Abstract
Introduction: The use of physical agents in physical therapy (PT) requires clinical reasoning, as well as knowledge of their risks and contraindications; however, deficiencies may be observed when used in clinical practice. Objective: To implement the Objective Structured Clinical Evaluation (OSCE) method for the assessment of clinical skills among physical therapy specialty students when using physical agents. Materials and methods: A pilot, non-experimental, cross-sectional study was conducted in 114 physical therapy students enrolled during the first semester of 2019 in a physical agents course offered at the Universidad Andres Bello, Santiago, Chile. The OSCE consisted of 7 peer-validated stations, in which various skills were implemented in simulated clinical scenarios to achieve learning outcomes associated with the use of physical agents, namely: S1: connective tissue flexibility; S2: muscle relaxation; S3: analgesia; S4: drainage; S5: muscle strengthening; S6: parameter interpretation; and S7: equipment installation. Observers at each station assessed students’ clinical skills and decision-making using a checklist. OSCE scores were described using medians and interquartile ranges, representing the data dispersion between the 25th and 75th percentile (P25-P75). Station scores by sex were compared using the Mann-Whitney U test. Results: Median scores were higher than the minimum passing score in stations S1 (66, IQR: 52-70), S2 (55, IQR: 45-60), S3 (60, IQR: 50-69), S4 (65, IQR: 55-73), and S7 (40, IQR: 33-45), but they were below the passing score in stations S5 (54, IQR:46-65) and S6 (10, IQR: 9-13). In addition, 101 (88.59%) students had a global passing score in the OSCE. Conclusion: The OSCE scores obtained by the participants show their attainment of clinical skills when using physical agents since most of them obtained a global passing score; however, reinforcing the clinical skills for parameter interpretation is necessary, considering that the lowest mean score was obtained in said station.
Highlights
This article was accepted for publication in V69N4 of Revista de la Facultad de Medicina (Journal of the Faculty of Medicine), considering the concepts of the peer reviewers and the changes made by the authors based on said concepts
To implement the Objective Structured Clinical Evaluation a F (OSCE) methodology for the assessment of clinical skills in physical therlic . apy specialty students when using Physical Agents (PA). b ev Materials and methods: A pilot non-experimental cross-sectional study Pu R was conducted in 114 physical therapy students enrolled during the first semester of 2019 in a PA course offered at the Universidad Andres Bello, Santiago, Chile
The Objective structured clinical examination (OSCE) scores obtained by the participants show their n d attainment of clinical skills when using PA, since most of them obtained a a e global passing score; reinforcing the parameters interpretation n M clinical skills is necessary, since the lowest mean score was obtained in ió . said station. c ac Keywords: Physical Therapy Modalities; Physical and Rehabilitation Medlica
Summary
This article was accepted for publication in V69N4 of Revista de la Facultad de Medicina (Journal of the Faculty of Medicine), considering the concepts of the peer reviewers and the changes made by the authors based on said concepts. Authorship, keywords and abstracts will remain unchanged in the final version of the article. This version can be consulted, downloaded, and cited as indicated below, but please bear in mind that the final document (PDF, HTML, and XML) may differ. Objective structured clinical examination (OSCE) to assess physical therapy students’ clinical skills when using physical agents. . Short Title: Assessment of clinical skills using OSCE da Evaluación clínica objetiva estructurada (ECOE) para evaluar las a habilidades clínicas de los estudiantes de fisioterapia al utilizar ip agentes físicos tic. Título corto: Evaluación de habilidades clínicas mediante la ECOE an ed Received: 06/12/2019 Accepted: 09/09/2020 n M Hernán Andrés de la Barra Ortiz https://orcid.org/0000-0002ió c. Stations scores by gender were compared using the Mann-Whitney U test
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