Competency-Based Education (CBE)
Competency-Based Education is an outcomes-based approach organized around competencies derived from an analysis of societal and patient needs. CBE is designed to facilitate greater accountability, flexibility, and learner-centeredness.
Competency-based physical therapist education focuses on defining the specific knowledge, skills, attitudes, and behaviors that are essential for effective physical therapy practice. These competencies are typically aligned with the core areas of patient care, knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice, similar to those found in CBME for medical professionals.
Tarleton State University’s DPT Program 9 Domains of Competence
1. Knowledge for Practice
Physical therapists integrate contemporary knowledge of foundational and behavioral sciences for clinical practice.
2. Clinical Competence in Patient/Client Care
Physical therapists demonstrate clinical competence in assessing, diagnosing, and treating patients with dysfunction of the movement system including disorders and conditions of the musculoskeletal, neuromuscular, lymphatic, cardiopulmonary and vascular systems. They effectively manage patient care throughout the lifespan and continuum of care, including examination, evaluation, diagnosis, prognosis, intervention, and outcomes assessment.
3. Communication and Collaboration
Physical therapists demonstrate skills in patient education, communication, and collaboration with interprofessional healthcare teams. They collaborate, using responsive communication, to enhance and negotiate the exchange of information and fostering of therapeutic and professional relationships.
4. Clinical Reasoning
Physical therapists develop critical thinking skills to analyze complex clinical situations, identify problems, and formulate appropriate solutions. They apply evidence-based practice and clinical reasoning to develop effective treatment plans and interventions. They integrate knowledge from multiple sources, evaluate evidence, and make informed decisions to optimize patient outcomes.
5. Professionalism and Ethical Practice
Physical therapists exhibit professional behavior, ethical practice, and competence in working with individuals and groups across myriad backgrounds and experiences. They demonstrate a commitment to lifelong learning, ethical decision-making, and adherence to professional standards and codes of conduct. They also demonstrate sensitivity and respect for all patient populations. Physical therapists exemplify the profession’s standards, reflecting on their practice, and championing the health and wellness of individuals, communities, populations, and the profession.
6. Health Promotion and Prevention
Physical therapists understand the importance of health promotion and disease prevention in physical therapy practice. They assess and address risk factors, educate patients on healthy lifestyle choices, and promote overall wellness and Injury prevention. They evaluate needs and facilitate interventions supporting health, wellness, and lifestyle management through engagement in primary, secondary, and tertiary prevention and promotion.
7. Social and Cultural Awareness
Physical therapists understand social determinants of health, health disparities, and the impact of social and cultural factors on individuals’ health and well-being. They recognize and address barriers to healthcare access and delivery, advance health access, and demonstrate professional sensitivity and humility in their interactions with patients from all backgrounds.
8. Teaching and Learning
Physical therapists use education to empower patients, caregivers, colleagues, students, and communities to optimize individual and population health.
9. Practice Management
Physical therapists deliver value-based care across practice areas by managing their administrative and legal obligations. They demonstrate an awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care.