title: Psychometric properties of a peer-assessment program to assess continuing competence in physical therapy.
abstract: BACKGROUND
  The College of Physiotherapists of Ontario implemented an Onsite Assessment to evaluate the continuing competence of physical therapists.
  
  
  OBJECTIVE
  This study was undertaken to examine the reliability of the various tools used in the Onsite Assessment and to consider the relationship between the final decision and demographic factors.
  
  
  METHODS
  This was a psychometric study.
  
  
  METHODS
  Trained peer assessors (n=63) visited randomly selected physical therapists (n=106) in their workplace. Fifty-three physical therapists were examined by 2 assessors simultaneously. The assessment included a review of practice issues, record keeping, billing practices, the physical therapist's professional portfolio, and a chart-stimulated recall process. The Quality Management Committee made the final decision regarding the physical therapist's performance using the assessor's summary report. Generalizability theory was used to examine the interrater reliability of the tools. Correlation coefficients and regression analyses were used to examine the relationships between demographic factors and performance.
  
  
  RESULTS
  The majority of the physical therapists (88%) completed the program successfully, 11% required remediation, and 1% required further assessment. The interrater reliability of the components was above .70 for 2 raters' evaluations, with the exception of billing practices. There was no relationship between the final decision and age or years since graduation (r<.05). Limitations Limitations include a small sample and a lack of data on system-related factors that might influence performance.
  
  
  CONCLUSIONS
  The vast majority of the physical therapists met the College of Physiotherapists of Ontario's professional standards. Reliability analysis indicated that the number of charts reviewed could be reduced. Strategies to improve the reliability of the various components must take into account feasibility issues related to financial and human resources. Further research to examine factors associated with failure to adhere to professional standards should be considered. These results can provide valuable information to regulatory agencies or managers considering similar continuing competence assessment programs.
authors.affiliation: School of Rehabilitation Science, McMaster University, IAHS Room 403, 1400 Main St West, Hamilton, Ontario, Canada. pmiller@mcmaster.ca
authors.forename: Patricia A
authors.initials: PA
authors.lastname: Miller
authors.forename: Marla
authors.initials: M
authors.lastname: Nayer
authors.forename: Kevin W
authors.initials: KW
authors.lastname: Eva
mesh_terms: D000328:Adult; D002983:Clinical Competence; D005260:Female; D006801:Humans; D008297:Male; D009864:Ontario; D010380:Peer Review; D026761:Physical Therapy Specialty / Q000592:standards*; D011594:Psychometrics; D011785:Quality Assurance, Health Care / Q000379:methods*; D012044:Regression Analysis; D015203:Reproducibility of Results