Creating a Pain Management Competency Profile to Guide Canadian PT Programs

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Acknowledgements: We would like to thank Delphi par8cipants, members of
the interna8onal review team, steering group members and research assistants.
Crea%ng a Pain Management Competency Profile to Guide Canadian PT Programs
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Background
•Reducing inconsistencies in entry-level training in pain
management may help alleviate the burden of chronic
pain.1-5
•Na:onal strategies call for the development of pain
management competencies to help with this process.1,2,6
•Limited work has explored the development of such
competencies for individual professions in specific
regions.7
References: 1. Canadian Pain Task Force, 2019. 2. The Na;onal Ins;tutes of Health, 2016. 3. WaD-Watson J, et al, 2009. 4. Thompson K, et al, 2018. 5. Wideman TH, et al, 2019.
6. Wideman TH, et al, 2018. 7. Fishman SM, et al, 2013. 8. Humphrey-Murto S, et al, 2017. 9. Frank JR, et al, 2010. 10. Ten Cate O, et al., 2021. 11. Miller G, 1990.
A total of !"#$%&'()(*$+(, reached the
required consensus threshold. The
majority (12 out of 15) were highly
endorsed (≥85% consensus).
Conclusion
•This research extends past work by using innova:ve
par:cipatory methodologies to create a pain
management competency profile that is specific to
one profession (PT) and region (Canada).
•The robust consensus-building and par:cipatory
research methods used may be useful to
other healthcare professions and geographic regions.
Novel aspects and discussion
Genera&on of preliminary profile
External review
Evalua&on of process
Survey analysis and response
Stakeholder survey
Most parCcipants were -(./#,01,2(3#
(85%) or saCsfied (10%) with the process
and only one parCcipant (5%) was
parCally saCsfied.
40.1$+'0*)#,01,50$1%*#6+)7#8(9'7+#
'.%$(,,
Recruitment
Pain educators from 93% of Canadian
entry-level PT programs par:cipated.
Six clinical pain educators par:cipated.
Aim
Our aim was to create a consensus-based competency
profile for pain management specific to the Canadian
physical therapy (PT) context.
Methods
Modified Delphi process to gain stakeholder consensus.8
Scope of profile
This profile was aligned with the highest
level of Miller’s Pyramid.9-11
Clinical
applica)on of
competency
:7%6,#7%6
Demonstra)on of competency
;*%6,#7%6
Applica)on of knowledge
;*%6,
Acquisi)on of knowledge
8%(,
Results
<=&>(.#%5#$%&'()(*$+(,#'(.#9(-(9#%5#
(*3%.,(&(*)
Endorsement level
Number of competencies
93%
•This profile clearly iden:fies competencies relevant to
all aspects of pain management, which will likely help
improve their applica:on to training and prac:ce.
•The transparent consensus-building methods
increases the robustness of the profile.
•Involvement of key stakeholders, such as people living
with pain and pain educators, increases its relevance.
Domain 1 Domain 2
Competencies relevant
to specific aspects of
pain management
Competencies relevant
to all aspects of pain
management
Example:
Perform a comprehensive
assessment with the
person living with pain
Example:
Support and promote the
autonomy of the person
living with pain
Profile structure
U
V
W
X
Y
Z
[
\
]
75% 80% 85% 90% 95%
School of Physical and Occupa2onal Therapy, McGill University, Montreal (Quebec) Canada