理学療法士教育の変化

Japanese Physical Therapy Association

NII-Electronic Library Service

JapanesePhysicalTherapy Association

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Changing

Trends

Physical

in

the

Education

Therapists"

of

s.

I

am very _pleased to

be

with you. I wish

to

thank

Ms

Taguchi,

PresidentNara and all the

phys-ical

therapists we

have

met who have

been

such

fine

hostsand made us feelso welcome.

I

have

been

a directorof a Physical

Therapy

edu-cation program

for

over

20

years and

before

that time Iserved as a

faculty

mernber

in

theuniversity and a teacher

in

hospitals

and a _{practitioner.}

During

this period

I

have

been a _part of many changes

in

the education of _physical therapists at Northwestern University and

have

seen the con-tinuing development of our education on a national and international

bases.

Continuous changes in health care and society

have created a new and still evolving context for

the practiceof _physical therapy. These changes

in-fluence the role of _physicat therapy and are cause for change in education.

I

wish to ernphasize that the status of health care and the role of physical

therapy

may

be

different

throughout the world,

However, we must all

be

sensitive toour combined efforts to

further

thegrowth of our _professjon. The

content of the curricula are expected to refiect

the

profession'sphilosephy, knowledge and _practice.

The

time required

for

students' instruc.tion

is

changing and is irnportant te their _performance.

The

credential awarded and the location of the

educational

_program

may refiect the status of

physical therapy ina country and itsrecognition as a profession. The _purpose of this_presentation

is

to

Edelsberg'*

* _{vegetaiXkvaEutQ(ic}

" _{WCPT Representative}

ef North-America-Caribbean

(rervIeq\aszamewak

･

ptikKft)

identify

some of the trends

in

_physical therapy and health care which require changes

in

the content

influence

and emphasis incurriculum and our

_goal

toestablish the degree course

in

a university as a

standard for _physical therapy educatien

interna-tionally.

whht

are some of the

facters

that

mandate change

in

education

?

Our

initial

role which

focused

on providing

tech-nical care

has

evolved to today's role which

has

many of us providing primary care. Doing so

in-creases the need for _{graduates to} understand and apply scientific values to _the assessment and rnan-agement of client

<patient>

problems. The _previous

emphasis on treatment of

illness

isshifting to a

greaterconcern

for

our role

in

wellness, health pro-motion and _prevention. Our _{professionalpractice}

has

evolved

frem

one which routinely required

medical _prescription

to

an

increased

need to serve

as primary _{practitioners.} That

is,

the

_physical

therapistserves as

the

entry

into

the

health

care system and the client may

have

direct

access toour

services.

Our

relationship with physicians ancl

other referring

health

care _providers

_becomes

more

collegial. The _privilegeof serving as a _primary

provider brings with

its

greater responsibility.

Our

graduates must

have

improved

_problem solving skills. To appropriately assess the need for physi-cal therapy and to then plan and implement

effec-tivernanagement of the problem we must have the

knowledge and skills to

identify

the clienVs

prob-Iernand

to

know our

limitations.

Japanese Physical Therapy Association

NII-Electronic Library Service

JapanesePhysicalTherapy Association

Changing Trends in

The

increased

delivery

of

_physical

therapy serv-icesin a non-hospital environment influences oyr

education. There continues

to

be a _growing

demand forour services as there isincreased recog-nition of our contribution and

the

value of_physical therapy. The aging of our society coupled with

ad-vances

in

science and technology place haye

in-fluencedand increased thepopulation to

be

served.

All

of this

in

an environment where

in

some countries there

is

a shortage of _physical therapists

to _provide

basic

services and in many countries

there is increasing concern about _providing the necessary healthcare including _physicaitherapy in a cost effective manner.

While

we strive

to

bring

about changes

in

educa-tion we must also

be

concerned about the most

effective way te

deliver

services

in

the

environ-ment in which we

function.

To cope with the

changes

in

eur environment-to adopt-and to

con-tinue

to

grow-we must _{produce graduates} who 1

1. can integratetheory with skills

2.

can critically assess

･the

client's _problem and

based

on that assessment _plan and manage the

in-terventions necessary-including referral to other appropriate healthcare _providers

3. serve as a _primary

health

care _proviclerwho can serve at any point aiong the

health

care contin-uum, i.e.prevention and wellness to management of problems

4, generalist

practitioner

that is capable of

building from a solid foundation into needed spe-cialty roles, i.e.teachers,clinical specialists, etc,

the Education of Physical Therapists 429

5. are responsible

decision

makers--problem solving

6.

scientist _{practitioners-reasoned}application to

keep _pace with rapid changes

in

contemporary so-ciety and

health

care

by

being

aware of social,

eco-,

L

nomic, and _political

issues

infiuencinghealthcare

8. Ieadershipadetermine limits and _project

growth,

To prepare thesegraduates may require changes in what we

teach-how

we

teach

and where we

teach and forhow long.

Curriculum content{ach _program will deter-mine but all should reflect _preparing our _graduates

to

function

not only today

but

to be leaders a･nd effect change.

Opportunities

must

be

_provided

for

students todevelop the critical thinkings and _prob.

Iem

solving skills. The locationof PT education is

increasingly moving into the university

environ-ment recognizing the need for a sound theoretical

and scientific foundation while establishing strong

linkswith the clinical component of our education

which

is

critical!

The

credential awarded

has

shifted

from

a

diploma

to a degree and the time necessary to complete PT education has increased

from 3-4 years.

Graduates must be _prepared toadapt to changes

in

theprofession and society and

to

be

equipped to

perform effectively despite these changes.

We

must achieve a balance of knowledge and skills to

produce knowledgeable thinking, and caring physi-cal _therapistswho _{take pride}in_{theirprofession.}