MYPT 영어 노트 | 신입 물리치료사의 EBP 인식 변화 – 영어 토론 준비

MYPT 영어 노트 | 신입 물리치료사의 EBP 인식 변화 – 영어 토론 준비

📖 참고 논문:
McEvoy M, Luker J, Fryer C, Lewis LK (2020). Changes in physiotherapists’ perceptions of evidence-based practice after a year in the workforce: A mixed-methods study. PLoS ONE 15(12): e0244190.
https://doi.org/10.1371/journal.pone.0244190

🧠 1. Summary (요약)

This study examined how new physiotherapists’ perceptions of evidence-based practice (EBP) changed after one year in the workforce. It showed a significant decrease in confidence and perceived relevance of EBP. Barriers included time constraints, workplace culture, and limited access to research resources.

📊 2. Key Findings

• Confidence ↓: Less time and practice reduced EBP confidence.
• Relevance ↓: EBP seemed less applicable in some real-life clinical settings.
• Practice ↓: EBP was mainly used when unsure about treatment options.
• Terminology ↓: Less use of academic language and fewer research readings.
• Knowledge ↔: EBP knowledge remained stable but underused.

❓ 3. Discussion Questions & Answers

Q1. What are the biggest barriers to applying EBP during the first year of practice?

A: The study showed that time pressure, lack of research access, and unsupportive workplace culture were the most common barriers. Personally, I also found it hard to prioritize EBP when I was still learning how to manage my caseload and clinical routines.

Q2. How does the clinical setting affect new graduates' use of EBP?

A: EBP was seen as less relevant in some settings like aged care or inpatient rehab, where routines are highly structured. In contrast, outpatient or private practice might allow more flexibility to apply EBP.

Q3. Do you think confidence in EBP improves with time and experience? Why?

A: It depends on the environment. If new therapists receive support from mentors and have time to practice EBP, confidence can grow. But without opportunities, even motivated graduates may lose their confidence over time.

Q4. What kind of workplace support could help early career physios maintain EBP skills?

A: Regular journal clubs, access to databases, and role modeling from senior staff could be helpful. Also, even brief discussions about evidence during team meetings can make a difference.

Q5. How can universities better prepare students for EBP challenges in real practice?

A: I think universities should focus more on real-life problem-solving, not just academic theory. Practicing with clinical scenarios, EBP role-plays, and simulated time constraints can help students prepare for the reality of practice.

🗣️ 4. Useful Expression Starters

• Opinion: "In my experience, I believe..." / "From my clinical placement, I noticed..."
• Agreement: "I completely agree with the study's findings because..."
• Disagreement: "I’m not sure I agree, because in my case..."
• Suggestion: "One possible solution might be to..."
• Summary: "So overall, the findings suggest that..."

📘 5. Vocabulary

Word	IPA	한국어 발음 (강세 포함)	Meaning
Confidence	/ˈkɒn.fɪ.dəns/	컨피던스	자신감
Relevance	/ˈrel.ə.vəns/	레러번스	관련성
Workplace culture	/ˈwɜːk.pleɪs ˈkʌl.tʃər/	워크플레이스 컬처	직장 문화
Barriers	/ˈbær.i.ərz/	배리어즈	장애물
Role model	/ˈrəʊl ˌmɒd.əl/	롤 모덜	본보기
Database access	/ˈdeɪ.tə.beɪs ˈæk.ses/	데이터베이스 액세스	논문 접근성
Clinical reasoning	/ˈklɪn.ɪ.kəl ˈriː.zən.ɪŋ/	클리니컬 리즈닝	임상적 추론