Clinical Competency Needs of Physiatrists in Thailand: A Cross-Sectional study
Keywords:
physical and rehabilitation medicine, education, medical, graduate, professional practice, program evaluationAbstract
Objectives: To determine the degree to which the clinical competency needs of Thai practicing physiatrists in the current rehabilitation medicine residency curriculum align with topics validated by the Board of Training and Examination in Rehabilitation Medicine of Thailand
Study design: Cross-sectional study
Setting: Department of Rehabilitation Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand
Subjects: Total Thai physiatrists in 2020-2021
Methods: A total of 731 physiatrists in Thailand were surveyed using the questionnaire which was composed of two parts. The first part covered participants’ characteristics. The second part included 96 rehabilitation medicine topics which had been validated by the Board of Training and Examination in Rehabilitation Medicine of Thailand. Participants rated each of the topics on afour-point (1-4) Likert scale for both “Frequency” and “Importance”. Frequency refers to how often the participant applied each topic in their practice and importance refers to the significance of each topic in their clinical practice.
Results: The response rate was 15.3% (112/731). The five most frequently encountered conditions rated 4 were low back pain (N=86.6%), osteoarthritis of the knee (N=83.0%), stroke (N=79.5%), spondylosis/spondylolisthesis (N=78.6%), and radiculopathy (N=70.5%). The five most essential conditions rated 4 were stroke (N=87.5%), osteoarthritis of the knee (N=79.5%), low back pain (N=78.6%), chronic pain (N=75.9%), and radiculopathy (N=75.0%).
Conclusions: The survey provides essential information which the Royal College of Physiatrists of Thailand and could use to help improve the curriculum content for entrustable professional activities.
References
Frank JR, Mungroo R, Ahmad Y, Wang M, De Rossi S, Horsley T. Toward a definition of competency-based education in medicine: a systematic review of published definitions. Med Teac [Internet]. 2010 [cited 2024 Mar 10];32(8):631-7. Available from: https://pubmed.ncbi.nlm.nih.gov/20662573/ doi:10.3109/0142159X.2010.500898
ten Cate O, Young JQ. The patient handover as an entrustable professional activity: adding meaning in teaching and practice. BMJ Qual Saf [Internet]. 2012 [cited 2024 Mar 10];21(Suppl 1):i9-i12. Available from: https://pubmed.ncbi.nlm.nih.gov/23173185/ doi: 10.1136/bmjqs-2012-001213
van Loon KA, Driessen EW, Teunissen PW, Scheele F. Experiences with EPAs, potential benefits and pitfalls. Med Teach [Internet]. 2014 [cited 2024 Mar 10];36(8):698-702. Available from: https://pubmed.ncbi.nlm.nih.gov/24804911/ doi: 10.3109/0142159X.2014.909588
Dhaliwal U, Gupta P, Singh T. Entrustable professional activities: Teaching and assessing clinical competence. Indian pediatr [Internet]. 2015 [cited 2024 Mar 10];52:591-7. Available from: https://pubmed.ncbi.nlm.nih.gov/26244953/ doi:10.1007/s13312-015-0681-3
Mallow M, Baer H, Moroz A, Nguyen VQ. Entrustable professional activities for residency training in physical medicine and rehabilitation. Am J Phys Med Rehabil [Internet]. 2017 [cited 2024 Mar 10];96(10):762-4. Available from: https://pubmed.ncbi.nlm.nih.gov/28925925/ doi:10.1097/PHM.0000000000000741
Baer HR, Gilbert AR, Forster JE, Ketchum NC, Mallow M, Nguyen VQ. Use of the electrodiagnostic entrustable professional activity for competency assessment in physical medicine and rehabilitation training programs. Am J Phys Med Rehabil [Internet]. 2020 [cited 2024 Mar 10];99(1):81-5. Available from: https://pubmed.ncbi.nlm.nih.gov/31464758/ doi:10.1097/PHM.0000000000001302
Stone SN, Rydberg L. Creating and confirming observable professional activities (OPAs): A brief report on the practical approach for OPA design for resident education. J Spinal Cord Med [Internet]. 2023 [cited 2024 Aug 24];46(5):865-9. Available from: https://pubmed.ncbi.nlm.nih.gov/36972220/ doi: 10.1080/10790268.2023.2191100
Petriello M, Mathews A, Eison K, Hartman E, Steere H. Survey of global health education in physical medicine and rehabilitation residency programs across the United States. Journal of the International Society of Physical and Rehabilitation Medicine [Internet]. 2023 [cited 2024 Aug 24];6(2):34-9. Available from: https://journals.lww.com/jisprm/fulltext/2023/06000/survey_of_global_health_education_in_physical.3.aspx doi:10.1097/ph9.0000000000000009
Frenk J, Chen L, Bhutta ZA, Cohen J, Crisp N, Evans T, et al. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. Lancet [Internet]. 2010 [cited 2024 Mar 10];376(9756):1923-58. Available from: https://pubmed.ncbi.nlm.nih.gov/21112623/ doi:10.1016/S0140-6736(10)61854-5
Chiniara G, Cole G, Brisbin K, Huffman D, Cragg B, Lamacchia M, et al. Simulation in healthcare: a taxonomy and a conceptual framework for instructional design and media selection. Med Teac [Internet]. 2013 [cited 2024 Mar 10];35(8):e1380-e95. Available from: https://pubmed.ncbi.nlm.nih.gov/23121247/ doi:10.3109/0142159X.2012.733451
Suwanwela NC. Stroke epidemiology in Thailand. J Stroke [Internet]. 2014 [cited 2024 Mar 10];16(1):1. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3961816/ doi:10.5853/jos.2014.16.1.1
Achterberg WP, Cameron ID, Bauer JM, Schols JM. Geriatric rehabilitation-state of the art and future priorities. J Am Med Dir Assoc [Internet]. 2019 [cited 2024 Mar 10];20(4):396-8. Available from: https://pubmed.ncbi.nlm.nih.gov/30954132/ doi: 10.1016/j.jamda.2019.02.014
Kuptniratsaikul V, Tosayanonda O, Nilganuwong S, Thamalikitkul V. The epidemiology of osteoarthritis of the knee in elderly patients living an urban area of Bangkok. J Med Assoc Thai [Internet]. 2002 [cited 2024 Mar 10];85(2):154-61. Available from: https://pubmed.ncbi.nlm.nih.gov/12081113/
Samuthpongtorn C, Jereerat T, Suwanwela NC. Stroke risk factors, subtypes and outcome in elderly Thai patients. BMC Neurol [Internet]. 2021 [cited 2024 Mar 10];21:1-6. Available from: https://pubmed.ncbi.nlm.nih.gov/34416866/ doi:10.1186/s12883-021-02353-y
Chaleekrua S, Janpol K, Wattanapan P. Swallowing problems among community-dwelling elderly in Northeastern Thailand. J Prim Care Community Health [Internet]. 2021 [cited 2024 Mar 10];12:21501327211019596. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8161855/ doi:10.1177/21501327211019596
Pattarakijkusol S, NaRanong A. Thailand Institution Factors Influencing Middle-Income Earning Generation Y’s Fertility Intentions. Journal of Demography [Internet]. 2021 [cited 2024 Mar 10];37(1):1-26. Available from: https://digital.car.chula.ac.th/jdm/vol37/iss1/1/ doi: 10.58837/CHULA.JDM.37.1.1
Teleman B, Vinblad E, Svedberg P, Nygren JM, Larsson I. Exploring barriers to participation in pediatric rehabilitation: Voices of children and young people with disabilities, parents, and professionals. Int J Environ Res Public Health [Internet]. 2021 [cited 2024 Mar 10];18(19):10119. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8508210/ doi:10.3390/ijerph181910119
van der Woude LH, Houdijk HJ, Janssen TW, Seves B, Schelhaas R, Plaggenmarsch C, et al. Rehabilitation: mobility, exercise & sports; a critical position stand on current and future research perspectives. Disabil Rehabil [Internet]. 2021 [cited 2024 Mar 10];43(24):3476-91. Available from: https://pubmed.ncbi.nlm.nih.gov/32805152/ doi: 10.1080/09638288.2020.1806365
The Doping Control Agency of Thailand (DCAT). 2022 Annual Report [Internet]. 2023 [cited 2024 April 25]. Available from: https://www.dcat.in.th/storages/2023/8/4/d5e07f31-55ae-453e-ad8e-6fe71a2b0140.pdf
Downloads
Published
How to Cite
Issue
Section
License

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


