Method to Determine the Effect of Clinical Education on Production in a Health Care Facility

Leiken, Alan M.

doi:10.1093/ptj/63.1.56

Cited by 13 publications

(5 citation statements)

References 1 publication

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“…Measuring productivity and minimizing double-counting of team members’ time use has been employed by reporting the number of patients seen or treated [26], [27], [28]. Novel methods were used in one study that took a supervisor-student team perspective, and productivity changes were recorded with students present for four weeks and without students for four weeks [18].…”

Section: Introductionmentioning

confidence: 99%

Productivity and Time Use during Occupational Therapy and Nutrition/Dietetics Clinical Education: A Cohort Study

et al. 2012

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BackgroundCurrently in the Australian higher education sector higher productivity from allied health clinical education placements is a contested issue. This paper will report results of a study that investigated output changes associated with occupational therapy and nutrition/dietetics clinical education placements in Queensland, Australia. Supervisors’ and students’ time use during placements and how this changes for supervisors compared to when students are not present in the workplace is also presented.Methodology/Principal FindingsA cohort design was used with students from four Queensland universities, and their supervisors employed by Queensland Health. There was an increasing trend in the number of occasions of service delivered when the students were present, and a statistically significant increase in the daily mean length of occasions of service delivered during the placement compared to pre-placement levels.Conclusions/SignificanceA novel method for estimating productivity and time use changes during clinical education programs for allied health disciplines has been applied. During clinical education placements there was a net increase in outputs, suggesting supervisors engage in longer consultations with patients for the purpose of training students, while maintaining patient numbers. Other activities were reduced. This paper is the first time these data have been shown in Australia and form a sound basis for future assessments of the economic impact of student placements for allied health disciplines.

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Section: Introductionmentioning

confidence: 99%

Productivity and Time Use during Occupational Therapy and Nutrition/Dietetics Clinical Education: A Cohort Study

et al. 2012

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“…The difficulty in using time‐use data to measure clinical education productivity is the risk of double‐counting each team members’ contribution to an activity in a certain time period. Measuring productivity and addressing the double‐counting issue have occurred by reporting the number of patients seen or treated (Dillon, Tomaka, Chriss, Gutierrez & Hairston, 2003; Leiken, 1983; Leiken, Stern & Baines, 1983). In a large physical therapy department in New York in the early 1980s, Leiken concluded that students did contribute to productivity defined as number of patients being treated; however, other important measures like number of patients seen (as opposed to treated), indirect patient care activities or other physiotherapy roles were not investigated.…”

Section: Introductionmentioning

confidence: 99%

Occupational therapy students’ contribution to occasions of service during practice placements in health settings

Rodger

Stephens

Clark

et al. 2011

Australian Occupational Therapy Journal

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A novel method for reporting productivity and time-use changes during clinical education programs for occupational therapy has been applied. Supervisors spent considerable time in assessing and managing students and their clinical education role should be seen as core business in standard occupational therapy practice. This paper will contribute to future assessments of the economic impact of student placements for allied health disciplines.

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“…The idea that supervising students creates time demands and stress is also noted in a synthesis review on PT clinical education 12 and by quantitative research in other health professions. 13 Although there is evidence that having a student may increase a physiotherapist's productivity in patient care, 1,14,15,16 the evidence in those studies was gathered during earlier eras in health service delivery that may have been very different from current reality. The themes emerging from the literature-that many physiotherapists do not feel they have time to supervise students, and that their continued willingness depends on their institutional culture-both fit with our anecdotal experience of the challenges of recruiting and facilitating PT student placements for our programmes.…”

Section: Discussionmentioning

confidence: 99%

Physiotherapists and Physiotherapy Student Placements across Regions in Ontario: A Descriptive Comparison

Norman

Booth

Chisholm

et al. 2013

Physiotherapy Canada

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Method to Determine the Effect of Clinical Education on Production in a Health Care Facility

Cited by 13 publications

References 1 publication

Productivity and Time Use during Occupational Therapy and Nutrition/Dietetics Clinical Education: A Cohort Study

Productivity and Time Use during Occupational Therapy and Nutrition/Dietetics Clinical Education: A Cohort Study

Occupational therapy students’ contribution to occasions of service during practice placements in health settings

Physiotherapists and Physiotherapy Student Placements across Regions in Ontario: A Descriptive Comparison

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