渡 哲郎

BACKGROUND: Newly graduated physical therapists require effective training to enhance their clinical skills. On-the-job training (OJT) and off-the-job training (Off-JT) are commonly used methods, but their comparative effectiveness remains unclear. This study aimed to compare the effectiveness of OJT and Off-JT in improving the clinical competencies of newly graduated physical therapists. MATERIAL AND METHODS: A crossover study was conducted involving 13 newly graduated physical therapists. Participants alternated between OJT and Off-JT interventions. The objective-structured clinical examination assessed four key skills—joint range of motion measurement, muscle testing, assistance in getting up, and assistance in transferring. Evaluations were conducted at four time points. A Mann–Whitney U -test was used to compare the change in average scores between the two groups from Assessment 1 to Assessment 2. A two-way analysis of variance was conducted to analyze the interaction effects of training methods and assessment timing. RESULTS: Off-JT was more effective than OJT in improving clinical skills, especially in muscle testing and patient assistance tasks. Both training methods enhanced joint range of motion measurement skills; however, no significant differences were found between the groups. Some tasks showed performance declines in the final assessment, indicating the necessity of continued practice. CONCLUSIONS: Off-JT provides a more effective approach for improving clinical skills, particularly for tasks that require specialized knowledge and structured learning. However, OJT remains valuable for reinforcing routine clinical tasks. Future research should explore the long-term effects of these training methods on various clinical competencies.