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Physiotherapy Theory and Practice
An International Journal of Physical Therapy
Volume 40, 2024 - Issue 5
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Professional Theoretical Article

How COVID-19 elucidated challenges in the pedagogy of physiotherapy entry-level education in Brazil and directions for their remediation with special attention to digital teaching and learning

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Pages 887-899 | Received 24 Dec 2021, Accepted 08 Nov 2022, Published online: 22 Nov 2022

References

  • Alshehri MA, Alalawi A, Alhasan H, Stokes E 2017 Physiotherapists’ behaviour, attitudes, awareness, knowledge and barriers in relation to evidence-based practice implementation in Saudi Arabia. International Journal of Evidence-Based Healthcare 15: 127–141. DOI:10.1097/XEB.0000000000000106.
  • Alsoufi A, Alsuyihili A, Msherghi A, Elhadi A, Atiyah H, Ashini A, Ashwieb A, Ghula M, Hasan HB, Abudabuos S, et al. 2020 Impact of the COVID-19 pandemic on medical education: Medical students’ knowledge, attitudes, and practices regarding electronic learning. PLoS One 15: e0242905. DOI:10.1371/journal.pone.0242905.
  • American Physical Therapy Association 2021 Impact of COVID-19 on the physical therapy profession over one year. A Report from the American Physical Therapy Association. https://www.apta.org/contentassets/15ad5dc898a14d02b8257ab1cdb67f46/covid-19-impact-report.pdf
  • Anísio Teixeira National Institute for Educational Studies and Research 2019 Edital n° 43, de 4 de Junho de 2019- Exame Nacional de Desempenho dos Estudantes (ENADE) 2019 [Public Notice No. 43, of June 4, 2019 - National Student Performance Exam (ENADE) 2019]. https://download.inep.gov.br/educacao_superior/enade/edital/2019/edital_n43_04062019-enade2019.pdf
  • Barradell S 2017 Moving forth: Imagining physiotherapy education differently. Physiotherapy Theory and Practice 33: 439–447. DOI:10.1080/09593985.2017.1323361.
  • Beltrão KI, Zikan FE, Pedrosa MG, Megahós RS 2021 Evidências do Enade e de outras Fontes - Mudanças no Perfil do Bacharel em Fisioterapia [Evidence from ENADE and other Sources - Changes in the Profile of Bachelors in Physical Therapy]. Fundação Cesgranrio. https://www.cesgranrio.org.br/pdf/Enade/RELATORIO%20DE%20FISIOTERAPIA%20DIGITAL.pdf
  • Bond G, Franchi T 2021 Resuming cadaver dissection during a pandemic. Medical Education Online 26: 1842661. DOI:10.1080/10872981.2020.1842661.
  • Brazil. 1975 Lei no 6.316, de 17 de Dezembro de 1975 - Cria o Conselho Federal e os Conselhos Regionais de Fisioterapia e Terapia Ocupacional e dá outras Providências [Law No. 6,316, of December 17, 1975 - Creates the Federal Council and the Regional Councils of Physiotherapy and Occupational Therapy and Makes other Provisions]. https://www.coffito.gov.br/nsite/?p=3318
  • Brazil 2002 Resolução CNE/CES n° 4, de 19 de Fevereiro de 2002 - Institui Diretrizes Curriculares Nacionais do Curso de Graduação em Fisioterapia [CNE/CES Resolution No. 4, of February 19, 2002 - Establishes National Curricular Guidelines for the Undergraduate Physiotherapy Course]. http://portal.mec.gov.br/cne/arquivos/pdf/CES042002.pdf.
  • Brazil. 2004 Lei n° 10.861, de 14 de Abril de 2004 - Institui o Sistema Nacional de Avaliação da Educação Superior - SINAES e dá Outras Providências [Law No. 10,861, of April 14, 2004 - Establishes the National Higher Education Assessment System - SINAES and Makes other Provisions]. http://www.planalto.gov.br/ccivil_03/_ato2004-2006/2004/lei/l10.861.htm
  • Brazil 2008 Lei n° 11.788, de 25 de setembro de 2008 - Dispõe sobre o estágio de estudantes [Law No. 11,788, of September 25, 2008 - Provides for student internships]. http://www.planalto.gov.br/ccivil_03/_ato2007-2010/2008/lei/l11788.htm
  • Brazil 2009 Conselho Nacional de Educação/Câmara de Educação Superior - Resolução n° 4, de 6 de Abril de 2009 - Dispõe Sobre Carga Horária Mínima e Procedimentos Relativos à Integralização e Duração Dos Cursos de Graduação em Biomedicina, Ciências Biológicas, Educação Física, Enfermagem, Farmácia, Fisioterapia, Fonoaudiologia, Nutrição e Terapia Ocupacional, Bacharelados, na Modalidade Presencial [National Council of Education/Chamber of Higher Education - Resolution No. 4, of April 6, 2009 - Provides for the Minimum Workload and Procedures Related to the Completion and Duration of Under-graduate Courses in Biomedicine, Biological Sciences, Physical Education, Nursing, Pharmacy, Physiotherapy, Speech Therapy, Nutrition and Occupational Therapy, Bachelor’s Degrees, in the Face-To-Face Modality]. Diário Oficial da União. https://portal.mec.gov.br/dmdocuments/rces004_09.pdf
  • Brazil. 2017 Decreto n° 9.057, de 25 de Maio de 2017 - Regulamenta o art. 80 da Lei n° 9.394, de 20 de Dezembro de 1996, que Estabelece as Diretrizes e Bases da Educação Nacional. [2017 Decree No. 9057, of May 25, 2017 - Regulates art. 80 of Law No. 9,394, of December 20, 1996, which Establishes the Guidelines and Bases for National Education]. https://www.planalto.gov.br/ccivil_03/_Ato2015-2018/2017/Decreto/D9057.htm
  • Brazil 2019 Portaria n° 2.117, de 6 de Dezembro de 2019 - Dispõe Sobre a Oferta De Carga Horária na Modalidade de Ensino a Distância - EaD em cursos de graduação presenciais ofertados por Instituições de Educação Superior - IES Pertencentes ao Sistema Federal de Ensino [Ordinance No. 2117, of December 6, 2019 - Provides for the Offer of Hours in the Distance Learning Modality - Distance Learning in On-Site Undergraduate Courses Offered by Higher Education Institutions - IES Belonging to the Federal Education System]. Diário Oficial da União. https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&cad=rja&uact=8&ved=2ahUKEwi2g6yRstT0AhXIrJUCHWaEBoUQFnoECAMQAQ&url=https%3A%2F%2Fwww.in.gov.br%2Fen%2Fweb%2Fdou%2F-%2Fportaria-n-2.117-de-6-de-dezembro-de-2019-232670913&usg=AOvVaw3zx1tSryb-JxPvKWG9W8sw
  • Brazil 2020a Portaria n° 343, de 17 de Março de 2020. Dispõe Sobre a Substituição das Aulas Presenciais por Aulas em Meios Digitais Enquanto Durar a Situação de Pandemia do Novo Coronavírus - COVID-19 [Ordinance No. 343, of March 17, 2020. Provides for the Replacement of In-Person Classes with Classes in Digital Media while the Pandemic Situation of the New Coronavirus - COVID-19 Lasts]. https://www.planalto.gov.br/ccivil_03/Portaria/PRT/Portaria%20n%C2%BA%20343-20-mec.htm 2020a.
  • Brazil 2020b Lei n° 14.040, de 18 de Agosto de 2020 - Estabelece Normas Educacionais Excepcionais a Serem Adotadas Durante o Estado de Calamidade Pública Reconhecido Pelo Decreto Legislativo n° 6, de 20 de Março de 2020; e altera a Lei n° 11.947, de 16 de Junho de 2009 [Law No. 14,040, of August 18, 2020 - Establishes Exceptional Educational Standards to be Adopted During the State of Public Calamity Recognized by Legislative Decree No. 6, of March 20, 2020; and Amends Law No. 11,947, of June 16, 2009]. https://www.in.gov.br/en/web/dou/-/lei-n-14.040-de-18-de-agosto-de-2020-272981525.
  • Brazil 2022 Portaria n° 209, de 6 de Junho de 2022 - Define os Indicadores de Qualidade da Educação Superior Referentes ao Ano de 2021, Estabelece os Aspectos Gerais de Cálculo e os Procedimentos de Manifestação das Instituições de Educação Superior Sobre os Insumos de Cálculo e Divulgação de Resultados [Ordinance No. 209, of June 6, 2022 - Defines the Higher Education Quality Indicators for the Year 2021, Establishes the General Aspects of Calculation and the Manifestation Procedures of Higher Education Institutions on the Inputs for Calculation and Dissemination of Results]. https://in.gov.br/en/web/dou/-/portaria-n-209-de-6-de-junho-de-2022-405915152
  • Brazilian Functional Literacy Indicator 2018 Indicador de alfabetismo nacional [National Literacy Indicator]. https://alfabetismofuncional.org.br/habilidades-e-niveis-de-alfabetismo/
  • Brazilian Institute of Geography and Statistics. 2019 Pesquisa Nacional por Amostra de Domicílios Continua. Acesso à Internet e à Televisão e Posse de Telefone Móvel Celular para Uso Pessoal 2019 [National Survey by Household Sample Continues. Internet and Television Access and Cellular Mobile Phone Possession for Personal Use 2019]. https://biblioteca.ibge.gov.br/visualizacao/livros/liv101794_informativo.pdf
  • Calhoun KE, Yale LA, Whipple ME, Allen SM, Wood DE, Tatum RP 2020 The impact of COVID-19 on medical student surgical education: Implementing extreme pandemic response measures in a widely distributed surgical clerkship experience. American Journal of Surgery 220: 44–47. DOI:10.1016/j.amjsurg.2020.04.024
  • Christensen N, Black L, Furze J, Huhn K, Vendrely A, Wainwright S 2017 Clinical reasoning: Survey of teaching methods, integration, and assessment in entry level physical therapist academic education. Physical Therapy 97: 175–186. DOI:10.2522/ptj.20150320
  • COFFITO 1992 Resolução n° 139, de 28 de Novembro de 1992 - Dispõe Sobre as Atribuições do Exercício da Responsabilidade Técnica nos Campos Assistenciais da Fisioterapia e da Terapia Ocupacional e dá outras Providências [Resolution No. 139, of November 28, 1992 - Provides for the Attributions of Exercising Technical Responsibility in the Assistance Fields of Physiotherapy and Occupational Therapy and other Measures]. https://www.coffito.gov.br/nsite/?p=2897
  • COFFITO 2020a Especialidades Reconhecidas Pelo COFFITO [Specialties Recognized by COFFITO. https://www.coffito.gov.br/nsite/?page_id=2350
  • COFFITO 2020b Resolução n° 516, de 20 de Março de 2020 - Dispõe Sobre a Suspensão Temporária do Artigo 15, Inciso II e Artigo 39 da Resolução COFFITO n° 424/2013 e Artigo 15, Inciso II e Artigo 39 da Resolução COFFITO n° 425/2013 e Estabelece outras Providências Durante o Enfrentamento da Crise Provocada Pela Pandemia do COVID-19 [Resolution No. 516, of March 20, 2020 - Provides for the Temporary Suspension of Article 15, Item II and Article 39 of COFFITO Resolution No. 424/2013 and Article 15, Item II and Article 39 of COFFITO Resolution No. 425/2013 and Establishes other Measures During the Face of the Crisis Caused by the COVID-19 Pandemic]. https://www.coffito.gov.br/nsite/?p=15825
  • Dannapfel P, Peolsson A, Nilsen P 2013 What supports physiotherapists’ use of research in clinical practice? A qualitative study in Sweden. Implementation Science 8: 31. DOI:10.1186/1748-5908-8-31.
  • Dario A, Simic M 2021 Innovative physiotherapy clinical education in response to the COVID-19 pandemic with a clinical research placement model. Journal of Physiotherapy 67: 235–237. DOI:10.1016/j.jphys.2021.08.008.
  • de Lima E S 2020 Potencialidades e desafios de um estágio curricular obrigatório em Fisioterapia. [Potentialities and challenges of a compulsory curricular internship in Physiotherapy. Revista Docência Do Ensino Superior 10: 1–18.
  • Dost S, Hossain A, Shehab M, Abdelwahed A, Al-Nusair L 2020 Perceptions of medical students towards online teaching during the COVID-19 pandemic: A national cross-sectional survey of 2721 UK medical students. British Medical Journal Open 10: e042378.
  • Evans DJ, Pawlina W 2021 Effects of COVID‐19: The need to assess the real value of anatomy education. Anatomical Sciences Education 14: 129–131. DOI:10.1002/ase.2061.
  • Falvey JR, Krafft C, Kornetti D 2020 The essential role of home- and community-based physical therapists during the COVID-19 pandemic. Physical Therapy 100: 1058–1061. DOI:10.1093/ptj/pzaa069.
  • Fonseca AF 2003 Documentos de Identidade: Uma Introdução às Teorias do Currículo [Identity Documents: An Introduction to Curriculum Theories]. Trabalho, Educação e Saúde 1: 166–171. doi:10.1590/S1981-77462003000100014.
  • Frank JR, Snell LS, Ten CO, Holmboe ES, Carraccio C, Swing SR, Harris P, Glasgow NJ, Campbell C, Dath D, et al. 2010 Competency-based medical education: Theory to practice. Medical Teacher 32: 638–645. DOI:10.3109/0142159X.2010.501190.
  • Freeman S, Eddy SL, McDonough M, Smith MK, Okoroafor N, Jordt H, Wenderoth MP 2014 Active learning increases student performance in science, engineering, and mathematics. Proceedings of the National Academy of Sciences of the United States of America. United States of America 111: 8410–8415.
  • Ghosh SK 2017 Cadaveric dissection as an educational tool for anatomical sciences in the 21st century. Anatomical Sciences Education 10: 286–299. DOI:10.1002/ase.1649.
  • Harden RM, Crosby JR, and Davis MH 1999 AMEE guide no. 14: Outcome-based education: Part 1 - An introduction to outcome-based education. Medical Teacher 21: 7–14. DOI:10.1080/01421599979969.
  • Harden RM, Crosby JR, Davis MH, Friedman M 1999 AMEE guide no. 14: Outcome-based education: Part 5 - From competency to meta-competency: A model for the specification of learning outcomes. Medical Teacher 21: 546–552. DOI:10.1080/01421599978951.
  • Harmon DJ, Attardi SM, Barremkala M, Bentley DC, Brown KM, Dennis JF, Goldman HM, Harrell KM, Klein BA, Ramnanan CJ, et al. 2021 An analysis of anatomy education before and during COVID‐19: May - August 2020. Anatomical Sciences Education 14: 132–147. DOI:10.1002/ase.2051.
  • Hernández-Torrano D, Ali S, Chan CK 2017 First year medical students’ learning style preferences and their correlation with performance in different subjects within the medical course. BMC Medical Education 17: 131. DOI:10.1186/s12909-017-0965-5.
  • Hu M, Wattchow D, de Fontgalland D, de Fontgalland D 2018 From ancient to avant-garde: A review of traditional and modern multimodal approaches to surgical anatomy education. Australian and New Zealand Journal of Surgery 88: 146–151. DOI:10.1111/ans.14189.
  • Ilçin N, Tomruk M, Yeşilyaprak SS, Karadibak D, Savcl S 2018 The relationship between learning styles and academic performance in Turkish physiotherapy students. BMC Medical Education 18: 291. DOI:10.1186/s12909-018-1400-2.
  • Iles R, Davidson M 2006 Evidence based practice: A survey of physiotherapists‘ current practice. Physiotherapy Research International 11: 93–103. DOI:10.1002/pri.328.
  • Jensen GM, Hack LM, Nordstrom T, Gwyer J, Mostrom E 2017b National study of excellence and innovation in physical therapist education: Part 2 - A call to reform. Physical Therapy 97: 875–888. DOI:10.1093/ptj/pzx062.
  • Jensen GM, Nordstrom T, Mostrom E, Hack LM, Gwyer J 2017a National study of excellence and innovation in physical therapist education: Part 1 - Design, method, and results. Physical Therapy 97: 857–874. DOI:10.1093/ptj/pzx061.
  • Jensen GM, Nordstrom T, Segal RL, McCallum C, Graham C, Greenfield B 2016 Education research in physical therapy: Visions of the possible. Physical Therapy 96: 1874–1884. DOI:10.2522/ptj.20160159.
  • Jette DU, Bacon K, Batty C, Carlson M, Ferland A, Hemingway RD, Hill JC, Ogilvie L, Volk D 2003 Evidence-based practice: Beliefs, attitudes, knowledge, and behaviors of physical therapists. Physical Therapy 83: 786–805. DOI:10.1093/ptj/83.9.786.
  • Kumar A, Sarkar M, Davis E, Morphet J, Maloney S, Ilic D, Palermo C 2021 Impact of the COVID-19 pandemic on teaching and learning in health professional education: A mixed methods study protocol. BMC Medical Education 21: 439. DOI:10.1186/s12909-021-02871-w.
  • Maher CG, Sherrington C, Elkins M, Herbert RD, Moseley AM 2004 Challenges for evidence-based physical therapy: Accessing and interpreting high-quality evidence on therapy. Physical Therapy 84: 644–654. DOI:10.1093/ptj/84.7.644.
  • Masetto M 2014 Docência na Universidade. [Teaching at the University] Campinas: Papirus.
  • Olsen NR, Bradley P, Espehaug B, Nortvedt MW, Lygren H, Frisk B, Bjordal JM, Baradaran HR 2015 Impact of a multifaceted and clinically integrated training program in evidence-based practice on knowledge, skills, beliefs and behaviour among clinical instructors in physiotherapy: A non-randomized controlled study. PLoS One 10: e0124332. DOI:10.1371/journal.pone.0124332.
  • Patra A, Chaudhary P, Ravi KS 2021 Adverse impact of COVID‐19 on anatomical sciences teachers of India and proposed ways to handle this predicament. Anatomical Sciences Education 14: 163–165. DOI:10.1002/ase.2052.
  • Piaget J 1976 A Equilibração das Estruturas Cognitivas. [Balancing Cognitive Structures]. Rio de Janeiro: Zahar.
  • Pimenta SG, Anastasiou L, Cavallet, VJ 2003 Docencia no Ensino Superior: Construindo Caminhos [Teaching in Higher Education: Building Paths]. In: Formação de Educadores: Desafios e Perspectivas[Training of Educators: Challenges and Perspectives], 267–278. Sao Paulo: Editora UNESP.
  • Rodrigues L, Moura L, Testa E 2011 O tradicional e o moderno quanto à didática no ensino superior. [The traditional and the modern as to didactics in higher education. Revista Scientífica Do ITPAC 4: 3.
  • Salbach NM, Jaglal SB, Korner-Bitensky N, Rappolt S, Davis D 2007 Practitioner and organizational barriers to evidence-based practice of physical therapists for people with stroke. Physical Therapy 87: 1284–1303. DOI:10.2522/ptj.20070040.
  • Sandhu P, de Wolf M, de Wolf M 2020 The impact of COVID-19 on the undergraduate medical curriculum. Medical Education Online 25: 1764740. DOI:10.1080/10872981.2020.1764740.
  • Silva TM, Costa LC, Costa LO 2015 Evidence-based practice: A survey regarding behavior, knowledge, skills, resources, opinions and perceived barriers of Brazilian physical therapists from São Paulo state. Brazilian Journal of Physical Therapy 19: 294–303. DOI:10.1590/bjpt-rbf.2014.0102.
  • Simoni D, Carvalho J, Moreira A, Morera J, Maia A, Boreinstein M, Süsskind M 2015 A formação educacional em fisioterapia no Brasil: Fragmentos históricos e perspectivas atuais [Educational training in physiotherapy in Brazil: Historical fragments and current perspectives]. História da Enfermagem: Revista Eletronica 6: 10–20.
  • United Nations 2021 United Nations news perspective of global human reports. https://news.un.org/pt/story/2021/12/1772182
  • Winkel AF, Yingling S, Jones AA, Nicholson J 2017 Reflection as a learning tool in graduate medical education: A systematic review. Journal of Graduate Medical Education 9: 430–439. DOI:10.4300/JGME-D-16-00500.1.
  • World Health Organization 2019 WHO Global Report on Traditional and Complementary Medicine 2019. https://apps.who.int/iris/bitstream/handle/10665/312342/9789241515436-eng.pdf?ua=1
  • World Health Organization 2022 Brazil Situation. https://covid19.who.int/region/amro/country/br
  • Young T, Rohwer A, Volmink J, Clarke M, Phillips RS 2014 What are the effects of teaching evidence-based health care (EBHC)? Overview of systematic reviews. PLoS One 9: e86706. DOI:10.1371/journal.pone.0086706.
  • Zhu Y, Wang Z, Zhou Y, Onoda K, Maruyama H, Hu C, Liu Z 2020 Summary of respiratory rehabilitation and physical therapy guidelines for patients with COVID-19 based on recommendations of World Confederation for Physical Therapy and National Association of Physical Therapy. Journal of Physical Therapy Science 32: 545–549.

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