{"id":72589,"date":"2024-09-18T08:43:56","date_gmt":"2024-09-18T00:43:56","guid":{"rendered":"https:\/\/medicine.nus.edu.sg\/taps\/?post_type=issues&#038;p=72589"},"modified":"2025-01-07T08:26:07","modified_gmt":"2025-01-07T00:26:07","slug":"traits-of-effective-clinical-educators-perspectives-of-physiotherapy-students-and-educators","status":"publish","type":"issues","link":"https:\/\/medicine.nus.edu.sg\/taps\/issues\/traits-of-effective-clinical-educators-perspectives-of-physiotherapy-students-and-educators\/","title":{"rendered":"Traits of effective clinical educators: Perspectives of physiotherapy students and educators"},"content":{"rendered":"<p>Submitted: 17 January 2024<br \/>\r\nAccepted: 14 May 2024<br \/>\r\nPublished online: 1 October, TAPS 2024, 9(4), 57-60<br \/>\r\n<a href=\"https:\/\/doi.org\/10.29060\/TAPS.2024-9-4\/SC3234\">https:\/\/doi.org\/10.29060\/TAPS.2024-9-4\/SC3234<\/a><\/p>\r\n<p style=\"text-align: justify;\">Nicole Huiyi Ong<sup>1<\/sup>, Boon Chong Kwok<sup>2,3<\/sup>, Siti Munirah Aman<sup>4<\/sup>, Steven Michael Dans Macabasco<sup>5<\/sup> &amp; Wai Pong Wong<sup>2<\/sup><span lang=\"EN-GB\"><\/span><\/p>\r\n<p style=\"text-align: justify;\"><i><sup>1<\/sup><\/i><i>Department of Physiotherapy, Singapore General Hospital, Singapore; <sup>2<\/sup>Health and Social Sciences, Singapore Institute of Technology, Singapore; <sup>3<\/sup>Rehabilitation, Clinical Pilates Family Physiotherapy, Singapore; <sup>4<\/sup>Department of Rehabilitation, Outram Community Hospital, Singapore; <sup>5<\/sup>Rehabilitation, NTUC Eldercare, Singapore<\/i><i><span lang=\"EN-GB\"><\/span><\/i><\/p>\r\n<p style=\"text-align: center;\"><b><span lang=\"EN-GB\">Abstract <\/span><\/b><\/p>\r\n<p style=\"text-align: justify;\"><b><span lang=\"EN-GB\">Introduction<\/span><\/b><span lang=\"EN-GB\">: <\/span>Clinical practice education is an important curriculum in developing physiotherapy students to professionals. This curriculum is largely dependent on clinical educators. Although traits of effective clinical educators had been studied in Western population, it was unclear if the Asian population would yield similar traits. Hence, we studied perspectives of students and academic educators to identify top five core traits of an effective clinical educator. The findings will then help guide policy development for clinical educator training and development.<span lang=\"EN-GB\"><\/span><\/p>\r\n<p style=\"text-align: justify;\"><b><span lang=\"EN-GB\">Methods<\/span><\/b><span lang=\"EN-GB\">: <\/span>A survey was circulated to physiotherapy students and academic educators through convenience sampling. We studied 16 traits \u2013 enthusiasm, availability, clarity, clinical competence \/ knowledge, feedback skills, organisational skills, professionalism, well prepared, scholarly activity, non-judgemental, respect students\u2019 autonomy \/ independence, sincerity, listening skills, evidence-based practice, role model, and awareness of students\u2019 learning needs.<span lang=\"EN-GB\"><\/span><\/p>\r\n<p style=\"text-align: justify;\"><b><span lang=\"EN-GB\">Results<\/span><\/b><span lang=\"EN-GB\">: <\/span><span lang=\"EN-US\">The top five traits identified by students and academic educators were similar in four traits \u2013 clinical competency \/ knowledge, clarity, feedback skills, and enthusiasm, and differed in the choice of \u201cnon-judgemental\u201d by students and \u201cawareness of students\u2019 learning needs\u201d by academic educators. Interestingly, when the top six traits were considered instead of five, students and academic educators identified the same traits but in different ranked orders.<\/span><span lang=\"EN-GB\"><\/span><\/p>\r\n<p style=\"text-align: justify;\"><b><span lang=\"EN-GB\">Conclusion<\/span><\/b><span lang=\"EN-GB\">: <\/span>The study found six common core traits of an effective clinical educator from the perspectives of students and academic educators. Continuing education development for clinical educators should focus on these six traits prior to other 10 sub-traits.<span lang=\"EN-GB\"><\/span><\/p>\r\n<p style=\"text-align: justify;\"><b><span lang=\"EN-GB\">Keywords<\/span><\/b><b><span lang=\"EN-GB\">:<\/span><\/b><span lang=\"EN-GB\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><i><span lang=\"EN-GB\">Training, Development, Education, Allied Health, Entrustable Professional Activities, Mentoring<\/span><\/i><b><span lang=\"EN-GB\"><\/span><\/b><\/p>\r\n<p style=\"text-align: center;\"><span lang=\"EN-GB\"><\/span><strong><span lang=\"EN-GB\">I. INTRODUCTION<\/span><\/strong><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">Clinical Practice Education (CPE) is a core component in undergraduate allied health studies, partnering clinicians with additional role as a Clinical Educator (CE) <\/span><span lang=\"EN-US\">(Gibson et al., 2019)<\/span><span lang=\"EN-US\">. A study evaluating effective residency teaching for doctors identified 15 traits that a CE should possess, which are enthusiasm, competence-knowledge, clarity, availability, non-judgemental, independence, feedback skills, role model, professionalism, sincere, organised, well-prepared, evidence-based practice, scholarly activity and listening skills <\/span><span lang=\"EN-US\">(Buchel &amp; Edwards, 2005)<\/span><span lang=\"EN-US\">.<\/span><span lang=\"EN-US\"> A recent study found that being aware of the learning needs of students could be the 16<sup>th<\/sup> trait a CE should possess <\/span><span lang=\"EN-US\">(Francis et al., 2016)<\/span><span lang=\"EN-US\">. Considering recent shift towards the use of the Entrustable Professional Activity framework for work place competency review at student and professional levels <\/span><span lang=\"EN-US\">(Kwok et al., 2023)<\/span><span lang=\"EN-US\">, it is important to consider which top five traits are considered core competence of a CE as defined by the pinnacle of entrustment at Level 5.<\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">Perspectives of critical traits of an effective CE might differ between students, CEs and academic educators (AEs). Students in early years of undergraduate study and CEs identified similar top five traits of an ideal CE <\/span><span lang=\"EN-US\">(Cross, 1995)<\/span><span lang=\"EN-US\">. In the study by Cross (1995), CEs should be approachable, possess good communication skills, be knowledgeable and demonstrate enthusiasm in teaching, including clinical competency <\/span><span lang=\"EN-US\">(Cross, 1995)<\/span><span lang=\"EN-US\">. Competency of CEs was similarly desired among academic educators, alongside \u201cbeing approachable\u201d and \u201cgood communicator\u201d, whereas two differences were noted as compared to CEs and students, which were \u201cinterested in learning process of the students\u201d and \u201cconcerned about patient care\u201d <\/span><span lang=\"EN-US\">(Cross, 1995)<\/span><span lang=\"EN-US\">. It is possible that among the Asian population, competency of the CEs would be similarly desired. Recent studies might have considered different trait terms as compared to the classic study, for instance, \u201clearning process\u201d was likely subsumed under \u201clearning needs\u201d <\/span><span lang=\"EN-US\">(Francis et al., 2016)<\/span><span lang=\"EN-US\">. It is unclear whether the Asian population will present with different trait ranking as compared to Western population.<\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">Therefore, this study was undertaken to identify the top five essential traits of an effective CE. <\/span><span lang=\"EN-US\">In view of notable differences between perspectives of students and AEs in past literature, this study explored similarities and differences of perspectives between students and AEs. In addition, we explored what gaps might exist in developing CEs. In this study, the AEs, all of whom used to be CEs, could provide useful and important inputs on the traits required of a CE. The findings would then provide directions for future policy development pertaining to clinical education and professional supervision.<\/span><\/p>\r\n<p style=\"text-align: center;\"><span lang=\"EN-GB\"><\/span><strong><span lang=\"EN-GB\">II. METHODS<\/span><\/strong><\/p>\r\n<p><i><span lang=\"EN-US\">A. Study Design<\/span><\/i><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">A survey was conducted through convenience sampling. The study was conducted between March to December 2022. The study was approved by the Institutional Review Board of the Singapore Institute of Technology (SIT-IRB-2022031).<\/span><\/p>\r\n<p><i><span lang=\"EN-US\">B. Participants<\/span><\/i><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">Students in the third year of undergraduate physiotherapy programme and AEs of the physiotherapy faculty (as of April 2022) were involved in the survey. Large variations in response rate exists in convenience sampling, so we projected at least 50% response rate for the students and also the AEs. Students who had withdrawn from the programme were excluded. Associate faculty educators were excluded because they were only involved in <i>ad hoc<\/i> teaching sessions. Informed consent was sought at the beginning of the survey and digitally recorded.<\/span><\/p>\r\n<p><i><span lang=\"EN-US\">C. Procedures<\/span><\/i><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">The survey described the 16 traits that contribute to an effective CE, which provided participants with knowledge about each trait, which was externally validated by five physiotherapists from the public and private sectors with experience ranging from eight to 25 years. The demographic data included student identification numbers to ensure that each response was unique. Thereafter, the data was de-identified to ensure anonymity during data analysis. As the sample size for the AEs was small, no personal data was collected to ensure anonymity. A survey invitation including a standardised survey link was distributed via email to all eligible participants. Participants were then asked to rank the 16 traits from 1 to 16, with 1 being the most important trait and 16 being the least important. Survey items were not randomised. The online survey was hosted on the secured Qualtrics Survey System (Qualtrics XM, 333 W. River Park Drive, Provo, UT 84604 USA). Student participants were first notified via email, followed by four reminder notifications, two months apart, via the cohort group chat on WhatsApp. AEs were first notified via email, followed by two reminder notifications via WhatsApp three months apart.<\/span><\/p>\r\n<p><i><span lang=\"EN-US\">D. Statistical Analysis<\/span><\/i><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">Data analyses were performed using IBM SPSS Statistics for Windows, version 26 (IBM Corp., Armonk, N.Y., USA). Continuous variables are presented with means (standard deviations) and categorical variables with counts (percentages). Friedman test was used to analyse the mean rank of each trait. Then Kendall\u2019s coefficient of concordance (Kendall\u2019s <i>W<\/i>) was used to test the level of agreement among students for the mean ranks of the traits, as well as among AEs. The level of agreement was interpreted based on common recommendation and should yield statistical significance at <i>p<\/i> &lt; 0.05.<\/span><span lang=\"EN-US\"><\/span><\/p>\r\n<p style=\"text-align: center;\"><span lang=\"EN-GB\"><\/span><strong><span lang=\"EN-GB\">III. RESULTS<\/span><\/strong><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">A total of 81 students completed the survey (response rate of 46.6%) and a total of five AEs completed the survey (response rate of 41.7%). The average age, mean (standard deviation), of the students is 24.5 (4.1) years, and 52 of them are female (64.2%). The traits were ranked and presented in Table 1. Among the top five traits, there were four similar traits found between students and AEs, which were clinical competency \/ knowledge, clarity, feedback skills, and enthusiasm. The students ranked \u201cnon-judgemental\u201d within the top five traits, whereas the AEs identified \u201cawareness of students\u2019 learning needs\u201d. If the top six traits were considered, both students and AEs yielded similar traits. In the traits ranking, the students showed fair level of agreement, approximating closely to moderate agreement, <\/span><span lang=\"EN-US\">Kendall\u2019s <i>W <\/i>= 0.38, <i>p<\/i> &lt; 0.001, while AEs showed moderate level of agreement, Kendall\u2019s <i>W <\/i>= 0.51, <i>p<\/i> = 0.001.<\/span><\/p>\r\n<div align=\"center\">\r\n<table border=\"0\" cellspacing=\"0\" cellpadding=\"0\" width=\"522\" style=\"width: 82.2519%;\">\r\n<tbody>\r\n<tr>\r\n<td width=\"45\" nowrap=\"nowrap\" rowspan=\"2\" style=\"width: 8.76565%;\">\r\n<p align=\"center\"><b><span lang=\"EN-US\">Rank<\/span><\/b><\/p>\r\n<\/td>\r\n<td width=\"239\" nowrap=\"nowrap\" colspan=\"2\" style=\"width: 45.6171%;\">\r\n<p align=\"center\"><b><span lang=\"EN-US\">Students (n = 81)<\/span><\/b><\/p>\r\n<\/td>\r\n<td width=\"239\" nowrap=\"nowrap\" colspan=\"2\" style=\"width: 112.615%;\">\r\n<p align=\"center\"><b><span lang=\"EN-US\">Academic Educators (n = 5)<\/span><\/b><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td width=\"152\" nowrap=\"nowrap\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><b><span lang=\"EN-US\">Traits<\/span><\/b><\/p>\r\n<\/td>\r\n<td width=\"87\" nowrap=\"nowrap\" style=\"width: 16.9946%;\">\r\n<p align=\"center\"><b><span lang=\"EN-US\">Mean rank<\/span><\/b><\/p>\r\n<\/td>\r\n<td width=\"152\" nowrap=\"nowrap\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><b><span lang=\"EN-US\">Traits<\/span><\/b><\/p>\r\n<\/td>\r\n<td width=\"87\" nowrap=\"nowrap\" style=\"width: 83.9925%;\">\r\n<p align=\"center\"><b><span lang=\"EN-US\">Mean rank<\/span><\/b><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td width=\"45\" nowrap=\"nowrap\" style=\"width: 8.76565%;\">\r\n<p align=\"center\"><b><span lang=\"EN-US\">1<\/span><\/b><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Clinical competency \/ knowledge<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 16.9946%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">4.51<\/span><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Awareness of students&#8217; learning needs<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 83.9925%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">3.20<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td width=\"45\" nowrap=\"nowrap\" style=\"width: 8.76565%;\">\r\n<p align=\"center\"><b><span lang=\"EN-US\">2<\/span><\/b><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Non-judgemental<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 16.9946%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">4.78<\/span><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Feedback skills<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 83.9925%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">4.00<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td width=\"45\" nowrap=\"nowrap\" style=\"width: 8.76565%;\">\r\n<p align=\"center\"><b><span lang=\"EN-US\">3<\/span><\/b><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Clarity<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 16.9946%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">4.94<\/span><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Clinical competency \/ knowledge<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 83.9925%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">4.20<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td width=\"45\" nowrap=\"nowrap\" style=\"width: 8.76565%;\">\r\n<p align=\"center\"><b><span lang=\"EN-US\">4<\/span><\/b><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Feedback skills<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 16.9946%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">5.01<\/span><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Enthusiasm<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 83.9925%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">5.60<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td width=\"45\" nowrap=\"nowrap\" style=\"width: 8.76565%;\">\r\n<p align=\"center\"><b><span lang=\"EN-US\">5<\/span><\/b><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Enthusiasm<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 16.9946%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">7.06<\/span><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Clarity<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 83.9925%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">6.80<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td width=\"45\" nowrap=\"nowrap\" style=\"width: 8.76565%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">6<\/span><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Awareness of students&#8217; learning needs<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 16.9946%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">7.27<\/span><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Non-judgemental<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 83.9925%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">7.00<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td width=\"45\" nowrap=\"nowrap\" style=\"width: 8.76565%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">7<\/span><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Availability<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 16.9946%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">7.93<\/span><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Role model<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 83.9925%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">7.60<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td width=\"45\" nowrap=\"nowrap\" style=\"width: 8.76565%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">8<\/span><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Sincerity<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 16.9946%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">8.56<\/span><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Professionalism<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 83.9925%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">8.00<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td width=\"45\" nowrap=\"nowrap\" style=\"width: 8.76565%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">9<\/span><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Respect students&#8217; autonomy \/ independence<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 16.9946%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">8.68<\/span><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Listening skills<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 83.9925%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">8.60<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td width=\"45\" nowrap=\"nowrap\" style=\"width: 8.76565%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">10<\/span><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Listening skills<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 16.9946%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">9.35<\/span><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Respect students&#8217; autonomy \/ independence<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 83.9925%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">9.80<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td width=\"45\" nowrap=\"nowrap\" style=\"width: 8.76565%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">11<\/span><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Professionalism<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 16.9946%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">9.51<\/span><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Well prepared<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 83.9925%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">10.20<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td width=\"45\" nowrap=\"nowrap\" style=\"width: 8.76565%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">12<\/span><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Organisational skills<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 16.9946%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">9.56<\/span><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Organisational skills<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 83.9925%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">10.40<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td width=\"45\" nowrap=\"nowrap\" style=\"width: 8.76565%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">13<\/span><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Role model<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 16.9946%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">10.23<\/span><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Availability<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 83.9925%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">10.80<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td width=\"45\" nowrap=\"nowrap\" style=\"width: 8.76565%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">14<\/span><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Well prepared<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 16.9946%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">11.69<\/span><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Sincerity<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 83.9925%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">11.20<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td width=\"45\" nowrap=\"nowrap\" style=\"width: 8.76565%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">15<\/span><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Evidence-based practice<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 16.9946%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">11.75<\/span><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Evidence-based practice<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 83.9925%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">13.00<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td width=\"45\" nowrap=\"nowrap\" style=\"width: 8.76565%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">16<\/span><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Scholarly activity<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 16.9946%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">15.19<\/span><\/p>\r\n<\/td>\r\n<td width=\"152\" style=\"width: 28.6225%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Scholarly activity<\/span><\/p>\r\n<\/td>\r\n<td width=\"87\" style=\"width: 83.9925%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">15.60<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td width=\"522\" nowrap=\"nowrap\" colspan=\"5\" style=\"width: 166.998%;\">\r\n<p align=\"center\"><span lang=\"EN-US\">Table 1. Ranking of clinical educator traits by students and academic educators<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<p style=\"text-align: center;\"><span lang=\"EN-GB\"><\/span><strong><span lang=\"EN-GB\">IV. DISCUSSION<\/span><\/strong><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">The study was initiated to identify the top five traits an effective CE should possess through the perspectives of students and AEs. The students and AEs differed only in the selection of one trait. Interestingly, when the top six traits were considered, students and AEs were aligned in traits selection and only differed in the ranking of traits. These six traits were 1) clinical competence \/ knowledge, 2) non-judgemental, 3) clarity, 4) feedback skills, 5) enthusiasm in teaching, and 6) awareness of students\u2019 learning needs. <\/span><span lang=\"EN-US\">The level of agreement found among students was fair and among the AEs was moderate for the rankings of traits in this study.<\/span><span lang=\"EN-US\"><\/span><span lang=\"EN-US\">\u00a0<\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">A few differences were observed in the top five traits as compared to western culture. Four traits were similar to those identified in the past \u2013 clinical competence \/ knowledge, clarity, feedback skills and enthusiasm in teaching <\/span><span lang=\"EN-US\">(Cross, 1995)<\/span><span lang=\"EN-US\">. Whilst \u201cclinical competence \/ knowledge\u201d was ranked first by the students, we caution that these traits must be complemented by appropriate \u201cfeedback skills\u201d and \u201cclear communication\u201d. A key difference between students and AEs was the identification of \u201cnon-judgemental\u201d and \u201cawareness of students\u2019 learning needs\u201d in the top five traits. The differences between students and AEs were essentially non-existent if we recognise top six traits as core competencies of an effective CE as compared to five traits. In view that the AEs were also past CEs, the rankings by the AEs provide valuable insights and could be used to align the students\u2019 expectations.<\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">The study found two common traits that were ranked lower among students and AEs \u2013 evidence-based practice and scholarly activity. <\/span><span lang=\"EN-US\">It is possible that the students and AEs have assumed that \u201cevidence-based practice\u201d was a part of \u201cclinical competency\u201d, given the fact that \u201cevidence-based practice\u201d is essential in clinical practice.<\/span><span lang=\"EN-US\"> Moving forward, it would be of interest to study the perspectives of the students and AEs with regards to \u201cevidence-based practice\u201d in clinical education. Future research could explore the traits as \u201cmust have\u201d, \u201cshould have\u201d and good-to-have\u201d categories, which could help identify the critical traits (\u201cmust have\u201d). <\/span><span lang=\"EN-US\">\u00a0<\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">The study has a few limitations. Although self-reported survey could lead to response bias, we did not detect similar responses in consecutive order during data inspection. Next, we set out to collect 50% response rate, unfortunately, we were slightly away from the target as some respondents did not complete or withdrew their participation.<\/span><span lang=\"EN-US\"> As such, the sample size of the AEs was small and so perspectives from the AEs might require careful considerations. The study also did not allow for qualitative inputs from the respondents to explore other traits that were not listed. Lastly, we were unable to engage participation from CEs as the survey was not compulsory as part of their role.<\/span><span lang=\"EN-GB\">\u00a0<\/span><\/p>\r\n<p style=\"text-align: center;\"><span lang=\"EN-GB\"><\/span><strong><span lang=\"EN-GB\">V. CONCLUSION<\/span><\/strong><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">This study identified six core traits an effective CE should possess. These traits are clinical competence \/ knowledge, non-judgemental, clarity, feedback skills, enthusiasm in teaching, and awareness of students\u2019 learning needs. We identified that evidence-based practice and scholarly activity traits were potential gaps in career development of CEs as they were ranked lower among students and AEs.<\/span><span lang=\"EN-US\"><\/span><span lang=\"EN-GB\">\u00a0<\/span><\/p>\r\n<p align=\"center\"><strong><span lang=\"EN-GB\">Notes on Contributors<\/span><\/strong><\/p>\r\n<p style=\"text-align: justify;\">NHO was involved in study conceptualisation, data collection, data analysis, data interpretation and drafting manuscript.<\/p>\r\n<p style=\"text-align: justify;\">BCK was involved in study conceptualisation, data analysis, data interpretation, drafting manuscript and final revision of manuscript.<\/p>\r\n<p style=\"text-align: justify;\">SMA was involved in study conceptualisation, data collection and revising the manuscript.<\/p>\r\n<p style=\"text-align: justify;\">SMDM was involved in study conceptualisation, data collection and revising the manuscript.<\/p>\r\n<p style=\"text-align: justify;\">WPW initiated the study conceptualisation, project administration, data interpretation and review of the drafted manuscript.<span lang=\"EN-GB\"><\/span><span lang=\"EN-GB\">\u00a0<\/span><span lang=\"EN-GB\">\u00a0<\/span><\/p>\r\n<p align=\"center\"><strong><span lang=\"EN-GB\">Ethical Approval<\/span><\/strong><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">The study was approved by the Institutional Review Board of the Singapore Institute of Technology (SIT-IRB-2022031).<\/span><span lang=\"EN-GB\"><\/span><span lang=\"EN-GB\">\u00a0<\/span><\/p>\r\n<p align=\"center\"><strong><span lang=\"EN-GB\">Data Availability<\/span><\/strong><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-GB\">Based on the ethics approval, data will not be shared on a repository. The anonymised dataset can be obtained from the corresponding author with reasonable request.<\/span><span lang=\"EN-GB\">\u00a0<\/span><\/p>\r\n<p align=\"center\"><strong><span lang=\"EN-GB\">Acknowledgement<\/span><\/strong><\/p>\r\n<p style=\"text-align: justify;\">The authors thank the physiotherapy students and educators from the Singapore Institute of Technology for their study participation.<span lang=\"EN-GB\"><\/span><span lang=\"EN-GB\">\u00a0<\/span><\/p>\r\n<p align=\"center\"><strong><span lang=\"EN-GB\">Funding<\/span><\/strong><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-GB\">This study is unfunded.<\/span><span lang=\"EN-GB\">\u00a0<\/span><\/p>\r\n<p align=\"center\"><strong><span lang=\"EN-GB\">Declaration of Interest<\/span><\/strong><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">None of the authors has any conflict or financial interest to declare.<\/span><span lang=\"EN-GB\"><\/span><span lang=\"EN-GB\">\u00a0<\/span><\/p>\r\n<p align=\"center\"><strong><span lang=\"EN-GB\">References<\/span><\/strong><\/p>\r\n<p style=\"text-align: left;\">Buchel, T. L., &amp; Edwards, F. D. (2005). Characteristics of effective clinical teachers. <i>Family Medicine, 37<\/i>(1), 30-35. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/15619153\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/15619153<\/a><\/p>\r\n<p style=\"text-align: left;\">Cross, V. (1995). Perceptions of the ideal clinical educator in physiotherapy education. <i>Physiotherapy, 81<\/i>(9), 506-513. <a href=\"https:\/\/doi.org\/10.1016\/S0031-9406(05)66680-1\">https:\/\/doi.org\/10.1016\/S0031-9406(05)66680-1<\/a> <span><\/span><\/p>\r\n<p style=\"text-align: left;\">Francis, A., Hills, C., MacDonald-Wicks, L., Johnston, C., James, D., Surjan, Y., &amp; Warren-Forward, H. (2016). Characteristics of an ideal practice educator: Perspectives from practice educators in diagnostic radiography, nuclear medicine, nutrition and dietetics, occupational therapy and physiotherapy and radiation therapy. <i>Radiography, 22<\/i>(4), 287-294. <a href=\"https:\/\/doi.org\/10.1016\/j.radi.2016.04.001\"><span lang=\"EN-US\">https:\/\/doi.org\/10.1016\/j.radi.2016.04.001<\/span><\/a><span lang=\"EN-US\"> <\/span><span><\/span><\/p>\r\n<p style=\"text-align: left;\">Gibson, S. J., Porter, J., Anderson, A., Bryce, A., Dart, J., Kellow, N., Meiklejohn, S., Volders, E., Young, A., &amp; Palermo, C. (2019). Clinical educators\u2019 skills and qualities in allied health: A systematic review. <i>Medical Education, 53<\/i>(5), 432-442. <a href=\"https:\/\/doi.org\/10.1111\/medu.13782\">https:\/\/doi.org\/10.1111\/medu.13782<\/a> <span><\/span><\/p>\r\n<p style=\"text-align: left;\"><span lang=\"EN-US\">Kwok, B. C., Zulimran, M., &amp; Sue, P. (2023). Re-designing performance management for healthcare \u2013 The performance empowerment, advancement and career excellence (PEACE) system. <i>International Journal of Productivity and Performance Management, 72<\/i>(7), 2183-2193. <\/span><span lang=\"EN-US\"><a href=\"https:\/\/doi.org\/10.1108\/IJPPM-12-2022-0610\">https:\/\/doi.org\/10.1108\/IJPPM-12-2022-0610<\/a><\/span><\/p>\r\n<p style=\"text-align: left;\"><span lang=\"EN-GB\">*Boon Chong Kwok<br \/>\r\n10 Dover Drive,<br \/>\r\nSingapore Institute of Technology,<br \/>\r\nSingapore 138683<br \/>\r\n96916703<br \/>\r\nEmail: boonchong.kwok@singaporetech.edu.sg \/<br \/>\r\nkwokboonchong@gmail.com<br \/>\r\n<\/span><\/p>\r\n<\/div>","protected":false},"featured_media":0,"parent":0,"menu_order":8,"template":"","issues_category":[17],"archive_category":[],"issue_type":[25],"volume_category":[61889],"class_list":["post-72589","issues","type-issues","status-publish","hentry","issues_category-short-communications","issue_type-past-issue","volume_category-volume-9-number-4-october-2024"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Traits of effective clinical educators: Perspectives of physiotherapy students and educators - The Asia Pacific Scholar<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/medicine.nus.edu.sg\/taps\/issues\/traits-of-effective-clinical-educators-perspectives-of-physiotherapy-students-and-educators\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Traits of effective clinical educators: Perspectives of physiotherapy students and educators - The Asia Pacific Scholar\" \/>\n<meta property=\"og:description\" content=\"Submitted: 17 January 2024 Accepted: 14 May 2024 Published online: 1 October, TAPS 2024, 9(4), 57-60 https:\/\/doi.org\/10.29060\/TAPS.2024-9-4\/SC3234 Nicole Huiyi Ong1, Boon Chong Kwok2,3, Siti Munirah Aman4, Steven Michael Dans Macabasco5 &amp; Wai Pong Wong2 1Department of Physiotherapy, Singapore General Hospital, Singapore; 2Health and Social Sciences, Singapore Institute of Technology, Singapore; 3Rehabilitation, Clinical Pilates Family Physiotherapy, [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/medicine.nus.edu.sg\/taps\/issues\/traits-of-effective-clinical-educators-perspectives-of-physiotherapy-students-and-educators\/\" \/>\n<meta property=\"og:site_name\" content=\"The Asia Pacific Scholar\" \/>\n<meta property=\"article:modified_time\" content=\"2025-01-07T00:26:07+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"11 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/medicine.nus.edu.sg\/taps\/issues\/traits-of-effective-clinical-educators-perspectives-of-physiotherapy-students-and-educators\/\",\"url\":\"https:\/\/medicine.nus.edu.sg\/taps\/issues\/traits-of-effective-clinical-educators-perspectives-of-physiotherapy-students-and-educators\/\",\"name\":\"Traits of effective clinical educators: Perspectives of physiotherapy students and educators - The Asia Pacific Scholar\",\"isPartOf\":{\"@id\":\"https:\/\/medicine.nus.edu.sg\/taps\/#website\"},\"datePublished\":\"2024-09-18T00:43:56+00:00\",\"dateModified\":\"2025-01-07T00:26:07+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/medicine.nus.edu.sg\/taps\/issues\/traits-of-effective-clinical-educators-perspectives-of-physiotherapy-students-and-educators\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/medicine.nus.edu.sg\/taps\/issues\/traits-of-effective-clinical-educators-perspectives-of-physiotherapy-students-and-educators\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/medicine.nus.edu.sg\/taps\/issues\/traits-of-effective-clinical-educators-perspectives-of-physiotherapy-students-and-educators\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/medicine.nus.edu.sg\/taps\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Traits of effective clinical educators: Perspectives of physiotherapy students and educators\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/medicine.nus.edu.sg\/taps\/#website\",\"url\":\"https:\/\/medicine.nus.edu.sg\/taps\/\",\"name\":\"The Asia Pacific Scholar\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/medicine.nus.edu.sg\/taps\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Traits of effective clinical educators: Perspectives of physiotherapy students and educators - The Asia Pacific Scholar","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/medicine.nus.edu.sg\/taps\/issues\/traits-of-effective-clinical-educators-perspectives-of-physiotherapy-students-and-educators\/","og_locale":"en_US","og_type":"article","og_title":"Traits of effective clinical educators: Perspectives of physiotherapy students and educators - The Asia Pacific Scholar","og_description":"Submitted: 17 January 2024 Accepted: 14 May 2024 Published online: 1 October, TAPS 2024, 9(4), 57-60 https:\/\/doi.org\/10.29060\/TAPS.2024-9-4\/SC3234 Nicole Huiyi Ong1, Boon Chong Kwok2,3, Siti Munirah Aman4, Steven Michael Dans Macabasco5 &amp; 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