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Competencies for entry-level rural and remote physiotherapy practice: a Delphi approach.

Romany Martin1, Allison Mandrusiak2, Andric Lu3

  • 1School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Qld 4067, Australia romany.martin@uq.net.au.

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|October 16, 2021
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Summary

This study identified 19 essential competencies for effective rural physiotherapy in Australia. These skills help clinicians adapt to unique rural challenges and community needs.

Keywords:
AustraliaDelphicompetencieseducationentry-level practicephysiotherapypre-professional trainingqualitativeallied health

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Area of Science:

  • Health Sciences
  • Physiotherapy
  • Rural Health

Background:

  • Rural physiotherapy practice presents unique challenges due to geographical and community factors.
  • Effective practice requires specific knowledge, skills, and attributes tailored to rural contexts.

Purpose of the Study:

  • To outline an introductory set of core competencies for effective physiotherapy practice in rural Australia.
  • To establish a common language for rural physiotherapists and employers.

Main Methods:

  • A three-round Delphi study involving 17 expert physiotherapists practicing in rural or remote Australian settings.
  • Expert consensus (80%) was sought on identified knowledge, skills, abilities, and attributes.
  • Thematic analysis of open-ended responses informed competency development and refinement.

Main Results:

  • A final set of 19 competencies was established through the Delphi process.
  • Competencies encompass responsivity to rural locality, adaptation to community needs, and problem-solving.
  • High response rates (93.8-100%) across all Delphi rounds ensured robust expert input.

Conclusions:

  • The study introduces a foundational set of competencies for rural physiotherapy.
  • These competencies can guide training, mentorship, and professional development for rural practitioners.
  • The defined competencies aim to enhance the quality and effectiveness of physiotherapy services in rural areas.