Self-Reported Confidence of DPT Students in Assessing and Treating Different Body Regions Within Musculoskeletal Physical Therapy Practice

Abstract

Introduction This study examined Doctorate of Physical Therapy (DPT) students' self-reported confidence in assessing and treating musculoskeletal (MSK) conditions based on body regions. We hypothesized that there would be identifiable differences in self-perceived confidence across the different body regions. Most literature assessing DPT students' readiness for clinical practice has come from the perspective of educators and clinicians, whereas student perspectives have not been reported. Methods: The study is a descriptive, observational online survey. Participants were final-year DPT students in the United States. Participants rated their comfort level in assessing and treating patients with MSK complaints, both in general and specifically for each body region. Additionally, we asked for written comments to elaborate on the answers provided. Results: A total of 148 eligible responses were collected. The respondents had the highest self-reported confidence in the assessment and treatment of the knee by a significant margin, with a mean score of 4.24 out of 5. Hip and Lumbar spine were the next highest-scored areas. The Wrist and Hand had the lowest reported confidence at 2.63. Thoracic spine and pelvis were the second lowest scores. Qualitative data included multiple mentions of the distal upper extremity being deemphasized and the impact of COVID-19 on their preparedness for practice. Conclusion: Lower average confidence in the assessment and treatment of the wrist and hand, thoracic spine, and pelvis indicate that modification of existing methods of teaching these topics should be considered. Trends identified in this research provide actionable data for both didactic and clinical educators. Furthermore, this data provides topics of discussion for those mentoring and educating new graduate clinicians. With these findings in mind, educators should consider reviewing instructional strategies in areas which showed the least perceived preparedness. Trial Registration: Not applicable