title: Perspectives on Teaching the International Classification of Functioning, Disability, and Health Model to Physical Therapy Students.
abstract: BACKGROUND
  During a reaccreditation visit, deficiencies were discovered in the clinical education curriculum regarding patient-centered care in a Doctorate of Physical Therapy program. To understand the problem and address those deficiencies, the clinical internship experience was examined using the International Classification of Functioning, Disability, and Health (ICF) model as a conceptual framework for clinical reasoning.
  
  
  OBJECTIVE
  This qualitative case study aimed to study (1) perceptions of physical therapy (PT) students regarding their knowledge and learning experiences during clinical affiliations and what knowledge they acquired of the ICF as applied to patient-centered care during their internship, and (2) the perceptions of clinical instructors (CIs) of their knowledge of the ICF model, its integration into their practice, barriers to its use, and the learning experiences the CIs provided to students regarding the ICF model.
  
  
  METHODS
  Data were collected using questionnaires sent to 42 CIs and at focus groups of 22 PT students conducted at the study site. Data were also collected from student evaluations on the Clinical Performance Instrument. Data were analyzed using coding techniques and themes based on the use of the ICF model in the clinical setting by students and CIs.
  
  
  RESULTS
  Most CIs reported a poor understanding of the ICF model or how it relates to patient-centered care; both CIs and students reported none to minimal learning experience related to the ICF model. Document analysis of the student evaluations revealed no assessment of the ICF model was mentioned.
  
  
  CONCLUSIONS
  Learning experiences of all domains of the ICF model are generally not being presented to PT students during their clinical affiliations.
authors.affiliation: Physical Therapy Program, University of St. Augustine, 700 Windy Point Way, San Marcos, CA 92069, USA. Tel 780-410-5314. cpeters-brinkerhoff@usa.edu.
authors.forename: Cheryl
authors.initials: C
authors.lastname: Peters-Brinkerhoff
mesh_terms: D001291:Attitude of Health Personnel; D003479:Curriculum; D006233:Persons with Disabilities / Q000534:rehabilitation; D006801:Humans; D038801:International Classification of Diseases; D018802:Patient-Centered Care; D026741:Physical Therapy Modalities; D026761:Physical Therapy Specialty / Q000193:education*