A description of the development of a post-graduate orthopaedic manual therapy residency program in Kenya

Cunningham, Shala; Jackson, Rod

doi:10.1016/j.math.2016.05.324

Cited by 2 publications

(7 citation statements)

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“…To promote skill advancement, clinical reasoning development, and use of current evidence in practice, the Jackson Clinics Foundation (Foundation) was invited in 2011 to meet with the administration of Kenya Medical Training College (KMTC) to assist in the development of a transitional Bachelor of Science degree for physiotherapists in Kenya who held a three-year diploma ( 6 ). A collaborative partnership was developed between the Foundation and KMTC.…”

Section: Background and Rationalementioning

confidence: 99%

“…The program focuses on providing advanced instruction for physical therapists without requiring a change in the entry-level educational structure in the country. The mission of the residency program is to graduate advanced orthopedic practitioners that can lead their communities and local profession in the advancement of clinical care and education ( 6 ).…”

Section: Background and Rationalementioning

confidence: 99%

“…The online didactic portion of the program includes background reading that includes the Clinical Practice Guidelines and Current Concepts in Orthopedics, 3rd edition (American Physical Therapy Association). Current research was provided by the instructors of each module to support evidence-based practice ( 6 ). Online materials were provided to the residents through a cloud sharing account.…”

Section: Description Of the Casementioning

confidence: 99%

“…In addition to onsite modules and online resources, residents received clinical mentoring throughout the 18-month program. The mentorship focused on integrating the knowledge and skills learned during the residency program into clinical practice ( 6 ). Volunteer physical therapists from the United States provided the onsite mentoring in 2-week blocks.…”

Section: Description Of the Casementioning

confidence: 99%

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Barriers and Facilitators for a Collaborative International Physical Therapist Residency Program in Nairobi, Kenya

Cunningham

Litwin

Fernandez-Fernandez

et al. 2018

Front. Public Health

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Introduction: With the globalization of higher education through online training, opportunities exist for collaboration between institutions to promote ongoing advancement of healthcare professionals in resource-limited countries. The success of these programs is dependent on the ability of the program to meet the educational needs of the student and assist with implementation of the new information into practice. A post graduate residency program for physical therapists was introduced to Kenya to promote the development of the profession of physical therapy. This study sought to explore barriers that affected participation in the residency program, and how participants perceived the residency program fostered the use of new skills in the clinical environment, as well as the limitations they faced in applying the skills gained through the residency program in a clinical setting.Methods and Materials: The participants in this study were in the third and fourth cohorts of the residency program (n = 27). One-on-one interviews were performed with the residents following completion of the program. A qualitative phenomenology research design was used to describe the manner in which the residency was experienced within the context of the environment in which the experience took place. Descriptions and narratives were obtained from the residents to provide a window into their lived experience.Results: Four themes were discovered: (1) The ongoing challenge to balance often conflicting responsibilities: family, work and education, (2) A need to educate patients and colleagues on newly acquired skills to gain acceptance, (3) Success in the program requires reliance on support networks, and (4) Increased confidence gained in delivery of patient care.Discussion: Although the residents faced obstacles for completing the residency and integrating newly acquired knowledge and skills into clinical practice, they were able to formulate strategies to meet these challenges. Understanding the barriers and facilitators that affect participants in international collaborative efforts may ultimately assist residency and other educational programs in designing new models of education, which will advance the physical therapy profession globally.

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Section: Background and Rationalementioning

confidence: 99%

Section: Background and Rationalementioning

confidence: 99%

Section: Description Of the Casementioning

confidence: 99%

Section: Description Of the Casementioning

confidence: 99%

See 2 more Smart Citations

Barriers and Facilitators for a Collaborative International Physical Therapist Residency Program in Nairobi, Kenya

Cunningham

Litwin

Fernandez-Fernandez

et al. 2018

Front. Public Health

View full text Add to dashboard Cite

show abstract

“…The Kenya Medical Training College Higher Diploma Program offered the first post-graduate orthopaedic residency program administered by the Jackson Clinics Foundation in 2012 [1]. The Jackson Clinics Foundation is a non-governmental organization in the United States formed for the purpose of funding humanitarian efforts in Africa [2]. The mission of the program is to help improve the standard of clinical practice within Kenya for better delivery of consistent, high quality physical therapy care to the community [2].…”

Section: Introductionmentioning

confidence: 99%

Influence of residency training on the clinical reasoning development of Kenyan physiotherapists

Cunningham

Litwin

Fernandez-Fernandez

et al. 2019

Journal of Manual & Manipulative Therapy

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Objective: The purpose of this study was to explore the clinical reasoning development of physical therapists participating in an 18-month orthopaedic residency program in Nairobi, Kenya. Methods: A mixed methods research design was utilized. The participants' clinical reasoning was assessed through a live patient examination prior to entering the residency program and upon graduation. One-on-one interviews were performed with the residents to explore their clinical reasoning during the final examination. Results: Residents (n = 14) demonstrated a statistically significant improvement in their ability to perform an examination of a patient and determine a hypothetical diagnosis. The clinical reasoning process described by the participants included the hypothetical deductive and narrative reasoning models. The residents did not appear to incorporate pattern recognition during the patient assessment. Discussion: Similar to studies on novice and expert practice in physical therapy, residents demonstrated an improvement in cue acquisition, the ability to verify and refute a hypothetical diagnosis, and the ability to match interventions to patients impairments. In addition, the residents utilized a combination of clinical reasoning models during the examination and evaluation of the patient including hypothetical deductive reasoning and narrative reasoning.

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A description of the development of a post-graduate orthopaedic manual therapy residency program in Kenya

Cited by 2 publications

References 0 publications

Barriers and Facilitators for a Collaborative International Physical Therapist Residency Program in Nairobi, Kenya

Barriers and Facilitators for a Collaborative International Physical Therapist Residency Program in Nairobi, Kenya

Influence of residency training on the clinical reasoning development of Kenyan physiotherapists

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