Carol Tichenor - Academia.edu (original) (raw)

Papers by Carol Tichenor

Research paper thumbnail of Physical Therapy Residency and Fellowship Education: Reflections on the Past, Present, and Future

Physical therapy, Jan 17, 2015

The physical therapy profession continues to respond to the complex and changing landscape of hea... more 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 post-professional 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 purpose of this perspective paper is to analyze the state of residency and fellowship education within the profession, identify best practice elements from other health professions that are applicable to PT residency and fellowship education, and 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 progr...

Research paper thumbnail of Stepping Beyond Manual Therapy

Journal of Manual & Manipulative Therapy, 1996

Research paper thumbnail of 米国におけるレジデンシープログラム(教育講演I,先端科学と理学療法の未来,第42回日本理学療法士協会全国学術研修大会)

Research paper thumbnail of Postprofessional Cartography in Physical Therapy: Charting a Pathway for Residency and Fellowship Training

Journal of Orthopaedic and Sports Physical Therapy, Jan 31, 2015

Remarkably little is known about what constitutes a good residency or fellowship training program... more Remarkably little is known about what constitutes a good residency or fellowship training program. In contrast to entry-level programs, the job of residency and fellowship educators is sometimes more subtle and difficult to articulate. Developing advanced clinical reasoning, communication skills, use of evidence, and patient-management approaches beyond entry-level competencies for students of various levels of education and backgrounds creates unique and diverse teaching challenges. There is no gold standard and precious little evidence to guide us on how best to sequence and pace residency/fellowship curricula, integrate mentoring into didactic and clinical coursework, conduct examinations, and measure the impact of training on patient care. To this end, we'd like to congratulate Drs Rodeghero, Wang, Flynn, Cleland, Wainner, and Whitman on their paper, “The Impact of Physical Therapy Residency or Fellowship Education on Clinical Outcomes for Patients With Musculoskeletal Conditions.” This is a significant first step in the effort to explore that most important challenge of any health profession's educational initiatives: did training result in improved patient outcomes?

Research paper thumbnail of Postprofessional Cartography in Physical Therapy: Charting a Pathway for Residency and Fellowship Training

Journal of Orthopaedic & Sports Physical Therapy, 2015

Remarkably little is known about what constitutes a good residency or fellowship training program... more Remarkably little is known about what constitutes a good residency or fellowship training program. In contrast to entry-level programs, the job of residency and fellowship educators is sometimes more subtle and difficult to articulate. Developing advanced clinical reasoning, communication skills, use of evidence, and patient-management approaches beyond entry-level competencies for students of various levels of education and backgrounds creates unique and diverse teaching challenges. There is no gold standard and precious little evidence to guide us on how best to sequence and pace residency/fellowship curricula, integrate mentoring into didactic and clinical coursework, conduct examinations, and measure the impact of training on patient care. To this end, we'd like to congratulate Drs Rodeghero, Wang, Flynn, Cleland, Wainner, and Whitman on their paper, “The Impact of Physical Therapy Residency or Fellowship Education on Clinical Outcomes for Patients With Musculoskeletal Conditions.” This is a significant first step in the effort to explore that most important challenge of any health profession's educational initiatives: did training result in improved patient outcomes?

Research paper thumbnail of U.S.A. Attains Full Voting Membership in I.F.O.M.T

Journal of Manual & Manipulative Therapy, 1993

Research paper thumbnail of Apta Task Force Continues Work on Accreditation Plan for Clinical Residencies

Pediatric Physical Therapy, 1995

Research paper thumbnail of Orthopaedic Residency Training: A Survey of the Graduates′ Perspective

Journal of Orthopaedic & Sports Physical Therapy, 1999

A survey of residency graduates. To establish a profile of the typical graduate and to determine ... more A survey of residency graduates. To establish a profile of the typical graduate and to determine the value and influence of residency training on professional development, particularly on clinical expertise. Physical therapists are involved in direct access in some states as a result of health care reform. There is increasing interest within the physical therapy profession in evaluating residency education as an avenue for providing physical therapists with the advanced skills to meet the changing nature of providing care. A questionnaire was sent to 98 graduates of a year long advanced orthopaedic manual therapy residency program. A response rate of 94.9% was obtained. Influence of residency training on clinical skills and expertise received high ("major positive") ratings on the abilities to logically reason (94%), thoroughly examine (95%), treat effectively (84%) and efficiently (79%), and to "diagnose" (85%). Graduates spend 23% of their time teaching in some manner. Autonomy of decision making was the primary factor (43%) in determining place of work. The results of this survey suggest that residency education assists physical therapists to refine and expand their clinical knowledge and skills that are important for health care roles requiring increasing autonomy of practice, such as primary care. Our questionnaire may also serve as a template for the measurement of outcome in clinical physical therapy residency programs.

Research paper thumbnail of Physical Therapy Residency and Fellowship Education: Reflections on the Past, Present, and Future

Physical therapy, Jan 17, 2015

The physical therapy profession continues to respond to the complex and changing landscape of hea... more 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 post-professional 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 purpose of this perspective paper is to analyze the state of residency and fellowship education within the profession, identify best practice elements from other health professions that are applicable to PT residency and fellowship education, and 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 progr...

Research paper thumbnail of Physical Therapy Residency and Fellowship Education: Reflections on the Past, Present, and Future

Physical therapy, Jan 17, 2015

The physical therapy profession continues to respond to the complex and changing landscape of hea... more 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 post-professional 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 purpose of this perspective paper is to analyze the state of residency and fellowship education within the profession, identify best practice elements from other health professions that are applicable to PT residency and fellowship education, and 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 progr...

Research paper thumbnail of Stepping Beyond Manual Therapy

Journal of Manual & Manipulative Therapy, 1996

Research paper thumbnail of 米国におけるレジデンシープログラム(教育講演I,先端科学と理学療法の未来,第42回日本理学療法士協会全国学術研修大会)

Research paper thumbnail of Postprofessional Cartography in Physical Therapy: Charting a Pathway for Residency and Fellowship Training

Journal of Orthopaedic and Sports Physical Therapy, Jan 31, 2015

Remarkably little is known about what constitutes a good residency or fellowship training program... more Remarkably little is known about what constitutes a good residency or fellowship training program. In contrast to entry-level programs, the job of residency and fellowship educators is sometimes more subtle and difficult to articulate. Developing advanced clinical reasoning, communication skills, use of evidence, and patient-management approaches beyond entry-level competencies for students of various levels of education and backgrounds creates unique and diverse teaching challenges. There is no gold standard and precious little evidence to guide us on how best to sequence and pace residency/fellowship curricula, integrate mentoring into didactic and clinical coursework, conduct examinations, and measure the impact of training on patient care. To this end, we'd like to congratulate Drs Rodeghero, Wang, Flynn, Cleland, Wainner, and Whitman on their paper, “The Impact of Physical Therapy Residency or Fellowship Education on Clinical Outcomes for Patients With Musculoskeletal Conditions.” This is a significant first step in the effort to explore that most important challenge of any health profession's educational initiatives: did training result in improved patient outcomes?

Research paper thumbnail of Postprofessional Cartography in Physical Therapy: Charting a Pathway for Residency and Fellowship Training

Journal of Orthopaedic & Sports Physical Therapy, 2015

Remarkably little is known about what constitutes a good residency or fellowship training program... more Remarkably little is known about what constitutes a good residency or fellowship training program. In contrast to entry-level programs, the job of residency and fellowship educators is sometimes more subtle and difficult to articulate. Developing advanced clinical reasoning, communication skills, use of evidence, and patient-management approaches beyond entry-level competencies for students of various levels of education and backgrounds creates unique and diverse teaching challenges. There is no gold standard and precious little evidence to guide us on how best to sequence and pace residency/fellowship curricula, integrate mentoring into didactic and clinical coursework, conduct examinations, and measure the impact of training on patient care. To this end, we'd like to congratulate Drs Rodeghero, Wang, Flynn, Cleland, Wainner, and Whitman on their paper, “The Impact of Physical Therapy Residency or Fellowship Education on Clinical Outcomes for Patients With Musculoskeletal Conditions.” This is a significant first step in the effort to explore that most important challenge of any health profession's educational initiatives: did training result in improved patient outcomes?

Research paper thumbnail of U.S.A. Attains Full Voting Membership in I.F.O.M.T

Journal of Manual & Manipulative Therapy, 1993

Research paper thumbnail of Apta Task Force Continues Work on Accreditation Plan for Clinical Residencies

Pediatric Physical Therapy, 1995

Research paper thumbnail of Orthopaedic Residency Training: A Survey of the Graduates′ Perspective

Journal of Orthopaedic & Sports Physical Therapy, 1999

A survey of residency graduates. To establish a profile of the typical graduate and to determine ... more A survey of residency graduates. To establish a profile of the typical graduate and to determine the value and influence of residency training on professional development, particularly on clinical expertise. Physical therapists are involved in direct access in some states as a result of health care reform. There is increasing interest within the physical therapy profession in evaluating residency education as an avenue for providing physical therapists with the advanced skills to meet the changing nature of providing care. A questionnaire was sent to 98 graduates of a year long advanced orthopaedic manual therapy residency program. A response rate of 94.9% was obtained. Influence of residency training on clinical skills and expertise received high ("major positive") ratings on the abilities to logically reason (94%), thoroughly examine (95%), treat effectively (84%) and efficiently (79%), and to "diagnose" (85%). Graduates spend 23% of their time teaching in some manner. Autonomy of decision making was the primary factor (43%) in determining place of work. The results of this survey suggest that residency education assists physical therapists to refine and expand their clinical knowledge and skills that are important for health care roles requiring increasing autonomy of practice, such as primary care. Our questionnaire may also serve as a template for the measurement of outcome in clinical physical therapy residency programs.

Research paper thumbnail of Physical Therapy Residency and Fellowship Education: Reflections on the Past, Present, and Future

Physical therapy, Jan 17, 2015

The physical therapy profession continues to respond to the complex and changing landscape of hea... more 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 post-professional 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 purpose of this perspective paper is to analyze the state of residency and fellowship education within the profession, identify best practice elements from other health professions that are applicable to PT residency and fellowship education, and 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 progr...