Anatomic donor surgeries increase self-efficacy in physical therapy education: Use of live versus recorded viewing.

Anatomy serves as a foundational course in physical therapy education, but, due to its early placement in the curriculum, may have limited clinical application at that point of a student's education. Thus, augmenting a standard dissection course with surgical procedures can enhance the clinical relevance and knowledge of the anatomical structures involved in those surgeries. Doctor of Physical Therapy students viewed a variety of cadaveric orthopedic and cardiothoracic surgeries performed by a surgeon. Students unable to participate live viewed the recorded surgeries. Participants completed a 10-point Likert scale survey, developed by the researchers, pre- and post-viewing, on self-efficacy of knowledge, patient intervention and communication. Data analysis revealed improved self-efficacy of knowledge of the anatomy and the surgical procedures, confidence in treating patients undergoing those surgeries, and confidence communicating with surgeons, regardless of whether students viewed the surgeries live or recorded. Students participating in this experience expressed a clear value enhancement on their education. Programs should feel confident that this type of experience in the curriculum, whether live or recorded, will have a positive effect on student self-efficacy as related to the relationships and pertinence of anatomical structures involved in the surgeries, the surgical procedures, treating patients having undergone those surgeries, and interprofessional communication.

Mapeamento de Programas de Residência Multiprofissional em Oncologia para Fisioterapeutas no Brasil / Mapping of Multiprofessional Residency Programs in Oncology for Physiotherapists in Brazil / Mapeo de Programas de Residencia Multiprofesional en Oncología para Fisioterapeutas en el Brasil

Introdução: A fisioterapia oncológica é responsável por reabilitar e restaurar as funções cinético-funcionais do paciente com câncer. Os programas de residência multiprofissional na atenção ao câncer são considerados especializações padrão-ouro. Objetivo: Mapear os programas de residência multiprofissional na atenção ao câncer para fisioterapeutas no Brasil. Método: Estudo exploratório do tipo descritivo. Foram realizadas uma busca manual e a análise de editais disponíveis na Internet de programas de residência multiprofissional ofertados pelo Ministério da Educação em parceria com o Ministério da Saúde para fisioterapeutas com início em 2022. Foi criada uma planilha em Excel com informações sobre: Região e Estado, instituição promotora, título do programa e número de vagas para fisioterapeutas, submetidas à análise descritiva, por meio de frequências absolutas e relativas. Resultados: Foram encontrados 35 programas de residência multiprofissional na atenção ao câncer, com 84 vagas nacionais disponíveis para fisioterapeutas. O maior número de vagas foi ofertado para cancerologia (67,85%), seguido por cuidados paliativos (11,90%), oncopediatria (8,33%), onco-hematologia (5,95%), oncologia e cuidados paliativos (2,38%), idoso e cuidados paliativos (2,38%), e terapia intensiva oncológica (1,21%). Conclusão: Os resultados do presente estudo evidenciaram a presença de programas de residência multiprofissional na atenção ao câncer com vagas para fisioterapeutas em todas as Regiões do Brasil, distribuídas, em sua maioria, na Região Sudeste, e, em menor quantidade, nas Regiões Norte, Centro-Oeste e Nordeste do país

Introduction: Oncology physiotherapy is responsible for rehabilitating and restoring the kinetic and functional functions of cancer patients. Multiprofessional residency programs in cancer care are considered gold standard specializations. Objective: To map multidisciplinary residency programs in cancer care with slots for physiotherapists in Brazil. Method: Exploratory, descriptive study. A manual search and analysis of public notices available on the Internet for multiprofessional residency programs offered by the Ministry of Education in partnership with the Ministry of Health with slots for physiotherapists starting in 2022 was performed. An Excel spreadsheet was created with data of Region and State, sponsoring institution, program title and number of slots for physiotherapists and submitted to descriptive analysis, using absolute and relative frequencies. Results: There were 35 multidisciplinary residency programs in cancer care found, with 84 national slots available for physiotherapists. The largest number was offered for cancerology (67.85%), followed by palliative care (11.90%), onco-pediatrician (8.33%), onco-hematology (5.95%), oncology and palliative care (2.38%), older adults and palliative care (2.38%), and oncological intensive care (1.21%). Conclusion: The results of the present study revealed that multidisciplinary residency cancer programs exist with slots for physiotherapists in all regions of Brazil, mostly in the Southeast region, and to a lesser extent in the North, Midwest and Northeast regions

Introducción: La fisioterapia oncológica se encarga de rehabilitar y restaurar las funciones cinéticas y funcionales de los pacientes oncológicos. Los programas de residencia multiprofesional en el cuidado del cáncer se consideran especializaciones estándar de oro. Objetivo: Mapear programas de residencia multidisciplinarios en atención del cáncer para fisioterapeutas en el Brasil. Método: Estudio exploratorio, descriptivo. Ha sido realizada una búsqueda y el análisis manual de las convocatorias públicas disponibles en Internet de los programas de residencia multiprofesional que ofrece el Ministerio de Educación en alianza con el Ministerio de Salud para fisioterapeutas con inicio en el año 2022. Se elaboró una planilla Excel con informaciones sobre Región y Estado, institución promotora, título del programa y número de vacantes para fisioterapeutas, sometidas a análisis descriptivo, utilizando frecuencias absolutas y relativas. Resultados: Se encontraron 35 programas de residencia multidisciplinarios para la atención del cáncer, con 84 vacantes nacionales disponibles para fisioterapeutas. El mayor número de vacantes se ofreció para cancerología (67,85%), seguido por cuidados paliativos (11,90%), oncopediatría (8,33%), oncohematología (5,95%), oncología y cuidados paliativos (2,38%), personas mayores y cuidados paliativos (2,38%), y cuidados intensivos oncológicos (1,21%). Conclusión: Los resultados del presente estudio mostraron la presencia de programas multidisciplinarios de residencia para la atención oncológica con vacantes para fisioterapeutas en todas las regiones de Brasil, mayoritariamente distribuidas en la región Sudeste, y y en menor medida en las regiones Norte, Centro-Oeste y Nordeste del país

Current State of Entry-level Physical Therapy Oncology Curricula in the United States: A Faculty Survey.

INTRODUCTION: The purpose of this study was to determine the extent of oncology rehabilitation education in current physical therapist educational programs in the United States, including oncology rehabilitation content characteristics, delivery, and instructional resources. REVIEW OF LITERATURE: By 2030, more than 21 million survivors of cancer in the United States (US) will be living with multisystem side effects depending on the treatment delivered. In addition, the sociopsychological factors associated with cancer treatment require that physical therapists are equipped with a unique body of knowledge, skills, and abilities. Insufficient cancer rehabilitation education is problematic across the health care spectrum. SUBJECTS: Program directors at 235 US physical therapist educational programs. METHODS: An online survey was developed in REDCap using the American Board of Physical Therapy Specialist's Description of Specialty Practice: Oncology Physical Therapy as a guide. An electronic link to the survey was sent to the email of the chair/program director at 235 Commission for the Accreditation of Physical Therapy Education-accredited programs. RESULTS: The overall response rate was 40.4% (95/235) and represented 36 of the 50 states. Private universities represented 54.3% of the responses, and 65% of the surveys were completed by core faculty. Four programs reported having an independent oncology course, ranging from 1 to 3 credit hours. Integrated content hours averaged 14.8 contact hours (range: 1-60) in the 69 reporting programs. Fifty-four percent of respondents were aware of published rehabilitation cancer guidelines. The majority of respondents (62%) felt their students received adequate instruction related to oncology rehabilitation. Certified lymphedema therapists (68%) were primarily responsible for teaching the oncology content. Goodmans' Pathophysiology text was most reported (87%), whereas 38% used evidence-based research in Rehabilitation Oncology Journal. About half of the respondents (52%) reported offering students full-time clinical experiences in oncology rehabilitation. DISCUSSION AND CONCLUSIONS: This survey demonstrated how oncology rehabilitation education is incorporated into physical therapist educational programs and highlights areas for improvement. The results from this study lay the groundwork for developing core competencies for prelicensure education in oncology rehabilitation.

Narrative histories of physiotherapy in Colombia, Ecuador, and Argentina.

BACKGROUND: The history of physiotherapy in Latin America has received little attention thus far in the English-speaking literature. In this paper, we draw on narratives from activists, educators, and professional leaders who have been instrumental in shaping the development of physiotherapy in Argentina, Colombia, and Ecuador. Physiotherapists in the Latin American countries faced many similar challenges, including developing physiotherapy in the shadow of medicine, overcoming conservative attitudes toward women professionals, and frequent social upheaval. AIMS: The paper explores the disputed story of physiotherapy's origins in the polio epidemics, the influence of Swedish remedial gymnastics, and the educational colonialism of North American and European educators. We examine some of the effects of social unrest and trauma, military rule, and economic instability on the professions attempts to establish itself in the face of competition from other professions allied to medicine. And we consider the efforts taken to establish the profession's autonomy and its shifting relationship with the state. METHODS: We employed two different methods for data collection to explore aspects of physiotherapy's history in Latin America from a political and socio-cultural context: 1) A reconstruction of memories from activist physiotherapists in Colombia, Ecuador, and Argentina, who have seen, lived, and promoted the development of physiotherapy in their own countries, gleaned from in-depth interviews; and 2) Analysis of secondary sources. Data were analyzed following the method described by Maynes, Pierce, and Laslett (2008), exploring personal narratives. Textual data were analyzed using documentary research (Prior, 2003) using thematic analysis, to inductively discover, and describe relevant themes about the two main guiding study questions. A constant comparative method as outlined by Boeije (2002) was used to form categories, establish boundaries, and discerning conceptual similarities between participants' narrative. RESULTS: Five physiotherapists were interviewed. One from Colombia, two from Argentina and two from Ecuador. Three main themes were identified: 'A Female Profession?', 'training and education', and 'Present Day in Argentina, Ecuador, and Colombia'. Tensions between the interests of the State, professionals, patients, cultures, urban and rural services, and practices are prevalent throughout physiotherapy in Argentina, Colombia, and Ecuador. Operating within these tensions is very much the reality for physiotherapists in Latin America today. CONCLUSION: Multiple histories emerge from the research, opening up a space for a more nuanced, polyphonic reading of physiotherapy in Colombia, Ecuador, and Argentina than has been heard to date.

A saúde do idoso na graduação em fisioterapia no Brasil: um estudo transversal / La salud del anciano en el grado en fisioterapia en Brasil: un estudio transversal / The health of older people in the physical therapy undergraduate program in Brazil: a cross-sectional study

RESUMO O envelhecimento populacional vem ocorrendo rapidamente em todo o mundo, levando à necessidade de capacitação dos profissionais de saúde envolvidos no cuidado ao idoso, dentre eles o fisioterapeuta. O objetivo deste estudo foi descrever o perfil dos cursos de fisioterapia de instituições do ensino superior (IES) do Brasil quanto ao ensino direcionado à saúde do idoso. Trata-se de um estudo observacional e transversal. Foi realizado um levantamento de informações sobre os cursos de fisioterapia do Brasil através de análise da grade curricular, projetos pedagógicos e formulário específico. Foram analisadas 525 IES, das quais 91,3% oferecem uma disciplina que aborda a saúde do idoso, sendo 98,4% de caráter obrigatório e 91,3% do tipo teórico-prático. Nas práticas, 25,6% são em campo de estágio, sendo 81,9% realizadas com idosos voluntários e 54,9% direcionadas a todos os níveis de atenção. Ao analisar a distribuição da disciplina por região, observou-se que esta está mais presente na região Sudeste (40,2%) (p=0,03). As IES do Brasil abordam, em sua maioria, a saúde do idoso na grade curricular do curso de fisioterapia. No entanto, a distribuição dessa disciplina no país é desigual, podendo trazer divergências na conduta terapêutica e representar prejuízos na qualidade da assistência ao idoso.

RESUMEN El envejecimiento de la población ha estado ocurriendo rápidamente en el mundo, lo que resulta necesaria la capacitación de los profesionales de la salud involucrados en el cuidado del anciano, incluido el fisioterapeuta. El presente estudio tuvo el objetivo de describir el perfil de los cursos de fisioterapia en las instituciones de educación superior (IES) en Brasil con respecto a la enseñanza sobre la salud del anciano. Es un estudio observacional y transversal. Se realizó una recopilación de informaciones sobre los cursos de fisioterapia en Brasil mediante el análisis del plan de estudios, los proyectos pedagógicos y un formulario específico. Se analizaron 525 IES, de las cuales el 91,3% ofertan una materia que aborda la salud del anciano, de esta, el 98,4% son obligatorias y el 91,3% del tipo teórico-prácticas. En las del tipo prácticas, el 25,6% están en el ámbito de pasantías, siendo que el 81,9% se realizan con ancianos voluntarios y el 54,9% están dirigidas a todos los niveles de atención. En el análisis de la distribución de la materia por región, se observó una mayor presencia en la región Sudeste (40,2%) (p=0,03). La mayoría de las IES en Brasil abordan la salud de los ancianos en el plan de estudios del curso de fisioterapia. No obstante, la distribución de la materia es desigual en el país, lo que puede resultar en divergencias en la conducta terapéutica e influir negativamente en la calidad de la asistencia a los ancianos.

ABSTRACT Population aging has been occurring rapidly around the world, leading to the need for training for health professionals involved in caring for older adults, including the physical therapist. The aim of this study was to describe the profile of physical therapy courses in higher education institutions (HEIs) in Brazil regarding teaching directed to the health of older adults. This is an observational, cross-sectional study. A survey of information on physical therapy courses in Brazil was carried out through analysis of the curriculum, pedagogical projects and specific form. We analyzed 525 HEIs, of which 91.3% offer a discipline that addresses the health of older people, 98.4% of which is mandatory and 91.3% is the theoretical-practical type. In practice, 25.6% are in the internship field, with 81.9% carried out with older volunteers and 54.9% directed to all levels of care. When analyzing the distribution of the discipline by region, it was observed that it is more present in the Southeast (40.2%) (p=0.03). Most HEIs in Brazil address the health of older adults in the curriculum of the physical therapy course. However, the distribution of this discipline in the country is uneven, which can lead to divergences in therapeutic practice and represent losses in the quality of care for older people.

Creating an Interprofessional Collaborative Research Opportunity for Physical and Occupational Therapy Students.

Physical therapy (PT) and occupational therapy (OT) professional associations assert the importance that entry-level therapists learn and apply the knowledge and skills necessary for interprofessional collaborative practice; however, the majority of PT and OT programs do not have the other discipline at their university. A challenge exists for the creation of a transparent active learning opportunity promoting interprofessional student engagement when the two professions do not reside in the same university. This case study provides a model for how to feasibly create an interprofessional experience for students in universities that do not include a complementary or collaborative allied health professional program, using various technologies. While creating this collaborative project, we provided opportunities to meet the Interprofessional Education Collaborative's (IPEC) competencies: a) value/ethics for interprofessional practice, b) roles and responsibilities, c) interprofessional communication, and d) teams and teamwork through participation in a breast cancer survivorship research study. Within this demonstration project, the faculty were able to make "micro level" changes to foster interprofessional collaboration among universities with other allied health profession programs, which may lead to improved health outcomes for our clients.

Avaliação de uma tecnologia educacional utilizando a realidade aumentada para o ensino sobre visita domiciliar / Evaluation of an educational technology using augmented reality for home visiting teaching / Evaluación de una tecnología educativa que utiliza la realidad aumentada para la enseñanza de visitas domiciliarias

Objetivo: avaliar jogos educativos com realidade aumentada aplicados ao ensino sobre visita domiciliar. Método: pesquisa descritiva de abordagem quantitativa e avaliação tecnológica desenvolvida na Escola de Enfermagem da Universidade Federal de Alfenas, no período de abril a junho de 2016, realizada com 135 universitários de enfermagem, fisioterapia e medicina, aprovado por Comitê de Ética em Pesquisa. Resultados: a análise estatística destacou que 74,8% dos participantes eram do sexo feminino e a média de idades foi de 20 anos. A primeira atividade consistiu em um estudo de caso para realizar a classificação de risco familiar e a segunda abordou a Política Nacional de Atenção Básica, que prevê a qual profissional compete realizar a visita domiciliar. 89,6% dos participantes consideraram adequado e muito adequados os jogos desenvolvidos para o ensino sobre visita domiciliar. Conclusão: os jogos com realidade aumentada foram bem avaliados pelos participantes, sendo uma tecnologia promissora para o ensino.

Objective: to evaluate augmented reality educational games applied to home visiting teaching to university students in the health area. Method: descriptive research of quantitative approach and technological assessment developed at the School of Nursing of the Federal University of Alfenas, from April to June 2016, conducted with 135 undergraduate nursing, physiotherapy and medicine. The Research Ethics Committee approved the study. Results: the statistical analysis highlighted that 74.8% of the participants were female and the average age was 20 years. The first activity consisted of a case study to perform the family risk classification and the second dealt with the National Primary Care Policy, which provides for which professional to perform home visits. 89.6% of participants considered the games developed for home visiting teaching to be appropriate and very appropriate. Conclusion: augmented reality games were well evaluated by the participants, being a promising technology for teaching.

Objetivo: evaluar los juegos educativos de realidad aumentada aplicados a la enseñanza de visitas domiciliarias a estudiantes universitários en la área de salud. Método: investigación descriptiva, cuantitativa y evaluación tecnológica desarrollada en la Facultad de Enfermería de la Universidad Federal de Alfenas, de abril a junio de 2016, realizada con 135 estudiantes de pregrado en enfermería, fisioterapia y medicina, aprobada por Comité de Ética de Investigación. Resultados: el análisis estadístico destacó que el 74.8% de los participantes eran mujeres y la edad promedio era de 20 años. La primera actividad consistió en un estudio de caso para llevar a cabo la clasificación de riesgo familiar y la segunda abordó la Política Nacional de Atención Primaria, que establece qué profesional es responsable de llevar a cabo la visita domiciliaria. El 89,6% de los participantes consideró que los juegos desarrollados para enseñar visitas a domicilio eran apropiados y muy adecuados. Conclusión: los juegos con realidad aumentada fueron bien evaluados por los participantes, siendo una tecnología prometedora para la enseñanza.

An interdisciplinary statement of scientific societies for the advancement of delirium care across Europe (EDA, EANS, EUGMS, COTEC, IPTOP/WCPT).

BACKGROUND: Delirium is a geriatric syndrome that presents in 1 out of 5 hospitalized older patients. It is also common in the community, in hospices, and in nursing homes. Delirium prevalence varies according to clinical setting, with rates of under 5% in minor elective surgery but up to 80% in intensive care unit patients. Delirium has severe adverse consequences, but despite this and its high prevalence, it remains undetected in the majority of cases. Optimal delirium care requires an interdisciplinary, multi-dimensional diagnostic and therapeutic approach involving doctors, nurses, physiotherapists, and occupational therapists. However, there are still important gaps in the knowledge and management of this syndrome. MAIN BODY: The objective of this paper is to promote the interdisciplinary approach in the prevention and management of delirium as endorsed by a delirium society (European Delirium Association, EDA), a geriatrics society (European Geriatric Medicine Society, EuGMS), a nursing society (European Academy of Nursing Science, EANS), an occupational therapy society (Council of Occupational Therapists for European Countries, COTEC), and a physiotherapy society (International Association of Physical Therapists working with Older People of the World Confederation for Physical Therapy, IPTOP/WCPT). SHORT CONCLUSION: In this paper we have strongly promoted and supported interdisciplinary collaboration underlying the necessity of increasing communication among scientific societies. We have also provided suggestions on how to fill the current gaps via improvements in undergraduate and postgraduate delirium education among European Countries.

Interprofessional Socialization Through Acute-Care Simulation.

PURPOSE: To explore the perceptions of interprofessional socialization in nursing, medical imaging, and physical therapy students using an interprofessional education acute-care simulation. METHODS: A mixed-methods design was used to evaluate the effect of a single simulation-based experience on interprofessional collaborative practice using the Interprofessional Socialization and Valuing Scale (ISVS-21) and 3 postactivity open-ended descriptive questions. Students participated in a patient care simulation with an elderly patient after total hip replacement surgery in an acute-care inpatient setting. Descriptive and exploratory statistics examined pre- and post-ISVS-21 survey responses, and phenomenological inquiry was used to explore the students' experiences and knowledge gained from participating in the simulation. RESULTS: One-hundred-nine students participated in the acute-care patient simulation, including 42 from nursing, 47 from physical therapy, and 20 from radiography. ISVS-21 survey results indicated improved scores because of the simulation activity, including significant improvements in each of the survey items. Qualitative themes emerged related to creating a culture of communication and teamwork and professional role discernment. DISCUSSION: Implementation of this acute-care simulation successfully exposed many students to interprofessional collaborative practice. Mixed-method analysis demonstrated significant improvement in attitudes related to socialization and interprofessional collaborative practice in students of each discipline. CONCLUSION: This study adds a unique perspective on interprofessional simulation because it included nursing, physical therapy, and radiography students. Students' perceptions of interprofessional patient care, interdisciplinary communication, teamwork, and appreciation for professional role discernment can be enhanced after a single interprofessional simulation-based experience. Although each health care profession has a specific culture, it is possible to improve student beliefs, behaviors, and attitudes about teamwork and collaborative practice, which can carry over into professional practice.

Conhecimento de acadêmicos da saúde sobre ressuscitação cardiopulmonar no suporte básico de vida / The knowledge of health academics with regards to cardiopulmonary resuscitation in basic life support / El conocimiento académico acerca de la salud cardiopulmonar reanimación en soporte vital básico

Objetivo: Avaliar o conhecimento dos acadêmicos da escola da saúde de uma universidade privada sobre o atendimento de ressuscitação cardiopulmonar no suporte básico de vida. Método: Estudo descritivo, com abordagem quantitativa, realizado em uma universidade privada com 276 estudantes dos cursos de enfermagem, educação física, fisioterapia e nutrição que responderam a um questionário sobre o tema. Resultados: Constatou-se que os alunos entrevistados, em geral, obtiveram desempenho razoável sobre o conhecimento de ressuscitação cardiopulmonar. Destacaram-se os alunos do curso de enfermagem que apresentaram melhor correlação positiva de 0,8658, bem próximo do indicador 1, que representa uma correlação forte, seguidos dos alunos de fisioterapia com 0,2406. Conclusão: Foi possível identificar que apenas os alunos de dois cursos obtiveram desempenho significativo, tendo em vista que esse é um conhecimento essencial em suas profissões

Objective: To evaluate the knowledge of the academics of the health school of a private university about the care of cardiopulmonary resuscitation in basic life support. Method: Descriptive study, with a quantitative approach, carried out in a private university with 276 students from the nursing, physical education, physiotherapy and nutrition courses who answered a questionnaire on the subject. Results: It was found that the interviewed students, in general, obtained a reasonable performance on the knowledge of cardiopulmonary resuscitation. Nursing students with a better positive correlation of 0.8658, close to indicator 1, showed a strong correlation, followed by physical therapy students with 0.2406. Conclusion: It was possible to identify that only the students of two courses obtained significant performance, considering that this is an essential knowledge in their professions

Objetivo: Evaluar el conocimiento de los académicos de la escuela de salud de una universidad privada sobre la atención de la resucitación cardiopulmonar en el soporte básico de la vida. Método: Estudio descriptivo, con abordaje cuantitativo, realizado en una universidad privada con 276 estudiantes de los cursos de enfermería, educación física, fisioterapia y nutrición que respondieron a un cuestionario sobre el tema. Resultados: Se constató que los alumnos entrevistados, en general, obtuvieron desempeño razonable sobre el conocimiento de la resucitación cardiopulmonar. Se destacaron los alumnos del curso de enfermería que presentaron mejor correlación positiva de 0,8658, muy cerca del indicador 1, que representa una correlación fuerte, seguidos de los alumnos de fisioterapia con 0,2406. Conclusión: Fue posible identificar que sólo los alumnos de dos cursos obtuvieron desempeño significativo, teniendo en cuenta que ese es un conocimiento esencial en sus profesiones

Health Competency Standards in Physical Therapist Practice.

Although the physical therapist profession is the leading established, largely nonpharmacological health profession in the world and is committed to health promotion and noncommunicable disease (NCD) prevention, these have yet to be designated as core physical therapist competencies. Based on findings of 3 Physical Therapy Summits on Global Health, addressing NCDs (heart disease, cancer, hypertension, stroke, diabetes, obesity, and chronic lung disease) has been declared an urgent professional priority. The Third Summit established the status of health competencies in physical therapist practice across the 5 World Confederation for Physical Therapy (WCPT) regions with a view to establish health competency standards, this article's focus. Three general principles related to health-focused practice emerged, along with 3 recommendations for its inclusion. Participants acknowledged that specific competencies are needed to ensure that health promotion and NCD prevention are practiced consistently by physical therapists within and across WCPT regions (ie, effective counseling for smoking cessation, basic nutrition, weight control, and reduced sitting and increased activity/exercise in patients and clients, irrespective of their presenting complaints/diagnoses). Minimum accreditable health competency standards within the profession, including use of the WCPT-supported Health Improvement Card, were recommended for inclusion into practice, entry-to-practice education, and research. Such standards are highly consistent with the mission of the WCPT and the World Health Organization. The physical therapist profession needs to assume a leadership role vis-à-vis eliminating the gap between what we know unequivocally about the causes of and contributors to NCDs and the long-term benefits of effective, sustained, nonpharmacological lifestyle behavior change, which no drug nor many surgical procedures have been reported to match.

Awareness of health sciences students about colorectal cancer risk factors.

OBJECTIVE: This descriptive study was conducted in order to determine the risk factors, symptoms and awareness of health sciences students with regards to colorectal cancer (CRC). METHODS: This study included 1,028 health science students from two different universities. Data for this study were collected via a questionnaire form that included questions about CRC risk factors, protective approaches and symptoms. Frequencies, percentages and averages of the data were assessed with Kruskal-Wallis and Mann-Whitney U tests. RESULTS: The most frequent risk factors of the students (mean age: 21.25 years) were smoking (90.5%), excessive alcohol consumption (87.4%), family history of cancer (84.2%) and obesity (82.6%), while the most common protective approaches were smoking cessation, avoiding alcohol, regular physical activity and a low-fat diet. There was a significant difference in the CRC awareness of students in terms of gender, the department and grade level at which they were studying, and having a family history of cancer. CONCLUSION: Results of this study revealed that students had a sufficient awareness about risk factors and what they could do to diminish their risk, but their knowledge about CRC symptoms was less than expected. We believe that health sciences students should be given more education on CRC symptoms.

Walking up hills, through history and in-between disciplines: MHH and Health Sciences Education at the tip of Africa.

Celebration, frustration, contestation and imagination all manifest themselves when examining the evolution of the field of Medical and Health Humanities (MHH) at the University of Cape Town (UCT). That this field has been growing at the same time as access to, inclusion in, and social justice issues linked to higher education have come under the spotlight has the potential to shape how we think and plan for the future of the field. Doing this will require treks up hills, journeys through difficult histories and dynamic dances in-between disciplines.This article examines MHH at UCT broadly, referring to projects and programmes that are underway primarily in the humanities and health sciences faculties. From this overview, the article specifically examines the curricula changes introduced in the Faculty of Health Sciences inspired by MHH and the author's interest in historical consciousness. It describes current points of intervention in physiotherapy and MBChB undergraduate curricula; and through short-term special study modules that have allowed those interested in MHH to explore relationships between health and healing and art, music, writing, yoga, PhotoVoice, drama, drawing and complex histories.It discusses some of the challenges of introducing humanities teaching into health sciences curricula; and some of the tensions that result from the meeting of divergent epistemologies and pedagogies. The article considers if, and how, MHH might engage with social (in)justice, and inclusions and exclusions and potentially offer a balm to soothe the bruising effects of oppressive histories and a hegemonically hierarchical present.

Qualidade de vida no trabalho de fisioterapeutas docentes no município de Goiânia, Goiás, Brasil / Quality of life of the work of physical therapy course teachers in Goiânia in the State of Goiás, Brazil

Resumo O objetivo deste artigo é avaliar a qualidade de vida no trabalho de fisioterapeutas docentes de cursos de fisioterapia no município de Goiânia-GO. Trata-se de um estudo transversal com 65 docentes. Foram incluídos fisioterapeutas docentes do curso de fisioterapia no município de Goiânia. Foram excluídos aqueles que estavam afastados, com menos de seis meses de atividade e que responderam os questionários de forma incompleta. Utilizou-se um questionário sociodemográfico e o Total Quality of Work Life (TQWL-42) para avaliação da qualidade de vida no trabalho. Verificou-se que os docentes que atuavam em pós-graduação, ou exerciam cargo de chefia apresentaram médias significativamente melhores que aqueles que atuavam apenas na graduação. A satisfação com a renda e com a atividade docente também apresentou resultados significativos, influenciando a qualidade de vida no trabalho dos participantes. A atuação em cargos e locais que permitem maior autonomia, posição social e remuneração, assim como a avaliação subjetiva da satisfação com a renda e com a atuação na docência, influenciaram a qualidade de vida no trabalho dos fisioterapeutas docentes.

Abstract The scope of this article is to analyze the quality of work life of the physical therapy course teachers in the city of Goiânia in the state of Goiás. It involved a cross-sectional study of 65 physical therapy teachers in Goiânia. The participants who had worked for less than six months in the profession and those who failed to fill out the questionnaire in full were excluded from the research. A socio-demographic and the Total Quality of Work Life (TQWL-42) questionnaire were used to assess the quality of work life. It was established that the teachers who taught in graduate courses and who held management positions presented significantly better averages than those who only taught in undergraduate courses. Satisfaction with income and with the teaching activity also showed significant results influencing the quality of work life of the participants. Work in positions and locations that allow greater autonomy, status and remuneration, as well as subjective evaluation of satisfaction with income and teaching work, influenced the quality of work life of physical therapy teachers.

Ações de reorientação da formação profissional em Fisioterapia: enfoque sobre cenários de prática / Reorientation of professional education in Physiotherapy: a focus on practice settings / Acciones de reorientación de la formación profesional en Fisioterapia: enfoque sobre escenarios de práctica

Este artigo buscou identificar, a partir da óptica de docentes e estudantes, ações que evidenciam a reorientação da formação profissional em Fisioterapia, no âmbito do eixo Cenários de Prática, conforme preconizado pelo Programa Pró-Saúde. Trata-se de uma pesquisa qualitativa que seguiu o método de estudo de caso, realizada em uma universidade comunitária com 16 estudantes e 11 docentes do curso de Fisioterapia. A coleta de dados foi conduzida por grupo focal e entrevista. Entre as ações que evidenciam a reorientação da formação profissional estão: realização do diagnóstico situacional, práticas em complexidade crescente, diversificação de práticas nas disciplinas profissionalizantes, vivências interdisciplinares no serviço público de saúde, práticas multiprofissionais e intervenções na Atenção Básica. Para promover avanços no processo de formação profissional, é necessário criar estratégias de ensino-aprendizagem contínuas e planejar as práticas de forma integrada com os serviços de saúde.(AU)

This paper aimed to identify from the perspective of teachers and students, actions that evidence the reorientation of vocational training in physiotherapy happening under the line of practice settings recommended by the Pro-Saude Program. A qualitative research using the case study method, was performed in a Community University, where 16 students and 11 teachers of the Physiotherapy course as participants. Data collection was carried out by focus group and interview. Among the actions that demonstrate the reorientation of vocational training we highlight: achievement the situational diagnosis, practices in growing complexity degrees, diversification of practices in professional disciplines, interdisciplinary experiences in public health service, multidisciplinary practices and interventions in Primary Care. To promote advances in the vocational training process, it is necessary to create teaching-learning continuous strategies and to plan practices settings integrated with health services.(AU)

El objetivo de este artículo fue identificar, a partir de la óptica de docentes y estudiantes, acciones que dejan en evidencia la reorientación de la formación profesional en Fisioterapia, en el ámbito del eje Escenario de Práctica, conforme determinado por el programa Pro-Salud. Se trata de una investigación cualitativa que siguió el método del estudio de caso, realizada en una universidad comunitaria con 16 estudiantes y 11 docentes del curso de Fisioterapia. La colecta de datos se realizó por medio de grupo focal y entrevista. Entre las acciones que dejan en evidencia la reorientación de la formación profesional están las siguientes: realización del diagnóstico situacional, prácticas de complejidad creciente, diversificación de prácticas en las asignaturas profesionalizantes, vivencias interdisciplinarias en el servicio público de salud, prácticas multi-profesionales e intervenciones en la Atención Básica. Para promover avances en el proceso de formación profesional es necesario crear estrategias de enseñanza-aprendizaje continuas y planificar las prácticas de forma integrada con los servicios de salud.(AU)

Practices of Nigerian physiotherapists with respect to lifestyle risk factor assessment and intervention: A national cross-sectional survey.

BACKGROUND: Resolutions of the World Health Organization and World Confederation for Physical Therapy declare health promotion a priority for health professionals including physiotherapists. OBJECTIVE: To describe lifestyle-related risk factor assessment and intervention practices of Nigerian physiotherapists, their perceived barriers to such practices, and education needs. METHODS: Physiotherapists (n = 650) were invited to complete a questionnaire with 23 questions about respondent demographics, lifestyle risk factor assessment, and management practices; barriers to such practices; and related education needs. Statistical analysis was descriptive. RESULTS: Response rate was 69% (n = 451). Less than half of respondents indicated that they "always" advised smokers to quit or heavy drinkers to reduce alcohol consumption. Most respondents viewed diet and anthropometrics as risk factors that warrant being addressed, but few respondents did so. Physical inactivity and blood pressure were the commonest risk factors reportedly assessed. Perceived barriers to health promotion practices included time, knowledge, and access to other providers. Continuing education needs identified by respondents included methods for delivering advice regarding smoking cessation, diet, and alcohol consumption. CONCLUSIONS: Nigerian physiotherapists inconsistently assess lifestyle-related risks and intervene to address them. Continuing education is needed to address barriers to health promotion practices by meeting the perceived needs of Nigerian physiotherapists.

Systematic Clinical Reasoning in Physical Therapy (SCRIPT): Tool for the Purposeful Practice of Clinical Reasoning in Orthopedic Manual Physical Therapy.

Background and Purpose: Clinical reasoning is essential to physical therapist practice. Solid clinical reasoning processes may lead to greater understanding of the patient condition, early diagnostic hypothesis development, and well-tolerated examination and intervention strategies, as well as mitigate the risk of diagnostic error. However, the complex and often subconscious nature of clinical reasoning can impede the development of this skill. Protracted tools have been published to help guide self-reflection on clinical reasoning but might not be feasible in typical clinical settings. Case Description: This case illustrates how the Systematic Clinical Reasoning in Physical Therapy (SCRIPT) tool can be used to guide the clinical reasoning process and prompt a physical therapist to search the literature to answer a clinical question and facilitate formal mentorship sessions in postprofessional physical therapist training programs. Outcomes: The SCRIPT tool enabled the mentee to generate appropriate hypotheses, plan the examination, query the literature to answer a clinical question, establish a physical therapist diagnosis, and design an effective treatment plan. The SCRIPT tool also facilitated the mentee's clinical reasoning and provided the mentor insight into the mentee's clinical reasoning. The reliability and validity of the SCRIPT tool have not been formally studied. Discussion: Clinical mentorship is a cornerstone of postprofessional training programs and intended to develop advanced clinical reasoning skills. However, clinical reasoning is often subconscious and, therefore, a challenging skill to develop. The use of a tool such as the SCRIPT may facilitate developing clinical reasoning skills by providing a systematic approach to data gathering and making clinical judgments to bring clinical reasoning to the conscious level, facilitate self-reflection, and make a mentored physical therapist's thought processes explicit to his or her clinical mentor.

Metodologias ativas de ensino-aprendizagem no processo de ensino em saúde no Brasil: uma revisão narrativa / Active teaching-learning methodologies in the teaching health process in Brazil: a narrative review

Nas últimas décadas, a formação dos profissionais de saúde tornou-se um ponto importante a ser discutido. O novo profissional desejado pelas últimas reformas curriculares dos cursos da área da saúde tem perfil humanista, crítico e reflexivo, para atuar em todos os níveis de atenção à saúde. Apesar disso, a educação dos profissionais de saúde ainda é, na maioria das vezes, baseada em um modelo fragmentado do saber, desconsiderando as necessidades de atuação na prática. Neste contexto, surgem as metodologias ativas de ensino-aprendizagem (MAEA), que propõem desafios a serem superados pelos estudantes, possibilitando-lhes ocupar o lugar de sujeitos na construção do conhecimento. O objetivo deste estudo foi revisar artigos disponíveis em periódicos científicos que exemplificassem o uso de MAEA no processo de ensino nos cursos de graduação da área da saúde, com ênfase na realidade brasileira. A busca foi realizada através das bases de dados PubMed, SciELO e BVS, nas quais foram selecionados artigos científicos de relatos de experiência em português. Os resultados relatados nos artigos foram positivos em relação ao uso das MAEA no processo de ensino em saúde durante a graduação (AU)

In the last decades, the training of health professionals has become an important point to be discussed. The new professional required by the latest curricular reforms in health courses has a humanist, critical and reflective profile, to work at all levels of health care. In spite of this, the education of health professionals is still mostly based on a fragmented model of knowledge, disregarding the needs of action in practice. In this context, active teaching-learning methodologies (ATLM) propose challenges to be overcome by students, enabling them to act as subjects in the construction of knowledge. The aim of this study was to select and categorize articles available in scientific journals that exemplify the use of ATLM in the teaching process in undergraduate courses in the health area, with focus on the Brazilian reality. The search was carried out through PubMed, SciELO and BVS databases, from which scientific papers presenting experience reports in Portuguese were selected. The results reported in the articles were positive regarding the use of ATLM in the health teaching process during undergraduate studies (AU)