How physical therapy residents and fellows influence doctor of physical therapy students’ experiences: a single program mixed methods study
Main Article Content
Abstract
Purpose: Physical therapy residency and fellowship programs help healthcare providers develop stronger clinical skills and professional confidence. While research shows that these programs benefit the residents and fellows, we know little about how these advanced practitioners impact entry-level Doctor of Physical Therapy (DPT) students they work with during their education. This study investigates the influence of physical therapy residents and fellows on the educational experience and professional development of DPT students through focused surveys and semi-structured interviews.
Methods: Students eligible (229) for this study were students enrolled in the DPT program from January 2018 to March 2022. Cohorts were selected based on their exposure to residents and fellows during their time in the DPT program. Students from the identified cohorts were invited to complete a web-based survey and participate in virtual interviews. An inductive content analysis approach was employed to identify and refine codes and establish themes.
Results: Twenty-three percent of students completed the survey (52), and 42 completed the interview. Seventy-three percent of students acknowledged that a residency and fellowship program associated with the DPT program positively enriched their educational experience. Additionally, 50% of students indicated that access to residents and fellows influenced their decision to pursue a residency or fellowship.
Conclusion: The findings suggest that integrating residents and fellows within a DPT program positively influences students’ educational experiences and professional development within a single university setting. While these results are encouraging, additional research is warranted to deepen our understanding of this relationship.
References
2. Briggs MS, Whitman J, Olson-Kellogg B. Employer perceptions of physical therapists’ residency and fellowship training: insights for career development planning. J Phys (2019) 31(1): 30–8. doi: 10.1097/JTE.0000000000000078
3. Rodeghero J, Wang YC, Flynn T, et al. The impact of physical therapy residency or fellowship education on clinical outcomes for patients with musculoskeletal conditions. J Orthop Sports Phys Ther (2015) 45(2): 86–96. doi: 10.2519/jospt.2015.5255
4. Winslow J, Costello M. Implementation of a hospital-based orthopaedic physical therapy residency program: a case report describing clinical outcomes, productivity, and perceived benefits. J Phys Ther Educ (2019) 33(4): 307. doi: 10.1097/JTE.0000000000000100
5. Edmond SL, Whitman J, Werneke M, et al. Effectiveness and efficiency of patient care while enrolled in an orthopedic physical therapy fellowship program. JCEPT (2024) 6: 1–12. doi: 10.52214/jcept.v6.9082
6. Cunningham S, Litwin B, Fernandez-Fernandez A, et al. Professional development and lifelong learning: the impact of physical therapy residency training in Kenya. Physiother Theory Pract (2022) 38(1): 112–21. doi: 10.1080/09593985.2020.1737994
7. Jensen GM, Nordstrom T, Mostrom E, et al. National study of excellence and innovation in physical therapist education: part 1 – design, method, and results. Phys Ther (2017) 97(9): 857–74. doi: 10.1093/ptj/pzx061
8. Jones S, Bellah C, Godges JJ. A comparison of professional development and leadership activities between graduates and non-graduates of physical therapist clinical residency programs. J Phys Ther Educ (2008) 22(3): 85. https://doi.org/10.1097/00001416-200810000-00010
9. Denninger TR, Greenville SC. One size does not fit all-relevant comparisons of orthopaedic physical therapy residency programs. Othop Pract (2018) 30(2): 128–30. Available from: https://www.orthopt.org/uploads/content_files/files/ORFSIG%288%29.pdf [cited 21 December 2022].
10. 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. doi: 10.1097/JTE.0000000000000216
11. Walsh A, Scanlon J. A review of the current evidence examining the benefits of physical therapy residency training. Orthopaed Phys Ther Pract (2024) 36(3): 11–17. Available from: https://www.proquest.com/scholarly-journals/review-current-evidence-examining-benefits/docview/3078768637/se-2
12. Vears DF, Gillam L. Inductive content analysis: a guide for beginning qualitative researchers. Focus Health Prof Educ Multi-Prof J (2022) 23(1): 111–27. doi: 10.11157/fohpe.v23i1.544
13. Hennink M, Kaiser BN. Sample sizes for saturation in qualitative research: a systematic review of empirical tests. Soc Sci Med (2022) 292: 114523. doi: 10.1016/j.socscimed.2021.114523
14. Osborne R, Janson C, Black L, et al. Motivations to pursue physical therapy residency training: a Q-methodology study of stakeholder perspectives. Phys Ther (2020) 100(1): 57–72. doi: 10.1093/ptj/pzz142
15. Hartley GW, Rapport MJ, Osborne R, et al. Residency education: is it now or never? Phys Ther (2021) 101(4): 1–4. doi: 10.1093/ptj/pzaa225
16. APTA. Impact of student debt on the physical therapy profession. APTA. 2020. Available from: https://www.apta.org/contentassets/ee2d1bb7f9d841c983d0f21bb076bb79/impact-of-student-debt-report.pdf.
17. A physical therapy profile: wages for the profession, 2021–22. APTA; July 18, 2023. Available from: https://www.apta.org/apta-and-you/news-publications/reports/2023/physical-therapy-profile-wages-profession-2021-22 [cited 11 March 2024].
18. Whitman JM, Shepherd M, Neilson B, et al. An orthopedic manual physical therapy fellowship training’s impact on professional development, involvement, personal lives, and income – a survey study. J Man Manip Ther (2020) 28(5): 287–97. doi: 10.1080/10669817.2020.1748333
19. Briggs MS, Weber MD, Olson-Kellogg BJ. Factors contributing to physical therapists’ job and career satisfaction in the United States: results from a national survey. J Phys (2022) 26(3): 232–41. doi: 10.1097/JTE.000000000000024
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.