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Competencies in hand therapy.

Mary C Kasch1, Sandra Greenberg, Patricia M Muenzen

  • 1Hand Therapy Certification Commission, Rancho Cordova, California 95670-6121, USA. mkasch@htcc.org

Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists
|March 4, 2003
PubMed
Summary

A 2001 practice analysis identified six key competencies for hand therapists. Results showed these skills are critical and develop from novice to expert levels over time.

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Area of Science:

  • Occupational Therapy
  • Physical Therapy
  • Rehabilitation Science

Background:

  • The Hand Therapy Certification Commission (HTCC) conducted a practice analysis in 2001.
  • The analysis aimed to understand therapist competencies at different experience levels.

Purpose of the Study:

  • To identify and validate core competencies in hand therapy practice.
  • To describe the progression of these competencies from novice to expert levels.

Main Methods:

  • A survey was distributed to Certified Hand Therapists (CHTs) in the US and Canada.
  • Six competency areas were assessed: scientific knowledge, clinical judgment, technical skills, interpersonal skills, professionalism, and resource management.
  • Hypothesized behavioral progressions were validated against survey results.

Main Results:

  • All six identified competencies were rated as moderately or highly critical for professional effectiveness.
  • Twenty-seven out of thirty hypothesized behavioral progressions were validated, confirming skill development over time.
  • Hand therapy competence is unique and demonstrates growth with experience.

Conclusions:

  • The findings provide a framework for understanding hand therapist development.
  • Results can inform HTCC eligibility, CHT self-assessment, and continuing education planning.
  • This analysis supports the specialized nature and progressive skill acquisition in hand therapy.

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