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Improving physical therapy students' clinical problem-solving skills: an analytical questioning model.

D S Slaughter1, D S Brown, D L Gardner

  • 1University of Kentucky Sports Medicine Center, Lexington 40536.

Physical Therapy
|June 1, 1989
PubMed
Summary

This study evaluated a problem-solving model for physical therapy students. While not improving critical thinking scores, the model enhanced students' understanding of patient assessment and treatment planning.

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Area of Science:

  • Physical Therapy Education
  • Medical Education
  • Health Professions Education

Background:

  • Effective problem-solving skills are crucial for physical therapists.
  • Current educational models require evaluation for their impact on critical thinking and clinical reasoning.

Purpose of the Study:

  • To assess a novel problem-solving model's effectiveness in teaching first-year physical therapy students.
  • To evaluate the model's impact on critical thinking and clinical skills using objective and subjective measures.

Main Methods:

  • A pretest-posttest control group design was employed with 31 first-year physical therapy students.
  • The experimental group (n=16) utilized the problem-solving model during a four-week clerkship, while the control group (n=15) did not.
  • The Watson-Glaser Critical Thinking Appraisal (CTA) and participant feedback were used for assessment.

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Main Results:

  • No statistically significant difference was observed in CTA scores between the experimental and control groups.
  • Subjective feedback from students and clinical instructors indicated the model effectively improved understanding of patient assessment and treatment planning.
  • Qualitative data suggests a perceived benefit in clinical reasoning development.

Conclusions:

  • The problem-solving model shows promise in enhancing subjective understanding of clinical decision-making in physical therapy education.
  • Objective measures like the CTA did not reflect the perceived benefits, highlighting a need for tailored assessment tools.
  • Further research is needed to develop and validate objective assessment tools for problem-solving skills in physical therapy.