Lately, I've been thinking a lot about professionalism in physical therapy, more precisely, about professionalism in physical therapy education. So, too, have many others, judging from the numerous presentations and conversations about this topic at the 2004 Combined sections Meeting of the American Physical Therapy Association (APIA) this past February. Driven by APIA'S Vision 2020 statement and the vision of a doctoring profession, the recently developed and adopted document, Professionalism in Physical Therapy: Core Values,1,2 provides a valuable blueprint for physical therapy educators as they consider how to promote student learning and development as future health care professionals who will embrace and enact these core values in their everyday practice. result of an APTA sponsored consensus conference, the document identifies and defines seven core values that are essential to professionalism in physical therapy: accountability, altruism, compassion and caring, excellence, integrity, professional duty, and social responsibility.1 As I read through the definitions and indicators put forth in this document, 1 couldn't help but think that teaching and learning about these values and dimensions of professionalism is not so much about what is taught and learned as it is about how we are teaching, and, perhaps most importantly, who we are as teachers in relation to our students. Furthermore, I believe these values urge us to attend to and critically examine how we teach and who we are as faculty both individually and collectively in physical therapy education. Professing and owning these values is obviously not the stuff of rote memorization and recitation of some oath or pledge-it is living them; it is about of being with our students as they make the journey toward professionalism. Sam Feitelberg, in his recent Pauline Cerasoli address to physical therapy educators, The Influence of Leaders,3 echoed my thoughts, and I hope those of many others, on this matter: We should never forget that a student is a learner and should be respected. . .and is not a lower form of person on the road to becoming a professional. If we go forward to adopt a pledge or oath, then we have committed ourselves to behaving in a way that will bring meaning and life to the words as students recite them. Many authors have written about the Importance of who we are In relation to our students (Ie, our relational stance or ways of with students in educational endeavors) and the influence of such presence on learning.4-10 This presence can have both positive and negative influences on learning. Social constructivist theories of teaming remind us that teaching and learning are extraordinarily relational, contextual, and reciprocal endeavors. As such, they also remind us that learning does not just occur in one's head but through active and authentic engagement with academic content through and with other individuals. Thus, our presence as faculty (both academic and clinical) is critical. Students, educational researchers, and educational philosophers have all helped us to identify and understand characteristics, attributes, and behaviors that contribute to positive presence and that enable and enhance learning. In one recent study of physical therapist students and their approaches to learning, Sellheim9 reported positive presence factors as faculty enthusiasm, respectful and positive attitudes toward students, and accessibility. Alternatively, negative presence factors were reported as intimidation, egotistical attitudes, and mistrust. Other influential authors have urged teachers to explore and develop positive presence as a means for facilitating learning through thoughtful teaching,6 mindful practice,11,12 and, last but not least, pedagogical sensitivity and tact.7 latter of these concepts, described in van Manen's7 treatise on the moral dimensions of teaching, Tact of Teaching: TheMeaning of Pedagogical Thoughtfulness, should be required reading for physical therapy educators, in my opinion. …
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