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Implementation of High-Value Care for Physical Therapy Residents Through Systems-Based Practice Curriculum
Sang S Pak1,2,3,4,5, Alison Scheid1,2,3,4,5, Cathy Hoang1,2,3,4,5
1Sang S. Pak is an associate professor in the Department of Physical Therapy and Rehabilitation Science at the University of California San Francisco, 1500 Owens St Suite 400, San Francisco, CA, 94158 ( sam.pak@ucsf.edu ). Please address all correspondence to Sang S. Pak.
Journal, Physical Therapy Education
|July 9, 2024
Summary
Physical therapy residents improved systems-based practice competency through a high-value care (HVC) curriculum. This involved experiential learning, reflective practice, and personalized dashboards, enhancing patient care and practice efficiency.
Area of Science:
- Physical Therapy Education
- Health Professions Training
- Systems-Based Practice
Background:
- Systems-based practice is crucial for physical therapy residents, yet curricula lag behind other health professions.
- Clinical data and residency programs can form the basis for high-value care (HVC) education.
- Developing HVC education is key to achieving systems-based practice competency.
Purpose of the Study:
- To develop and assess a high-value care (HVC) curriculum for physical therapy residents.
- To incorporate reflective practice to enhance systems-based practice competency.
- To improve the foundation for value-centered, inclusive practice.
Main Methods:
- Utilized the Logic Model to identify curriculum resources for HVC.
- Engaged two orthopedic physical therapy residents and five faculty mentors in didactic and mentoring sessions.
- Developed personalized practice dashboards for resident-mentor discussions and used validated assessment tools.
Main Results:
- Residents showed increased systems thinking and quality improvement knowledge.
- Improvements were observed in clinical outcomes and practice efficiencies.
- Interviews revealed themes on HVC challenges, current approaches, and future-oriented thinking.
Conclusions:
- High-value care (HVC) activities and personalized dashboards enhance experiential learning of systems-based practice.
- This approach supports the development of a core competency for value-centered, inclusive physical therapy practice.
- The curriculum effectively facilitated resident competency in systems-based practice.
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