Understanding underperformance in a high-stakes clinical-based simulation assessment in physiotherapy: a descriptive...

Area of Science:

• Health Professions Education
• Physiotherapy Practice
• Clinical Assessment

Background:

• High-stakes assessments are critical for ensuring minimum competency in health professions.
• International candidates undergo rigorous assessments for entry into the Australian physiotherapy profession.

Purpose of the Study:

• To identify common areas of underperformance in international physiotherapy candidates during high-stakes clinical simulation assessments.
• To explore if these performance issues are specific to overseas-trained physiotherapists.

Main Methods:

• Retrospective mixed methods analysis of 51 clinical assessments of international physiotherapy candidates.
• Assessments covered cardiorespiratory, musculoskeletal, and neurological rehabilitation areas.
• Utilized a moderated assessment form with seven competency domains.

Main Results:

• A high failure rate was observed in interpreting assessment findings and developing treatment plans.
• Qualitative data indicated difficulties in planning, prioritization, interpretation, and treatment selection/evaluation.
• Underperformance was noted across all assessed physiotherapy practice areas.

Conclusions:

• Identified underperformance areas in international candidates mirror those of Australian physiotherapy students.
• Educational focus on clinical reasoning, planning, and interpretation is needed for all physiotherapy professionals.
• Improving clinical reasoning skills is essential for enhancing physiotherapy practice at all levels.