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FORM 146

HEALTH PROFESSIONS COUNCIL OF SOUTH AFRICA PROFESSIONAL BOARD FOR PHYSIOTHERAPY, PODIATRY AND BIOKINETICS GUIDELINES: EXAMINATION FOR REGISTRATION AS A PHYSIOTHERAPIST How is registration obtained? In terms of the policy of the Professional Board all foreign qualified applicants are required to sit for an entry examination in order to determine their registrability with Council. 1. The purpose of the examination is to: evaluate the candidates knowledge and competence in physiotherapy. The standard expected is measured against the minimum standards expected of practitioners trained in South Africa. test the candidates knowledge of the laws, ethical rules and regulations relating to the practising of physiotherapy in South Africa as well as the candidates knowledge of administration and management. A subminimum mark applies to the section on ethics. satisfy the Professional Board of proficiency in English.

The examination is composed of two parts a theoretical and a practical/clinical examination. 2. Registration in terms of supervised practice: After having passed the entry examination, candidates can apply for registration in terms of supervised practice according to which he/she will be required to work in a provincial hospital for at least two years. Supervised practice will be granted for an initial period of one year and the candidate will have to apply annually for the extension of registration. After two years of supervised practice, a candidate can apply registration in terms of independent practice upon a further evaluation. 2.1 THEORY EXAMINATION IN PHYSIOTHERAPY 3 HOURS This paper is composed of two sections. The first section relates to the gazetted rules and regulations under which a practitioner may practise his/her profession in South Africa as well as to administration and management as applied to practice in South Africa. The second section examines the practice of the profession. Background knowledge of pathology, anatomy, physiology and medicine as well as the practice of the profession and application of physiotherapy, techniques and modalities will be tested in this section. All aspects of practice including internal medicine, cardiopulmonary, surgery, orthopaedics, neurology, gynaecology and obstetrics, community health, psychiatry, paediatrics, geriatrics and other relevant fields may be tested in this section. Particular emphasis is placed on the fields of cardio-pulmonary, intensive care, neurology and orthopaedics in the examination. Pathology and specific physiotherapy techniques including the use of electrotherapy modalities could be included in the paper.
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N.B.

The written examination must be passed (pass mark 60%) before the candidate will be allowed to enter for the practical examination. NO SUPPLEMETARY EXAMINATIONS ARE ALLOWED.

2.2

PRACTICAL EXAMINATION This examination will be arranged at a centre according to the numbers and geographic distribution of candidates. The Professional Board takes the decision as to where the examination will be held. The examination is held in April/May and September/October of each year. Two examiners and a moderator examine candidates. Candidates are responsible for payment of their own travelling fees and accommodation costs should this be necessary. FORMAT OF PRACTICAL EXAMINATION: At this examination candidates are required to evaluate and treat two patients. Such patients may be either acute, chronic or at a rehabilitation stage of treatment. Any condition could be asked. The main categories of patients selected for examination are usually orthopaedic and rheumatology, traumatology, neurology, cardio-pulmonary including both medical and surgical patients, intensive care, paediatrics and outpatients. TIME ALLOWED The candidate is allowed approximately 1 hour for the evaluation of the patient and the documentation of findings. The examiners may also assess the candidates knowledge by asking questions during this time. A further approximate half-hour is allowed for the treatment of the patient or according to the discretion of the examiner, i.e. 1 hours for evaluation and treatment. An abbreviated evaluation form is to be completed and handed in. The score sheet for practical examination is included as Annexure A to this guidelines.

2.2.1

PATIENT ASSESSMENT The patients bed letter, X-rays, physiotherapy information referral and other relevant information are made available to the candidate. The candidate is required to evaluate the patient using appropriate subjective and objective methods of evaluation. The findings must then be recorded and documented so that the candidate will be able to give the following: i. ii. iii. iv. patient history; current medical history; relevant special examination findings e.g. X-rays, blood gassess etc; physical assessment (including the relevant and appropriate testing of functional ability, posture and gait, range of movement, muscle strength, muscle tone, exercise tolerance, lung evaluation, pain evaluation etc); identify the main physiotherapy problems; identify other possible problems relevant to physiotherapy as well as possible complications; formulate long and short-term goals for physiotherapy treatment; plan a treatment programme;

v. vi. vii. viii.


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ix. x. xi. 2.2.2

be able to discuss future progressions on this programme; formulate the advice necessary for the patient; plan a home exercise programme.

PHYSICAL TREATMENT OF THE ABOVE PATIENT This total examination is then repeated on a second patient. the second patient will have a very different pathology to the first. The pass mark is 60% and is obtained by averaging of the marks obtained on each patient evaluated and treated.

2.3

REPEATING THE EXAMINATION No supplementary examinations are permissible. A candidate who is unsuccessful may on extension of restricted registration (supervised practice) and payment of a further fee, enter the examination in the following year. As restricted registration (supervised practice) is for a maximum period of five years it is not possible to enter the examination more than three times.

3.

SUGGESTED READING LIST/STUDY MATERIAL Title Peripheral Manipulation 3rd Ed 1991 Vertebrai Manipulation 5th Ed Pub 1986 Principles and Practice of Medicine, 1981 13th Ed. Neurological Phys air problem solving approach. Phys for Respiratory and Cardiac Problems Manual of Orthopaedic Surgery 4th ed, 1998 Dept. of Orthopaedics Essential Orthopaedic and Trauma 2nd ed, 1993 Disabled Village Children 2nd ed, 1987 Tetraplegics and Paraplegics A guide for physiotherapists Sports injury: Assessment and Rehabilitation Celebral Palsy Caring and Coping 1st ed, 1998 Physical Examination of the Spine and extremities 2d ed. Fundamentals of Respiratory Care, 5th ed. Guide to Medical Ventilation and Intensive Respiratory Care.1995 1st ed. Mobilisation of the Nervous System, 1st ed.1991 Author Maitland G D Maitland G D Davidson L Stanley P S Edwards Pryor J A, Webber B A R K Marks Publisher Butterworth Heinemann Ltd. London Butterworths Edinburgh Churchill Livingston Churchill Livingston 1st ed 1998 ISBN 04430488781 Churchill Livingston ISBN 0443058415 Univ of Cape Town

Dandy D J Werner D I Bromley D Reid Goodman M & Katz B Hopenfield S Egan D Pierce L N B

Churchill Livingston Palo Alto Hesparian Foundation Churchill Livingston

Witwatersrand Univ. Press ISBN 1868143295 Appleton Century-Crofts division of Prentice Hall St Lous C V Mosby ISBN 0-7216-6478-Y

Butler D S

Churchill Livingston Melbourne

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Steps to follow A guide to the treatment of Adult Hemiplegia.1985,1st ed. Right in the middle 1st ed. 1990 Key issues in neurological Physiotherapy Part of Series Physiotherapy PTO Foundation for practice 1st ed.1990 Sport Injuries Key issues in Mskeletal Physiotherapy.1st ed.1993 Health Promotion Foundation for Practice Sports Physiotherapy applied Science and practice: Electrotherapy Agents in Physiotherapy, 3rd ed.1980 Electrotherapy Explained Principles and Practice 2nd ed. Physiotherapy and the Growing Child. Paediatric Respiratory Care 1st ed. 1995 Starting again 1st ed. Neurological Physiotherapy, 1st 1998 Neurological Rehabilitation: Optimizing motor performance. Clinical Assessment in Respiratory Care, 3rd ed.

Davies P M

Springer Verlag, Berlin

Ada L Corring C ed.

Springer Verlag, Berlin Butterworth, Heinemann

S A Edition-Juta&Co. Crosbie J McConrnnell J J Naidoo and J Wills Zuluaga M Wadsworth H and Chamugan APD Law J & Reed A Y Burns and J McDonald Prasaad & Hussey Davies P M Stokes Maria Carr J H, Shepherd R, 1st ed. 1998 Wilkens R, Sheldon R and Krider S

Peterson L, Renstrom P Butterworths, Heinemann Bailliere Tindall 1994, ISBN 07020 1680 2 ISBN 0-443-04804-5 Marrickville Science Butterworths, Heinemann W B Saunders 1996 ISBN 07020-1942-9 Capman & Hall Springer Verlag, Berlin Mosby Int Ltd, London Butterworths, Heinemann 1st ISBN 07506 09710 1st ed. 1998 St Louis Mosby, 1995 ISBN 8151 9334-3

4.

GENERAL INFORMATION Further information relating to the code of tariffs, which a physiotherapist may charge, is obtainable from:

4.1

The South African Society of Physiotherapy PO Box 92125 NORWOOD 2117 Tel. No. (011) 485 1467/1516 Fax. No. (011) 485 1613 The mark sheet used by the examiners for the practical examination is attached as Annexure A. The rules and regulations relating to the profession of physiotherapy are attached.

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ANNEXURE A
HEALTH PROFESSIONS COUNCIL OF SOUTH AFRICA PROFESSIONAL BOARD FOR PHYSIOTHERAPY, PODIATRY AND BIOKINETICS
EXAMINATION FOR GRANTING REGISTRATION: MARK SHEET FOR PRACTICAL EXAMINATION
ASSESSMENT AND TREATMENT OF A PATIENT. NAME OF CANDIDATE ....................................................... DIAGNOSIS OF PATIENT ................................................ FINAL MARK ...............................% ................................................................................................................ ASSESSMENT 1. INTERPERSONAL RELATIONSHIPS and COMMUNICATION: * Professional Behaviour and Appearance * Communication with and approach to patient & staff (if relevant) * Communication at patients level (Supportive, motivative etc). * General management of the situation * Explanation of procedures / findings to patient (Reactive to patients psychological needs)

/10 marks ...................................................................................................................................... 2. EVALUATION: 2.1 Subjective * Technique of questioning * Thoroughness/ completeness of information from file/ X-rays etc. 2.2 Objective * Observations * Evaluation / Measuring techniques (eg.Auscultation, Goniometer etc.) * Measurement of Range of Movement/ Measurement of muscle strength * Functional assessment

/15 marks ...................................................................................................................................... 3. PROBLEM IDENTIFICATION: * Main problems and priorities * Secondary problems * Insight into inter relationship of problems 3.1 Safety precautions and Contra indications /10 marks ...................................................................................................................................... 4. GOAL SETTING and PRIORITIES: 4.1 Short term * Appropriateness to problems identified * Realistic 4.2 Long term /10 marks ...................................................................................................................................... F146

5. TREATMENT PLAN: * In broad principles only * Directed towards treatment of the main problem * Knowledge/ Relevance of choice of treatment techniques 5.1 Execution of Treatment programme * Effectivity 5.2 Application of safety measures/ precautions

/30 marks ...................................................................................................................................... 6. HOME PROGRAMME/ ADVICE/ FOLLOW UP: * Including instructions to "carers" if relevant

/10 marks ...................................................................................................................................... 7. DOCUMENTATION: * Accuracy of recordings * Completeness * Scientific language usage * Critical as to effectiveness of chosen treatment method

/10 marks ...................................................................................................................................... 8. GENERAL ORGANISATION AND USE OF TIME: * Works purposefully, accurately and systematically * Realistic use of time /5 marks ...................................................................................................................................... 9. GENERAL COMMENTS: (Examiner to please give comments on candidates performance)

................................................................................................................ ................................................................................................................ TOTAL MARKS............% EXAMINER ................................................. DATE .....................................................

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NAME OF CANDIDATE:______________________________________________________________________________________________________
PATIENT NAME & DIAGNOSIS:_____________________________________________________________________________________________

PROBLEMS

SHORT & LONG TERM AIMS

TREATMENT PROGRAMME

PRECAUTIONS/ CONTRA INDICATIONS

Guidelines Exam Registration

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