Minutes of the Education Working Group Meeting 6 – 8 September 2016, in Bucharest, Romania

 

Approved Minutes

 

Minutes of the Education

Working Group Meeting

6 – 8 September 2016,

in Bucharest, Romania

 

Present:

            Chairman:                            Esther-Mary D'Arcy

           Silke Gruber

Claudia Kemper

Nikolaos Strimpakos

Helen French

Carmen Suarez

Absent:                                           Charlotte Häger (apologies)

                                                                                  

            General Secretary:            David Gorría

 

Agenda: in Annex 1

Minutes

Agenda Point No. 1.  Welcome

 

The Chairman of the Education Matters WG, Esther-Mary D’Arcy, welcomed all members to the first meeting for the 2016-2018 period in Bucharest, Romania, especially the new members; Claudia Kemper, Nikolaos Strimpakos and Carmen Suarez. She noted that Charlotte Häger had sent her apologies due to an overlap of professional meetings. The Chairman has been in brief contact with her to discuss the issues in which she might be responsible.

 

The Chairman especially thanked the Romanian Federation for Physical Therapy (FRAF) for hosting the WG’s meeting and its generous hospitality. It was noted that the WG meeting was taking place in Bucharest in order that the WG members could support FRAF by presenting at its Congress as FRAF seeks to achieve regulation of the profession, to improve physiotherapy practice and education, and to identify specific problems to be resolved. The event was held on 7th and 8th October 2016.

 

Members introduced themselves and the Chairman gave a general induction presentation about the ER-WCPT organisation, structure and activities.

 

After the presentation it was noted that the 2016 General Meeting adopted recommended activities, and these would be developed during the next two-year period and the results would be presented at the 2018 General Meeting.

The Education Matters WG agreed on the following:

1. The need to establish a work plan that would be implemented over four meetings during the 2016 – 2018 period.

2. To finish the first draft of all documents and resources/material by the 3rd meeting and the final draft at the latest by the 2018 January meeting in order to circulate them among the MOs for their revision prior to the 2018 General Meeting.

 

It was also noted that the 3rd meeting of the WGs will be a joint meeting of all the ER-WCPT WGs (in Dublin). That meeting will discuss and prepare the main issues of each WG to improve them before presenting them to the MOs at the 2018 General Meeting.

 

The draft Agenda was agreed and adopted (See Annex 1).

 

Agenda Point No. 2.

Minutes of the last meeting held on 10 – 12 January 2016 in Madrid, Spain

 

The Minutes of the last Education Matters WG meeting, held in Madrid, Spain, on 10–12 January 2016, were approved and will be sent to the members of all Working Groups, the Executive Committee and Member Organisations.

 

Agenda Point No. 3. Matters arising from the Minutes

 

There were no matters arising.

 

Agenda Point No. 4.

Summary and exchange of experience of the General Meeting 2016

 

The Education Matters WG agreed that the General Meeting was excellent, professionally organised and very constructive.

 

WG members discussed how to increase MOs’ participation in the GM plenary. It was noted that participation in the discussion sessions was very active and the same participation needs to be encouraged and facilitated for the plenary.

Recommendations:

(i) To send, with the documents for the GM, a short summary covering the main topics to be discussed and supported by the two pages of definitions – (Terms of mutual understanding) – being prepared by the EU Matters WG.

 

(ii) To have a “hashtag” to facilitate questions from the MOs present at the meeting – (but not for outside discussion).  The rationale for this suggestion is that some MOs may find it easier to write than to speak. A WG member involved in the document under discussion would follow the questions and bring them to the plenary, as appropriate.

 

Remarks from the other WGs about the GM were presented and supported by the Education WG.

 

The Chairman took the opportunity to thank the Education Matters WG members who had prepared for, and presented at, the GM.

 

 

Agenda Point No. 5.

Activities for the period 2016 – 2018 Overview of “projects”, and distribution of the activities / responsibilities

 

The Chairman of the Education Matters WG presented the list of activities for the 2016-18 period as approved at the 2016 GM. After a discussion about the proposed outcome, use and deliverable of each activity for the MOs at the 2018 GM, the members agreed a distribution of responsibilities as follows:

 

Active Points (1 – 9)

 

  1. To provide more detail for the MOs on the expected minimum competencies for Physiotherapist entry level 

(Health promotion and disease prevention through exercise and behaviour change, health systems, health workforce shortage and use of new technologies would be taken into consideration) (SO4). &

  1. To identify and define the expected minimum outcome competencies for Physiotherapist entry level. &
  2. To monitor the use of ESCO definitions to ensure alignment with physiotherapy competencies. Silke Gruber and Carmen Suarez with the support of the General Secretary

 

  1. To follow up and support MOs implementation of CPD at national level and monitor EU developments. (SO2, SO3 & S04). Silke Gruber with the support of Helen French

 

  1. To develop the European vision on specialisation for physiotherapists in which definitions benefits and challenges of clinical specialisation are provided as well as advice on how to facilitate this process in the MOs (SO2, SO3 & S04). Helen French with the support of Carmen Suarez and Silke Gruber

 

  1. To discuss and suggest the best sustainable methods to monitor changes and trends of Bachelor, Master and PhD programmes in Physiotherapy within the ER-WCPT MOs (SO3). To repeat every second period with effect from 2014. ALL

 

  1. To update the information on the ER-WCPT website on Quality Assurance procedures in Physiotherapy education and to consider developing a checklist for MOs’ activities in relation to Quality Assurance. (SO3). Charlotte Häger with Nikolaos Strimpakos

 

  1. To review and update, if needed, the Policy Statement on Physiotherapy Education of the ER-WCPT (S03). ALL

 

  1. To monitor the development of E-Learning in relation to Physiotherapy education and to consider if an information or policy paper is required. Claudia Kemper with the support of Helen French

 

 

 

 

Collaborate – Internal (10 – 12)

 

  1. To review and update, if needed, the Briefing Paper ‘Promoting Research and Research Careers’ within Physiotherapy in Europe

Identify trends in Physiotherapy research and common research topics across MOs (S03).  Charlotte Häger with Nikolaos Strimpakos

 

  1. To keep the information about education updated and accurate on the ER-WCPT webpage (SO3). ALL

 

  1. To contribute to the ER-WCPT Congress (SO1, SO2, SO3 & S04).  ALL

 

Collaborate – External (13 – 14)

 

  1. To continue facilitating closer links and co-operation with ENPHE (SO3). Esther-Mary D´Arcy

 

  1. To link with other relevant organisations related to physiotherapy education (SO3). ALL

 

 

 

Active Points 6 – 13

 

Agenda Point No.6.

To provide more detail for the MOs on the expected minimum competencies for Physiotherapist entry level 

(Health promotion and disease prevention through exercise and behaviour change, health systems, health workforce shortage and use of new technologies would be taken into consideration) (SO4).

&

Agenda Point No.7.

To identify and define the expected minimum outcome competencies for Physiotherapist entry level.

 

Agenda Point No.8.

To monitor the use of ESCO definitions to ensure alignment with physiotherapy competences

 

It was agreed to take these three points together

 

Based on previous discussions and work undertaken such as ESCO, Common Platform collection of information - and in order to fulfil these recommendations from the 2016 GM, the WG discussed how to provide more detail for the MOs on the expected minimum competencies for Physiotherapist entry level.

 

Agreements:

  • This information would most probably be requested or discussed with EU institutions or authorities, as it was the case with ESCO.
  • The information might fulfil many MOs’ needs.
  • The need to define the aim and purpose of the action.
  • The document will;
  • Have an aspirational approach.
  • Try to identify the expected competencies of a physiotherapist
  • Be dated as it will be subject to changes according to new roles of physiotherapists, diseases trends, research findings and EBP.
  • Be linked to the Standards of Practice.
  • Not be a CV or a programme (i.e. will not make references to ECTs or number of hours).

 

  • The definition of an Outcome Competency is what allows one to work as a physiotherapist from the day he/she graduates.

 

  • Suggested title of the document and basic outline:
  • Title: Expected minimum competencies for Physiotherapist entry level
  • Type of document: A Reference or Supporting document from an education perspective for entry level to the profession.

 

  • Three levels of competencies
  1. Cross-sectors competencies
  2. Health Sector-specific competencies
  3. Physiotherapist specific competencies

 

Actions:

Based on above, the group agreed the first steps would be as follows:

1 – Collection of supporting documents:

  • WCPT guideline for physical therapist entry level education
  • ESCO Physiotherapists competences
  • Competencies and material from Ireland
  • Competencies and material from the UK
  • Competencies and material from Spain
  • Competencies and material from Austria
  • Competencies and material from Germany
  • Competencies and material from Australia
  • ENPHE BOOK - Physiotherapist competences

Deadline for collecting this information was fixed for 21st October 2016.

 

2 – A first draft would be prepared by 12 January 2017 by Silke Gruber and Carmen Suarez with the support of the General Secretary. The draft would be circulated among the other WGs members for comments prior the 2nd WG meeting.

 

The draft will be discussed at the 2nd meeting to avoid conflicts and to decide how extensive the work to be undertaken needs to be.

 

Agreed also that the WG with the support of the GS would monitor the use of ESCO definitions to ensure alignment with physiotherapy competencies.

 

Action:

The GS will contact the EU Commission to ask about the status of the whole project and specifically about the actions related to health and physiotherapy.

The response will be circulated to WG members and MOs.

 

Agenda Point No.9.

To follow up and support MOs implementation of CPD at national level and monitor EU developments. (SO2, SO3 & S04).

 

At the last GM the Education Matters WG presented a Briefing paper entitled: A European Vision for Continuing Professional Development. (Developed in cooperation with the Professional Issues WG).

 

The document focuses on the value and the importance of CPD, and included recommendations to implement or promote CPD at national level.

 

The document provides MOs with examples of activities and categories of CPD that may be appropriate for their needs and for the physiotherapists in their country.

It can be used by MOs to support discussions with physiotherapists, educators and the appropriate authorities and organisations in their own countries.

The document also aims to protect the public and ensure patient safety.

 

The paper does not recommend any model of CPD as this might be a national matter and could be related to the authorities, health system or re-registration process.

 

The Education WG supports the view that individuals are responsible for their CPD activities. CPD requires support from employers, higher education institutions, MOs and legislative authorities.

 

Professional bodies, as well as education and training establishments, employers' organisations and trade unions need to find effective ways of measuring the learning and competence achieved as a result of the practitioner’s CPD in a form that is acceptable to their members.

 

Considering the diversity within the European region it is relevant to follow up and support MOs’ implementation of CPD at a national level and monitor EU developments.

 

Actions:

Silke Gruber and Helen French will present a time plan for actions at the 2nd WG meeting. Nicole Muzar, Professional Issues WG member responsible for collaborating on this issue with the Education WG, will be informed about this plan for her possible comments.

 

Agenda Point No.10.

To develop the European vision on specialisation for physiotherapists in which definitions benefits and challenges of clinical specialisation are provided as well as advice on how to facilitate this process in the MOs (SO2, SO3 & S04).

 

At the last GM a document entitled European Vision for Specialisation - Briefing paper focusing on specialisation and career pathways was presented and discussed

After the discussion session held at the GM it was agreed that the paper needs further work and many comments were received from the MOs.

 

The WG reviewed and discussed the outcomes from the three questions presented to the MOs at the (Breakout session) at the GM:

    1: What is the current state of specialisation in your country?

    2: What are the perceived benefits and challenges to having Specialisation in your country?

    3: What can ER-WCPT do to advance Specialisation in your country?

 

Agreed:

 To prepare a practical document – guidance type, which will include:

  • Aim and purpose of the document
  • Feedback and boundaries
  • Reference to the meaning of specialisation
  • Models that are achievable and situations to be avoided

Actions:

A first draft will be prepared by 12 January 2017 by Helen French, with the support of Silke Gruber and Carmen Suarez. The draft would be circulated among the other WGs members for comments prior the 2nd WG meeting.

 

Agenda Point No.11.

To discuss and suggest the best sustainable methods to monitor changes and trends of Bachelor, Master and Doctoral programmes in Physiotherapy within the ER-WCPT MOs (SO3). To repeat every second period with effect from 2014.

 

Agreements:

  • The WG will use this issue for the WG discussion issue at ER-WCPT session at the 2016 ER-WCPT Congress.

The question will focus on what information the WG and the Region, in conjunction with universities and educators, can provide that individuals cannot find by themselves (on changes and trends in Masters and Doctoral programmes).

 

Actions:

To bring the results of the discussion to the 2nd WG meeting for reflection and decisions on the development of actions and a time-plan.

 

Agenda Point No.12.

To update the information on the ER-WCPT website on Quality Assurance procedures in Physiotherapy education and to consider developing a checklist for MOs activities in relation to Quality Assurance. (SO3).

 

During the 2016 GM the Education Matters WG presented the updated information and recommendations on Quality Assurance in Physiotherapy Education. The document was adopted pending update of some MOs information before publishing.

 

The document has information gathered from the MOs in QA from surveys in 2010, 2012, 2014 (Report on Quality Assurance 2014) and from updates in 2015. In total, information from 29 MOs out of 39 was received.

 

Actions:

In order to update the information on the ER-WCPT website on Quality Assurance procedures in Physiotherapy education and to consider developing a checklist for MOs activities in relation to Quality Assurance, Charlotte Hager and Nikolaos Strimpakos will present a time plan for actions at the 2nd WG meeting.

 

It was also noted that the final version of the document presented at 2016 GM needs some updates. It will be finalised before the 2nd WG meeting.

 

     Agenda Point No.13.

To review and update, if needed, the Policy Statement on Physiotherapy Education of the ER-WCPT (S03).

 

Agreed:

A decision to update and review the Policy statement will be made after considering the documents on competencies, CPD and Specialisation.

Discussions will start at the 2nd WG meeting.

 

     Agenda Point No.14.

To monitor the development of E-Learning in relation to Physiotherapy education and to consider if an information or policy paper is required.

 

Background:  At the 2016 GM the EU Matters WG presented a briefing paper on eHealth for discussion. After that discussion the MOs agreed to separate eLearning for the physiotherapy workforce from the document and monitor the development of eLearning in relation to Physiotherapy education and to consider if an information or policy paper is required.

 

Agreed:

To develop an Information document / Briefing paper on eLearning for the MOs.

(eLearning encapsulates any form of eTool that facilitates Continuous Professional Development for physiotherapists and access to physiotherapy education programmes for students and physiotherapists) 

The document will cover

  • Definition
  • Types
  • Models
  • Pros and cons
  • How it could be used and why
  • Evidence
  • Challenges of setting up an eLearning Programme – such as cost, quality, accreditation

Actions:

A first draft outline will be prepared by 12 January 2017 by Claudia Kemper and Helen French. The draft will be circulated among the other WGs members for comments prior the 2nd WG meeting.

 

 

Active Points 15 – 17

 

 Agenda Point No. 15.

To review and update, if needed, the Briefing Paper ‘Promoting Research and Research Careers’ within Physiotherapy in Europe Identify trends in Physiotherapy research and common research topics across MOs (S03)

 

The WG discussed how to work on this recommendation from the GM.

Agreed to explore the following;

  • To identify research priorities for physiotherapy, at world level.
  • To identify trends as they are the indicators of what might have an impact in the profession in the (near) future
  • To identify, if possible, what evidence is needed for treatments or prevention of emerging diseases in the future
  • The potential document will be an open resource document of trends on Physiotherapy – findings of the ER-WCPT survey (depending on the accuracy)

 

It was noted that the Professional Issues WG would like to collaborate with the Education WG on this action and has appointed Nirit Rotem and Charlotte Chruzander to work with the Education Matters WG.

Furthermore, the PI WG had already noted the research priorities for physiotherapy should be aligned with the content of the database on Clinical Guidelines and EBP.

 

The Education WG listed supporting documents to be collected by the General Secretary by 21 October 2016:

  • APTA Physiotherapy Research Priorities
  • New Zealand Physiotherapy Research Priorities
  • Australia Physiotherapy Research Priorities (if available)
  • Canadian Physiotherapy Research Priorities (if available)
  • CSP Physiotherapy Research Priorities (if available)
  • EU Health topics for Research under Horizon 2020

 

It was also noted that if a careers pathway on research information has to be updated it will be added to the document as an appendix.

 

Actions:

A first draft will be prepared by 12 January 2017 by Nikolaos Strimpakos and Charlotte Hager. The draft will be circulated to the other WGs members for comments prior the 2nd WG meeting.

 

Agenda Point No.16.

To keep the information about education updated and accurate on the ER-WCPT webpage (SO3).

 

The Secretariat reported that he has uploaded all the documents approved and adopted at the 2016 GM on the ER-WCPT website.

He also noted that at the 2016 GM, it was stressed to MOs about the importance of providing and updating their national information requested from each of them on the ER-WCPT website, highlighting that the responses are needed, among other purposes, for the work of the WGs and if not received questionnaires would be circulated to complete the projects.

 

Agreed:

  • The need to have accurate information on the responses provided by the MOs
  • To review the Education button content.

 

Agenda Point No.17.

To contribute to the ER-WCPT Congress (SO1, SO2, SO3 & S04)

 

The WG Chairman reported that during its last meeting in May 2016, the EC members reviewed the feedback from the discussion session with the MOs at the 2016 GM – (2nd Day, Friday 22nd April 2016, between 8.30 – 9-30Hrs), to understand MOs’ positions and give input for an EC decision on future ER-WCPT Congresses.

 

The feedback received from MOs can be summarised as follows:

 

  • Risk for the MO hosting the Congress and split of the profit 50/50 with the ER-WCPT.

The EC noted that the risk is linked to the size/scope of the congress and if replacing a national one or not, which in some cases gives the MO hosting the congress an income needed or planned for their activities. By having an ER-WCPT Congress replacing the MOs congress a higher participation than normal would be expected, which could have an impact on the profit. More and larger exhibitors would be attracted and the MOs would also benefit from intangible benefits such as promotion and positive image among their national members.

Furthermore, the ER-WCPT is quite flexible about the costs being allocated by the MO in the congress budget, and to contribute with its resources and support from all MOs on the congress promotion and preparation. So far none of the previous congresses have incurred any losses

  • ER-WCPT is a congress for the members of the Members Organisations.
  • It was suggested to offer to every MO one entrance/registration for free, separate to the grant from the Reserve Fund.
  • It was suggested to rotate the scope based on other congresses (e.g. WCPT, Subgroups, specialist congresses…) and then alternate with a whole scope congress (education, practice, research and management) and the following one would be dedicated to a single scope. This solution may avoid overlapping with other congresses and it gives all MOs the possibility to host an ER-WCPT congress linking the size and resources of the MO willing to host the congress with the scope of the congress and even with a clash or not with a national congress to be replaced.
  • It was agreed that preventing the hosting MO from holding its national conference in the year it is hosting an ER-WCPT Congress could be removed from the criteria
  • It was recommended that the Executive Committee would evaluate its decision after the next ER-WCPT congress.

 

Based on above MOs inputs, and assuming a rotation of the ER-WCPT congresses’ scope, a list of the upcoming congresses was listed by the EC as follows:

Year

WCPT/ER

Country

Scope

2016

ER

UK - Liverpool

Broad

2017

WCPT No GM

S. Africa - Capetown

 

2019

WCPT with GM

Switzerland - Geneva

 

2020

ER

 

Single

2021

WCPT No GM

? Outside ER

 

2023

WCPT with GM

? Outside ER

 

2024

ER

 

Broad

2025

WCPT- No GM

? In or Outside ER

 

2027

WCPT with GM

? In or outside ER

 

 

GM= General Meeting

 

The EC had agreed the following:

  1. a rotation of the ER-WCPT Congresses starting in 2020 with a single scope and continue in 2024 with a broad scope congress (education, practice, research and management). A revision of this decision will follow those congresses.

 

  1. (Based on consideration of MOs comments, and EC experience from previous and current congresses), to prepare accordingly the invitation for the bid and review the guidelines to host the next ER-WCPT congress by the next EC meeting. The work has started and is almost complete. The invitation for bids will inform MOs clearly which congress type they are being asked to host.

 

At the end of the 2016 Congress it will be announced that the 5th ER-WCPT Congress will take place in 2020 and its scope will be Education.

The venue will be announced in 2017 after the selection process.

 

MOs will be informed about this decision in a dedicated correspondence from the secretariat.

 

The WG agreed to collaborate and contribute to the ER-WCPT Congress in 2020.

 

 

Active Points 18 – 19

 

Agenda Point No.18.

To continue facilitating closer links and cooperation with ENPHE (SO3).

 

The Chairman informed the WG on the relation between both organisations, ER-WCPT and ENPHE, which normally is supported by face-to-face meetings with the Education WG and participation in events of each organisation.

 

She also reported that both organisations have been in contact with regards to the 4th European Congress of the ER-WCPT on Physiotherapy Education, Practice, Research and the session to be organised and co-chaired by both organisations.

 

The Chairman also explained that ENPHE has contacted the ER-WCPT and advised on its aim to develop the educational needs to become a direct access professional.

 ENPHE would like to develop these in collaboration with the ER-WCPT and started actions at its meeting on 15 - 16 September 2016 in Graz, Austria. The Education WG Chairman attended the ENPHE conference on behalf of the ER-WCPT and worked with members of the ENPHE board to prepare a workshop on the topic that was held at the ENPHE conference.

 

 The main outcome of the meeting was the different understanding of Direct Access and Self Referral, its relation with the national health system in place, and the private practice (understood as a liberal professional or part of the health system).

The Education WG suggested to the EC to hold the next workshop prior the 2018 GM in Direct access and to update the information collected in 2011.

 

The WG will continue its meetings with ENPHE and collaborate on agreed projects.

 

Agenda Point No. 19.

To link with other relevant organisations related to physiotherapy education (SO3).

Action:

The General Secretary and the Chairman will look for other relevant organisations related to physiotherapy education at EU level with which to be involved.

 

Agenda Point No.20 - Any Other Business

 

The Chairman reported that the ER-WCPT would hold a session on Friday 11 November at lunchtime between 12.45 and 13.30hours during the 2016 ER-WCPT Congress.

 

The title of the session is: ER-WCPT Advancing physiotherapy – demonstrating value and impact

 

The structure has been agreed as follows:

  • Short presentation of the ER-WCPT aims, purpose, strategic plan, with and for its MOs and its liaison and work with WCPT (10 minutes) Sarah Bazin, with the support of John Xerri de Caro for some references about WCPT
  • 3 short presentations for each of the main activities of the 3 WGs planned for the period 2016 – 2018 will follow. (20 minutes maximum in total) The aim is not to present all the activities, but rather the key activities with some questions for the audience seeking their feedback.
  • Discussion and closing (15 minutes)

 

The Education WG agreed to focus its presentation on Masters and Doctoral changes and trends asking the audience what information the WG and the Region, in conjunction with universities and educators, can provide that individuals cannot find by themselves. Esther-Mary D´Arcy would prepare the presentation of the Education Matters WG.

 

There was no other business.

 

Agenda Point No. 21. Date and place of next meeting

 

The next Education Matters WG meeting would take place on 3rd and 4th February 2017 in Hamburg, Germany. The arrival date was planned for the 2nd February.

 

The dates of the 3rd meeting for the period 2016 – 2018, were confirmed as:

22 September 2017       Joint WGs meetings                        Dublin, Ireland ALL

23 September 2017       WGs separate meetings                 Dublin, Ireland ALL

Arrival planned for 21 September 2017.

 

The dates for the 4th meeting in 2018 were provisionally agreed as 2nd and 3rd February 2018 in Athens, Greece. The arrival date was planned for the 1st of February 2018.

 

Agenda Point No. 22. Closing

 

Before closing the meeting, the chairman stressed the need to have the first drafts ready for circulation before the next meeting and to complete all the work for the next GM at the 4th WG meeting. If members had any queries or difficulties, they were welcome to contact her at any time.

The Chairman then thanked all the members of the Working Group for their contributions.  She also reiterated her thanks to the Romanian Federation for Physical Therapy (FRAF) for hosting the meeting and for its hospitality.