Development of Domains of Competence and Competencies for Physical Therapist Education.

Journal

Journal, physical therapy education
ISSN: 1938-3533
Titre abrégé: J Phys Ther Educ
Pays: United States
ID NLM: 9306054

Informations de publication

Date de publication:
29 Oct 2024
Historique:
received: 11 03 2024
accepted: 07 08 2024
medline: 30 10 2024
pubmed: 30 10 2024
entrez: 30 10 2024
Statut: aheadofprint

Résumé

Competency-based education (CBE) has been gaining widespread acceptance as a viable method for transforming education within health professions. The purpose of this report is to describe the process we used to develop a set of domains of competence and associated competencies for physical therapists. The catalyst for this effort was our desire to implement CBE as part of the major renewal of our Doctor of Physical Therapy curriculum. We developed a draft set of domains and competencies for physical therapists by considering the future of physical therapy and relevant CBE literature. Next, we used a multistep survey-and-revise process to develop consensus on the appropriateness and clarity of each domain and competency. Surveys were repeated until an 85% threshold level of agreement was achieved for each domain and competency. Between rounds of the surveys, the Competency and Entrustment Writing Team reviewed feedback and edited items accordingly. The writing and feedback processes resulted in consensus on a total of 57 competencies, organized into 8 domains of competence. The development of defined outcomes for physical therapist education (PTE) through domains and competencies provides a framework for a broader effort to re-envision PTE. Careful attention to ensuring that the framework uses shared language across professions has the potential to enhance health care and the health of society.

Sections du résumé

BACKGROUND AND PURPOSE OBJECTIVE
Competency-based education (CBE) has been gaining widespread acceptance as a viable method for transforming education within health professions. The purpose of this report is to describe the process we used to develop a set of domains of competence and associated competencies for physical therapists. The catalyst for this effort was our desire to implement CBE as part of the major renewal of our Doctor of Physical Therapy curriculum.
METHOD/MODEL DESCRIPTION AND EVALUATION UNASSIGNED
We developed a draft set of domains and competencies for physical therapists by considering the future of physical therapy and relevant CBE literature. Next, we used a multistep survey-and-revise process to develop consensus on the appropriateness and clarity of each domain and competency. Surveys were repeated until an 85% threshold level of agreement was achieved for each domain and competency. Between rounds of the surveys, the Competency and Entrustment Writing Team reviewed feedback and edited items accordingly.
OUTCOMES RESULTS
The writing and feedback processes resulted in consensus on a total of 57 competencies, organized into 8 domains of competence.
DISCUSSION AND CONCLUSION CONCLUSIONS
The development of defined outcomes for physical therapist education (PTE) through domains and competencies provides a framework for a broader effort to re-envision PTE. Careful attention to ensuring that the framework uses shared language across professions has the potential to enhance health care and the health of society.

Identifiants

DOI: 10.1097/JTE.0000000000000377 PMID: 39475828
pubmed: 39475828
doi: 10.1097/JTE.0000000000000377
pii: 00001416-990000000-00140
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024 Academy of Physical Therapy Education, APTA.

Références

Englander R, Frank JR, Carraccio C, et al. Toward a shared language for competency-based medical education. Med Teach. 2017;39:582-587. doi. 10.1080/0142159X.2017.1315066
doi: 10.1080/0142159X.2017.1315066
Chesbro SB, Jensen GM, Boissonnault WG. Entrustable professional activities as a framework for continued professional competence: Is now the time? Phys Ther. 2017;98:3-7. doi. 10.1093/ptj/pzx100
doi: 10.1093/ptj/pzx100
APTA. RC 14A-13 ADOPT: Vision statement of the physical therapy profession. In: Applicable House of Delegates Policies. Vol. 16. Alexandria, VA: American Physical Therapy Association; 2013.
Jensen GM, Nordstrom T, Segal RL, McCallum C, Graham C, Greenfield B. Education research in physical therapy: Visions of the possible. Phys Ther. 2016;96:1874-1884. doi. 10.2522/ptj.20160159
doi: 10.2522/ptj.20160159
Jensen GM, Hack LM, Nordstrom T, Gwyer J, Mostrom E. National study of excellence and innovation in physical therapist education: Part 2—A call to reform. Phys Ther. 2017;97:875-888. doi. 10.1093/ptj/pzx062
doi: 10.1093/ptj/pzx062
Jensen GM, Nordstrom T, Mostrom E, Hack LM, Gwyer J. National study of excellence and innovation in physical therapist education: Part 1—Design, method, and results. Phys Ther. 2017;97:857-874. doi. 10.1093/ptj/pzx061
doi: 10.1093/ptj/pzx061
Sullivan WM, Rosin MS. A New Agenda for Higher Education: Shaping a Life of the Mind for Practice. Vol 14. Hoboken, NJ: John Wiley & Sons; 2008.
A Vision for Excellence in Physical Therapy Education. Culmination of the work of the education leadership partnership August 2021. J Phys Ther Educ. 2021;35(Suppl 1):1-35. doi. 10.1097/jte.0000000000000216
doi: 10.1097/jte.0000000000000216
Ferguson PC, Caverzagie KJ, Nousiainen MT, Snell L, Collaborators I. Changing the culture of medical training: An important step toward the implementation of competency-based medical education. Med Teach. 2017;39:599-602. doi. 10.1080/0142159X.2017.1315079
doi: 10.1080/0142159X.2017.1315079
Nousiainen MT, Caverzagie KJ, Ferguson PC, Frank JR, Collaborators I. Implementing competency-based medical education: What changes in curricular structure and processes are needed? Med Teach. 2017;39:594-598. doi. 10.1080/0142159X.2017.1315077
doi: 10.1080/0142159X.2017.1315077
Swing SR, Collaborators IC. Perspectives on competency-based medical education from the learning sciences. Med Teach. 2010;32:663-668. doi. 10.3109/0142159X.2010.500705
doi: 10.3109/0142159X.2010.500705
Frenk J, Chen L, Bhutta ZA, et al. Health professionals for a new century: Transforming education to strengthen health systems in an interdependent world. Lancet. 2010;376:1923-1958. doi. 10.1016/S0140-6736(10)61854-5
doi: 10.1016/S0140-6736(10)61854-5
Lucey CR, Thibault GE, ten Cate O. Competency-based, time-variable education in the health professions: Crossroads. Acad Med. 2018;93:S1-S5. doi. 10.1097/ACM.0000000000002080
doi: 10.1097/ACM.0000000000002080
Gruppen LD, Mangrulkar RS, Kolars JC. The promise of competency-based education in the health professions for improving global health. Hum Resour Health. 2012;10:43. doi. 10.1186/1478-4491-10-43
doi: 10.1186/1478-4491-10-43
Englander R, Cameron T, Ballard AJ, Dodge J, Bull J, Aschenbrener CA. Toward a common taxonomy of competency domains for the health professions and competencies for physicians. Acad Med. 2013;88:1088-1094. doi. 10.1097/ACM.0b013e31829a3b2b
doi: 10.1097/ACM.0b013e31829a3b2b
Molgaard LK, Chaney KP, Bok HG, et al. Development of core entrustable professional activities linked to a competency-based veterinary education framework. Med Teach. 2019;41:1404-1410. doi. 10.1080/0142159X.2019.1643834
doi: 10.1080/0142159X.2019.1643834
Core Competencies for Interprofessional Collaborative Practice. Washington, DC: Interprofessional Education Collaborative. 2016.
Core Competencies of a Physical Therapist Resident. American Physical Therapy Association. 2016.
Carraccio C, Englander R, Gilhooly J, et al. Building a framework of entrustable professional activities, supported by competencies and milestones, to bridge the educational continuum. Acad Med. 2017;92:324-330. doi. 10.1097/ACM.0000000000001141
doi: 10.1097/ACM.0000000000001141
Frank JR, Mungroo R, Ahmad Y, Wang M, De Rossi S, Horsley T. Toward a definition of competency-based education in medicine: A systematic review of published definitions. Med Teach. 2010;32:631-637. doi. 10.3109/0142159X.2010.500898
doi: 10.3109/0142159X.2010.500898
Yip H-K, Smales R. Review of competency-based education in dentistry. Br Dental J. 2000;189:324-326. doi. 10.1038/sj.bdj.4800758
doi: 10.1038/sj.bdj.4800758
Katoue MG, Schwinghammer TL. Competency-based pharmacy education: An educational paradigm for the pharmacy profession to meet society's healthcare needs. In: Pharmacy Education in the Twenty First Century and Beyond. Cambridge, MA: Elsevier; 2018:169-188.
Fukada M. Nursing competency: Definition, structure and development. Yonago Acta Med. 2018;61:001-007. doi. 10.33160/yam.2018.03.001
doi: 10.33160/yam.2018.03.001
APTA. RC15-13 guiding principles to achieve the vision. In: Applicable House of Delegates Policies. Vol 16. Alexandria, VA: American Physical Therapy Association; 2013.
Wong BM, Holmboe ES. Transforming the academic faculty perspective in graduate medical education to better align educational and clinical outcomes. Acad Med. 2016;91:473-479. doi. 10.1097/acm.0000000000001035
doi: 10.1097/acm.0000000000001035
Gardner H, Shulman LS. The professions in America today: Crucial but fragile. Daedalus. 2005;134:13-18.
Chaney KP, Hodgson JL, Banse HE, et al. The importance of adhering to terminology when implementing competency-based veterinary education (CBVE). J Vet Med Educ. 2023;51:e20230022. doi. 10.3138/jvme-2023-0022
doi: 10.3138/jvme-2023-0022
Ambler SB, Burlis T, Clark BR, et al. Development of Domains of Competence and Competencies for Professional DPT Education; 2020. Education Leadership Conference, APTA.
Ambler SB, Holleran CL, Burlis TL, et al. Transforming Society through Competency-Based Physical Therapy Education: Implementing and Adapting; 2022. Milwaukee, WI: Education Leadership Conference, APTA.
Ambler SB, Holleran CL, Burlis TL, Randolph JL, Norton BJ, Earhart GE. Transforming Society through Competency-Based Physical Therapy Education: Moving from Theory to Practice; 2022. Milwaukee, WI: Education Leadership Conference, APTA.
Ambler SB, Holleran CL, Burlis TL, Norton BJ, Earhart GE. Transforming Society through Competency-Based Physical Therapy Education; 2020. Education Leadership Conference, APTA (virtual meeting).
Englander R, Timmerberg JA, Ambler SB. Geneva R Johnson (GRJ) Innovations in Physical Therapy Education Forum; 2023. Philadelphia, PA: Education Leadership Conference, APTA.
Ambler SB. Time-Variable Competency Based Education- Pro Side, Innovation Summit. Physical Therapy Leadership Institute (virtual conference); 2021.
Timmerberg JA, Ambler SB, Chesbro S, Jensen G. Competency-Based Education in Physical Therapy (CBEPT) 101. San Antonio, TX: Combined Sections Meeting of the American Physical Therapy Association; 2022.
Knox S, Rowe R, Chesbro SB, Gleeson PB, Norris TL, Fitzpatrick JA. Competency Based Education: Domains of Competence History and Application to the Physical Therapy Profession; 2022. Milwaukee, WI: Education Leadership Conference, APTA.

Auteurs

Steven B Ambler (SB)

Steven B. Ambler is the professor at Program in Physical Therapy, Washington University School of Medicine, 4444 Forest Park Ave, St. Louis, MO 63108 and Department of Orthopaedic Surgery, Washington University School of Medicine (sambler@wustl.edu). Please address all correspondence to Steven B. Ambler.
Tamara L. Burlis is the professor at Program in Physical Therapy, Washington University School of Medicine, and Department of Internal Medicine, Washington University School of Medicine.
B. Ruth Clark is the professor at Program in Physical Therapy, Washington University School of Medicine and Department of Neurology, Washington University School of Medicine.
Gregory W. Holtzman is the professor at Program in Physical Therapy, Washington University School of Medicine and Department of Orthopaedic Surgery, Washington University School of Medicine.
Patricia Navarro McGee is the associate professor at Program in Physical Therapy, Washington University School of Medicine, Department of Orthopaedic Surgery, Washington University School of Medicine, and Department of Pediatrics, Washington University School of Medicine.
Jody S. Frost is the education consultant and facilitator at Education Consultant and Facilitator.
Jessica L. Randolph is the assistant professor at Program in Physical Therapy, Washington University School of Medicine.
Barbara J. Norton is the professor at Program in Physical Therapy, Washington University School of Medicine and Department of Neurology, Washington University School of Medicine.
Carey L. Holleran is the associate professor at Program in Physical Therapy, Washington University School of Medicine and Department of Neurology, Washington University School of Medicine.

Tamara L Burlis (TL)

Steven B. Ambler is the professor at Program in Physical Therapy, Washington University School of Medicine, 4444 Forest Park Ave, St. Louis, MO 63108 and Department of Orthopaedic Surgery, Washington University School of Medicine (sambler@wustl.edu). Please address all correspondence to Steven B. Ambler.
Tamara L. Burlis is the professor at Program in Physical Therapy, Washington University School of Medicine, and Department of Internal Medicine, Washington University School of Medicine.
B. Ruth Clark is the professor at Program in Physical Therapy, Washington University School of Medicine and Department of Neurology, Washington University School of Medicine.
Gregory W. Holtzman is the professor at Program in Physical Therapy, Washington University School of Medicine and Department of Orthopaedic Surgery, Washington University School of Medicine.
Patricia Navarro McGee is the associate professor at Program in Physical Therapy, Washington University School of Medicine, Department of Orthopaedic Surgery, Washington University School of Medicine, and Department of Pediatrics, Washington University School of Medicine.
Jody S. Frost is the education consultant and facilitator at Education Consultant and Facilitator.
Jessica L. Randolph is the assistant professor at Program in Physical Therapy, Washington University School of Medicine.
Barbara J. Norton is the professor at Program in Physical Therapy, Washington University School of Medicine and Department of Neurology, Washington University School of Medicine.
Carey L. Holleran is the associate professor at Program in Physical Therapy, Washington University School of Medicine and Department of Neurology, Washington University School of Medicine.

B Ruth Clark (BR)

Steven B. Ambler is the professor at Program in Physical Therapy, Washington University School of Medicine, 4444 Forest Park Ave, St. Louis, MO 63108 and Department of Orthopaedic Surgery, Washington University School of Medicine (sambler@wustl.edu). Please address all correspondence to Steven B. Ambler.
Tamara L. Burlis is the professor at Program in Physical Therapy, Washington University School of Medicine, and Department of Internal Medicine, Washington University School of Medicine.
B. Ruth Clark is the professor at Program in Physical Therapy, Washington University School of Medicine and Department of Neurology, Washington University School of Medicine.
Gregory W. Holtzman is the professor at Program in Physical Therapy, Washington University School of Medicine and Department of Orthopaedic Surgery, Washington University School of Medicine.
Patricia Navarro McGee is the associate professor at Program in Physical Therapy, Washington University School of Medicine, Department of Orthopaedic Surgery, Washington University School of Medicine, and Department of Pediatrics, Washington University School of Medicine.
Jody S. Frost is the education consultant and facilitator at Education Consultant and Facilitator.
Jessica L. Randolph is the assistant professor at Program in Physical Therapy, Washington University School of Medicine.
Barbara J. Norton is the professor at Program in Physical Therapy, Washington University School of Medicine and Department of Neurology, Washington University School of Medicine.
Carey L. Holleran is the associate professor at Program in Physical Therapy, Washington University School of Medicine and Department of Neurology, Washington University School of Medicine.

Gregory W Holtzman (GW)

Steven B. Ambler is the professor at Program in Physical Therapy, Washington University School of Medicine, 4444 Forest Park Ave, St. Louis, MO 63108 and Department of Orthopaedic Surgery, Washington University School of Medicine (sambler@wustl.edu). Please address all correspondence to Steven B. Ambler.
Tamara L. Burlis is the professor at Program in Physical Therapy, Washington University School of Medicine, and Department of Internal Medicine, Washington University School of Medicine.
B. Ruth Clark is the professor at Program in Physical Therapy, Washington University School of Medicine and Department of Neurology, Washington University School of Medicine.
Gregory W. Holtzman is the professor at Program in Physical Therapy, Washington University School of Medicine and Department of Orthopaedic Surgery, Washington University School of Medicine.
Patricia Navarro McGee is the associate professor at Program in Physical Therapy, Washington University School of Medicine, Department of Orthopaedic Surgery, Washington University School of Medicine, and Department of Pediatrics, Washington University School of Medicine.
Jody S. Frost is the education consultant and facilitator at Education Consultant and Facilitator.
Jessica L. Randolph is the assistant professor at Program in Physical Therapy, Washington University School of Medicine.
Barbara J. Norton is the professor at Program in Physical Therapy, Washington University School of Medicine and Department of Neurology, Washington University School of Medicine.
Carey L. Holleran is the associate professor at Program in Physical Therapy, Washington University School of Medicine and Department of Neurology, Washington University School of Medicine.

Patricia Navarro McGee (PN)

Steven B. Ambler is the professor at Program in Physical Therapy, Washington University School of Medicine, 4444 Forest Park Ave, St. Louis, MO 63108 and Department of Orthopaedic Surgery, Washington University School of Medicine (sambler@wustl.edu). Please address all correspondence to Steven B. Ambler.
Tamara L. Burlis is the professor at Program in Physical Therapy, Washington University School of Medicine, and Department of Internal Medicine, Washington University School of Medicine.
B. Ruth Clark is the professor at Program in Physical Therapy, Washington University School of Medicine and Department of Neurology, Washington University School of Medicine.
Gregory W. Holtzman is the professor at Program in Physical Therapy, Washington University School of Medicine and Department of Orthopaedic Surgery, Washington University School of Medicine.
Patricia Navarro McGee is the associate professor at Program in Physical Therapy, Washington University School of Medicine, Department of Orthopaedic Surgery, Washington University School of Medicine, and Department of Pediatrics, Washington University School of Medicine.
Jody S. Frost is the education consultant and facilitator at Education Consultant and Facilitator.
Jessica L. Randolph is the assistant professor at Program in Physical Therapy, Washington University School of Medicine.
Barbara J. Norton is the professor at Program in Physical Therapy, Washington University School of Medicine and Department of Neurology, Washington University School of Medicine.
Carey L. Holleran is the associate professor at Program in Physical Therapy, Washington University School of Medicine and Department of Neurology, Washington University School of Medicine.

Jody S Frost (JS)

Steven B. Ambler is the professor at Program in Physical Therapy, Washington University School of Medicine, 4444 Forest Park Ave, St. Louis, MO 63108 and Department of Orthopaedic Surgery, Washington University School of Medicine (sambler@wustl.edu). Please address all correspondence to Steven B. Ambler.
Tamara L. Burlis is the professor at Program in Physical Therapy, Washington University School of Medicine, and Department of Internal Medicine, Washington University School of Medicine.
B. Ruth Clark is the professor at Program in Physical Therapy, Washington University School of Medicine and Department of Neurology, Washington University School of Medicine.
Gregory W. Holtzman is the professor at Program in Physical Therapy, Washington University School of Medicine and Department of Orthopaedic Surgery, Washington University School of Medicine.
Patricia Navarro McGee is the associate professor at Program in Physical Therapy, Washington University School of Medicine, Department of Orthopaedic Surgery, Washington University School of Medicine, and Department of Pediatrics, Washington University School of Medicine.
Jody S. Frost is the education consultant and facilitator at Education Consultant and Facilitator.
Jessica L. Randolph is the assistant professor at Program in Physical Therapy, Washington University School of Medicine.
Barbara J. Norton is the professor at Program in Physical Therapy, Washington University School of Medicine and Department of Neurology, Washington University School of Medicine.
Carey L. Holleran is the associate professor at Program in Physical Therapy, Washington University School of Medicine and Department of Neurology, Washington University School of Medicine.

Jessica L Randolph (JL)

Steven B. Ambler is the professor at Program in Physical Therapy, Washington University School of Medicine, 4444 Forest Park Ave, St. Louis, MO 63108 and Department of Orthopaedic Surgery, Washington University School of Medicine (sambler@wustl.edu). Please address all correspondence to Steven B. Ambler.
Tamara L. Burlis is the professor at Program in Physical Therapy, Washington University School of Medicine, and Department of Internal Medicine, Washington University School of Medicine.
B. Ruth Clark is the professor at Program in Physical Therapy, Washington University School of Medicine and Department of Neurology, Washington University School of Medicine.
Gregory W. Holtzman is the professor at Program in Physical Therapy, Washington University School of Medicine and Department of Orthopaedic Surgery, Washington University School of Medicine.
Patricia Navarro McGee is the associate professor at Program in Physical Therapy, Washington University School of Medicine, Department of Orthopaedic Surgery, Washington University School of Medicine, and Department of Pediatrics, Washington University School of Medicine.
Jody S. Frost is the education consultant and facilitator at Education Consultant and Facilitator.
Jessica L. Randolph is the assistant professor at Program in Physical Therapy, Washington University School of Medicine.
Barbara J. Norton is the professor at Program in Physical Therapy, Washington University School of Medicine and Department of Neurology, Washington University School of Medicine.
Carey L. Holleran is the associate professor at Program in Physical Therapy, Washington University School of Medicine and Department of Neurology, Washington University School of Medicine.

Barbara J Norton (BJ)

Steven B. Ambler is the professor at Program in Physical Therapy, Washington University School of Medicine, 4444 Forest Park Ave, St. Louis, MO 63108 and Department of Orthopaedic Surgery, Washington University School of Medicine (sambler@wustl.edu). Please address all correspondence to Steven B. Ambler.
Tamara L. Burlis is the professor at Program in Physical Therapy, Washington University School of Medicine, and Department of Internal Medicine, Washington University School of Medicine.
B. Ruth Clark is the professor at Program in Physical Therapy, Washington University School of Medicine and Department of Neurology, Washington University School of Medicine.
Gregory W. Holtzman is the professor at Program in Physical Therapy, Washington University School of Medicine and Department of Orthopaedic Surgery, Washington University School of Medicine.
Patricia Navarro McGee is the associate professor at Program in Physical Therapy, Washington University School of Medicine, Department of Orthopaedic Surgery, Washington University School of Medicine, and Department of Pediatrics, Washington University School of Medicine.
Jody S. Frost is the education consultant and facilitator at Education Consultant and Facilitator.
Jessica L. Randolph is the assistant professor at Program in Physical Therapy, Washington University School of Medicine.
Barbara J. Norton is the professor at Program in Physical Therapy, Washington University School of Medicine and Department of Neurology, Washington University School of Medicine.
Carey L. Holleran is the associate professor at Program in Physical Therapy, Washington University School of Medicine and Department of Neurology, Washington University School of Medicine.

Carey L Holleran (CL)

Steven B. Ambler is the professor at Program in Physical Therapy, Washington University School of Medicine, 4444 Forest Park Ave, St. Louis, MO 63108 and Department of Orthopaedic Surgery, Washington University School of Medicine (sambler@wustl.edu). Please address all correspondence to Steven B. Ambler.
Tamara L. Burlis is the professor at Program in Physical Therapy, Washington University School of Medicine, and Department of Internal Medicine, Washington University School of Medicine.
B. Ruth Clark is the professor at Program in Physical Therapy, Washington University School of Medicine and Department of Neurology, Washington University School of Medicine.
Gregory W. Holtzman is the professor at Program in Physical Therapy, Washington University School of Medicine and Department of Orthopaedic Surgery, Washington University School of Medicine.
Patricia Navarro McGee is the associate professor at Program in Physical Therapy, Washington University School of Medicine, Department of Orthopaedic Surgery, Washington University School of Medicine, and Department of Pediatrics, Washington University School of Medicine.
Jody S. Frost is the education consultant and facilitator at Education Consultant and Facilitator.
Jessica L. Randolph is the assistant professor at Program in Physical Therapy, Washington University School of Medicine.
Barbara J. Norton is the professor at Program in Physical Therapy, Washington University School of Medicine and Department of Neurology, Washington University School of Medicine.
Carey L. Holleran is the associate professor at Program in Physical Therapy, Washington University School of Medicine and Department of Neurology, Washington University School of Medicine.

Classifications MeSH