Are Canadian Physiotherapy Graduates Ready for Private Practice? Faculty, Employer, and Recent Graduate Perspectives

Abstract

Purpose: The transition from physiotherapy student to independent practitioner is challenging. New graduates experience difficulties working in private practice as many aspects of the workflow are difficult to prepare for during their education. The purpose of our study was to explore the work readiness of Canadian new graduate physiotherapists for private practice from the perspectives of key groups. Methods: We administered an online questionnaire to recent Canadian physiotherapy graduates, private practice employers, and academics exploring the work readiness of new graduates related to competencies and constructs relevant to private practice. Results: Our findings highlight gaps in education related to the business of private practice, managing complex caseloads, diagnosis, prognosis and establishing a plan of care, and autonomy in decision-making. A shared responsibility exists for the work readiness of physiotherapy graduates. Respondents suggest at least 1 year of practice before the majority of graduates are work-ready for private practice. Conclusion: Physiotherapy graduates struggle with the business of working in private practice, managing complex caseloads, and autonomy in decision-making. There is a shared responsibility between academics, clinical educators, employers, and new graduates to bridge the gap between the entry-to-practice education program and meeting the expectations of the private practice work environment.