:Parameters interpretation, and S7:Equipment installation. Observers at each station assessed students’ clinical skills and decision-making using a checklist. OSCE scores were described using medians and interquartile ranges, representing the data dispersion between the 25th and 75th percentile (P25-P75). Stations scores by gender were compared using the Mann-Whitney U test. Results: Median scores were higher than the minimum passing score in stations S1 (66, IQR: 52-70), S2 (55, IQR: 45-60), S3 (60, IQR: 50-69), S4 (65, IQR: 55-73), and S7 (40, IQR: 33-45), but they were below the passing score in stations S5 (54, IQR:46-65) and S6 (10, IQR: 9-13). In addition, 101 (88.59%) students had a global passing score in the OSCE. Conclusion: The OSCE scores obtained by the participants show their attainment of clinical skills when using PA, since most of them obtained a global passing score; however, reinforcing the parameters interpretation clinical skills is necessary, since the lowest mean score was obtained in said station.

2021 ◽  
Vol 70 (2) ◽  
pp. e90746
Author(s):  
Nicole Figueroa-Arce ◽  
Paola Figueroa-González ◽  
Luis Gómez-Miranda ◽  
Ruvistay Gútierrez-Arias ◽  
Viviana Contreras-Pizarro

Introduction: Clinical reasoning involves critical thinking and decision-making in clinical situations. It can be evaluated using Objective structured clinical examination (OSCE), which measures clinical skills associated with the development of clinical reasoning. Objective: To describe the implementation of an OSCE to evaluate the clinical skills associated with the development of clinical reasoning in physical therapy students, and to determine their level of satisfaction with this strategy. Materials and methods: Cross-sectional descriptive study carried out in 159 physiotherapy students from Universidad Andres Bello, Chile, enrolled in the Reasoning in Physical therapy course. The OSCE had 11 stations and a student satisfaction survey was administered. Data normality was determined using the Shapiro-Wilk test. Descriptive statistics (percentages, medians, and interquartile ranges (IQR)) were used for data analysis. Results: The median global score was 142 points (IQR:132-150) and 61.1% of the students obtained a passing score (≥ 134 points). Stations in which most students had a passing score were S3, S5 and S7 (with standardized patients): 78.62%, 96.85% and 85.53%, respectively. Regarding the satisfaction survey, 36.48% and 59.12% of the students agreed and strongly agreed with using tools that assess their clinical skills. Conclusions: The OSCE was successfully designed and implemented to evaluate the clinical skills associated with the the development of clinical reasoning in the study population, and most of them reported a high level of satisfaction with its use; this confirms OSCE is an excellent methodology to train and evaluate physical therapy students.


Author(s):  
Muhammad Adeel ◽  
Asad Chaudhry

This study assessed doctor of physical therapy (DPT) students’ perceptions of the educational environment at public and private physical therapy institutes in Pakistan. This cross-sectional study was conducted at 6 physical therapy institutions in Punjab, Pakistan from April 2018 to December 2019. In total, 500 Dundee Ready Educational Environment Measure (DREEM) questionnaires were distributed among DPT students identified through convenience sampling (response rate, 86.4%). The correlations between each item of the DREEM score were analyzed. The mean overall DREEM score was 128±19.63 for all 5 subscales (range, 33 to 166; standard error of the mean, 0.954). The correlations of atmosphere, learning, and self-perception with the overall educational environment were r=0.896, r=0.853, and r=0.846, respectively. Student-centered approaches were found to be more effective than teacher-centered approaches for promoting a positive educational environment.


2013 ◽  
Vol 2 (1) ◽  
pp. 31-34
Author(s):  
Sania Hassan Ali ◽  
Syeda Amool Sakeena Rizvi ◽  
Mahmooda Naqvi

OBJECTIVE To evaluate the physical activity level in medical students of Ziauddin university in Karachi. MATERIALS AND METHODS This is a cross-sectional study. The data analysis included total 300 medical students, 60 students from each of Ziauddin College of Physical Therapy, Ziauddin College of Medicine, Ziauddin College of Nursing, Ziauddin College of Dentistry and Ziauddin College of Pharmacy of the Ziauddin University, Karachi. International Physical Activity Questionnaire (IPAQ) was used to evaluate physical activity level of the students. RESULT Physical therapy students achieved the highest level of physical activity, with 33% performing high level of physical activity compared to medicine (18%), pharmacy (12%), dentistry (28%) and nursing (28%). CONCLUSION Medical students found satisfactory results of physical activity level. But the majority of students did not meet the recommended criteria of physical activity. Therefore medical students improve their own habits because they are well trained and qualified to promote healthy habits.


Author(s):  
Nancy Orozco-Gómez ◽  
Eduardo Uribe-Flores ◽  
Osvaldo Amaro-Garro

Objective: To identify the prevalence of Burnout syndrome in physical therapy students of the Universidad Tecnológica del Suroeste Guanajuato (UTSOE) during the period of confinement by Covid-19. Methodology: Descriptive cross-sectional study in the 355 Physical Therapy students at the University. The questionnaire included 15 items divided into three sections: emotional exhaustion, depersonalization, and personal fulfillment, which together constitute a pre-established scale, which was adapted to the context of the study to measure the level of burnout that the students faced during the period of confinement for COVID-19. Data analysis: Through descriptive statistics, distribution of frequencies calculated using Software 2010 Excel was applied. Contribution: To establish an antecedent of the need for strategies to reduce the emotional ravages generated by the period of confinement by COVID-19 in students through the identification of the prevalence of Burnout in them.


2019 ◽  
Vol 1 (1) ◽  
pp. 15
Author(s):  
Felipe Reis ◽  
Julia Rodrigues Siqueira ◽  
Gabriela Andrade De Araújo ◽  
Leandro Calazans Nogueira ◽  
Ney Meziat Filho ◽  
...  

Evidence-based practice (EBP) has gained widespread acceptance in the health profession. Little is known about the attitudes, knowledge, and behavior about EBP of physical therapy students at different levels in Brazil. OBJECTIVES: To compare the EBP-related knowledge, practice, attitudes between the entry-level and final-level physical therapy students. METHODS: A cross-sectional study including 60 physical therapy students was conducted. The participants completed a questionnaire to determine their attitudes, knowledge, practice skills and barriers regarding EBP. The survey consisted of 38 items about EBP (relevance, terminology and practice skills) and 7 items related as barriers to adopt the EBP during physical therapy graduation. Total scores were calculated. For each of the three sections scores of a 5-point Likert scale were considered. RESULTS: The sample was composed of 40 students in the entry-level and 20 in the final-level. The mean age of the sample was 23.3 (SD=7.6). The mean score of the sample in the EBP survey was 83.5 (SD=20.8). We did not find difference between final-level group (mean=101.6; SD=17.8) and entry-level students (mean=74.5; SD= 15.8) (p=.45). Students of the final-level group presented higher scores in all EBP sections (relevance, terminology, practice skills). A higher mean difference was observed in terminology (-17.8) section. The most common barriers reported by the students of both groups were “lack of knowledge of statistics” (19.3%), “lack of time” (17.7%) and “language” (16%). CONCLUSION: The difference in all sections about evidence based knowledge and attitudes where not expressive between the final-level and the entry-level students. Regarding practice skills, students were not confident about their abilities in the EBP steps.


2021 ◽  
Author(s):  
Muhammad Alrwaily ◽  
Fahad Alanazi

Abstract Background: Musculoskeletal (MSK) conditions are rapidly rising in Saudi Arabia and considered the 3rd reason for hospital visits across the country. Despite their prevalence, the adequacy of knowledge in MSK medicine has not been assessed. The purpose of this study is to assess MSK medicine knowledge amongst healthcare providers (orthopedists, primary care physicians, and physical therapists) and medical and physical therapy students and interns.Method: In this cross-sectional study, a web-based 25-question MSK test was given to licensed physical therapists and physicians; as well as final year physical therapy and medical students and interns in Saudi Arabia. One-way analysis of variance was used to determine MSK test scores differences amongst orthopedists, primary care physicians, and physical therapists; and amongst medical and physical therapy students and interns.Results: A total of 680 participants were included (response rate is 86.7%.) The overall MSK test score was 48.2%; and the passing rate was 14%. There was a significant score difference amongst orthopedists (88.8%), primary care physicians (53.6%), and physical therapists (46.7%); F(2,431) = 38.1, p < .001). There was significant score difference amongst physical therapy students (45.3%), physical therapy interns (42.6%), medical students (52.3%) and medical interns (67.4%); F(3,242) = 10.7, p < .001).Conclusion: Except for orthopedists, the MSK medicine knowledge appears inadequate amongst healthcare providers, medical and physical therapy students and interns in Saudi Arabia. To improve knowledge in MSK medicine, increasing contents of MSK medicine in undergraduate education and postgraduate training is necessary.


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