How is musculoskeletal spinal content taught in entry-level doctor of physical therapy programs? A mixed-methods study.

Introduction: One explanation for inconsistent adherence to evidence-based recommendations in the management of spinal pain may be related to the physical therapist's philosophical approach, which is likely initiated during their entry-level education. A significant gap exists in the systematic stud...

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Publicado en:Physiotherapy Theory & Practice Vol. 42; no. 6; pp. 816 - 845
Autores principales: Kirker, Kaitlin, Young, Jodi L., Masaracchio, Michael
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jun2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2026
      vid: 42
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/09593985.2025.2600089
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        atl: How is musculoskeletal spinal content taught in entry-level doctor of physical therapy programs? A mixed-methods study.
      aug:
        au:
          Kirker, Kaitlin
          Young, Jodi L.
          Masaracchio, Michael
        affil: Department of Physical Therapy, Long Island University, Brooklyn, NY, USA
      sug:
        subj:
          Musculoskeletal Diseases Education
          Education, Physical Therapy
          Faculty Psychosocial Factors
          Faculty Attitudes Evaluation
          Curriculum
          Philosophy, Medical
          Teaching Methods
          Program Evaluation
          United States
          Human
          Funding Source
          Female
          Male
          Adult
          Middle Age
          Multimethod Studies
          Descriptive Statistics
          Curriculum Development
          Grounded Theory
          Thematic Analysis
          Learning Methods
          Integrated Curriculum
          Clinical Competence
          Spinal Diseases Education
          Physical Examination Education
          Physical Therapists Education
          Data Analysis Software
          Spine Pathology
          Spinal Diseases Diagnosis
          Disease Management Education
          Clinical Reasoning
          Skill Acquisition
          Professional Knowledge
          Accreditation
          Cross Sectional Studies
          Semi-Structured Interview
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Introduction: One explanation for inconsistent adherence to evidence-based recommendations in the management of spinal pain may be related to the physical therapist's philosophical approach, which is likely initiated during their entry-level education. A significant gap exists in the systematic study of physical therapist education, prompting recent calls for meaningful reform within the field. The aims of this study were to identify the unique number of orthopedic philosophical approaches to teaching musculoskeletal spine content across DPT curricula and to explore the beliefs of faculty members regarding musculoskeletal spine education. Methods: This was a mixed methods research study with an electronic survey including both quantitative and qualitative questions, followed by an optional semi-structured virtual interview. Faculty members teaching musculoskeletal spine content in CAPTE-accredited DPT programs (n = 252) were invited to participate. Survey questions included demographics, orthopedic philosophical approaches, and methods of curricular design for teaching musculoskeletal spine content. The semi-structured interview explored themes in curricular design and approach to musculoskeletal spine education. Quantitative data was analyzed using descriptive statistics. Qualitative data was analyzed using grounded theory procedures to explore themes. A convergent design with a merging approach was used for data integration. Results: Fifty-four faculty completed the survey, with 12 interviewed. A variety of orthopedic philosophical approaches were used, with all identified approaches implemented to some degree across DPT programs. Participants indicated that they do not implement one primary approach. Three overarching themes were revealed: Pragmatic Teaching and Learning Effectiveness, Curricular Integration for Adaptive Practice, and Clinical Applicability. Conclusion: Findings reveal underlying themes that may explain the variability in how musculoskeletal spine content is taught in DPT programs. Insights into the current educational atmosphere have the potential to inform curricular refinement to ensure entry-level education upholds its obligation to produce competent practitioners prepared to meet the needs of society.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Unknown
    language: English
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