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Physical Therapy Residency and Fellowship Education: Reflections on the Past, Present, and Future

Jennifer A. Furze, Carol Jo Tichenor, Beth E. Fisher, Gail M. Jensen, Mary Jane Rapport
DOI: 10.2522/ptj.20150473 Published 1 July 2016
Jennifer A. Furze
J.A. Furze, PT, DPT, PCS, Department of Physical Therapy, School of Pharmacy and Health Professions, Creighton University, 2500 California Pl, Omaha, NE 68178 (USA).
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Carol Jo Tichenor
C.J. Tichenor, MA, PT, HFAAOMPT (retired), Orthopedic Manual Physical Therapy Fellowship, Kaiser Permanente Northern California, Union City, California.
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Beth E. Fisher
B.E. Fisher, PT, PhD, FAPTA, Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, California.
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Gail M. Jensen
G.M. Jensen, PT, PhD, FAPTA, Department of Physical Therapy, Creighton University.
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Mary Jane Rapport
M.J. Rapport, PT, DPT, PhD, FAPTA, Physical Therapy Program, School of Medicine, University of Colorado, Anschutz Medical Campus, Denver, Colorado.
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Abstract

The physical therapy profession continues to respond to the complex and changing landscape of health care to meet the needs of patients and the demands of patient care. Consistent with this evolution is the rapid development and expansion of residency and fellowship postprofessional programs. With the interested number of applicants exceeding the number of residency and fellowship slots available, a “critical period” in the educational process is emerging. The purposes of this perspective article are: (1) to analyze the state of residency and fellowship education within the profession, (2) to identify best practice elements from other health professions that are applicable to physical therapy residency and fellowship education, and (3) to propose a working framework grounded in common domains of competence to be used as a platform for dialogue, consistency, and quality across all residency and fellowship programs. Seven domains of competence are proposed to theoretically ground residency and fellowship programs and facilitate a more consistent approach to curricular development and assessment. Although the recent proliferation of residency and fellowship programs attempts to meet the demand of physical therapists seeking advanced educational opportunities, it is imperative that these programs are consistently delivering high-quality education with a common focus on delivering health care in the context of societal needs.

Footnotes

  • All authors provided concept/idea/project design, writing, and review of manuscript before submission. Dr Furze provided project management.

  • The authors acknowledge the Residency and Fellowship Research Conclave participants who contributed to the concepts in the manuscript, including, Diane D. Allen, J.B. Barr, Lisa Black, Matt Briggs, Nicole Christensen, Terry Ellis, Joseph Farrell, Judy Gale, Greg Hartley, Becky Olson-Kellogg, Raine Osborne, Erica Sigman, and Julie Whitman.

  • Received August 23, 2015.
  • Accepted December 6, 2015.
  • © 2016 American Physical Therapy Association
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Vol 96 Issue 7 Table of Contents
Physical Therapy: 96 (7)

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  • Raising the Priority of Lifestyle-Related Noncommunicable Diseases in Physical Therapy Curricula
  • Physical Therapy Residency and Fellowship Education: Reflections on the Past, Present, and Future
  • Prognostic Models in Adults Undergoing Physical Therapy for Rotator Cuff Disorders: Systematic Review
  • Disability Trajectories in Patients With Complaints of Arm, Neck, and Shoulder (CANS) in Primary Care: Prospective Cohort Study
  • Locomotor Performance During Rehabilitation of People With Lower Limb Amputation and Prosthetic Nonuse 12 Months After Discharge
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  • Concussion Attitudes and Beliefs, Knowledge, and Clinical Practice: Survey of Physical Therapists
  • Dietary Protein Intake and Lean Muscle Mass in Survivors of Childhood Acute Lymphoblastic Leukemia: Report From the St. Jude Lifetime Cohort Study
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  • Treatment-Based Classification System for Low Back Pain: Revision and Update
  • Interdisciplinary Management of Complex Regional Pain Syndrome of the Face
  • Comparison of Self-report and Performance-Based Balance Measures for Predicting Recurrent Falls in People With Parkinson Disease: Cohort Study
  • Therapists' Perceptions of Application and Implementation of AM-PAC “6-Clicks” Functional Measures in Acute Care: Qualitative Study
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  • Alberta Infant Motor Scale (AIMS) Performance of Greek Preterm Infants: Comparisons With Full-Term Infants of the Same Nationality and Impact of Prematurity-Related Morbidity Factors
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Physical Therapy Residency and Fellowship Education: Reflections on the Past, Present, and Future
Jennifer A. Furze, Carol Jo Tichenor, Beth E. Fisher, Gail M. Jensen, Mary Jane Rapport
Physical Therapy Jul 2016, 96 (7) 949-960; DOI: 10.2522/ptj.20150473

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Physical Therapy Residency and Fellowship Education: Reflections on the Past, Present, and Future
Jennifer A. Furze, Carol Jo Tichenor, Beth E. Fisher, Gail M. Jensen, Mary Jane Rapport
Physical Therapy Jul 2016, 96 (7) 949-960; DOI: 10.2522/ptj.20150473
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  • Article
    • Abstract
    • History of Residency and Fellowship Education in Physical Therapy
    • Current State of Physical Therapy Residency and Fellowship Education
    • Lessons From the Health Professions
    • A Working Framework for Physical Therapy: Future Considerations
    • Proposed Common Domains of Competence in Physical Therapy
    • Implications
    • Ensuring Quality Standards
    • Next Steps: Is Now the Time?
    • Conclusion
    • Appendix.
    • Footnotes
    • References
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Subjects

  • Physical Therapist Practice
    • Professional Issues
  • Education
    • Postprofessional Education
  • Perspectives

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