Students' perceptions of a UK physiotherapy student-led clinic.

Publisher: Blackwell Pub Country of Publication: England NLM ID: 101227511 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1743-498X (Electronic) Linking ISSN: 17434971 NLM ISO Abbreviation: Clin Teach Subsets: MEDLINE

Original Publication: Oxford, UK : Blackwell Pub., c2004-

Students* ; Learning*; Humans ; Focus Groups ; Physical Therapy Modalities/education ; Clinical Competence ; United Kingdom ; Qualitative Research

Background: Student-led clinics (SLCs) are a mode of delivery whereby students take responsibility for the delivery of a health service or intervention. SLCs for physiotherapy have a wide range of uses, including enhancement of learning, replacement of clinical placement hours and serving population and community needs. Evidence is emerging globally as to the outcomes of SLCs in physiotherapy, but little exists in the United Kingdom (UK) context. The purpose of this study was to explore student perceptions of running, leading and participating in a UK physiotherapy student-led neurological rehabilitation clinic.
Methods: A qualitative design using a focus group.
Findings: Four themes were identified relating to students' perceptions of SLCs associated with the learning environment, self-development, enhanced clinical skill development and reflections on experience at the SLC.
Discussion: The findings of this study suggest that physiotherapy SLCs in a UK context can contribute positively to student experience and skill development, particularly in relation to the learning environment, development of clinical skills, leadership and autonomy. Some aspects related to, for example, student induction and preparation could be further developed. Further research should explore if these findings are applicable in other countries where SLCs are less established.
Conclusion: Further research in the UK and globally related to SLC models in different courses and across varying stages is required. Exploration of the SLC as a viable form of clinical placement experience is also warranted.
(© 2023 The Authors. The Clinical Teacher published by Association for the Study of Medical Education and John Wiley & Sons Ltd.)

Schutte T, Tichelaar J, Dekker RS, van Agtmael MA, de Vries TP, Richir MC. Learning in student-run clinics: a systematic review. Med Educ. 2015;49(3):249-263. https://doi.org/10.1111/medu.12625.
Broman P, Tokolahi E, Wilson OWA, Haggie M, Andersen P, Brownie S. Patient outcomes from student-run health services: an integrative review. J Multidiscip Healthc. 2022;15:641-665. https://doi.org/10.2147/JMDH.S348411.
Simpson S, Long J. Medical student-run health clinics: important contributors to patient care and medical education. J Gen Intern Med. 2007;22(3):352-356. https://doi.org/10.1007/s11606-006-0073-4.
Wynne D, Cooper K. Student-led rehabilitation groups and clinics in entry-level health education: a scoping review. JBI Evid Synth. 2021;19(11):2958-2992. https://doi.org/10.11124/JBIES-20-00340.
Suen J, Attrill S, Thomas JM, Smale M, Delaney CL, Miller MD. Effect of student-led health interventions on patient outcomes for those with cardiovascular disease or cardiovascular disease risk factors: a systematic review. BMC Cardiovasc Disord. 2020;20(1):332. https://doi.org/10.1186/s12872-020-01602-1.
Tokolahi E, Broman P, Longhurst G, Pearce A, Cook C, Andersen P, et al. Student-led clinics in Aotearoa New Zealand: a scoping review with stakeholder consultation. J Multidiscip Healthc. 2021;14:2053-2066. https://doi.org/10.2147/JMDH.S308032.
Moore K, Bacon R, Bevitt T, Bialocerkowski A, Ciccone N, Haworth N, et al. Report: the university health clinic: definition, educational practices and outcomes. Focus Health Prof Educ. 2018;19(2):1. https://doi.org/10.11157/fohpe.v19i2.213.
Allan J, O'Meara P, Pope R, Higgs J, Kent J. The role of context in establishing university clinics. Health Soc Care Community. 2011;19(2):217, no-224. https://doi.org/10.1111/j.1365-2524.2010.00971.x.
O'Connor A, Liston E, O'Donnell M. Student-led community placement in physiotherapy. Clin Teach. 2019;16(6):593-597. https://doi.org/10.1111/tct.12988.
Patterson F, Doig E, Fleming J, Strong J, Birch S, Whitehead M, et al. Student-resourced service delivery of occupational therapy rehabilitation groups: patient, clinician and student perspectives about the ingredients for success. Disabil Rehabil. 2022;44(18):5329-5340. https://doi.org/10.1080/09638288.2021.1922517.
Ahern C, O'Donnell M. Are physiotherapy student-led services a suitable model of clinical education? - perceptions & experiences of physiotherapists, students & patients, a qualitative meta-synthesis. Physiother Theory Pract. 2023;39(5):963-978. https://doi.org/10.1080/09593985.2022.2031362.
Nicole M, Fairbrother M, Nagarajan SV, Blackford J, Sheepway L, Penman M, et al. Student-led services in a hospital aged care temporary stay unit: sustaining student placement capacity and physiotherapy service provisions. Asia-Pac J Coop Educ. 2015;16(4):327-342.
Black JD, Palombaro KM, Dole RL. Student experiences in creating and launching a student-led physical therapy pro bono clinic: a qualitative investigation. Phys Ther. 2013;93(5):637-648. https://doi.org/10.2522/ptj.20110430.
Bostick G, Hall M, Miciak M. Novel clinical learning from a student-led clinic. Clin Teach. 2014;11(7):512-515. https://doi.org/10.1111/tct.12214.
Niwa L, MacLellan CL. Learning and satisfaction in a student-led clinic. Clin Teach. 2021;18(4):391-397. https://doi.org/10.1111/tct.13339.
Forbes DR, Nolan D. Factors associated with patient-satisfaction in student-led physiotherapy clinics: a qualitative study. Physiother Theory Pract. 2018;34(9):705-713. https://doi.org/10.1080/09593985.2018.1423592.
Forbes R. Service dissatisfaction and non-attendance in physiotherapy student-led clinics: a qualitative study. Physiother Theory Pract. 2020;36(12):1390-1398. https://doi.org/10.1080/09593985.2019.1570576.
Stickler L, Grapczynski C, Ritch J. Student perceptions of outcomes from participation in physical therapy pro bono clinics a qualitative study. J Allied Health. 2013;42(1):46-55.
Cassidy A, Yorke A. Investigating the motivators, barriers and facilitators to volunteering at a student-run physical therapy clinic. J Stud-Run Clin. 2019;5(1):5. https://doi.org/10.59586/jsrc.v5i1.105.
Godoshian M, Yorke A. Does participation in physical therapy student-run free clinics relate to altruism, social responsibility, and cultural competency post-graduation? A pilot study. J Stud-Run Clin. 2019;5(1):1-5. https://doi.org/10.59586/jsrc.v5i1.88.
Creswell JW, Creswell JD. Research design 6th ed. Sage Publications, Inc; 2022.
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349-357. https://doi.org/10.1093/intqhc/mzm042.
Clarke V, Braun V. Thematic analysis: a practical guide Sage Publications; 2021.
Moseley J, Hellawell M, Graham C, Briggs A. Evaluation of a large group supervision model in a university student-led physiotherapy clinic. Br J Healthcare Manag. 2022;28(3):61-67. https://doi.org/10.12968/bjhc.2021.0098.
Yue JW, Delavar M, Padini B, Vanstrum E, Milman T, Sideris J. The value of occupational therapy student participation in university-based student-run free clinics in the United States. J Occup Ther Educ. 2021;5(4):13. https://doi.org/10.26681/jote.2021.050413.
Barrett EM, Belton A, Alpine LM. Supervision models in physiotherapy practice education: student and practice educator evaluations. Physiother Theory Pract. 2021;37(11):1185-1198. https://doi.org/10.1080/09593985.2019.1692393.
Heales LJ, Bonato K, Randall S, Hinz C, Job S, Bochkezanian V, et al. Factors associated with student satisfaction within a regional student-led physiotherapy clinic: a retrospective qualitative study. Aust J Clin Educ. 2021;10(1):1-17. https://doi.org/10.53300/001c.21424.
Paparella-Pitzel S, Anderson EZ, Rothpletz-Puglia P, Parrott JS. Exploring physical therapy students' experience of peer learning in a student-run clinic. J Educ Health Promot. 2021;10:1-8. https://doi.org/10.4103/jehp.jehp_188_21.
NES 2007 Four Pillars of Practice. [online] https://www.nmahpdevelopmentframework.nes.scot.nhs.uk/post-reg-framework/four-pillars-of-practice/ [accessed 15 August 2022].
Lee M, Stidham A, Melton S, Mullins C, Smith S. Interprofessional team development in student led clinics in rural Northeast Tennessee. Int J Health Sci Educ. 2017;4(1):4.
Wilson O, Broman P, Tokolahi E, Andersen P, Brownie S. Learning outcomes from participation in student-run health clinics: a systematic review. J Multidiscip Healthc. 2023;16:143-157. https://doi.org/10.2147/JMDH.S385709.
Marques-Sule E, Chiva-Bartoll O, Carrasco JJ, Hernández-Guillén D, Pérez-Alenda S, Francisco-Garcés X, et al. Impact of service-learning on physiotherapy students: exercise programs for patients with heart transplantation and acute coronary syndrome-a randomized clinical trial. J Clin Med. 2022;11(15):4360. https://doi.org/10.3390/jcm11154360.
CSP 2019 Code of Members' Professional Values and Behaviour 2019 [online] Available at: [Accessed 3 august 2022].
Passmore A, Persic C, Countryman D, Rankine L, Henderson M, Hu T, et al. Student and preceptor experiences at an inter-professional student-run clinic: a physical therapy perspective. Physiother Can. 2016;68(4):391-397. https://doi.org/10.3138/ptc.2015-87E.

Date Created: 20230710 Date Completed: 20231127 Latest Revision: 20231130

20250114

10.1111/tct.13603

37427457