Physiotherapy clinical education in the eastern Nigeria: students’ and interns’ views on clinical educator characteristics, opportunities and learning conditions
“…The expectations on clinical educators were about being good at mentoring, being a knowledge provider and facilitator of learning, enable good communication and having respect for students. The important activities were among others integrating theory and practice, demonstrate and guide patient management [3]. I think this study should be repeated in other contexts to give us an even wider picture of what physiotherapy students globally are expecting and appreciating as good characteristics in clinical supervisors and activities in clinical practices.…”
Section: Looking Back and Looking Forwardmentioning
confidence: 87%
“…I think we can learn a lot from this study. The issue number 3 included a study conducted in Nigeria [3]. Teaching and learning conditions and opportunities in clinical education were identified by students and interns.…”
Section: Looking Back and Looking Forwardmentioning
“…The expectations on clinical educators were about being good at mentoring, being a knowledge provider and facilitator of learning, enable good communication and having respect for students. The important activities were among others integrating theory and practice, demonstrate and guide patient management [3]. I think this study should be repeated in other contexts to give us an even wider picture of what physiotherapy students globally are expecting and appreciating as good characteristics in clinical supervisors and activities in clinical practices.…”
Section: Looking Back and Looking Forwardmentioning
confidence: 87%
“…I think we can learn a lot from this study. The issue number 3 included a study conducted in Nigeria [3]. Teaching and learning conditions and opportunities in clinical education were identified by students and interns.…”
Section: Looking Back and Looking Forwardmentioning
“…Classroom activities and hospital-based clinical placement are vital components of the entry-level physiotherapy programmes worldwide [19,24]. The majority of the respondents reported that they received a clinical placement at the diagnostic imaging department of the affiliated hospitals during their BPT programme.…”
Section: Discussionmentioning
confidence: 99%
“…The clinical internship involves clinical placements of an intern across required specialities such as MI, orthopaedics, neurology, and general physiotherapy. In contrast to a clinical internship, clinical placement is a (one to four weeks) short clinical rotation or posting for students during BPT training, clinical internship, and postgraduate programmes [19]. Physiotherapists in Nigeria also have the opportunity of acquiring further MI training through continuous professional development (CPD) programmes [6].…”
Background: Deficiency in musculoskeletal imaging (MI) education will pose a great challenge to physiotherapists in clinical decision making in this era of first-contact physiotherapy practices in many developed and developing countries. This study evaluated the nature and the level of MI training received by physiotherapists who graduate from Nigerian universities. Methods: An online version of the previously validated Physiotherapist Musculoskeletal Imaging Profiling Questionnaire (PMIPQ) was administered to all eligible physiotherapists identified through the database of the Medical Rehabilitation Therapist Board of Nigeria. Data were obtained on demographics, nature, and level of training on MI procedures using the PMIPQ. Logistic regression, Friedman's analysis of variance (ANOVA) and Kruskal-Wallis tests were used for the statistical analysis of collected data. Results: The results (n = 400) showed that only 10.0% of the respondents had a stand-alone entry-level course in MI, 92.8% did not have any MI placement during their clinical internship, and 67.3% had never attended a MI workshop. There was a significant difference in the level of training received across MI procedures [χ 2 (15) = 1285.899; p = 0.001]. However, there was no significant difference in the level of MI training across institutions of entry-level programme (p = 0.36). The study participants with transitional Doctor of Physiotherapy education were better trained in MI than their counterparts with a bachelor's degree only (p = 0.047).
“…A similar study conducted at the University of Puget Sound in the US reported an average student exposure to imaging during clinical experiences as 43.13 hours and 34 hours of classroom instruction [22]. Hospital-based clinical education is a vital component of entry-level physiotherapy programmes worldwide [26]; the model allows the physiotherapy students to practicalise their theoretical classroom experiences under the supervision of a clinical instructor [27]. Different models of clinical placement or posting, education, and supervision are being researched to determine their impacts on students' achievement [26,28].…”
Background: Previous studies have shown that deficiency in training may lead to inappropriate utilisation of diagnostic imaging among healthcare professionals, thus, raising concerns about patient safety and economic cost. This study aimed to evaluate the nature and level of musculoskeletal imaging (MI) training received by physiotherapists who graduated from Nigerian universities and completed the one-year mandatory internship. Methods: An online version of the Physiotherapist Musculoskeletal Imaging Profiling Questionnaire (PMIPQ), which was previously validated, was administered to all eligible physiotherapists identified through the database of the Medical Rehabilitation Therapist Board’s (MRTBN). Data were obtained on demographics, nature, and level of training on various MI modalities using the PMIPQ. Descriptive statistics, Friedman’s ANOVA, and Kruskal-Wallis tests were used for the data analysis at P ≤ 0.05. Results: The results showed that only 10.0% of the respondents had a standalone undergraduate course in MI, 92.8% did not have any MI clinical posting exposure during the internship, and 67.3% had never attended any MI workshop. There was a significant difference in the level of training received across various MI modalities [χ2 (15) = 1285.899; P = 0.001]. However, there was no significant difference in the level of MI training across the institutions (P = 0.36). The study participants with Doctor of Physiotherapy (DPT) education were better trained in MI than their counterparts with a bachelor’s degree (P = 0.047). Conclusions: The self-reported level of MI training among the respondents was deficient, but the knowledge of X-ray was significantly higher than other MI modalities. Based on the overall findings in this study, we recommend that diagnostic imaging contents be introduced early in the current and future physiotherapy training programmes.
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