Clinical activity profile of preregistration physiotherapy students during clinical placements
Susan Stoikov A B E , Kassie Shardlow C , Mark Gooding D and Suzanne Kuys BA Physiotherapy Department, Princess Alexandra Hospital, Metro South Hospital and Health Service, 199 Ipswich Road, Woolloongabba, Qld 4102, Australia.
B School of Physiotherapy, Australian Catholic University, 1100 Nudgee Road, Banyo, Qld 4014, Australia. Email: suzanne.kuys@acu.edu.au
C Metro South Hospital and Health Service, C/- Logan Hospital Physiotherapy Department, PO Box 6031, Yatala, Qld 4207, Australia. Email: Kassie.Shardlow@health.qld.gov.au
D Physiotherapy Department, Townsville Hospital and Health Service, IMB 1, Post Box 670, Townsville, Qld 4810, Australia. Email: Mark.Gooding@health.qld.gov.au
E Corresponding author. Email: susan.stoikov@health.qld.gov.au
Australian Health Review 42(6) 661-666 https://doi.org/10.1071/AH16181
Submitted: 25 August 2016 Accepted: 3 May 2017 Published: 22 June 2017
Journal Compilation © AHHA 2018 Open Access CC BY-NC-ND
Abstract
Objective The aim of the present study was to determine the clinical activity profile of preregistration physiotherapy students during clinical placements and their clinical activity contribution to health service delivery.
Methods Clinical activity data for 2014 were obtained from five Queensland public sector hospitals providing preregistration physiotherapy students clinical education in three key clinical areas (cardiorespiratory, musculoskeletal and neurological) over four 5-week placement blocks. Data regarding the number of student occasions of service (OOS) and the length of the OOS (LOOS) were collected to determine the average OOS and LOOS per student in each clinical area.
Results Twenty weeks of student data were collected from each hospital in each clinical area, representing 29.1% of cardiorespiratory, musculoskeletal and neurorehabilitation student placements. Students completed 19 051 OOS. The average OOS per student per block for cardiorespiratory, musculoskeletal and neurorehabilitation placements was 98.3, 74.0 and 72.4 respectively. Two-way ANOVA revealed a main effect of weeks (F = 402.1, P < 0.001) and clinical area (F =1331.5, P < 0.001) for LOOS.In addition, an interaction was found between clinical placement week and clinical area for LOOS (F = 8.4, P < 0.001).
Conclusions Student clinical activity data are useful for understanding the student contribution to health services. Student contribution appears to increase throughout the clinical placement and consideration should be given to the clinical educator : student ratio to enhance overall student contribution.
What is known about the topic? Quantitative data describing physiotherapy student clinical care activity during placements are limited.
What does this paper add? This paper profiles physiotherapy student clinical care activity and the changes occurring over 5-week placements.
What are the implications for practitioners? Physiotherapy students provide clinical activity for health services that changes over their 5-week placement. Student clinical activity should be considered when responding to placement demand and planning service delivery.
References
[1] Australian Physiotherapy Council. Accreditation standard requirements. Melbourne: Australian Physiotherapy Council; 2011.[2] Health Workforce Australia. Clinical training profile: physiotherapy. Adelaide: Health Workforce Australia; 2014.
[3] Sturman N, Rego P, Dick ML. Rewards, costs and challenges: the general practitioner’s experience of teaching medical students. Med Educ 2011; 45 722–30.
| Rewards, costs and challenges: the general practitioner’s experience of teaching medical students.Crossref | GoogleScholarGoogle Scholar |
[4] DeWitt P, Rothberg A, Bruce J. Occupational therapy manager’s role in and perceptions of clinical education. South African J Occup Ther 2014; 44 9–14.
[5] Davies R, Hanna E, Cott C. ‘They put you on your toes’: physical therapists’ perceived benefits from and barriers to supervising students in the clinical setting. Physiother Can 2011; 63 224–33.
| ‘They put you on your toes’: physical therapists’ perceived benefits from and barriers to supervising students in the clinical setting.Crossref | GoogleScholarGoogle Scholar |
[6] Ladyshewsky R, Barrie C, Drake V. A comparison of productivity and learning outcomes in individual and cooperative physical therapy clinical education models. Phys Ther 1998; 78 1288–98.
| A comparison of productivity and learning outcomes in individual and cooperative physical therapy clinical education models.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK1M%2FnsFaqsw%3D%3D&md5=e19b23beaad4248c54a7296085fc1b73CAS |
[7] Hughes R, Desbrow B. An evaluation of clinical dietetic student placement case-mix exposure, service delivery and supervisory burden. Nutr Diet 2010; 67 287–93.
| An evaluation of clinical dietetic student placement case-mix exposure, service delivery and supervisory burden.Crossref | GoogleScholarGoogle Scholar |
[8] Rodger S, Stephens E, Clark M, Ash S, Graves N. Occupational therapy students’ contribution to occasions of service during practice placements in health settings. Aust Occup Ther J 2011; 58 412–18.
| Occupational therapy students’ contribution to occasions of service during practice placements in health settings.Crossref | GoogleScholarGoogle Scholar |
[9] Lekkas P, Larsen T, Kumar S, Grimmer K, Nyland L, Chipchase L, Jull G, Buttrum P, Carr L, Finch J. No model of clinical education for physiotherapy students is superior to another: a systematic review. Aust J Physiother 2007; 53 19–28.
| No model of clinical education for physiotherapy students is superior to another: a systematic review.Crossref | GoogleScholarGoogle Scholar |
[10] Australian Institute of Health and Welfare (AIHW). Australian hospital peer groups. Canberra: AIHW; 2015.
[11] Queensland Physiotherapy Placement Collaborative. Queensland Physiotherapy Placement Collaborative – clinical network reports (2009–2016). Brisbane: Queensland Health; 2016.
[12] Allied Health Professions’ Office Queensland. Queensland Health allied health information management business rules. Brisbane: Allied Health Professions’ Office Queensland; 2014.
[13] Rodger S, Stephens E, Clark M, Ash S, Hurst C, Graves N. Productivity and time use during occupational therapy and nutrition/dietetics clinical education: a cohort study. PLoS One 2012; 7 e44356
| Productivity and time use during occupational therapy and nutrition/dietetics clinical education: a cohort study.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC38XhtlSjs7%2FI&md5=01f42b6a9344458a8ea183aad5f71e12CAS |
[14] Ladyshewsky R. Enhancing service productivity in acute care inpatient settings using a collaborative clinical education model. Phys Ther 1995; 75 503–10.
| Enhancing service productivity in acute care inpatient settings using a collaborative clinical education model.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK2M3ovVegsA%3D%3D&md5=cadd65cb2648963b09188295d21abe33CAS |
[15] Moore J, Glenesk K, Hulsizer D, McCright B, Wrenn C, Sander T, Fisher D, Childs JD. Impact of an innovative clinical internship model in the US Army–Baylor Doctoral Program in physical therapy. US Army Med Dep J 2014; Jan–Mar 30–4.
