Design, Implementation, and Evaluation of a Logbook for Clinical Education of Undergraduate Physiotherapy Students
,
Abstract
Introduction: Clinical performance without documentation, assessment, and feedback may lead to an inefficient internship in the field. Logbooks are recommended to assess physiotherapy (PT) students’ clinical practice in the curriculum, therefore, this study aims to design, implement, and evaluate a logbook for undergraduate PT students.
Materials and Methods: The present study includes three phases. In the first phase, a logbook was designed based on the existing evidence, undergraduate PT program curriculum, and opinions of clinical instructors of the relevant internships. After that, it was adjusted based on the topics of clinical rotations. In the implementation phase, students completed these logbooks during neurology, musculoskeletal inpatient, outpatient, and cardiovascular inpatient rotations. In the third phase, a 29-item questionnaire was used to assess the students’ and instructors’ perspectives on the logbook.
Results: The designed logbook for undergraduate PT students consisted of two major sections, assessment of students’ clinical competencies and documentation of clinical experience. Sixty-nine students and 12 clinical instructors completed the questionnaires. Approximately 49% of the students and 87% of the instructors felt that the logbook’s quality was satisfactory. Nearly 53% of the students and over 90% of the instructors consider the use of the logbook and its content essential.
Conclusion: A logbook was developed as a workplace-based assessment (WBA) method. It was designed to cover different internships, including PT in musculoskeletal, cardiovascular, and neurological conditions in outpatient or inpatient settings. Both students and instructors agreed on using the designed logbook to assess the student’s clinical performance.
World Confederation for Physical Therapy. Standards of physical therapy practice. London: World Physiotherapy; 2011. [Link]
Wrenn J, Wrenn B. Enhancing learning by integrating theory and practice. International Journal of Teaching and Learning in Higher Education. 2009; 21(2):258-65. [Link]
Talberg H, Scott D. Do physiotherapy students perceive that they are adequately prepared to enter clinical practice? An empirical study. African Journal of Health Professions Education. 2014; 6(1):17-22. [Link]
Vissers D, Van Daele U, De Hertogh W, de Meulenaere A, Denekens J. Introducing competency-based education based on the roles that physiotherapists fulfil. Journal of Novel Physiotherapy and Physical Rehabilitation. 2014; 1(3):1-6. [DOI:10.17352/2455-5487.000010]
Jones M, McIntyre J, Naylor S. Are physiotherapy students adequately prepared to successfully gain employment? Physiotherapy. 2010; 96(2):169-75. [DOI:10.1016/j.physio.2009.11.008] [PMID]
Rindflesch AB, Dunfee HJ, Cieslak KR, Eischen SL, Trenary T, Calley DQ, et al. Collaborative model of clinical education in physical and occupational therapy at the Mayo Clinic. Journal of Allied Health. 2009; 38(3):132-42. [PMID]
Soper S. American council of academic physical therapy clinical education summit. Alexandria: ACAPT; 2017. [Link]
McCallum CA, Mosher PD, Jacobson PJ, Gallivan SP, Giuffre SM. Quality in physical therapist clinical education: A systematic review. Physical Therapy. 2013; 93(10):1298-311. [DOI:10.2522/ptj.20120410] [PMID]
Røe Y, Rowe M, Ødegaard NB, Sylliaas H, Dahl-Michelsen T. Learning with technology in physiotherapy education: Design, implementation and evaluation of a flipped classroom teaching approach. BMC Medical Education. 2019; 19(1):291. [DOI:10.1186/s12909-019-1728-2] [PMID] [PMCID]
Raghoebar-Krieger HM, Sleijfer D, Bender W, Stewart RE, Popping R. The reliability of logbook data of medical students: An estimation of interobserver agreement, sensitivity and specificity. Medical Education. 2001; 35(7):624-31. [DOI:10.1046/j.1365-2923.2001.00963.x] [PMID]
Anderson HL, Kurtz J, West DC. Implementation and use of workplace-based assessment in clinical learning environments: A scoping review. Academic Medicine. 2021; 96(11S):S164-74. [DOI:10.1097/ACM.0000000000004366] [PMID]
Cross V. The professional development diary a case study of one cohort of physiotherapy students. Physiotherapy. 1997; 83(7):375-83. [DOI:10.1016/S0031-9406(05)65791-4]
Benner P, Hughes RG, Sutphen M. Clinical reasoning, decisionmaking, and action: Thinking critically and clinically. In: Hughes RG. Patient safety and quality: An evidence-based handbook for nurses; Rockville: Agency for Healthcare Research and Quality; 2008. [Link]
Pashmdarfard M, Shafarood N. Factors affecting the clinical education of rehabilitation students in Iran: A systematic review. Medical Journal of the Islamic Republic of Iran. 2018; 32:114. [DOI:10.14196/mjiri.32.114] [PMID] [PMCID]
Menatnia F, Dehkordi SN, Dadgoo M. Problems of clinical education from the viewpoints of the physiotherapy students in Iran universities. Journal of Modern Rehabilitation. 2017; 11(4):245-50. [Link]
Lotfi M, Zamanzadeh V, Abdollahzadeh F, Seyyed Rasooli A, Jabbarzadeh F. [The effect of using logbook on nursing students learning in gynecology wards (Persian)]. Nursing and Midwifery Journal. 2010; 5(19):33-8. [Link]
Gouda P. The need for logbooks to evolve in the undergraduate medical setting. Perspectives on Medical Education. 2016; 5(1):65. [DOI:10.1007/S40037-015-0249-X] [PMID] [PMCID]
Talebi GA, Ghaderi F, Eteraf Oskouei MA. [Using log book in clinical education of physiotherapy students (Persian)]. Development Strategies in Medical Education. 2014; 1(2):51-8. [Link]
DeClute J, Ladyshewsky R. Enhancing clinical competence using a collaborative clinical education model. Physical Therapy. 1993; 73(10):683-9. [DOI:10.1093/ptj/73.10.683] [PMID]
Mori B, Norman KE, Brooks D, Herold J, Beaton DE. Canadian physiotherapy assessment of clinical performance: Face and content validity. Physiother Canada. 2016; 68(1):64-72. [DOI:10.3138/ptc.2015-35E] [PMID] [PMCID]
Mori B, Brooks D, Norman KE, Herold J, Beaton DE. Development of the canadian physiotherapy assessment of clinical performance: A new tool to assess physiotherapy students' performance in clinical education. Physiotherapy Canada. 2015; 67(3):281-9. [DOI:10.3138/ptc.2014-29E] [PMID] [PMCID]
Najafi F, Kermansaravi F, Mirmortazavi M, Gheisaranpour H. [The efficacy of logbook in clinical wards from the viewpoints of nursing faculty members and students (Persian)]. Research in Medical Education. 2017; 9(3):64-55. [DOI:10.29252/rme.9.3.64]
Hasanpour M, Mohammadi R, Dabbaghi F, Oskouie F, Nikravesh MY, Salsali M, et al. [The need for change in medical sciences education: A step towards developing critical thinking (Persian)]. Iran Journal of Nursing. 2006; 18(44):39-49. [Link]
Dale VH, Pierce SE, May SA. Benefits and limitations of an employer-led, structured logbook to promote self-directed learning in the clinical workplace. Journal of Veterinary Medical Education. 2013; 40(4):402-18. [DOI:10.3138/jvme.1212-115R] [PMID]
Milanese S, Gordon S, Pellatt A. Undergraduate physiotherapy student perceptions of teaching and learning activities associated with clinical education. Physical Therapy Reviews. 2013; 18(6):439-44. [DOI:10.1179/1743288X12Y.0000000060]
Hosseini M, Irajpour A, Hayrabedian A, Khusravi M, Rarani S, Ghadami A. A study of the views of bachelor students in operating room on evaluation of clinical performance using paper logbook, Isfahan University of Medical Sciences. Annals of Tropical Medicine and Public Health. 2017; 10(6):1668-72. [DOI:10.4103/ATMPH.ATMPH_576_17]
Fatemeh K, Alavinia SM. Students' perception about logbooks: Advantages, limitation and recommendation - A qualitative study. The Journal of the Pakistan Medical Association. 2012; 62(11):1184-6. [PMID]
Ghanbari A, Monfared A. [Survey of clinical evaluation process based on logbook and cognitive and psychomotor learning in nursing students (Persian)]. Research in Medical Education. 2014; 6(2):28-35. [DOI:10.18869/acadpub.rme.6.2.28]
Maroufi SS, Moradimajd P, Jalali M, Ramezani G, Alizadeh S. Investigating the current status of the student evaluation system in Iran University of Medical Sciences: A step to improve education. Journal of Education and Health Promotion. 2021; 10:231. [DOI:10.4103/jehp.jehp_1428_20] [PMID] [PMCID]
O'Connor A, McGarr O, Cantillon P, McCurtin A, Clifford A. Clinical performance assessment tools in physiotherapy practice education: A systematic review. Physiotherapy. 2018; 104(1):46-53. [DOI:10.1016/j.physio.2017.01.005] [PMID]
Buckley S, Coleman J, Davison I, Khan KS, Zamora J, Malick S, et al. The educational effects of portfolios on undergraduate student learning: A best evidence medical education (BEME) systematic review. BEME guide No. 11. Medical Teacher. 2009; 31(4):282-98. [DOI:10.1080/01421590902889897] [PMID]
Mofateh R, Orakifar N, Moradi N. [Satisfaction of clinical performance evaluation using checklist based on feedback from undergraduate physiotherapy students of Ahvaz Jundishapur University of Medical Sciences (Persian)]. Educational Development of Judishapur. 2021; 11(4):644-52. [DOI:10.22118/edc.2020.226250.1307]
| Issue | Vol 18 No 2 (2024) | |
| Section | Research Article(s) | |
| DOI | https://doi.org/10.18502/jmr.v18i2.15976 | |
| Keywords | ||
| Clinical competence Logbook Physiotherapy Assessment Education | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
