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Competencies in Context: Adapting the World Health Organization Rehabilitation Competency Framework for Entry-Level

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  • 1Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD.

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Summary

A new competency framework for physical therapy (PT) education was developed by adapting the WHO Rehabilitation Competency Framework (RCF). This adaptable model enhances PT education and standardizes expectations for students and employers.

Keywords:
Clinical competenceCompetency-based educationEducationHealth workforcePhysical therapyProfessional competenceRehabilitation

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Area of Science:

  • Rehabilitation Science
  • Physical Therapy Education
  • Competency-Based Education

Background:

  • The World Health Organization's Rehabilitation Competency Framework (RCF) provides a global standard for rehabilitation professionals.
  • Adapting international frameworks to specific national and institutional contexts is crucial for effective implementation in physical therapy (PT) education.
  • Entry-level PT practice in the US requires a competency framework aligned with local values and requirements.

Purpose of the Study:

  • To adapt and adopt the WHO Rehabilitation Competency Framework (RCF) for entry-level physical therapy (PT) practice at a US academic medical center.
  • To develop a structured methodology for framework adaptation and present the resulting localized competency framework.
  • To ensure the framework reflects the specific values, beliefs, and competency needs of the institution.

Main Methods:

  • A structured, 4-phase process (planning, drafting, review, finalization) was employed to adapt the RCF.
  • An iterative approach to consensus building was utilized during the drafting phase.
  • The adaptation involved experienced PT educators at a large US academic medical center.

Main Results:

  • The Johns Hopkins Medicine Physical Therapy Competency Framework (JH PT CF) was created as a streamlined adaptation of the RCF.
  • The JH PT CF comprises 13 competencies, 48 behaviors, and 16 activities with 49 tasks, organized into four domains.
  • The domains include Patient Management, Professionalism, Practice-Based Learning and Improvement, and Systems-Based Practice and Management.

Conclusions:

  • The JH PT CF provides a practical model for implementing competency-based education in rehabilitation.
  • The methodology and framework are replicable for other institutions and rehabilitation disciplines seeking to tailor the RCF.
  • This adaptation supports standardization, enhances rehabilitation education, and establishes a common language for expectations in PT practice.