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Priorities in updating training paradigms in orthopedic manual therapy: an international Delphi study
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Damian Keter, David Griswold, Kenneth Learman, Chad Cook
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J Educ Eval Health Prof. 2023;20:4. Published online January 27, 2023
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DOI: https://doi.org/10.3352/jeehp.2023.20.4
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3,955
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4
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Abstract
PDFSupplementary Material
- Purpose
Orthopedic manual therapy (OMT) education demonstrates significant variability between philosophies and while literature has offered a more comprehensive understanding of the contextual, patient specific, and technique factors which interact to influence outcome, most OMT training paradigms continue to emphasize the mechanical basis for OMT application. The purpose of this study was to establish consensus on modifications & adaptions to training paradigms which need to occur within OMT education to align with current evidence.
Methods A 3-round Delphi survey instrument designed to identify foundational knowledge to include and omit from OMT education was completed by 28 educators working within high level manual therapy education programs internationally. Round 1 consisted of open-ended questions to identify content in each area. Round 2 and Round 3 allowed participants to rank the themes identified in Round 1.
Results Consensus was reached on 25 content areas to include within OMT education, 1 content area to omit from OMT education, and 34 knowledge components which should be present in those providing OMT. Support was seen for education promoting understanding the complex psychological, neurophysiological, and biomechanical systems as they relate to both evaluation and treatment effect. While some concepts were more consistently supported there was significant variability in responses which is largely expected to be related to previous training.
Conclusion The results of this study indicate manual therapy educators understanding of evidence-based practice as support for all 3 tiers of evidence were represented. The results of this study should guide OMT training program development and modification.
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Citations
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- A critical review of the role of manual therapy in the treatment of individuals with low back pain
Jean-Pascal Grenier, Maria Rothmund Journal of Manual & Manipulative Therapy.2024; 32(5): 464. CrossRef - Development of a basic evaluation model for manual therapy learning in rehabilitation students based on the Delphi method
Wang Ziyi, Zhou Supo, Marcin Białas BMC Medical Education.2024;[Epub] CrossRef - Delphi Studie zur Modernisierung der Ausbildung für Orthopädische Manuelle Therapie
MSK – Muskuloskelettale Physiotherapie.2024; 28(04): 204. CrossRef - Patient Factors Associated With Treatment Effect of Manual Therapy: A Scoping Review
Damian Keter, David Griswold, Kenneth Learman, Chad E. Cook JOSPT Open.2024; 2(2): 82. CrossRef - Integrating Person-Centered Concepts and Modern Manual Therapy
Damian Keter, Nathan Hutting, Rebecca Vogsland, Chad E Cook JOSPT Open.2024; 2(1): 60. CrossRef - Modernizing patient-centered manual therapy: Findings from a Delphi study on orthopaedic manual therapy application
Damian Keter, David Griswold, Kenneth Learman, Chad Cook Musculoskeletal Science and Practice.2023; 65: 102777. CrossRef
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A novel tool for evaluating non-cognitive traits of doctor of physical therapy learners in the United States
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Marcus Roll, Lara Canham, Paul Salamh, Kyle Covington, Corey Simon, Chad Cook
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J Educ Eval Health Prof. 2018;15:19. Published online August 17, 2018
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DOI: https://doi.org/10.3352/jeehp.2018.15.19
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29,243
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378
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8
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9
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Abstract
PDFSupplementary Material
- Purpose
The primary aim of this study was to develop a survey addressing an individual’s non-cognitive traits, such as emotional intelligence, interpersonal skills, social intelligence, psychological flexibility, and grit. Such a tool would provide beneficial information for the continued development of admissions standards and would help better capture the full breadth of experience and capabilities of applicants applying to doctor of physical therapy (DPT) programs.
Methods This was a cross-sectional survey study involving learners in DPT programs at 3 academic institutions in the United States. A survey was developed based on established non-proprietary, non-cognitive measures affiliated with success and resilience. The survey was assessed for face validity, and exploratory factor analysis (EFA) was used to identify subgroups of factors based on responses to the items.
Results A total of 298 participants (90.3%) completed all elements of the survey. EFA yielded 39 items for dimensional assessment with regression coefficients < 0.4. Within the 39 items, 3 latent constructs were identified: adaptability (16 items), intuitiveness (12 items), and engagement (11 items).
Conclusion This preliminary non-cognitive assessment survey will be able to play a valuable role in DPT admissions decisions following further examination and refinement.
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Citations
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- A Systematic Review of Variables Used in Physical Therapist Education Program Admissions Part 2: Noncognitive Variables
Andrea N. Bowens Journal of Physical Therapy Education.2024; 38(3): 192. CrossRef - An exploration of the relationship between grit, reflection-in-learning, and academic performance in entry-level doctor of physical therapy students
Elizabeth M Ardolino, Hazel Anderson, Katherine F Wilford Physiotherapy Theory and Practice.2024; : 1. CrossRef - Personal characteristic differences among Doctor of Physical Therapy students with unique sociodemographic factors
Kelly Reynolds, Maggie Horn, Karen Huhn, Steven Z. George BMC Medical Education.2024;[Epub] CrossRef - Predictors of Success on the National Physical Therapy Examination in 2 US Accelerated-Hybrid Doctor of Physical Therapy Programs
Breanna Reynolds, Casey Unverzagt, Alex Koszalinski, Roberta Gatlin, Jill Seale, Kendra Gagnon, Kareaion Eaton, Shane L. Koppenhaver Journal of Physical Therapy Education.2022; 36(3): 225. CrossRef - Grit, Resilience, Mindset, and Academic Success in Physical Therapist Students: A Cross-Sectional, Multicenter Study
Marlena Calo, Belinda Judd, Lucy Chipchase, Felicity Blackstock, Casey L Peiris Physical Therapy.2022;[Epub] CrossRef - Predicting graduate student performance – A case study
Jinghua Nie, Ashrafee Hossain Journal of Further and Higher Education.2021; 45(4): 524. CrossRef - Examining Demographic and Preadmission Factors Predictive of First Year and Overall Program Success in a Public Physical Therapist Education Program
Katy Mitchell, Jennifer Ellison, Elke Schaumberg, Peggy Gleeson, Christina Bickley, Anna Naiki, Severin Travis Journal of Physical Therapy Education.2021; 35(3): 203. CrossRef - Doctor of Physical Therapy Student Grit as a Predictor of Academic Success: A Pilot Study
Rebecca Bliss, Erin Jacobson Health Professions Education.2020; 6(4): 522. CrossRef - Personality-oriented job analysis to identify non-cognitive factors predictive of performance in a doctor of physical therapy program in the United States
Maureen Conard, Kristin Schweizer Journal of Educational Evaluation for Health Professions.2018; 15: 34. CrossRef
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Modifiable variables in physical therapy education programs associated with first-time and three-year National Physical Therapy Examination pass rates in the United States
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Chad Cook, Chalee Engelhard, Michel D. Landry, Christine McCallum
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J Educ Eval Health Prof. 2015;12:44. Published online September 23, 2015
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DOI: https://doi.org/10.3352/jeehp.2015.12.44
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28,922
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199
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10
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20
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Abstract
PDF
- Purpose
This study aimed to examine the modifiable programmatic characteristics reflected in the Commission on Accreditation in Physical Therapy Education (CAPTE) Annual Accreditation Report for all accredited programs that reported pass rates on the National Physical Therapist Examination, and to build a predictive model for first-time and three-year ultimate pass rates. Methods: This observational study analyzed programmatic information from the 185 CAPTE-accredited physical therapy programs in the United States and Puerto Rico out of a total of 193 programs that provided the first-time and three-year ultimate pass rates in 2011. Fourteen predictive variables representing student selection and composition, clinical education length and design, and general program length and design were analyzed against first-time pass rates and ultimate pass rates on the NPTE. Univariate and multivariate multinomial regression analysis for first-time pass rates and logistic regression analysis for three-year ultimate pass rates were performed. Results: The variables associated with the first-time pass rate in the multivariate analysis were the mean undergraduate grade point average (GPA) and the average age of the cohort. Multivariate analysis showed that mean undergraduate GPA was associated with the three-year ultimate pass rate. Conclusions: Mean undergraduate GPA was found to be the only modifiable predictor for both first-time and three-year pass rates among CAPTE-accredited physical therapy programs.
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