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Developing a Program for Advanced Physical Therapist Practice in Amputation Care.

Andrea E Crunkhorn1, Stuart M Campbell2, Laurie L Lutz1

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|June 26, 2023
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Summary
This summary is machine-generated.

Military medicine advanced limb loss care, leading to the development of knowledge, skills, and abilities (KSAs) for physical therapists. This framework ensures specialized skills for treating traumatic amputations are maintained and advanced.

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Area of Science:

  • Military medicine
  • Rehabilitation science
  • Physical therapy

Background:

  • Military medicine has significantly advanced the treatment and rehabilitation of patients with limb loss over the past two decades.
  • This progress is largely due to the high volume of complex cases, including multiple traumatic amputations, treated in military facilities.
  • Maintaining these specialized skills for future conflicts is a primary concern.

Purpose of the Study:

  • To document the essential knowledge, skills, and abilities (KSAs) for advanced practice physical therapists in amputation care.
  • To ensure the preservation and advancement of specialized clinical skills for treating individuals with traumatic limb loss.
  • To establish learning objectives that will guide the development of educational curricula.

Main Methods:

  • Clinical subject matter experts (SMEs) from Department of Defense (DoD) Advanced Rehabilitation Centers (ARCs) drafted the initial KSAs.
  • A quasi-Delphi methodology involved five review cycles with 15 additional experts from DoD, Veterans Affairs, and civilian institutions.
  • Consensus KSAs were translated into terminal and enabling learning objectives (TLOs and ELOs) in collaboration with educators.

Main Results:

  • The final program document comprises 21 instructional modules.
  • It includes 30 terminal learning objectives (TLOs) and 157 enabling learning objectives (ELOs).

Conclusions:

  • The KSAs and learning objectives define the expected competencies for advanced practice physical therapists in traumatic limb loss care.
  • While focused on military-specific traumatic amputations, the core practices are applicable to broader amputation care.
  • This work provides a foundational framework for developing advanced physical therapist training programs in amputation care, with potential to expand to other etiologies.