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Reliability of a Musculoskeletal Imaging Competency Examination for Physical Therapists
Troy Burley1,2,3,4,5, Richard L Cahanin1,2,3,4,5, Lori T Brody1,2,3,4,5
1Troy Burley is an assistant professor at the University of South Alabama, 5721 USA Drive North, Mobile, AL, 36688 ( troyburley@southalabama.edu ). Please address all correspondence to Troy Burley.
The Burley Readiness Examination (BRE) reliably assesses physical therapists' musculoskeletal (MSK) imaging competency. Higher scores were achieved by those with advanced MSK training, indicating its value in evaluating PTs.
Area of Science:
- Musculoskeletal Imaging
- Physical Therapy Education
- Competency Assessment
Background:
- The Burley Readiness Examination (BRE) assesses physical therapists' (PTs) baseline musculoskeletal (MSK) imaging competency.
- Establishing the reliability of the BRE is crucial for its utility in evaluating MSK imaging skills.
- PTs' expanding scope of practice and increased MSK imaging instruction necessitate competency assessment.
Purpose of the Study:
- To evaluate the reliability of the BRE for assessing MSK imaging competency in physical therapists.
- To compare BRE scores among PTs with varying levels of MSK imaging training and education.
Main Methods:
- 123 licensed physical therapists completed the online BRE.
- Reliability was assessed using Cronbach's alpha (α = 0.874).
- Scores were analyzed using t-tests, ANOVA, chi-square, and odds ratios (ORs).
Main Results:
- The overall mean BRE score was 75.89%. 56.9% of PTs passed (≥75%).
- PTs with advanced MSK training, board certification, or residency/fellowship scored significantly higher (P < .001).
- Those with additional MSK training were nearly 5 times more likely to pass (OR = 4.74).
Conclusions:
- The BRE is a reliable tool for assessing MSK imaging competency in physical therapists.
- Advanced MSK imaging training significantly impacts PT competency more than other factors.
- The BRE holds potential value for physical therapy professional and postprofessional programs.
