An Independent Learning Manual to Support Clinical Reasoning and Facilitate Reflection in Early Physiotherapy Student Placements: A Case Study
Volume 2, Issue 2, March 2013, Pages: 58-63
Received: Apr. 18, 2013;
Published: Mar. 10, 2013
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Benjamin K. Weeks, School of Rehabilitation Sciences, Centre for Musculoskeletal Research, Gold Coast campus, Griffith University, Queensland, Australia
Megan Dalton, School of Primary Health Care, Faculty of Medicine Nursing and Health Sciences, Monash University, Victoria, Australia
In response to student feedback and in line with the concept of ‘guided discovery learning’, we designed an independent learning manual (ILM) to support students over the course of their first major clinical placement. In particular, the ILM was introduced to facilitate the development of clinical reasoning skills, and encourage independent learning and self-reflection. The manual was issued to students in the first year of the physiotherapy program at Griffith University in 2009 and to all associated clinical educators. Student and educator satisfaction of the ILM was determined by survey, while student performance was determined by clinical placement grades and compared to that of the previous cohort unsupported by the ILM. Students rated the ILM as an effective resource (5.0 ±0.8 on 7-point scale, n = 49) and educators rated the ILM as very effective (4.1 ±0.4 on 5-point scale, n = 7). Further, clinical placement grades were greater for students issued with the ILM compared to students without the ILM (82.8 ±9.5 vs. 77.7 ±10.7, p = 0.01). In all, we found that a new resource to support physiotherapy students in an orthopaedic clinical placement was well-received by students and educators and resulted in higher clinical placement grades in comparison to the previous year.
Benjamin K. Weeks,
An Independent Learning Manual to Support Clinical Reasoning and Facilitate Reflection in Early Physiotherapy Student Placements: A Case Study, Education Journal.
Vol. 2, No. 2,
2013, pp. 58-63.
Wass, V., Van der Vleuten, C., Shatzer, J., and Jones, R. Assessment of clinical competence. Lancet, 2001. 357(9260): p. 945-9.
Dean, C.M., Stark, A.M., Gates, C.A., Czerniec, S.A., Hobbs, C.L., Bullock, L.D. and Kolodziej, I. A profile of physio-therapy clinical education. Australian Health Review, 2009. 33(1): p. 38-46.
Adam, K., Peters, S. and Chipchase, L. Knowledge, skills and professional behaviours required by occupational therapist and physiotherapist beginning practitioners in work-related practice: A systematic review. Australian Occupational Therapy Journal, 2013. 60: p.76-84.
May, W.W., Morgan, B.J., Lemke, J.C., Karst, G.M. and Stone, H.L. Model for ability-based assessment in physical therapy education. Journal of Physical Therapy Education, 1995. 9: p. 3-6.
Neame, R.L. and Powis, D.A. Toward independent learning: Curricular design for assisting students to learn how to learn. Journal of Medical Education, 1981. 56(11): p. 886-93.
Harden, R.M., Davis, M.H. and Crosby, J.R. The new Dundee medical curriculum: a whole that is greater than the sum of its parts. Medical Education, 1997. 31: p. 264-71.
Spencer, J.A. and Jordan, R.K. Learner centred approaches in medical education. British Medical Journal, 1999. 318: p. 1280-3.
Biggs, J. Enhancing teaching through constructive alignment. Higher Education, 1996. 32(3): p. 347-64.
Wang, X., Su, Y., Cheung, S., Wong, E. and Kwong, T. An exploration of Biggs’ constructive alignment in course design and its impact on students’ learning approaches. Assessment & Evaluation in Higher Education, 2012. DOI:10.1080/02602938.2012.658018
Herbert, D.M.B. and Burt, J.S. What do students remember? Episodic memory and the development of schematization. Applied Cognitive Psychology, 2004. 18: p. 77-88.
Sobral, D. Mindset for reflective learning: A revalidation of the reflection in learning scale. Advances in Health Sciences Education, 2005. 10: p. 303-314.
Boud, D. Creating a work based curriculum. Work-based learning: A new higher education, ed. D. Boud and P. Solomon. 2001, Buckingham, UK: Open University Press & Society for Research into Higher Education.
Lester, S. and Costley, C. Work-based learning at higher education level: Value, practice and critique. Studies in Higher Education, 2010. 35: p.561-575.
Edwards, I., Jones, M., Carr, J., Braunack-Mayer, A. and Jensen, G.M. Clinical reasoning strategies in physical therapy. Physical Therapy, 2004. 84: p.312-330.
Boud, D., Cohen, R. and Sampson, J.K. Peer learning and assessment. Assessment and Evaluation in Higher Education, 1999. 24: p.413-426.