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Program evaluation of a model to integrate internationally educated health professionals into clinical practice.

Greig A, Dawes D, Murphy S, Parker G, Loveridge B - BMC Med Educ (2013)

Bottom Line: International graduates who participated in the program had an improved pass rate on the national Physiotherapy Competency Examination (PCE); participation in the program resulted in them having a 28% (95% CI, 2% to 59%) greater possibility of passing the written section than their counterparts who did not take the program.The program has proven to be successful and sustainable.This program model could be replicated to support the successful integration of other international health professionals into the workforce.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Physical Therapy, Wesbrook Mall, The University of British Columbia, Vancouver, BC, Canada. alison.greig@ubc.ca.

ABSTRACT

Background: The demand for health professionals continues to increase, partially due to the aging population and the high proportion of practitioners nearing retirement. The University of British Columbia (UBC) has developed a program to address this demand, by providing support for internationally trained Physiotherapists in their preparation for taking the National Physiotherapy competency examinations.The aim was to create a program comprised of the educational tools and infrastructure to support internationally educated physiotherapists (IEPs) in their preparation for entry to practice in Canada and, to improve their pass rate on the national competency examination.

Methods: The program was developed using a logic model and evaluated using program evaluation methodology. Program tools and resources included educational modules and curricular packages which were developed and refined based on feedback from clinical experts, IEPs and clinical physical therapy mentors. An examination bank was created and used to include test-enhanced education. Clinical mentors were recruited and trained to provide clinical and cultural support for participants.

Results: The IEP program has recruited 124 IEPs, with 69 now integrated into the Canadian physiotherapy workforce, and more IEPs continuing to apply to the program. International graduates who participated in the program had an improved pass rate on the national Physiotherapy Competency Examination (PCE); participation in the program resulted in them having a 28% (95% CI, 2% to 59%) greater possibility of passing the written section than their counterparts who did not take the program. In 2010, 81% of all IEP candidates who completed the UBC program passed the written component, and 82% passed the clinical component.

Conclusion: The program has proven to be successful and sustainable. This program model could be replicated to support the successful integration of other international health professionals into the workforce.

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Flow diagram of candidates through Internationally Educated Physiotherapist (IEP) Program (July 2008 to January 2012).
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Figure 2: Flow diagram of candidates through Internationally Educated Physiotherapist (IEP) Program (July 2008 to January 2012).

Mentions: The first cohort of nine IEPs was admitted into the program in July 2008. Figure 2 shows the flow of IEPs through the program. As of 1st January 2012, 124 IEPs have participated in the program. Data on IEP characteristics, Table 2, demonstrate that IEPs come from a variety of countries, with the majority coming from the UK (31%) and India (21%). Most IEPs have been employed as a Physiotherapist for less than five years (62%), with 14% never having practiced as a Physiotherapist prior to entering the program. In the first three years, more than 65% of the IEPs had English as their first language but this dropped to 50% in 2011.


Program evaluation of a model to integrate internationally educated health professionals into clinical practice.

Greig A, Dawes D, Murphy S, Parker G, Loveridge B - BMC Med Educ (2013)

Flow diagram of candidates through Internationally Educated Physiotherapist (IEP) Program (July 2008 to January 2012).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3852753&req=5

Figure 2: Flow diagram of candidates through Internationally Educated Physiotherapist (IEP) Program (July 2008 to January 2012).
Mentions: The first cohort of nine IEPs was admitted into the program in July 2008. Figure 2 shows the flow of IEPs through the program. As of 1st January 2012, 124 IEPs have participated in the program. Data on IEP characteristics, Table 2, demonstrate that IEPs come from a variety of countries, with the majority coming from the UK (31%) and India (21%). Most IEPs have been employed as a Physiotherapist for less than five years (62%), with 14% never having practiced as a Physiotherapist prior to entering the program. In the first three years, more than 65% of the IEPs had English as their first language but this dropped to 50% in 2011.

Bottom Line: International graduates who participated in the program had an improved pass rate on the national Physiotherapy Competency Examination (PCE); participation in the program resulted in them having a 28% (95% CI, 2% to 59%) greater possibility of passing the written section than their counterparts who did not take the program.The program has proven to be successful and sustainable.This program model could be replicated to support the successful integration of other international health professionals into the workforce.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Physical Therapy, Wesbrook Mall, The University of British Columbia, Vancouver, BC, Canada. alison.greig@ubc.ca.

ABSTRACT

Background: The demand for health professionals continues to increase, partially due to the aging population and the high proportion of practitioners nearing retirement. The University of British Columbia (UBC) has developed a program to address this demand, by providing support for internationally trained Physiotherapists in their preparation for taking the National Physiotherapy competency examinations.The aim was to create a program comprised of the educational tools and infrastructure to support internationally educated physiotherapists (IEPs) in their preparation for entry to practice in Canada and, to improve their pass rate on the national competency examination.

Methods: The program was developed using a logic model and evaluated using program evaluation methodology. Program tools and resources included educational modules and curricular packages which were developed and refined based on feedback from clinical experts, IEPs and clinical physical therapy mentors. An examination bank was created and used to include test-enhanced education. Clinical mentors were recruited and trained to provide clinical and cultural support for participants.

Results: The IEP program has recruited 124 IEPs, with 69 now integrated into the Canadian physiotherapy workforce, and more IEPs continuing to apply to the program. International graduates who participated in the program had an improved pass rate on the national Physiotherapy Competency Examination (PCE); participation in the program resulted in them having a 28% (95% CI, 2% to 59%) greater possibility of passing the written section than their counterparts who did not take the program. In 2010, 81% of all IEP candidates who completed the UBC program passed the written component, and 82% passed the clinical component.

Conclusion: The program has proven to be successful and sustainable. This program model could be replicated to support the successful integration of other international health professionals into the workforce.

Show MeSH