Problems of Clinical Education From the Viewpoints of the Physiotherapy Students in Iran Universities

  • Fatemeh Menatnia Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
  • Shohreh Noorizadeh Dehkordi Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
  • Mehdi Dadgoo Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
Physiotherapy, Clinical education, Problems, Students, Clinical practice


Introduction: Evaluating the educational programs in various Medical Science disciplines is a highly sensitive matter and of great importance. Physiotherapy (PT) is an important field of Rehabilitation Sciences, which requires distinguished scientific and professional skills. One of the practical ways to assess the quality of clinical education in PT is to study the students’ perspective in this field, because they are the main target audience for education. Therefore, this study was conducted to determine the problems in clinical training of PT students, from the medical students’ perspective, in different universities of Tehran City.
Materials and Methods: The present study was conducted using a qualitative content analysis approach, through individual interviews with 13 PT undergraduate students in Tehran. They were recruited through targeted sampling with maximum variation.
Results: After analyzing the obtained data, a total of 4 themes were derived, which included characteristics of clinical supervision, training schedules and training, setting of clinical training, and general characteristics of the learners. Furthermore, 22 subthemes were obtained; some of them included lack of clinical teaching experience among the faculty members, no supervision in clinical teaching, for example, theory and clinical courses being held in one day, short duration of clinical teaching, inappropriate facilities, and the disorganisation and laziness of some students.
Conclusion: Perhaps changing the clinical teaching methods, employing experienced and effective instructors, taking courses more seriously by students, establishing appropriate facilities for clinical training, supervision of the PT department over the performance of the teachers and the events during internships, and increasing the duration of theory and clinical courses, can all be effective in improving the quality of clinical training.


Dean CM, Stark AM, Gates CA, Czerniec SA, Hobbs CL, Bullock LD, et al. A profile of physiotherapy clinical education. Australian Health Review. 2009; 33(1):38-46. [DOI:10.1071/AH090038] [PMID]

d’Souza MS, Karkada SN, Parahoo K, Venkatesaperumal R. Perception of and satisfaction with the clinical learning environment among nursing students. Nurse Education Today. 2015; 35(6):833-40. [DOI:10.1016/j.nedt.2015.02.005] [PMID]

Arabshahi KS, Haghani F, Bigdeli S, Omid A, Adibi P. Challenges of the ward round teaching based on the experiences of medical clinical teachers. Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences. 2015; 20(3):273-80. [PMID]

Supamanee T, Krairiksh M, Singhakhumfu L, Turale S. Preliminary clinical nursing leadership competency model: A qualitative study from Thailand. Nursing & Health Sciences. 2011; 13(4):433-9. [DOI:10.1111/j.1442-2018.2011.00649.x] [PMID]

Ellis MV, Creaner M, Hutman H, Timulak L. A comparative study of clinical supervision in the Republic of Ireland and the United States. Journal of Counseling Psychology. 2015; 62(4):621. [DOI:10.1037/cou0000110] [PMID]

Blomberg K, Bisholt B, Kullén Engström A, Ohlsson U, Sundler Johansson A, Gustafsson M. Swedish nursing students’ experience of stress during clinical practice in relation to clinical setting characteristics and the organisation of the clinical education. Journal of Clinical Nursing. 2014; 23(15-16):2264-71. [DOI:10.1111/jocn.12506] [PMID]

Delany C, Bragge P. A study of physiotherapy students’ and clinical educators’ perceptions of learning and teaching. Medical Teacher. 2009; 31(9):e402-e11. [DOI:10.1080/01421590902832970] [PMID]

Gard G, Dagis D. Physiotherapy students’ perceptions of learning in clinical practice in Sweden and India. Nurse Education Today. 2016; 36:381-6. [DOI:10.1016/j.nedt.2015.10.001] [PMID]

Goldie J, Dowie A, Goldie A, Cotton P, Morrison J. What makes a good clinical student and teacher? An exploratory study. BMC Medical Education. 2015; 15(1):40. [DOI:10.1186/s12909-015-0314-5] [PMID] [PMCID]

Larin H, Wessel J, Al-Shamlan A. Reflections of physiotherapy students in the United Arab Emirates during their clinical placements: A qualitative study. BMC Medical Education. 2005; 5(1):3. [DOI:10.1186/1472-6920-5-3] [PMID] [PMCID]

Démeh W, Rosengren K. The visualisation of clinical leadership in the content of nursing education: A qualitative study of nursing students’ experiences. Nurse Education Today. 2015; 35(7):888-93. [DOI:10.1016/j.nedt.2015.02.020] [PMID]

Chiang Hh. Students’ perceptions of effective and ineffective clinical instructors. Journal of Nursing Education. 2005; 44(4):187. [PMID]

Pozo Munoz C, Rebolloso Pacheco E, Fernandez Ramirez B. The’Ideal Teacher’: Implications for student evaluation of teacher effectiveness. Assessment & Evaluation in Higher Education. 2000; 25(3):253-63. [DOI:10.1080/02602930050135121]

Sloan G. Good characteristics of a clinical supervisor: A community mental health nurse perspective. Journal of Advanced Nursing. 1999; 30(3):713-22. [DOI:10.1046/j.1365-2648.1999.01121.x] [PMID]

Karagözoğlu Ş. Nursing students’ level of autonomy: A study from Turkey. Nurse Education Today. 2009; 29(2):176-87. [DOI:10.1016/j.nedt.2008.08.002] [PMID]

Shirazi M, Akbari L, Babaee M. Assessment of the condition of clinical education from the viewpoints of undergraduate nursing students: Presentation of problem-oriented stratagies. Journal of Nursing Education. 2013; 2(2):30-8.

Elcigil A, Sarı HY. Determining problems experienced by student nurses in their work with clinical educators in Turkey. Nurse Education Today. 2007; 27(5):491-8. [DOI:10.1016/j.nedt.2006.08.011] [PMID]

Timmins F, Kaliszer M. Aspects of nurse education programmes that frequently cause stress to nursing students–fact-finding sample survey. Nurse Education Today. 2002; 22(3):203-11. [DOI:10.1054/nedt.2001.0698] [PMID]

Spencer JA, Jordan RK. Learner centred approaches in medical education. British Medical Journal. 1999; 318(7193):1280. [DOI:10.1136/bmj.318.7193.1280]

Khatiban M, Sangestani G. The effects of using problem-based learning in the clinical nursing education on the students’ outcomes in Iran: A quasi-experimental study. Nurse Education in Practice. 2014; 14(6):698-703. [DOI:10.1016/j.nepr.2014.10.002] [PMID]

Sevenhuysen S, Farlie MK, Keating JL, Haines TP, Molloy E. Physiotherapy students and clinical educators perceive several ways in which incorporating peer-assisted learning could improve clinical placements: A qualitative study. Journal of Physiotherapy. 2015; 61(2):87-92. [DOI:10.1016/j.jphys.2015.02.015] [PMID]

Solomon P, Baptiste S. Innocations in rehabilitation science education: Preparing leaders for the future: Springer; 2005. [DOI:10.1007/3-540-28694-2]

St-Onge C, Chamberland M, Lévesque A, Varpio L. The role of the assessor: Exploring the clinical supervisor’s skill set. The Clinical Teacher. 2014; 11(3):209-13. [DOI:10.1111/tct.12126] [PMID]

Hunter RD, Maciejewski B, Leer JW, Kinay M, Heeren G. Training logbook for radiotherapy. Radiotherapy and Oncology. 2004; 70(2):117-21. [DOI:10.1016/j.radonc.2003.12.005] [PMID]

Dunn SV, Hansford B. Undergraduate nursing students’ perceptions of their clinical learning environment. Journal of Advanced Nursing. 1997; 25(6):1299-306. [DOI:10.1046/j.1365-2648.1997.19970251299.x]

Jessee MA. Influences of sociocultural factors within the clinical learning environment on students’ perceptions of learning: An integrative review. Journal of Professional Nursing. 2016; 32(6):463-86. [DOI:10.1016/j.profnurs.2016.03.006] [PMID]

Papathanasiou IV, Tsaras K, Sarafis P. Views and perceptions of nursing students on their clinical learning environment: Teaching and learning. Nurse Education Today. 2014; 34(1):57-60. [DOI:10.1016/j.nedt.2013.02.007] [PMID]

Melo K, Williams B, Ross C. The impact of nursing curricula on clinical practice anxiety. Nurse Education Today. 2010; 30(8):773-8. [DOI:10.1016/j.nedt.2010.02.006] [PMID]

How to Cite
Menatnia F, Noorizadeh Dehkordi S, Dadgoo M. Problems of Clinical Education From the Viewpoints of the Physiotherapy Students in Iran Universities. jmr. 11(4):245-250.
Research Article(s)