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Title: Acceptance of the 'assessment of physiotherapy practice (Chinese)' as a standardised evaluation of professional competency in Chinese physiotherapy students : an observational study
Authors: Hu, J
Jones, AYM
Zhou, XL
Zhai, H
Ngai, SPC 
Siu, KC
Dalton, M
Issue Date: 2020
Source: BMC medical education, 9 Apr. 2020, v. 20, 108, p. 1-7
Abstract: Background: Development of an entry-level physiotherapy curriculum in China currently follows the World Confederation for Physical Therapy (WCPT) guidelines, however there is no standard, validated, assessment tool for physiotherapy practice in use in China. This article reports the process of translation of the "Assessment of Physiotherapy Practice" (APP), a validated assessment instrument adopted by all universities in Australia and New Zealand, into Chinese (APP-Chinese) and its implementation by Chinese physiotherapy clinical educators (CEs) and students during clinical placements.
Methods: The process of forward and backward translation of the APP was undertaken by a team of academics from universities in Shanghai, Hong Kong, United States and Australia. An APP-Chinese version was produced and used for assessment of the clinical performance of 4th year students at a university in Shanghai. Feedback on the implementation of the APP-Chinese was solicited from students and CEs using the same two questionnaires employed to assess implementation of the original APP.
Results: All CEs agreed that the rules used to score the APP-Chinese were helpful in assessing student performance. Over 90% of the CEs considered the APP-Chinese was pragmatic for use in the clinical environment in China. All students agreed with the rating of their performance on the APP-Chinese marked by their educators, and that the performance indicators were useful in guiding their expected performance behaviour.
Conclusion: The APP-Chinese is the first standardised assessment tool for evaluation of clinical performance of physiotherapy students in China and was shown to be well accepted by both students and CEs in the clinical education unit and university involved in this study.
Keywords: Physiotherapy practice assessment
Clinical education
Competency-oriented assessment tool
Publisher: BioMed Central
Journal: BMC medical education 
ISSN: 1472-6920
EISSN: 1472-6920
DOI: 10.1186/s12909-020-02026-3
Rights: © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated in a credit line to the data.
The following publication Hu, J., Jones, A.Y., Zhou, X. et al. Acceptance of the ‘Assessment of Physiotherapy Practice (Chinese)’ as a standardised evaluation of professional competency in Chinese physiotherapy students: an observational study. BMC Med Educ 20, 108 (2020) is available at
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