Simulation Education to Augment Mentoring in a Sports Physical Therapy Residency
Purpose: A residency mentor is tasked to elevate the level of knowledge of residents across the spectrum of experiences they encounter in their specialty area however not every clinical scenario desired can be guaranteed especially specific acute injuries. Simulation education (SE) enhances experiences that residents may not otherwise participate in. This presentation demonstrates how a program enhanced their sports physical therapy residency through simulation.Methods/Description: We report on two years of data. Subjects: 4 licensed physical therapist sports residents over two years in an ABPTRFE Sports Physical Therapy Residency program and their faculty mentor at one institution. The description of Specialty Practice for sports physical therapy inventory (DSP) and the INSIGHT Health Professional Reasoning Skills test (IHSRT) were conducted at baseline, midpoint and completion of program. The DSP tracked residents’ self-assessment in areas of the sports specialty examination to provide ongoing feedback to the residency mentor. The IHSRT assessed resident’s critical thinking and professional reasoning. Measures were compared to form a descriptive picture of resident’s learning throughout the residency. Each resident participated in 2 SE’s. One, a patient examination with a lower extremity injury and two a team based acute spine injury. Standard debriefing took place following SE’s and self-reflection. At time points throughout the residency, the mentor was guided to reflect by a simulation educator to discuss how the DSP, IHSRT and the SE observations informed their teaching and residents performance.Results/Outcomes: The IHSRT identified one resident’s clinical reasoning skills as strong (287) and three residents as moderate (285, 286, 286). In comparing the IHSRT to the DSP similar areas of strength and need of development were noted. Video assisted debriefing showed residents need for mentoring on all aspects of the patient examination. SE was noted by mentor and residents as providing opportunities to expand learning.Conclusions/Relevance to the conference theme: Our Leadership Landscape: Perspectives from the Ground Level to 30,000 Feet: SE in a residency program provides both opportunity for residents to encounter experiences they otherwise may not and enhances mentoring through reflection and explicit examination of residents’ skills, self-rating of progress toward specialty certification and their critical thinking and professional assessment skills. The use of standard assessments and video playback provided opportunity for mentor reflection on resident’s performance and their teaching practice. SE of the cervical spine event provided opportunity for residents to participate in a team based acute management experience that they had not encountered previously. Further examination to enhance SE for sports residents and the educational expertise of sports residency mentors, as well as additional opportunities to insert SE in a residency curriculum is needed. The authors feel this work is relevant to the Conference Theme: "Leading Through Innovation and Simulation".References: American Board of Physical Therapist Specialists, Description of Specialty Practice. http://www.abpts.org/Resources/SpecialtyPracticeDescriptions/8. Brudvig T, Mattson D.J, Guarino J. Critical Thinking Skills and Learning Styles in Entry-Level Doctor of Physical Therapy Students. J Phys Ther Ed. 2016; 40 (3): 3-10. Chesbro SB, Jensen GM, Boissonnault WG. Entrustable Professional Activities as a Framework for Continued Professional Competence: Is Now the Time? Phys Ther. 2018;98(1):3-7. Cheng A, Grant V, Dieckmann P, Arora S, Robinson T, Eppich W. Faculty Development for Simulation Programs: Five Issues for the Future of Debriefing Training. 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