Research in process of clinical decision makings and reasoning in Physical therapy education

1999 Fiscal Year Final Research Report Summary

• Project/Area Number: 09410064
• Research Category: Grant-in-Aid for Scientific Research (B)
• Allocation Type: Single-year Grants
• Section: 一般
• Research Field: Educaion
• Research Institution: Akita University
• Principal Investigator: MOMIYAMA Hideki College of allied medical science, Akita University, Assistant Lecturer, 医療技術短期大学部, 助手 (70282192)
• Co-Investigator(Kenkyū-buntansha): SATAKE Masahiro College of allied medical science, Akita University, Lecturer, 医療技術短期大学部, 講師 (10250903) ; WAKAYAMA Saichi College of allied medical science, Akita University, Associate Professor, 医療技術短期大学部, 助教授 (70241677)
• Project Period (FY): 1997 – 1999
• Keywords: physical therapy education / clinical decision-makings / questionnaire / by mail / interviewed / curricula / clinical practice supervisors / ethnological method

Research Abstract

PURPOSE--This paper investigates the actual conditions and developing clinical decision-makings and reasoning in physical therapy education. Ninety-seven physiotherapy schools in Japan were investigated clinical decision-makings and reasoning in physical therapy education by questionnaire used by mail in 1997.
RESULTS--Returned 40 schools, all schools educated clinical decision-makings and reasoning as an introduction. Education within the schools, 25 schools run the clinical decision-makings and reasoning in problem solving, goal setting and treatment program settings. Then within 15 schools out of 25 schools were interviewed objectives, methods and characteristics in clinical decision-makings and reasoning in 1997 to 1999. Also some clinical practice supervisors were interviewed. These results indicated as follows. 1) Improve learning motivation by early exposure in clinical practice in their curricula. 2) Paper patients and/or simulated patients were used to the lecture and practice. These objectives were experienced simulated thinking process in clinical practice. However theories in clinical decision-makings and reasoning were not discussed and tested. In clinical practice, some supervisors and students were investigated by ethnological method. Clinical supervisor had various reasoning methods but not always theoretical. Students were so difficult to store clinical thinking experiences that they were difficult to learning decision-makings and clinical reasoning.
CONCLUSION--These results suggested needs of clinical decision-makings and reasoning theories and practices in Japan physical therapy education. Further research is needed to develop teaching clinical reasoning especially clinical education.