Institut Régional de Formation aux Métiers de Rééducation et de Réadaptation des Pays de la Loire.
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Auteur Shauna Dudley-Javoroski
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Benchmarking the Physical Therapist Academic Environment to Understand the Student Experience / Richard K. Shields in Physical Therapy, Vol. 98 n° 8 (August 2018)
[article] Benchmarking the Physical Therapist Academic Environment to Understand the Student Experience [texte imprimé] / Richard K. Shields, Auteur ; Shauna Dudley-Javoroski, Auteur ; Kelly J. Sass, Auteur . - 2018 . - p. 658-669.
Langues : Français (fre)
in Physical Therapy > Vol. 98 n° 8 (August 2018) . - p. 658-669
Catégories : PROFESSION SANITAIRE & SOCIALE
Résumé : Background: Identifying excellence in physical therapist academic environments is complicated by the lack of nationally available benchmarking data.
Objective: The objective of this study was to compare a physical therapist academic environment to another health care profession (medicine) academic environment using the Association of American Medical Colleges Graduation Questionnaire (GQ) survey.
Design: The design consisted of longitudinal benchmarking.
Methods: Between 2009 and 2017, the GQ was administered to graduates of a physical therapist education program (Department of Physical Therapy and Rehabilitation Science, Carver College of Medicine, The University of Iowa [PTRS]). Their ratings of the educational environment were compared to nationwide data for a peer health care profession (medicine) educational environment. Benchmarking to the GQ capitalizes on a large, psychometrically validated database of academic domains that may be broadly applicable to health care education. The GQ captures critical information about the student experience (eg, faculty professionalism, burnout, student mistreatment) that can be used to characterize the educational environment. This study hypothesized that the ratings provided by 9 consecutive cohorts of PTRS students (n = 316) would reveal educational environment differences from academic medical education.
Results: PTRS students reported significantly higher ratings of the educational emotional climate and student-faculty interactions than medical students. PTRS and medical students did not differ on ratings of empathy and tolerance for ambiguity. PTRS students reported significantly lower ratings of burnout than medical students. PTRS students descriptively reported observing greater faculty professionalism and experiencing less mistreatment than medical students.
Limitations: The generalizability of these findings to other physical therapist education environments has not been established.
Conclusions: Selected elements of the GQ survey revealed differences in the educational environments experienced by physical therapist students and medical students. All physical therapist academic programs should adopt a universal method to benchmark the educational environment to understand the student experience.
En ligne : https://academic.oup.com/ptj Permalink : [article]Precision Physical Therapy: Exercise, the Epigenome, and the Heritability of Environmentally Modified Traits / Jessica R. Woelfel in Physical Therapy, Vol. 98 n° 11 (November 2018)
[article] Precision Physical Therapy: Exercise, the Epigenome, and the Heritability of Environmentally Modified Traits [texte imprimé] / Jessica R. Woelfel, Auteur ; Shauna Dudley-Javoroski, Auteur ; Richard K. Shields, Auteur . - 2018 . - p. 946-954.
Langues : Français (fre)
in Physical Therapy > Vol. 98 n° 11 (November 2018) . - p. 946-954
Catégories : SPÉCIALITÉ
Génétique , Rééducation fonctionnelle
ENVIRONNEMENT & MATIÈRES
Résumé : One of the newest frontiers of physical therapy is the field of epigenetics, which examines how pervasive environmental factors such as exercise regulate the expression of genes. The epigenome may be one of the most powerful systems through which exercise exerts its beneficial effects on health and longevity. Large epidemiology studies show that individuals who regularly exercise demonstrate a lower epigenetic age, experience fewer metabolic diseases, and enjoy greater longevity. However, the dose, mode, intensity, and duration of exercise required to achieve a healthy epigenetic profile is unknown. As experts in exercise prescription, physical therapists are ideally suited to contribute to the discovery of this dose-response relationship. This perspective makes a case for the genesis of precision physical therapy, which capitalizes on epigenetic discoveries to optimize exercise-based interventions. Summarized here is the emerging body of knowledge supporting epigenetic adaptations to exercise in humans, including the intriguing possibility that these environmentally modified traits could be passed down to offspring. In the future, it is likely that epigenetic data will enhance our understanding of individual disease risk and individual response to prescribed exercise. The profession of physical therapy must be alert to new epigenetic knowledge that can enhance the specificity and efficacy of movement-based treatments. En ligne : https://academic.oup.com/ptj Permalink : [article]