Hosting pre-registration physiotherapy students in Australian private practices does not change service and economic outcomes; an economic analysis

Forbes, Roma; Dinsdale, Alana; Brauer, Sandra G.; Dunwoodie, Ruth; Fooken, Jonas; Khanna, D.D.; Birch, Stephen

doi:10.1016/j.msksp.2021.102318

Cited by 4 publications

(8 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although the clinical activity profile of students completing clinical education within a hospital department musculoskeletal outpatient setting has been reported (Stoikov et al, 2018), there is limited data for student-led university clinics or private practice settings that host students. To date, only one study has reported on OOS for private practices that host pre-registration physiotherapy students (Forbes et al, 2021). In this study, although OOS per clinic were not different when students were hosted and not hosted, it was not clear how many OOS were attributed to students, compared to clinic staff (Forbes et al, 2021).…”

Section: Introductionmentioning

confidence: 56%

“…To date, only one study has reported on OOS for private practices that host pre-registration physiotherapy students (Forbes et al, 2021). In this study, although OOS per clinic were not different when students were hosted and not hosted, it was not clear how many OOS were attributed to students, compared to clinic staff (Forbes et al, 2021). Within a hospital department outpatient setting Stoikov et al (2018) showed that the number of student OOS gradually increased over the first 4 weeks of clinical education, reaching an average of 18 OOS per week at the end of week 4.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Clinical activity profile of physiotherapy students in a regional student-led musculoskeletal clinic: A retrospective study

Heales

Pozzoli

Laycock

et al. 2022

Australian Journal of Clinical Education

View full text Add to dashboard Cite

The study aimed to quantify the clinical activity profile of physiotherapy students within a regional student-led musculoskeletal clinic. A retrospective clinical audit examined all occasions of service (OOS) delivered during 2018. Demographic data and student to clinical educator (CE) ratio were also collected. Descriptive statistics were used to describe patient demographics. The average OOS per student per week between student to CE ratios (i.e., 2:1 and 3:1 group) were analysed using a repeated measures ANOVA. A total of 214 clients were included (mean age 40.9 years (SD 20.4) with 66.5% being female (n = 133)). The shoulder (19.3%) was the most assessed/treated region, followed by the knee (18.9%), and ankle/foot (16.2%). Analysis revealed a main effect of week (p<0.001), but not for student to CE ratio (p=0.125). There was no interaction of week by student to CE ratio (p=0.528). Post hoc analysis revealed the average OOS per student per week was lower for week 1 than in weeks 2, 3, and 4, with a small but statistically significant decrease in average OOS from week 4 to 5. Overall, students attending a regional student-led musculoskeletal clinic see a variety of clinical presentations, from clients across the lifespan, with increasing OOS across the placement.

show abstract

Section: Introductionmentioning

confidence: 56%

Section: Introductionmentioning

confidence: 99%

Clinical activity profile of physiotherapy students in a regional student-led musculoskeletal clinic: A retrospective study

Heales

Pozzoli

Laycock

et al. 2022

Australian Journal of Clinical Education

View full text Add to dashboard Cite

show abstract

“…Lastly, this study has not explored the financial cost to the patient of a fee for service model where students are involved in their care. There are a range of fee models when students are involved in private practice care (Forbes et al., 2021). Further research should aim to investigate the willingness of patients to pay for student‐led physiotherapy services within private practice settings.…”

Section: Discussionmentioning

confidence: 99%

“…A cross‐sectional study was conducted to examine patient‐reported change in condition with supervised physiotherapy student care in Australian physiotherapy private practices. The study was part of a wider study evaluating the economic impact of hosting physiotherapy students in private practice (Forbes et al., 2021). This study was approved by The University of Queensland Human Research Ethics Committee (protocol number: 2019001696).…”

Section: Methodsmentioning

confidence: 99%

“…Practices were excluded if there had been major service changes between data collection periods, or where non‐final year students were hosted during the investigated periods. Three eligible private practices were purposefully selected from existing participants of the wider study from The University of Queensland (Forbes et al., 2021). Practices were sent an email from the research team that provided information outlining the study.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Physiotherapy student clinical placements in Australian private practice: Patient‐reported outcomes with supervised student care

Chia

Gomersall

Fooken

et al. 2021

Physiotherapy Res Intl

Self Cite

View full text Add to dashboard Cite

Background and purpose The sustainability of physiotherapy clinical placements is an ongoing challenge, yet there is potential to increase placement capacity within the private practice sector. Barriers to hosting students, including perceived impacts on patient care, reportedly limit the uptake of hosting students within this setting. This study aimed to evaluate the effect of physiotherapy student involvement on patient‐reported Global Rating of Change (GRoC) in Australian physiotherapy private practice care. Methods A cross‐sectional, patient survey study was conducted in three private physiotherapy practices over two 5‐week periods. At their completion of care, participants completed the survey seeking demographic information, GRoC and aspects of care including number of consultations involving students, proportion of physiotherapy time involving students and frequency of student involvement in treatment delivery. After accounting for clinic‐level differences, ordinal logistic regression analyses were performed to explore the impact of supervised student care on GRoC. Results 119 participants across three practices completed the survey. There were no significant associations between patient‐reported GRoC and: (1) student involvement in patient care; (2) number of consultations involving students; (3) proportion of physiotherapy time involving students; or (4) frequency of student involvement in treatment delivery (p > 0.05). Conclusions Supervised student care in private physiotherapy practice does not appear to have a detrimental impact on patient‐reported outcomes. These findings may address concerns relating to student involvement in patient care within this setting. Future research should address economic and service delivery impacts of supervised student care on private practices.

show abstract

Exploring ways to make research more accessible

Hebron

Paling

2021

Musculoskeletal Science and Practice

View full text Add to dashboard Cite

Hosting pre-registration physiotherapy students in Australian private practices does not change service and economic outcomes; an economic analysis

Cited by 4 publications

References 14 publications

Clinical activity profile of physiotherapy students in a regional student-led musculoskeletal clinic: A retrospective study

Clinical activity profile of physiotherapy students in a regional student-led musculoskeletal clinic: A retrospective study

Physiotherapy student clinical placements in Australian private practice: Patient‐reported outcomes with supervised student care

Exploring ways to make research more accessible

Contact Info

Product

Resources

About