Continuing Education Courses for Orthopedic and Sports Physical Therapists in the United States Often Lack Supporting Evidence: A Review of Available Intervention Courses

Abstract

Objective The purpose of this study was to characterize the extent to which orthopedic and sports-related continuing education course descriptions approved for physical therapists in the United States taught interventions supported by evidence. Methods A review was conducted of courses available on CEU Locker from January through December 2020, estimated to represent most courses available nationally to physical therapists. This review focused specifically on courses teaching interventions for musculoskeletal conditions in adults. Specifically, courses for orthopedic and sports populations were identified. All course information was extracted, including the intervention name, course description, and target audience. Finally, clinical practice guidelines (CPGs) and systematic reviews with at least moderate level evidence published through May 1, 2021 were searched to determine if treatments were recommended, not recommended, or no evidence existed. Results The review identified 2406 available courses that were extracted from the database. After excluding courses that did not meet inclusion criteria, duplicates, and those with incomplete or inadequate information, the final number was 319. Most courses (52.7%, n = 168) taught interventions that were not supported by a CPG or systematic review. About one third of courses (34.2%, n = 109) taught interventions that were recommended by a CPG. Many courses were targeted to multiple disciplines (38.9%, n = 124), whereas 89 (27.9%) were specifically for physical therapists, physical therapist assistants, or both. The specific target was unclear for 106 (33.2%) courses. Courses usually focused on multiple body regions, and exercise was the most included intervention. Soft-skill courses were the most supported by evidence (82.9%, n = 29), whereas those teaching modalities were the least supported (30.5%, n = 29). Conclusion Fewer than half of courses that focused on management of musculoskeletal disorders taught interventions supported by a CPG or systematic review, and course descriptions often misrepresented the current state of evidence. Courses required for licensure renewal might not be meeting the intended goal of keeping clinicians current with new and emerging research. Impact Relatively few continuing education courses on orthopedic and sports-related physical therapist interventions are based on evidence provided by CPGs or systematic reviews; and some continuing education options that are required for physical therapists to meet annual licensure renewal requirements might not be keeping therapists current with the latest evidence. This study provides data that can facilitate candid dialog within the profession about potential solutions.

Fizyoterapistlerin Mezuniyet Sonrası Kurslara Katılım Durumları ve Bakış Açılarının İncelenmesi

“…Sağlık alanında sürekli eğitimin amacı, sağlık profesyonellerinin klinik uygulamalarını iyileştirmek için sürekli değişen ve gelişen kanıtlara ayak uydurmasına izin vererek yaşam boyu öğrenmeyi teşvik etmektir. 3 Dinamik bir süreç olarak sürekli mesleki gelişim, bilimsel etkinliklere aktif katılım, mesleki yayın ve literatürleri takip etme, mesleki kurslara katılma gibi pek çok faklı boyuta sahiptir. 4 Bu boyutlardan biri olarak günümüzde oldukça popüler olan mezuniyet sonrası kursların sayısının da hızla arttığı görülmektedir.…”

“…5 Bu nedenle yazarlar Amerika Birleşik Devletleri'ndeki mevcut sürekli yeterlilik uygulamalarının ciddi bir denetime ve revizyona ihtiyaç duyduğunu bildirmektedir. 3,5 Ülkemizde ise bu konuda yapılmış çalışma olmadığı ve literatür eksikliği bulunduğu görülmektedir.…”

Clinician's Dilemma: You're Not Alone!

“…Are you confident that your CE course is based on unbiased evidence? In a systematic review of musculoskeletal physical therapy CE courses, Peterson et al3 found that less than half of the interventions taught (47.3%) were supported by clinical practice guidelines or systematic reviews. They also noted that course descriptions often distorted outcomes outreaching prevailing evidence 3.…”

“…In a systematic review of musculoskeletal physical therapy CE courses, Peterson et al3 found that less than half of the interventions taught (47.3%) were supported by clinical practice guidelines or systematic reviews. They also noted that course descriptions often distorted outcomes outreaching prevailing evidence 3. Whiteley et al2 contend that some courses promoted as evidence-based may cherry-pick only favorable supportive research.…”

“…They also noted that course descriptions often distorted outcomes outreaching prevailing evidence. 3 Whiteley et al 2 contend that some courses promoted as evidence-based may cherry-pick only favorable supportive research. The hands-on learning and guidance from CE courses, important to upgrading clinical skills, may not be the best method for clinicians to integrate the latest research.Reading medical journals has been shown to be the most beneficial option to stay current, improve knowledge, and advance practice.…”