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Updated: May 20, 2025

Recording Behavioral Responses to Reflection in Crayfish
Published on: May 14, 2010
Digital recordings of a clinical encounter facilitate reflection in physical therapy students and clinicians
Anthony Kinney1, Amy Nordon-Craft1, Suzan Kardong-Edgren2
1Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.
Background:
Medical and health professions students use digital media in their educational pursuits. No studies have examined the process or utility of reviewing digital recordings of a clinical encounter. This pilot study examined how physical therapy students varied in their approach when compared to practicing physical therapists, in their self-reflection and assessment of a recorded physical therapist (PT) encounter with a standardized patient (SP).
Methods:
A single site, cross-sectional, mixed-methods design was used. Participants reviewed an 11-minute digital recording of a patient encounter and completed survey questions. Post-survey interview sessions were used to gain additional perspective from participants.
Results:
Ninety-two physical therapy students across three levels of training and twenty-seven physical therapists participated in the study. Self-ratings of perceived clinical ability increased with each year of training. First-year students (PY1) gave higher performance ratings to the PT than other groups. Seventy-five percent of respondents found the review of the digital recording to be a useful tool for reflection. A variety of approaches in the review process were found across groups, especially between clinicians and students.
Conclusion:
Review of a recording of a physical therapist's encounter with an SP can be a useful educational tool for reflection across training levels of students and clinicians.
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