Physical therapy students' perception of their ability of clinical and clinical decision-making skills enhanced after simulation-based learning courses in the United States: a repeated measures design

Purpose: It aimed to investigate physical therapy students' perception of their ability of clinical and clinical decision-making skills after a simulation-based learning course in the United States. Methods: Survey questionnaires were administered to voluntary participants, including 44 second and third-year physical therapy stu-dents of the University of St. Augustine for Health Sciences during 2021-2022. Thirty-six questionnaire items consisted of 4 demo-graphic items, 1 general evaluation, 21 test items for clinical decision-making skills, and 4 clinical skill items. Descriptive and inferential statistics evaluated differences in students' perception of their ability in clinical decision-making and clinical skills, pre-and post -simula-tion, and post-first clinical experience during 2021-2022. Results: Friedman test revealed a significant increase from pre-to post-simulation in perception of the ability of clinical and clinical de-cision-making skills total tool score (P<0.001), clinical decision-making 21-item score (P<0.001), and clinical skills score (P<0.001). No significant differences were found between post-simulation and post-first clinical experience. Post-hoc tests indicated a significant difference between pre-simulation and post-simulation (P<0.001) and between pre-simulation and post-first clinical experience (P<0.001). Forty-three students (97.6%) either strongly agreed (59.1%) or agreed (38.5%) that simulation was a valuable learning ex-perience. Conclusion: The above findings suggest that simulation-based learning helped students begin their first clinical experience with en-hanced clinical and clinical decision-making skills.