Variability and inconsistency in clinical education setting terminology: a call to action
Main Article Content
Abstract
Purpose: Significant variation exists in clinical education placement setting terminology amongst clinical education stakeholders. The lack of agreed-upon terminology impacts clear communication between academic institutions and clinical sites while also impacting researchers’ abilities to successfully conduct large-scale national studies. This study explored the variability of physical therapist (PT) student clinical education placement setting nomenclature across the United States.
Methods: De-identified full-time PT student clinical education placements between January 2014 and September 2023 were extracted from Exxat© Version 3. Using the American Physical Therapy Association membership profile data as guidance, researchers created broad categories that represented the clinical education placement settings. Eight unique settings along with one category for ‘mixed setting’ and one for ‘unclassified’ were identified: acute care, day rehabilitation, home care, inpatient rehabilitation, long-term acute care hospital, outpatient, school and sub-acute rehabilitation (sub-acute rehabilitation, long-term care and skilled nursing facilities). Extracted data were sorted into those categories.
Results: The dataset was composed of 132,320 clinical education placements from 178 PT education programs. There were 1,388 different labels in the dataset used to describe the settings for those clinical education placements.
Conclusions: Task forces have worked diligently to establish standardization in terminology in physical therapy clinical education. Due to the current variability in labelling clinical placement settings, the authors present a call to action for the development of agreed-upon placement setting terminology. A common naming system is proposed which may facilitate clear communication between all parties while also supporting research efforts in clinical education.
References
2. Sariyar M, Borg A, Heidinger O, et al. A practical framework for data management processes and their evaluation in population-based medical registries. Inform Health Soc Care (2013) 38(2): 104–19. doi: 10.3109/17538157.2012.735731
3. Stallinga HA, Ten Napel H, Jansen GJ, et al. Does language ambiguity in clinical practice justify the introduction of standard terminology? An integrative review. J Clin Nurs (2015) 24(3–4): 344–52. doi: 10.1111/jocn.12624
4. Chute CG, Cohn SP, Campbell JR. A framework for comprehensive health terminology systems in the United States: development guidelines, criteria for selection, and public policy implications. J Am Med Inform Assoc (1998) 5(6): 503–10. doi: 10.1136/jamia.1998.0050503
5. Jensen PB, Jensen LJ, Brunak S. Mining electronic health records: towards better research applications and clinical care. Nat Rev Genet (2012) 13(6): 395–405. doi: 10.1038/nrg3208
6. Erickson M, Birkmeier M, Booth M, et al. Recommendations from the common terminology panel of the american council of academic physical therapy. Phys Ther (2018) 98(9): 754–62. doi: 10.1093/ptj/pzy075
7. McCallum C. Clinical Education Placement Process Task Force. National Consortium of Clinical Educators; 2020:21. Available from: https://acapt.org/docs/default-source/consortium-(ncce)/clinical-education-placement-process-taskforce-final-report-rev10-23.pdf?sfvrsn=4a8982d8_2#:~:text=Purpose%20The%20purpose%20of%20the,CE%20SIG%20(APTE)%20consideration [cited 11 June 2024].
8. Physical Therapy Clinical Education Glossary. American Council of Academic Physical Therapy. Available from: https://acapt.org/glossary [cited 2 July 2024].
9. A vision for excellence in physical therapy education: culmination of the work of the education leadership partnership, August 2021. J Phys Ther Educ (2021) 35(Supplement 1): 1–35. doi: 10.1097/JTE.000000000000021
10. A Physical Therapy Profile: Demographics of the Profession, 2021-2022. American Physical Therapy Association. Available from: https://www.apta.org/apta-and-you/news-publications/reports/2023/physical-therapy-profile-demographics-profession-2021-22 [cited 3 July 2024].
11. U.S. Bureau of Labor Statistics. Occupational Outlook Handbook. Available from: https://www.bls.gov/ooh/healthcare/physical-therapists.htm#tab-6 [cited 17 May 2024].
12. PT Student Site Evaluation Form. American Physical Therapy Association. Available from: https://www.apta.org/for-educators/assessments [cited 11 June 2024].
13. Standards and Required Elements for Accreditation of Physical Therapist Education Programs. Commission of Accreditation in Physical Therapy; 2024:1–46. Available from: https://www.capteonline.org/globalassets/capte-docs/2024-capte-pt-standards-required-elements.pdf [cited 5 July 2024].
14. Aggregate Program Data: 2023 PT Fact Sheet Data. American Physical Therapy Association. Available from: https://www.capteonline.org/globalassets/capte-docs/aggregate-data/number-pt-pta-programs.pdf [cited 9 December 2024].
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