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Medical education, clinical reasoning, physiotherapy

Heleen van Aswegen, Shane Patman, Natascha Plani, Susan Hanekom
RATIONALE, AIMS, AND OBJECTIVES: Physiotherapists are integral members of the intensive care unit (ICU) team. Clinicians working in ICU are dependent on their own experience when making decisions regarding individual patient management thus resulting in variation in clinical practice. No formalized clinical practice guidelines or standards exist for the educational profile or scope of practice requirements for ICU physiotherapy. This study explored perceptions of physiotherapists on minimum clinical standards that ICU physiotherapists should adhere to for delivering safe, effective physiotherapy services to critically ill patients...
May 26, 2017: Journal of Evaluation in Clinical Practice
Chris Higgs, Margot Skinner, Leigh Hale
INTRODUCTION Diabetes, a long-term condition increasing in prevalence, requires ongoing healthcare management. Exercise alongside lifestyle education and support is effective for diabetes management. AIM To investigate clinical outcomes and acceptability of a community-based lifestyle programme for adults with diabetes/prediabetes at programme completion and 3-month follow-up. METHODS The 12-week community programme included twice-weekly sessions of self-management education and exercise, supervised by a physiotherapist, physiotherapy students and a nurse...
June 2016: Journal of Primary Health Care
Kylie N Johnston, Shylie Mackintosh, Matthew Alcock, Amy Conlon-Leard, Stephen Manson
BACKGROUND: Clinical placements in acute hospitals present challenges for students with vision impairment who are being educated as health care professionals. Legislation in Australia supports reasonable adjustments to education, thus students with vision impairment have completed accredited courses and gained professional registration. However the implementation of inherent requirement statements suggesting that adequate visual acuity is required to complete a physiotherapy program may create barriers to access for such students...
February 27, 2016: BMC Medical Education
M Egan, D Seeger, P Schöps
Patients attend physiotherapy and physical therapy (PT) due to pain problems and/or functional impairments. Although the main focus for therapists has traditionally been physical examination and treatment of tissue structures and biomechanics, over the last few decades a growing body of research has highlighted the importance of central nervous system processing and psychosocial contributors to pain perception. Treatment with PT aims to reduce disability and suffering by reducing pain and increasing tolerance to movement...
October 2015: Der Schmerz
W Terry, J Higgs
The role of physiotherapists has changed considerably over the last few decades. Autonomous professionals have replaced clinicians who applied technical skills under the direction of medical practitioners. The physiotherapy profession needs more than ever to produce clinicians who demonstrate competence in clinical reasoning and decision making. The challenge presented to all physiotherapists involved in teaching is to contribute to the development of clinicians who can use the complex skill of clinical reasoning in association with a sound clinical knowledge base...
1993: Australian Journal of Physiotherapy
Eduardo B Cruz, Ann P Moore, Vinette Cross
Clinical reasoning is a fundamental component of physiotherapists' clinical competence. However research examining how clinical reasoning is understood and developed in physiotherapy undergraduate courses is limited, particularly from the student's perspective. The aim of this study was to explore the current understanding of clinical reasoning held by final year undergraduate students, and how it is represented in the undergraduate musculoskeletal curriculum in Portugal. A qualitative research approach involving final year undergraduate students' from four different physiotherapy programmes was used...
December 2012: Manual Therapy
Peter Gallagher
BACKGROUND: Traditionally, the assessment of the competent practical performance of student health professionals places a high level of confidence upon the ability of a second party to judge whether students are able to apply theory in practical contexts. More often than not, the specific assessment tool has a clear focus on the conduct of skills to explicit performance criteria. However, what has proven particularly problematic is the ability to devise a tool to assess the less overtly procedural qualities, such as professionalism, interpersonal skills, clinical reasoning and so forth...
2010: Medical Teacher
Michael Schneider, Ikuo Kawahara, Gail Ballantyne, Christine McAuley, Karen Macgregor, Ruth Garvie, Alistair McKenzie, Deborah Macdonald, Steffen J Breusch
BACKGROUND: Fast track rehabilitation after primary total hip (THR) and total knee replacement (TKR) is gaining popularity. We performed a prospective clinical trial to identify predictive factors for successful fast track rehabilitation. METHODS: Between June 2005 and January 2006, 52 THR and 48 TKR were performed on consecutive patients off the local waiting list with no pre-selection or exclusion criteria. Patients underwent a fast track rehabilitation programme within a group-dynamic set-up aiming for discharge day 3 to 5 postoperatively...
December 2009: Archives of Orthopaedic and Trauma Surgery
Aisling Roche, Susan Coote
CONTEXT: The reflective practice module in the physiotherapy programme at the University of Limerick, Ireland represents the first incidence of the inclusion of such a module within physiotherapy curricula in Ireland. However, research examining the contribution of reflection as a means of learning is limited, particularly from the student perspective. OBJECTIVES: This study sought to explore students' perceptions of reflection and its potential contribution to their development before and after the module...
November 2008: Medical Education
Alison Rushton, Geoff Lindsay
BACKGROUND: Growing emphasis on Masters level provision has been facilitated by the migration of education into Higher Education and the requirement for Continuing Professional Development. Paralleling this has been the development of specialisation in clinical practice. These factors have contributed to a proliferation of Masters courses aiming to develop specialist clinical practice. AIMS: The aim of the study was to define the behaviours that are indicative of the construct of masters level clinical practice, using the UK experience as an example...
2008: Medical Teacher
Jenny Wickford, John Hultberg, Susanne Rosberg
PURPOSE: The aim of this paper is to describe and analyse the current situation of the physiotherapy component of the Rehabilitation of Afghans with Disability (RAD) programme, in order to identify the needs and challenges for further development. METHOD: The study was conducted as a field study with an anthropological approach by means of participant observation, unstructured and semi-structured interviews and photography. RESULTS: The therapists in RAD work in isolation with little opportunity for further education or professional development...
2008: Disability and Rehabilitation
A O Fatusi, O A Fatusi, A O Esimai, A A Onayade, O S Ojo
OBJECTIVES: To determine the pattern of vaccine uptake by hospital personnel in a specifically designed pioneer hepatitis B vaccination programme and to highlight major lessons for ensuring success in future programmes. DESIGN: A review of vaccination and employment records for a forty four-month period and comparative analysis on the basis of professional grouping and work units. SETTING: Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Nigeria...
November 2000: East African Medical Journal
Soccorso Capomolla, Monica Ceresa, Agostina Civardi, Angela Lupo, Anna Ventura, Milena Scabini, Patrizia Leonelli, Giulia Salvaneschi, Alessandra Petocchi, GianDomenico Pinna, Marina Ferrari, Oreste Febo, Angelo Caporotondi, Giampaolo Guazzotti, Maria Teresa La Rovere, Marco Gnemmi, Roberto Maestri, Franco Cobelli
BACKGROUND: Physical training has proven to be a valid and effective therapeutic tool capable of counteracting muscle changes that occur in chronic heart failure (CHF) patients. Nevertheless, few studies have analyzed the frequency of use of this therapy and the reasons for any reduced compliance and adherence to the prescription. The aim of this study was to quantify the frequency of the participation of CHF patients in a program of domiciliary physical training and to analyze the factors that can influence adherence to the program...
November 2002: Italian Heart Journal. Supplement: Official Journal of the Italian Federation of Cardiology
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