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Chest Physiotherapy

Chest Physiotherapy

Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...

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Difference in Physiotherapy Students' Training and Objective Structured Clinical Exam Performance Before and During

Gregory F Spadoni¹, Sarah Wojkowski¹, Paul W Stratford¹

¹From the: McMaster University, School of Rehabilitation Science, Hamilton, Ontario, Canada.

Physiotherapy Canada. Physiotherapie Canada

|May 10, 2024

Summary

The COVID-19 pandemic did not negatively impact physiotherapy students' overall Objective Structured Clinical Examination (OSCE) scores. However, students impacted by the pandemic showed a fourfold increase in safety occurrences during their OSCEs.

Keywords:

COVID-19 cohort studies physical therapy modalities students

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Area of Science:

Medical Education
Physiotherapy Training
Clinical Assessment

Background:

Objective Structured Clinical Examinations (OSCEs) are crucial for evaluating clinical performance in health professions.
The COVID-19 pandemic significantly disrupted educational programs and clinical training.
The specific impact of the pandemic on student OSCE performance requires further investigation.

Purpose of the Study:

To evaluate the difference in physiotherapy students' OSCE performance before and during the COVID-19 pandemic.
To compare OSCE scores and safety occurrences between cohorts impacted and not impacted by COVID-19.
To understand the pandemic's effect on clinical skill assessment in physiotherapy education.

Main Methods:

A non-concurrent cohort study design was employed.
Two cohorts of Year 1 physiotherapy students (MSc (PT)) were compared: Cohort A (pre-pandemic) and Cohort B (during pandemic).
In-person OSCE scores and safety occurrences were analyzed, comparing means and 95% confidence intervals.

Main Results:

Overall mean OSCE scores were 77.9 for Cohort A and 81.9 for Cohort B, indicating no adverse effect on total scores.
Cohort B students, impacted by COVID-19, were approximately four times more likely to exhibit safety occurrences.
A statistically significant difference in OSCE scores (mean difference = 4.0, 95% CI: 2.1, 5.8) was observed.

Conclusions:

The COVID-19 pandemic did not adversely affect the overall clinical performance scores of physiotherapy students in the OSCE.
A notable increase in safety occurrences was observed in students during the pandemic period.
These findings highlight the need for targeted interventions to address safety in clinical training under pandemic conditions.