Development of an entrustable professional activities framework for physiotherapists working in orthopaedic triage and assessment roles in New Zealand

Abstract

In New Zealand, an increasing number of physiotherapists have been engaged in orthopaedic triage and assessment (OTA) roles within elective orthopaedic departments to help optimise surgeon clinic time and improve timely access to diagnostic assessment and treatment planning for people with musculoskeletal conditions. To date no framework has been available to guide physiotherapists and surgeons in developing these roles. This commentary describes the development of an Entrustable Professional Activity (EPA) framework for physiotherapists in OTA roles in which five key clinical activities were identified. The framework defines the context, limitations, knowledge, skills, attributes, and behaviours needed for each activity. The EPAs were mapped to existing New Zealand physiotherapy competencies and key competencies identified that are needed for safe and effective practice with minimal or no supervision. This EPA framework is intended for use in elective orthopaedic departments, to support the development of physiotherapists working in orthopaedic triage and assessment roles in clinical subspecialty areas.