Item #1 — Accepting the patient
Competency — Act with professional integrity
Physiotherapists are expected to use judgement when they decide whether to provide services. They base their decision on what they are competent to perform and what is within their professional scope of practice.
For this case, describe how you determined the appropriateness of providing physiotherapy to this patient, before providing care.
Item #2 — Informed Consent
Competency — Employ a patient-centred approach
Physiotherapists are expected to obtain informed consent from patients before they conduct an assessment.
For this patient, describe the steps you took to get informed consent to conduct the assessment.
Item #3 — Assessment, clinical impression and referral to others
Competency — conduct patient assessment
PTs conduct a comprehensive assessment to determine a clinical impression and to guide decisions.
Tell me the steps you took to assess this patient.
Item #4 — Treatment plan and assigning care to PTAs
Competency — Develop, implement, monitor and evaluate an intervention plan.
Physiotherapists work with the patient and others to develop and implement the physiotherapy treatment plan/ intervention.
Tell me about the treatment plan/intervention for this patient.
Item #5 — Goal setting and patient collaboration
Competency — Develop, implement, monitor and evaluate an intervention plan
Physiotherapists work with their patients to develop goals.
Tell me about this patient’s goals and how you worked together to establish them.
Item #6 — Monitoring, reassessment and modify plan, self-management
Competency — develop, implement, monitor and evaluate an intervention plan.
Physiotherapists must evaluate their patient’s progress and goals often and make adjustments when needed.
For this patient, tell me what actions you took to review their progress.
Item #7 — Discharge planning and transitioning care
Competency — complete or transition care
Physiotherapists are expected to recognize when treatment may no longer be required. Or they may have to recognize when there are limitations to treatment, for example, when the number of sessions is restricted by benefits coverage. In these cases, they must make plans for how to end the therapy.
For this patient, have you started to discuss options for ending therapy or transitioning to another form of care?
[If yes] Tell me about your discussion with the patient / substitute decision maker about ending therapy or transitioning care.
[If no] If services were no longer needed or a transition of care was required, tell me how you would initiate communications with the patient/substitute decision maker.
Item # 8 — Rostered Activities
Competency — act with professional integrity
Physiotherapists must work within the physiotherapy scope of practice and within their own level of competence.
For this patient did you perform a rostered activity?
[If yes] Tell me about one time when you performed a rostered activity for this patient, and how you managed it.
[If no] Let’s talk about another patient when you performed a rostered activity and how you managed the activity.
[Never performed a rostered activity] Let’s talk about an activity you are rostered for but have not had the chance to do yet.