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This study examines whether physical therapy faculty can reliably and feasibly use the Lasater Clinical Judgment Rubric adapted for physical therapy (LCJR-PT) to score students' clinical judgment during a recorded simulation experience. Multiple trained faculty raters will independently score the same student videos, and the level of agreement between raters will be measured. Faculty will also report how long scoring takes and their perceptions of the rubric's usefulness.
Clinical judgment is a core competency for physical therapists required by the Commission on Accreditation of Physical Therapy Education (CAPTE), yet no validated, reliable tool specifically tested in physical therapy student populations currently exists for simulation-based assessment. The Lasater Clinical Judgment Rubric (LCJR), originally developed for nursing, implementing Tanner's clinical judgment model across four domains: noticing, interpreting, responding, and reflecting. This study adapts the LCJR for physical therapy (LCJR-PT) and examines its interrater reliability and feasibility when used to assess DPT students during a standardized acute care simulation.
First and second year DPT students at Youngstown State University will complete a scripted 30-35 minute acute care simulation followed by a brief reflection. Sessions will be video-recorded. Three to five trained faculty raters will independently score each recording using the LCJR-PT. Raters will undergo standardized training including rubric anchor review, practice scoring, and calibration discussion. Primary outcomes are intraclass correlation coefficients (ICC) for total and domain scores. Secondary outcomes include average rater scoring time per student and faculty perceptions of usability and feasibility assessed via questionnaire.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Doctor of Physical Therapy Student Simulation Group | Doctor of Physical Therapy Students who will undergo a 35 minute simulation session that will be video recorded. |
| |
| Faculty Raters | A group of faculty in the Doctor of Physical Therapy program who will assess student simulation recordings using the LCJR-PT tool. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Video Recorded Acute Care Simulation | Other | Participants complete a routine, curriculum-based standardized acute care simulation (30-35 minutes including reflection). |
|
| Measure | Description | Time Frame |
|---|---|---|
| Intraclass Correlation Coefficient (ICC) for LCJR-PT total and domain scores | Two-way random effects ICC model to assess interrater reliability of total scores and individual domain scores (noticing, interpreting, responding, reflecting) across 3-5 faculty raters. | Through study completion, an average of 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Rater Scoring Time | Average time (minutes) required for each faculty rater to score a single student video. | Through study completion, an average of 6 months |
| Faculty Usability and Feasibility Perception |
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Inclusion Criteria (Students):
Inclusion Criteria (Faculty Raters):
Exclusion Criteria (Students):
Exclusion Criteria (Faculty):
- Did not provide informed consent
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First- and second-year Doctor of Physical Therapy (DPT) students and full-time DPT faculty at Youngstown State University
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Edmund Ickert, PhD | Contact | 330-941-1326 | ecickert@ysu.edu | |
| Rebecca Riblet, DPT | Contact | 330-941-3010 | rsriblet@ysu.edu |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Youngstown State University | Recruiting | Youngstown | Ohio | 44555 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40179145 | Background | Halliday DA, Patterson BJ. Rater Training and Assessment of Student Clinical Judgment: An Experimental Inquiry. Nurs Educ Perspect. 2025 Jul-Aug 01;46(4):209-215. doi: 10.1097/01.NEP.0000000000001399. Epub 2025 Apr 3. | |
| 36931008 | Background | Rogers BA, Franklin AE. Lasater clinical judgment rubric reliability for scoring clinical judgment after observing asynchronous simulation and feasibility/usability with learners. Nurse Educ Today. 2023 Jun;125:105769. doi: 10.1016/j.nedt.2023.105769. Epub 2023 Mar 6. |
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No individual participant data are planned to be shared. Aggregate results will be reported in publications/presentations.
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| Faculty Rating of Acute Care Simulation Video Using the LCJR-PT | Other | Faculty members will assess and rate each student acute care simulation video using the LCJR-PT tool. |
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Questionnaire including adapted System Usability Scale (SUS) items and feasibility statements
| Through study completion, an average of 6 months |
| 22132718 | Background | Adamson KA, Gubrud P, Sideras S, Lasater K. Assessing the reliability, validity, and use of the Lasater Clinical Judgment Rubric: three approaches. J Nurs Educ. 2012 Feb;51(2):66-73. doi: 10.3928/01484834-20111130-03. Epub 2011 Nov 30. |