Physiotherapy Education During COVID-19

The Bachelor of Science in physiotherapy is a four-year program that has been offered at The University of Jordan since 1999. Just like all other educational programs across the world, teaching pedagogy in this program underwent a major overhaul due to the COVID-19 pandemic. In this chapter, the changes implemented in this program due to the pandemic and a discussion of their different aspects are presented. First, an overview of traditional teaching model and all the changes it underwent during the first year of the pandemic are presented. After that, specific aspects of the changes are addressed in depth and discussed in light of evidence from the literature. These include changes made to clinical and practical education, modifications of assessment methods, and responses and adjustments of students and faculty members. The chapter concludes with recommendations for future implementation of online teaching in physiotherapy education.

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COMPETENCY-BASED PHYSIOTHERAPY EDUCATION IN INDIAN CONTEXT

The education system in the health care profession is evolving with an increase in knowledge and tremendous advances in technology as per the emerging needs of society. The trend in Physiotherapy education should also change as our knowledge base changes and as the needs, or the perceived needs, of patients, medical practitioners, clinician physiotherapists, and society change. This change occurs through planning and accepting the concept of the dynamic nature of the curriculum. Competence-based education (CBE) is pertinent to this shift and is widely implemented in various universities and institutions overseas. Physiotherapy professional helps to restore movement and function when someone is affected by injury, illness or disability. The development of competent health care professionals is the need of an hour, to achieve this curriculum should be well structured with the attainment of the desired competency as the final goal. Competence-based education encompasses identification of competency, components of competency, teaching-learning methods, vigorous assessment tools, and proper planning for implementation by the institution. Comprehensive examination, functional impairments, disability evaluation, and functional diagnosis are the basic required competencies in Physiotherapy Undergraduate. Thus the objective of this review is to provide a brief idea about its significance in physiotherapy schools and currently how the implementation is under process at Physiotherapy Institutions under Datta Meghe Institute of Medical Sciences (DMIMS) an autonomous institute in Maharashtra, India.

Student Perceptions of MASK-EDTM Simulation in Physiotherapy Education: A Mixed Methods Cohort Study

Introduction: MASK-EDTM simulation is a novel educational approach in which a clinically experienced educator dons a high-fidelity silicone mask and plays the role of a patient. MASK-EDTM simulation has not yet been evaluated in physiotherapy education. The purpose of this study was to describe physiotherapy students’ perceptions of the value of MASK-EDTM simulation and its effect on perceived preparedness for clinical placements.Methods: Design: Mixed-methods cohort study, using questionnaires and focus groups over 12 months.Setting: Entry-level Physiotherapy course at an Australian university.Participants: Eighty-one physiotherapy students enrolled in their first unit of cardiorespiratory Physiotherapy.Intervention: MASK-EDTM simulation in five tutorials across two semesters, practising skills including history-taking and secretion clearance techniques.Main outcome measures: Questionnaires pre- and post clinical placement; thematic analysis of focus group data following clinical placement exposure.Results: One hundred per cent of students described MASK-EDTM as helpful in developing manual handling skills (mean 3.8/4.0, SD 0.4), establishing rapport and empathy with patients (mean 3.7/4.0, SD 0.5), and communicating with an older patient (mean 3.4/4.0, SD 0.6). Following exposure to clinical placement, students perceived MASK-EDTM as slightly less helpful in enhancing readiness for clinical placement (MD –0.20 out of 5, 95% CI –‍0.54 to –0.04) compared with before clinical exposure. However, they still considered MASK-EDTM somewhat helpful (mean 3.2/4.0). Three themes were identified: the safety of the learning environment with MASK-EDTM, the importance of communication in MASK-EDTM simulation and the performative aspects of MASK-EDTM simulation. All three themes were underpinned by the importance of authenticity in learning and practice.Conclusions: Physiotherapy students perceive MASK-EDTM simulation as valuable in enhancing learning relating to clinical practice, particularly prior to clinical placement.

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Impact of guided self-study on learning success in undergraduate physiotherapy students in Switzerland – a feasibility study of a higher education intervention

Background Guided self-study (G-SS) can be used as a self-directed learning method or self-determined learning that fosters changes in knowledge and skills in a higher physiotherapy education setting. Until now, there has been no empirical evidence for the use of G-SS in higher physiotherapy education. This study aimed to investigate the feasibility to establish a G-SS program in a fulltime undergraduate physiotherapy degree course. In addition, the effectiveness of the G-SS was assessed on changes in knowledge and skills. Method Fifty-one first-semester physiotherapy students were randomly divided into a G-SS group or control group (CG). The G-SS group received six clinical cases. Each case was processed in an eight-day cycle. One week in advance, the clinical case were provided to the students electronically (day 1). The students prepared the cases in groups and were guided by the tutor during this preparation time (day 2 to 7). Group work results were presented and reflected on during a moderated plenum session at day 8. A priori criteria of success were defined based on empirical experience for the primary outcome parameters i) exposure, ii) responsiveness of students and iii) program differentiation. The secondary outcome was the total score in the objective structured clinical examination (OSCE) and written exams. Statistical analyses were conducted using SPSS. Results The responsiveness of students as willing to participate in the G-SS program was 23%, clearly below the a priori set 83%. No differences in program differentiation were found. G-SS as compared to the CG scored significantly better on OSCE (p = 0.003) and on the written exam (p = 0.004). Conclusion The results showed that this higher education G-SS program in its current form was not feasible. Slight modification of the study protocol (e.g. better time planning in the academic calendar) is needed to improve the student’s responsiveness. The adjustments to the timetable must allow the physiotherapy students to prepare the clinical cases under conditions of lower workload. G-SS has the potential to promote change in knowledge and skills in undergraduate physiotherapy students when students prepare and present the clinical case solutions and reflect upon their actions. Trial registration Registry of Efficacy and Effectiveness Studies, Registry ID: #1726.1 Registered on February 26th, 2019.

Decoloniality in physiotherapy education, research and practice in South Africa

Background: Historically, the profession of physiotherapy in South Africa has closely aligned itself with our former colonial master, the United Kingdom. Whilst efforts have been made in recent years to transform our profession, numerous challenges remain. An improved understanding of the topic of decoloniality is a useful and necessary way of beginning to address these challenges.Objectives: The aim of this opinion piece is to encourage further dialogue amongst South African physiotherapists working in all sectors – a dialogue that must focus on genuinely transforming our profession to be better suited to serving the majority of South Africans.Method: Global and local literature related to decoloniality is summarised for readers, followed by a closer scrutiny of how this topic relates to some of the challenges faced by the profession of physiotherapy in South Africa.Results: The evidence presented demonstrates that whilst some efforts have been made to transform South African physiotherapy, significant work and dialogue is required to bring about a true transformation of the profession.Conclusion: An honest and transparent conversation about decoloniality and transformation can assist in realising the potential of our profession, thereby improving the health and well-being of all South Africans.Clinical implications: Real engagement with this topic can assist in transforming who enters our profession, what we teach, where and why we conduct research and how we can ensure that physiotherapy practice contributes to real social justice by benefitting the majority of our population.