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Readiness for Clinical Practice Promoting Safe Student Performance in Physical Therapy Education.

Kent E Irwin1, Timothy A Hanke, Michelle M Lee

  • 1Midwestern University, Physical Therapy Program, 555 31st Street, Alumni Hall Room 340A, Downers Grove, IL 60515, USA. Tel 630-515-6186, fax 630-515-7224. kirwin@midwestern.edu.

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Students with prior safety concerns in physical therapy programs, after remediation, performed similarly to their peers on clinical safety assessments. Early identification and remediation of safety issues are key for successful clinical education experiences.

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Area of Science:

  • Physical Therapy Education
  • Clinical Education
  • Patient Safety

Background:

  • Physical therapy educators must ensure graduates provide safe, high-quality patient care.
  • Assessing student safety performance during clinical education is crucial.

Purpose of the Study:

  • To compare midterm Clinical Performance Instrument (CPI) safety scores of physical therapy students with and without prior on-campus safety concerns during clinical education experiences (CEEs).

Main Methods:

  • A retrospective study analyzed 46 Doctor of Physical Therapy (DPT) students, categorized into two groups: those with prior safety concerns who underwent remediation (n=17) and those without (n=29).
  • Student self-assessment (SSA) and clinical instructor (CI) midterm CPI safety scores were examined across three CEEs (Practicum 2, 3, and 4).

Main Results:

  • No significant differences were found in SSA or CI midterm CPI safety scores between the two safety groups across all practicum experiences (p>0.05).
  • Students with prior safety concerns demonstrated significantly higher Practicum 2 SSA midterm CPI safety scores in outpatient settings compared to inpatient settings (p=0.015).

Conclusions:

  • Early identification and remediation of safety concerns on campus correlate with successful safety performance in clinical education.
  • This suggests that targeted interventions can effectively prepare students for safe practice during CEEs.