Advanced musculoskeletal physiotherapy practice: Informing education curricula. (August 2020)

• Record Type: Journal Article
• Authors: Fennelly, Orna; Desmeules, François; O'Sullivan, Cliona; Heneghan, Nicola R; Cunningham, Caitriona
• Is Part Of: Musculoskeletal science and practice. Volume 48(2020)
• Publication Date: 2020-08
• Subjects: Physical therapy speciality -- Education -- Musculoskeletal diseases -- Clinical competence -- Competency-based education -- Advanced practice; Manipulation (Therapeutics) -- Periodicals; Physical therapy -- Periodicals; Neuromuscular diseases -- Treatment -- Periodicals; Musculoskeletal system -- Diseases -- Periodicals; Manipulation (Therapeutics); Neuromuscular diseases -- Treatment; Physical therapy; Manipulation, Orthopedic; Musculoskeletal Diseases -- therapy; Neuromuscular Diseases -- therapy; Physical Therapy Modalities; Electronic journals; Periodicals; 615.82
• DOI: 10.1016/j.msksp.2020.102174
• Languages: English
• ISSNs: 2468-8630

Abstract

Abstract: Introduction: Physiotherapists are operating at an advanced level of practice, usually on ad hoc basis with inhouse training, in response to the increasing burden of musculoskeletal (MSK) disorders. Discrepancies in role-specific education of advanced practice physiotherapists (APPs) creates challenges in ensuring a quality service, workforce mobility and formal recognition. This study reviewed existing MSK APP competency frameworks and education offerings, and explored physiotherapist learning needs with a view to informing international standardisation of MSK APP education curricula. Methods: A scoping review of the literature and relevant university and regulatory websites identified APP competency frameworks and education curricula, which were verified by international experts. Content analysis, performed on the identified competencies and modules, produced a list of themes existing in MSK advanced practice internationally. A survey based on those themes identified the learning priorities of physiotherapists (n = 25) participating in an APP symposium in Ireland. Results: Six APP competency frameworks and eleven curricula from the UK, Canada and Australia were identified. Themes emerging, regarding MSK APP practice internationally, included both entry-level physiotherapy (e.g., Assessment and Diagnosis) and traditionally medically-controlled tasks (e.g., Injection Therapy), as well as Research, Leadership, Service Development, Professional-related Matters and Education . Participating physiotherapists more commonly prioritised competencies which would be deemed beyond entry level physiotherapy skills (i.e., Radiology versus Manual Therapy ). Conclusion: Despite variances in profiles of APPs both between and within countries, common themes emerged regarding their expected competencies and skills. This study provides the foundation for the adoption of internationally-recognised MSK APP competencies and education standards. Highlights: Discrepancies exist in education of advanced practice physiotherapists (APPs). APP clinical competencies include entry-level and traditionally-medical tasks. Tasks beyond entry-level physiotherapy practice prioritised for MSK APP education. Professional competencies include leadership and professional advocacy. Education standardisation has implications for service quality and role legitimacy.