Professional Documents
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physioaustria
The Physiotherapist
Profile of Competencies
PHY Kompetenzprofil Englisch_RZ 25.02.16 13:14 Seite 2
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IMPRINT
PUBLISHER
Physio Austria
AUTHORS
Mag. Dr. Ursula Eckler
Barbara Gdl-Purrer, MSc
Emalie Hurkmans, PhD
Emil Igelsbck, MAS
Mag. Claudia Wiederin
TRANSLATION
Mag. Sabine Eichler,
Seddwell Learning GmbH&COKG
EDITING
Mag. Nicole Muzar
4 Table of Figures
4 Table of Abbreviations
1
5 Introduction
2
5 The Profession Physiotherapy
2.1
5 Professional Profile Physiotherapy
2.2
5 A Profession Going through Changes
3
7 Developing a Profiles of Competencies
and Learning Outcomes
3.1
7 Definition of Terminology
7 3.1.1 Claryfing the Terms Profile of Competencies
and Qualification Profile
7 3.1.2 EQF and EQR
7 3.1.3 evidence based
8 3.1.4 interdisciplinary
8 3.1.5 intraprofessional
8 3.1.6 multiprofessional
3.2
8 Qualification Profile
3.3
8 Process of Development
9 3.3.1 Definition of Levels and Roles
9 3.3.2 Generating Profiles of Competencies
9 3.3.3 Generating Learning Outcomes
4
10 Results
4.1
10 Description of Roles of a Physiotherapist
4.2
10 Competencies and Learning Outcomes
5
27 Conclusion
28 Literature and Sources
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TABLE OF FIGURES
FIGURE 1
Clarifying Competence - Qualification
FIGURE 2
Components of a Personalized Qualification Profile,
Eckler 2015
TABLE OF ABBREVIATIONS
1 Introduction
Page 6
The main focus of the physiotherapy profession is to In the course of constantly increasing knowledge and
promote, develop, maintain and regain the ability of challenges in medicine and physiotherapy, as well
movement of an individual. This focus comprises tasks as changes in society, including demography, health
to maintain and promote health, to develop health pro- landscape and politics, physiotherapy is constantly
moting environments and health promoting procedures developing further. New technologies, e-health and
and projects. Physiotherapy affects the human being as scientific knowledge are more and more integrated in
a whole, interacting with movement systems, organ professional routines. Changes in framework conditions
functions, cognitive level, level of experience and for exercising the profession not only pose challenges,
behavior. The central task of physiotherapy is the ability but also offer chances for the profession. Specializa-
to move, which is a result of finding the best possible tion, new professional fields and careers are being
ability to allow the movement system and organ system established.
to function, and which also considers development and
control of movement, as well as experience and behavior The health landscape in Austria currently revolves around
and functional and neurologic connections. the health reform. A major pillar of the health reform
is primary care and establishing a primary health care
All these facts have to be considered in the framework (PHC) model. Physiotherapists are an integral part of
of the salutogenetic health paradigm, which is based on this structure.
evidence based effects and knowledge, current develop-
ments and knowledge in physiotherapy and its reference Therefore, it is necessary to define the tasks, competen-
sciences, especially natural science, human medicine, cies and qualifications necessary for a physiotherapist
pedagogics, psychology, sociology and public health. working in primary, secondary and tertiary care. Further-
more, the issues of physiotherapists as best point of
The profession of physiotherapy comprises all profession service and a possible self-referral of patients (and/
specific procedures within the physiotherapeutic or direct access) to physiotherapy, constitute influential
process, like taking a patients history, examination, factors. A factor of success for PHC, in general for
analyses, developing a physiotherapeutic diagnosis, optimal care of patients, is the multi-professional co-
planning, conducting and evaluating all physiotherapeutic operation and transparency of diverse competencies
procedures in health promotion, counseling, prevention, of various professions interacting in the team.
rehabilitation, cure and palliative care for people of all
ages and groups in and outside hospitals, as well as in Other topics like improving health competencies and
primary, secondary and tertiary health care in the fields developing health promoting environments are issues
of human medicine, science, research, industry as well that belong to the range of competencies of physio-
as evaluating the health related framework conditions. therapy.
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FIGURE 1:
Clarifying Competence Qualification
COMPETENCE IS QUALIFICATION IS
Formulations developed by the working group are based 3.1.2 EQF and EQR
on the following understanding of terms. The European Qualification Framework (EQR in German)
has been defined as EQF by the EU and has then been
3.1.1 Clarifying the terms Profile of published in the respective language of each country;
Competencies and Qualification Profile in Austria EQR (Europischer Qualifikationsrahmen).
The terms competencies, profile of competencies and The levels presented in this document have been defined
qualification profile are defined in different ways in according to the EQR of the EU.
literature and applied without making clear distinctions.
The definitions shown in figure 1 (page 8), serve to 3.1.3 Evidence based
make the meaning of the basic terminology, used in Referring to/based on the current situation of evidence
this document, clear by the authors. (integrating individual clinical expertise involving best
available external evidence of systematic research)
3.1.4 interdisciplinary
Establishing a correlation among individual disciplines,
combining partial aspects of various disciplines,
developing solutions derived from combining these
partial aspects
3.1.5 intraprofessional
Referring to their own profession, within their
own profession
3.1.6 multiprofessional
Referring to members of several professions, their
way of working characterized by additive synthesizes
of expertise of disciplines involved, profiting by focusing
on partial areas
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FIGURE 2:
Components of a Personalized Qualification Profile,
Eckler 2015
3.3.1
Definition of Levels and Roles
In the light of EQF levels, the levels of degrees have
been defined. The levels have been collated with tasks
that can be found in diverse roles of physiotherapists.
After reviewing several documents (EU directives/
ENPHE, EQF, ESCO, diverse documents of European
institutes of higher education) the group has decided for
the role model described in EU directives/ENPHE as a
recommendation for ESCO to ensure the development
of the profession within a national and European context.
For each role level 6 and 7 have been elaborated.
3.3.2
Generating a Profile of Competencies
The profile of competencies has been generated,
applying a circular process with feedback and reflection
loops, together with the board and in the course of the
conference of the expert network for higher education
(Tagung des fachlichen Netzwerks Hochschulbildung)
from May 2014 until June 2015.
3.3.3
Generating Learning Outcomes
During the following step, learning outcomes were
formulated for all roles and all competencies, and they
were then adjusted to the FH-MTD-AV in its current
edition (BGBl. I Nr. 70/2005).
The process of development followed the same system-
atic procedures regarding feedback and reflection loops
with the expert network of higher education as well as
the board. In December 2015 the profile of competencies
and the learning outcomes were accepted by the board.
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4 Results
Physiotherapy expert
Communicator
Team worker/Collaborator
Manager
Health Care Promoter
Innovator
Professional
Role Expert
Physiotherapists are experts in function, movement and mobility
of the human body, they apply the ICF classification when assessing
and follow the structure of the physiotherapeutic process.
Selection and application The Graduate Identifying several ways to The Graduate
based on hypotheses to formulates hypotheses about pathophysiological review hypotheses in an effi- evaluates hypotheses based
identify problems and pathobiological mechanisms cient way and to differentiate on pathophysiological and
and their correlation with the ICF levels them according to economic pathobiological mechanisms
selects evidence based and profession points of view and their correlation with
specific procedures for the examination the ICF levels
applies examination procedures in a systematic Prioritizing procedures prioritizes procedures according
and standardized way based on how qualified and to their suitability, adequacy and
recognizes life threatening conditions and appropriate they are economic aspects
administers first aid
Evaluating the results derived The Graduate Evaluating results from the The Graduate
from the diagnostic process evaluates the hypotheses based on diagnostic process against evaluates the hypotheses based
the results of the examination the backdrop of unstable on the results from the examina-
Formulating the physio- combines the results in the physio- and/or highly complex tion against the backdrop of
therapeutic diagnosis therapeutic diagnosis situations unstable and/or highly complex
situations
Evaluating interdependencies evaluates the interdependencies
according to their relevance for
the physiotherapeutic diagnosis
Defining therapy aims that The Graduate Defining and prioritizing The Graduate
can be verified according to defines therapy aims therapeutic aims based on defines therapeutic aims accord-
bio-psycho-social aspects categorizes therapy aims according bio-psycho-social aspects ing to the ICF-model considering
to qualitative and quantitative criteria the bio-psycho-social model
establishes evidence based re-assessment prioritizes the therapeutic aims
parameters based on evidence and
preferences of the patient
Selecting and applying The Graduate Considers unstable and/or The Graduate
suitable methods and selects evidence based procedures for treatment highly complex situations selects evidence based
procedures for treatment (incl. re-assessment) in the therapeutic setting procedures for treatment
applies treatment procedures (incl. procedures against the backdrop of unstable
for re-assessment) in a systematic and and/or highly complex situations
standardized way for individuals and groups
reacts in an appropriate way to group dynamic
processes
Reviewing efficiency of The Graduate
the treatment procedures reviews the efficiency of the treatment
procedures based on re-assessment parameters
Developing movement and The Graduate Integrating movement and The Graduate
perception competence perceives motor actions in a selective way perceiving competencies adapts physiotherapeutic action
masters imitating motor patterns by
describes motor actions verbally
integrating information from
gives instructions for individuals and groups
proprioceptive and perceptive
to conduct movements
systems
utilizes proprioceptive and perceptive abilities
for action control
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Add-on for
Expert with Direct Access
Role of
Expert Physiotherapists, in their role as experts with direct access, decide during the physiotherapeutic
process, applying an additional screening process, if there is an indication for physiotherapy,
and if further steps in the physiotherapeutic process may be commenced.
Role Communicator
Page 16
Being aware of interfaces The Graduate Managing interfaces and The Graduate
and contributing to establish recognizes interfaces among team members promoting to establish analyses interfaces among
symmetrical, and professional appreciates competencies of all team members symmetrical, professional team members
relationships (therapeutic, contributes to establish relationships relationships promotes effective professional
multi-professional, inter- relationships
disciplinary and intercultural) Actively shaping team
development
Clarity about their own role The Graduate Evaluating their own tasks The Graduate
in a multi-professional team is aware of his/her own role in the to promote teambuilding reflects their own role in the team
respective team deduces tasks to promote team
accepts the responsibilities that go building
along with the role
Role Manager
Supporting the implementa- The Graduate Creating and implementing The Graduate
tion of quality management accepts procedures of quality management sustainable and effective develops procedures for a quality
concepts and development of and further development determining their own procedures for a quality management system supporting
quality within the profession professional tasks management system professional team work
and/or organization reflects on the tasks given conducts procedures of quality
management
evaluates those procedures
Page 18
Assuming tasks within their The Graduate Actively participating in health The Graduate
own profession to prevent and is aware of the role of his/her profession strategic developments helps to form health strategic
promote health and well-being in health promotion developments
of individuals and groups accepts the responsibilities that are linked
to this role
Improving health behavior of The Graduate Forming, implementing and The Graduate
clients/patients by counseling, transfers therapeutic concepts in the setting evaluating concepts for health develops concepts for health
sensitizing and motivating of health promotion and prevention promotion and prevention promotion
them as well as instructing applies these concepts
and attending specific, health evaluates these concepts
promoting and preventive
procedures
Role Innovator
Reflecting the personal The Graduate Evaluating and applying quality The Graduate
competencies (practice researches current scientific literature evaluates professional
based evidence + evidence in national and international context
management of professional
competencies (practice based
competencies against the
based practice) reasons decisions during the physiotherapeutic framework of evidence
process based on evidence
evidence + evidence based
practice)
Page 20
Role Professional
As a professional, physiotherapists feel obliged
to adhere to social and professional values.
Taking over responsibility The Graduate Taking over responsibility to The Graduate
to form a better understanding feels obliged to promote and form form a better understanding of supports colleagues to represent
of the profession within an understanding of the profession the profession within society the profession in a positive way
society
5 Conclusion
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