Introduction.
There is not a taxonomy that has been fully vetted for traditional positions in physical therapy programs and it is not known what efficiencies could be afforded by employing a taxonomy and matrix for the Director of Clinical Education (DCE) position, specifically. This study provides a pathway to greater understanding of the DCE competing roles and responsibilities both as a traditional faculty member and those that pertain specifically to the DCE through determining the accuracy of the DCE Taxonomy and Matrix. The study addressed the following questions: (1) Within the Taxonomy, do each of the levels' responsibilities and sample tasks accurately match the levels’ definition, as duties performed by a DCE at that level? (2) Within the Matrix, do the characteristics serve as a common descriptor across all taxonomy levels? and (3) Within the Matrix, do each of the characteristics and ranges align with the Taxonomy levels? We hypothesized that the DCE Taxonomy and Matrix would require minor revisions to refine the tools to confirm accurate descriptions of the DCE roles and responsibilities.
Directors of Clinical Education have an integral role with multiple responsibilities to fulfill as a bridge between the clinic and the academy as well as performing the traditional duties of a faculty member. Work completed by McCallum et al provided a foundational understanding of the DCE's work. Engelhard et al expanded on the foundational DCE study using Watts Taxonomy as a basis to develop the DCE Roles and Responsibilities Taxonomy and Matrix.
Subjects.
Through purposive sampling, 86 faculty, including DCEs, ADCEs (Associate Directors of Clinical Education), and Program Directors, participated in the study.
Methods.
This Delphi, mixed methods study used 2 web-based survey rounds to achieve consensus, defined agreement as ≥80% of respondents. Round 1 sought agreement for DCE roles, responsibilities, and sample tasks in the Taxonomy. Matrix agreement was sought for each of the 4 characteristics. Round 2 involved refinement of the Taxonomy to improve clarity.
Results.
The Matrix achieved consensus after Round 1. Consensus was achieved at the conclusion of the Round 2 for the Taxonomy, which resulted in a concise description of the categories of Processor, Coordinator, and Director level roles and responsibilities.
Discussion and Conclusion.
Findings suggest a clear and concise classification of work-related elements that can contribute to success in the DCE position and ultimately the physical therapy program. As the profession goes forward, understanding of the impact of where we spend time in our programs must occur as we balance student matriculation and success with organizational knowledge of key program positions. By establishing the accuracy of the DCE Taxonomy and Matrix, insights to workload implications are gained.