Evaluation of the Early Impact of COVID-19 on Physiotherapy Clinical Placement Learning Models and Client Case-Mix

Authors

  • Andrea Helen Hams Griffith University
  • Taryn Lee Jones Griffith University

DOI:

https://doi.org/10.18552/ijpblhsc.v10i1.726

Abstract

Clinical placements are fundamental to entry-level physiotherapy education and provide an opportunity for students to translate theory into practice within authentic clinical environments. Student success during clinical placement is a core requirement of physiotherapy programs and a critical component of the pathway to graduation, registration, and then employment. The registration of a physiotherapist confirms that as a student, they have met the profession’s rigorous accreditation requirements. COVID-19 has significantly disrupted physiotherapy clinical placements across Australia, with many placements postponed or cancelled in the early public health response. These placement disruptions may preclude students from demonstrating mandatory pre-registration accreditation requirements, ultimately reducing the number of eligible new-graduate physiotherapists. Creating sustainable clinical placements whilst upholding the professional standard of entry level graduates during the pandemic, calls for innovative solutions to monitor student placement experiences. A Clinical Portfolio was implemented to improve monitoring processes and enable dynamic responses to potentially altered student learning experiences as COVID-19 public health measures evolved. In doing so, the aim of this study was to evaluate the impact of COVID-19 on physiotherapy student placements between May and June 2020 through examining client case-mix, demographics and learning model documented in each student’s Clinical Portfolio. These data sets allowed for comparison of learning model and case-mix during the pandemic with previous literature monitoring typical physiotherapy clinical placement experience, and providing support for ensuring the registration of the cohort impacted.  

Author Biographies

Andrea Helen Hams, Griffith University

Dr Andrea Hams (nee Miller) is a lecturer at Griffith University. Andrea has extensive experience in musculoskeletal outpatients and supports the learning and teaching goals in both the Master of Physiotherapy and Bachelor of Physiotherapy courses. Andrea has been involved with physiotherapy clinical education for the past 9 years working across each area of clinical practice with industry peers and students and is involved with clinical education research in collaboration with QUCEC (Queensland Universities Clinical Education Collaboration).

Taryn Lee Jones, Griffith University

Ms. Taryn Jones is a lecturer at Griffith University and Ph.D. candidate. Taryn has been involved in the clinical and academic delivery of clinical education for the past 6 years. She has worked with many students at Griffith University and the physiotherapy clinical educators that support them, within all of the core clinical areas. Taryn is involved with research projects evaluating student and clinical educator experiences of placements and establishing a current clinical practice for the development of the curriculum.

References

Almeida, P., Bury, T., Xerri de Caro, J., Gasherebuka, J., Deutsch, J., Alvis Gomez, K., Jalovcic, D., Jeng, S-F., Lowe, R., Masnyk, K., Rydland Olsen, N., Sanders, B., & Stokes, E. (2020). World Physiotherapy response to COVID-19; Briefing paper 3. Retrieved from https://world.physio/covid-19-information-hub/covid-19-briefing-papers

Almeida, P., Bury, T., Gasherebuka, J., Deutsch, J., Alvis Gomez, K., Jalovcic, D., Jeng, S-F., Lowe, R., Masnyk, K., Rydland Olsen, N., Sanders, B., Stokes, E., & Xerri de Caro, J. (2020). World Physiotherapy response to COVID-19: Briefing paper 4. Retrieved from https://world.physio/covid-19-information-hub/covid-19-briefing-papers

Australian Institute of Health and Welfare Report. (2019). Australian Burden of Disease Study: impact and causes of illness and death in Australia 2015. Retrieved from https://www.aihw.gov.au/reports-data/health-conditions-disability-deaths/burden-of-disease/overview

Australian Institute of Health and Welfare Report. (2020). Australia’s hospitals at a glance 2018-19. Retrieved from https://www.aihw.gov.au/reports/hospitals/australias-hospitals-at-a-glance-2018-19/contents/summary

Australian Physiotherapy Council. (2017). Guidelines for Accreditation: Entry Level Physiotherapy Practitioner Programs of Study (V1.2 ed.). https://physiocouncil.com.au/wp-content/uploads/2021/07/GUIDELINES-FOR-ACCREDITATION-V1.5-20072021.pdf

Coffey, A. (2005). The clinical learning portfolio: a practice development experience in gerontological nursing. Journal of Clinical Nursing, 14(s2), 75-83. https://doi.org/10.1111/j.1365-2702.2005.01279.x

Constantinou, M., & Kuys, S. S. (2013). Physiotherapy students find guided journals useful to develop reflective thinking and practice during their first clinical placement: a qualitative study. Physiotherapy, 99(1), 49-55. https://doi.org/10.1016/j.physio.2011.12.002

Dalton, M., Davidson, M., & Keating, J. (2011). The assessment of physiotherapy practice (APP) is a valid measure of professional competence of physiotherapy students: a cross-sectional study with Rasch analysis. Journal of Physiotherapy, 57(4), 239-246. https://doi.org/10.1016/s1836-9553(11)70054-6

Dalton, M., Davidson, M., & Keating, J. L. (2012). The assessment of physiotherapy practice (APP) is a reliable measure of professional competence of physiotherapy students: a reliability study. Journal of Physiotherapy, 58(1), 49-56. https://doi.org/10.1016/s1836-9553(12)70072-3

Department of Health. (2020). National Principles: Clinical Education During the COVID-19 Pandemic. Retrieved from https://www.health.gov.au/resources/publications/national-principles-clinical-education-during-the-covid-19-pandemic

Haines, K. J., & Berney, S. (2020). Physiotherapists during COVID-19: usual business, in unusual times. Journal of Physiotherapy, 66(2), 67-69. https://doi.org/10.1016/j.jphys.2020.03.012

Health Workforce Australia. (2011). National Clinical Supervision Support Framework. Retrieved from http://www.ntrtn.com.au/sites/default/files/hwa-national-clinical-supervision-support-framework-201110.pdf

Health Workforce Australia. (2014). Australia’s Health Workforce Series – Physiotherapists in Focus. Retrieved from https://myhealthcareer.com.au/wp-content/uploads/2019/03/2014-Physiotherapists-in-Focus.pdf

MacDonald, C. W., Lonnemann, E., Petersen, S. M., Rivett, D. A., Osmotherly, P. G., & Brismee, J. M. (2020). COVID 19 and manual therapy: international lessons and perspectives on current and future clinical practice and education. Journal of Manual & Manipulative Therapy, 28(3), 134-145. https://doi.org/10.1080%2F10669817.2020.1782059

Nguyen, L. H., Drew, D. A., Graham, M. S., Joshi, A. D., Guo, C-G., Ma, W., Mehta, R. S., Warner, E. T., Sikavi, D. R., Lo, C-H., Kwon, S., Song, M., Mucci, L. A., Stampfer, M. J., Willett, W. C., Eliassen, A. H., Hart, J. E., Chavarro, J. E., Rich-Edwards, J. W., … Chan, A. T. (2020). Risk of COVID-19 among front-line health-care workers and the general community: a prospective cohort study. The Lancet Public Health, 5(9), e475-e483. https://doi.org/10.1016/S2468-2667(20)30164-X

Physiotherapy Board of Australia & Physiotherapy Board of New Zealand. (2015). Physiotherapy practice thresholds in Australia & Aotearoa New Zealand. https://www.physiotherapyboard.gov.au/documents/default.aspx?record=WD15%2F16750&dbid=AP&chksum=LWuk27uBUFj5MTUort6Qug%3D%3D

Pretorius, A., Karunaratne, N., & Fehring, S. (2016). Australian physiotherapy workforce at a glance: a narrative review. Australian Health Review, 40(4), 438-442. https://doi.org/10.1071/ah15114

Queensland Government. (2020). COVID-19 and clinical placements. Retrieved from https://www.health.qld.gov.au/employment/clinical-placement/covid-19-and-clinical-placements

Queensland Government. (2021). COVID-19 update. Retrieved from https://www.qld.gov.au/health/conditions/health-alerts/coronavirus-covid-19/current-status/urgent-covid-19-update

Queensland Physiotherapy Placement Collaborative. (2013). Queensland Physiotherapy Central Allocation Process. Q. P. P. Collaborative. https://www.clinedaus.org.au/files/resources/queensland_physiotherapy_central_allocation_process_v3.1_040913.pdf

Rawlins, F., Sumpter, C., Sutphin, D., & Garner, H. R. (2018). Quantifying medical student clinical experiences via an ICD Code Logging App. International Journal of Medical Informatics, 111, 51-57. https://doi.org/10.1016/j.ijmedinf.2017.12.017

Rodger, S., Stephens, E., Clark, M., Ash, S., & Graves, N. (2011). Occupational therapy students' contribution to occasions of service during practice placements in health settings. Australian Occupational Therapy Journal, 58(6), 412-418. https://doi.org/10.1111/j.1440-1630.2011.00971.x

Schofield, D. J., & Fletcher, S. L. (2007). The physiotherapy workforce is ageing, becoming more masculinised, and is working longer hours: a demographic study. Australian Journal of Physiotherapy, 53(2), 121-126. https://doi.org/10.1016/s0004-9514(07)70045-4

Siggins Miller Consultants. (2012). Promoting Quality in Clinical Placements: Literature review and national stakeholder consultation. Retrieved from https://www.adea.com.au/wp-content/uploads/2013/08/Promoting-quality-in-clinical-placements-report-20130408.pdf

Smith, L. S., & Branstetter, M. L. (2016). A Formative Program Evaluation of Electronic Clinical Tracking System Documentation to Meet National Core Competencies. Computers, Informatics, Nursing, 34(9), 393-401. https://doi.org/10.1097/cin.0000000000000254

Stoikov, S., Shardlow, K., Gooding, M., & Kuys, S. (2018). Clinical activity profile of preregistration physiotherapy students during clinical placements. Australian Health Review, 42(6), 661-666. https://doi.org/10.1071/ah16181

Twogood, R., Hares, E., Wyatt, M., & Cuff, A. (2020). Rapid implementation and improvement of a virtual student placement model in response to the COVID-19 pandemic. BMJ Open Quality, 9(4). https://bmjopenquality.bmj.com/content/9/4/e001107

Yang, S., Kwak, S. G., Ko, E. J., & Chang, M. C. (2020). The Mental Health Burden of the COVID-19 Pandemic on Physical Therapists. International Journal of Environmental Research and Public Health, 17(10), 3723. https://doi.org/10.3390/ijerph17103723

Downloads

Published

2022-10-13

How to Cite

Hams, A., & Jones, T. (2022). Evaluation of the Early Impact of COVID-19 on Physiotherapy Clinical Placement Learning Models and Client Case-Mix . International Journal of Practice-Based Learning in Health and Social Care, 10(1), 36–47. https://doi.org/10.18552/ijpblhsc.v10i1.726