Taking charge of change: A new career structure in physiotherapy

Robertson, Val J.; Oldmeadow, Leonie B; Cromie, Jean E; Grant, Margaret

doi:10.1016/s0004-9514(14)60138-0

Cited by 20 publications

(9 citation statements)

References 8 publications

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“…This helps explain why mentored clinical practice is considered so important to students. MACP approved courses provide a significant step towards advanced clinical practice and specialisation (Carr and Shepherd, 1996;Chartered Society of Physiotherapy, 2002a, 2002bRobertson et al, 2003) with enhanced career development (Stathopoulos and Harrison, 2003;Conneeley, 2005;Green et al, 2007) that includes advanced practitioner and consultant roles within the UK NHS (Department of Health, 2008 Learning, 2008). While Masters level study is likely to affect the practitioner, the workplace, patients and the profession (Gosling, 1999), the focus of this paper is the impact on the practitioner and their clinical practice.…”

Section: Introductionmentioning

confidence: 99%

The impact of a musculoskeletal masters course: Developing clinical expertise

2011

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a b s t r a c t A common aim of Masters (MSc) courses in the UK, accredited by the Manipulation Association of Chartered Physiotherapists (MACP), is to promote the clinical expertise of practitioners. Few studies have explored the extent to which this is achieved and understanding is further hampered by the contested nature of expertise. This paper reports on the impact of an MACP approved MSc on practitioners and offers a conceptual model of their development towards clinical expertise.A qualitative theory-seeking case study was used, drawing on the procedures and processes of grounded theory. Twenty-six semi-structured interviews were conducted with eleven alumni from one MACP approved MSc programme. Dimensional analysis and the constant comparative method of data analysis, was used to build the conceptual model.Prior to enrolment, practitioners uncritically accepted knowledge from others and followed habitual routines with their patients. Their diet of informal CPD appeared ineffective in developing these attri-butes. The impact of the MACP approved MSc involved three developmental aspects of clinical expertise: critical understanding of practice knowledge, patient centred practice and capability to learn in, and from, clinical practice. These inter-related aspects of knowledge, practice and learning offer a conceptual model of the development towards clinical expertise. The most powerful experience to trigger change was direct observation and feedback of their clinical practice by an MACP educator; this highlights the value of clinical mentors facilitating less experienced colleagues. The implementation of such mentorship within departments may offer a cost effective and manageable way to support CPD within the workforce.

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Section: Introductionmentioning

confidence: 99%

The impact of a musculoskeletal masters course: Developing clinical expertise

2011

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“…[2][3][4][5][6][7] For example, specialization within orthopaedics in the United Kingdom has led to decreased wait times, earlier return to work, fewer emergency-room visits, fewer diagnostic studies ordered, and increased client satisfaction. 4,6 Physical therapy extended scope practitioners (ESPs) with advanced orthopaedic training in the United Kingdom have been shown to be equally as effective as physicians with respect to client outcomes and have reduced initial hospital costs and established greater client satisfaction.…”

Section: Introductionmentioning

confidence: 99%

Clinical Specialists and Advanced Practitioners in Physical Therapy: A Survey of Physical Therapists and Employers of Physical Therapists in Ontario, Canada

Yardley

Gordon²,

Freeburn³

et al. 2008

Physiotherapy Canada

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Purpose: Opportunities to expand the role of physical therapists (PTs) have evolved to include clinical specialists and advanced practitioners, although the literature on these roles is limited. We examined perceptions of PTs and PT employers in Ontario regarding clinical specialization and advanced practice. Methods: Using a modified Dillman approach, a cross-sectional survey was conducted with 500 PTs and 500 PT employers in Ontario. Questionnaires were tailored to address specific issues related to each cohort. Results: Sixty percent of PTs and 53% of PT employers responded to the survey. Thirty-three percent of PT respondents already considered themselves ''clinical specialists'' (CS), and 8% considered themselves ''advanced practitioners'' (AP), although neither role is yet formally recognized in Canada. Both groups had substantial interest in pursuing formal recognition of CS and AP status. Respondents indicated that their primary motivation to pursue such roles was to enhance clinical reasoning skills with the goal of improving client outcomes (82% for the role of CS, 71% for the role of AP). Respondents supported the involvement of academic institutions in the process (60% for CS, 70% for AP). Conclusion: PTs and PT employers are supportive of the roles of the CS and AP within the profession, even though there is currently no formal recognition of either role in Canada. RÉ SUMÉObjet : Les possibilité s d'é largir le rô le des physiothé rapeutes ont é volué pour inclure les physiothé rapeutes ayant une spé cialisation clinique ou de pratique avancé e, bien que la documentation sur ces rô les soit limité e. Nous avons examiné les perceptions des physiothé rapeutes et de leurs employeurs en Ontario pour ce qui est de la spé cialisation clinique et de la pratique avancé e. Me´thodologie : À l'aide d'une approche Dillman modifié e, une enquê te ponctuelle a é té effectué e auprè s de 500 physiothé rapeutes et de 500 employeurs en Ontario. Les questionnaires ont é té formulé s spé cialement en vue d'aborder des questions pré cises lié es à chaque cohorte. Re´sultats : Soixante pour cent des physiothé rapeutes et 53 % de leurs employeurs ont ré pondu à l'enquê te. Trente-trois pour cent des ré pondants physiothé rapeutes se considé raient dé jà comme des « spé cialistes cliniques » (SC) et 8 % se considé raient comme des « praticiens avancé s » (PA), bien qu'aucun de ces rô les ne soit encore reconnu au Canada. Ces deux groupes é taient vivement inté ressé s à obtenir la reconnaissance officielle de leur statut 224de SC et de PA. Les ré pondants ont indiqué que leur premier motif dans la poursuite de ces rô les é tait de perfectionner les compé tences de raisonnement clinique afin d'amé liorer les ré sultats pour les patients (82 % pour le rô le des SC, 71 % pour le rô le des PA). Les ré pondants soutiennent la participation des é tablissements d'enseignement universitaire dans le cadre de ce processus (60 % des SC, 70 % des PA). Conclusion : Les physiothé rapeutes et leurs employeurs soutiennent les ...

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“…Physiotherapy is a dynamic process in which change and development within the scope of practice is ongoing (Robertson et al 2003). In many countries physiotherapists are now first-line practitioners and specialization is also becoming a reality (Donato et al 2004;Robertson et al 2003).…”

Section: Introductionmentioning

confidence: 99%

“…In many countries physiotherapists are now first-line practitioners and specialization is also becoming a reality (Donato et al 2004;Robertson et al 2003). Furthermore increasing financial, as well as resource constraints result in allied health professionals having an increased responsibility to provide a cost effective service in accordance with the evidence for best practice.…”

Section: Introductionmentioning

confidence: 99%