Early Integumentary Practice Expectations Experienced by 2 Physical Therapist Graduate Cohorts

Abstract

Purpose: The primary purpose of this study was to determine integumentary knowledge and skill expectations experienced by 2 physical therapist graduate cohorts. Perceptions of comfort with integumentary examination, evaluation, and intervention were assessed. A secondary purpose was to inform entry-level integumentary curriculum revision. Methods: Seventy-six graduates from 2 cohorts were invited to participate in the online survey with 41 active participants. Frequency counts were determined from quantitative data and thematic coding was developed from qualitative data. Results: All but one participant indicated they met or partially met entry-level integumentary practice expectations. Participants reported negative-pressure wound therapy, paste compression wraps, and suture removal as techniques with which they felt uncomfortable. Wound examination and treatment for common etiologies, inflammation versus infection differentiation, patient education, and when to refer were topics with which participants felt the most comfortable. Curricular changes included increased practice for “uncomfortable” topics and increased exposure to patients with wounds during didactic training. Conclusion: Results offer a good example of entry-level integumentary practice expectations in Texas. Feedback regarding program weaknesses will be incorporated for the next cohort. While this study reflects early practice expectations in Texas, results could help other physical therapist programs undergoing integumentary curriculum review.