{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T19:31:09Z","timestamp":1788550269648,"version":"build-2803163510"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"1-2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,23]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction<\/jats:title>\n Over the past 20\u2009years, military medicine made great\u00a0strides in the medical management of traumatically injured patients. Significant advancements were made in the treatment and rehabilitation after limb loss. These advancements can be attributed to the large number of complex patients presenting to military treatment facilities and the demand for medical professionals to provide care to patients with complex injuries and multiple traumatic amputations. The concern now is to maintain the skills needed to be prepared for the next conflict. To meet this demand, the Extremity Trauma and Amputation Center of Excellence (EACE) initiated the documentation of knowledge, skills, and abilities (KSAs) to ensure that the skill sets needed to treat this unique population are not lost. The EACE developed KSAs to sustain advanced clinical practice for physical therapists, occupational therapists, and prosthetists and is in the process of developing KSAs for orthotists and physical medicine physicians. The learning objectives [terminal and enabling learning objectives (TLOs and ELOs)] derived from each set of KSAs will drive curricula development for enduring education, residencies, and fellowships. This article describes the KSAs and learning objectives for advanced physical therapist competencies in amputation care.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Clinical subject matter experts (SMEs) convened from the Department of Defense (DoD) Advanced Rehabilitation Centers (ARCs) to draft the initial KSAs. All experts had specific expertise in treating individuals with highly complex lower and upper limb amputation. In a quasi-Delphi methodology, the initial draft KSAs underwent five cycles of review and comment by an additional 15 DoD, Veterans Affairs, and civilian institution experts from clinical practice, education, and research. The consensus KSAs were then transcribed into learning objectives with collaboration between clinical subject matter experts and doctoral-level educators.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The final program document has 21 instructional modules with 30 TLOs and 157 ELOs.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The KSAs and the learning objectives describe the skills expected of an advanced practice physical therapist treating patients with traumatic limb loss. Weaknesses of this document include the focus on traumatic amputation and military specific needs. However, many of the central advanced practices are universal to all physical therapists working in amputation. Thus, this document should serve as a starting point and can evolve to include dysvascular, oncology, and other etiologies. To our knowledge, this is the first paper to describe the KSAs for the advanced practice physical therapist working with traumatic limb loss population. This work will form the framework for physical therapist advanced practice training programs.<\/jats:p>\n <\/jats:sec>","DOI":"10.1093\/milmed\/usad231","type":"journal-article","created":{"date-parts":[[2023,6,26]],"date-time":"2023-06-26T21:04:12Z","timestamp":1687813452000},"page":"e176-e181","source":"Crossref","is-referenced-by-count":1,"title":["Developing a Program for\u00a0Advanced Physical Therapist Practice in\u00a0Amputation Care"],"prefix":"10.1093","volume":"189","author":[{"given":"Andrea E","family":"Crunkhorn","sequence":"first","affiliation":[{"name":"Extremity Trauma and Amputation Center of Excellence, Research Support Division, Defense Health Agency , Falls Church, VA 22042, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stuart M","family":"Campbell","sequence":"additional","affiliation":[{"name":"Extremity Trauma and Amputation Center of Excellence, Research Support Division, Defense Health Agency , San Antonio, TX 78205, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurie L","family":"Lutz","sequence":"additional","affiliation":[{"name":"Extremity Trauma and Amputation Center of Excellence, Research Support Division, Defense Health Agency , Falls Church, VA 22042, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,6,26]]},"reference":[{"issue":"1","key":"2024012918210547300_R1","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1080\/10242694.2015.1129816","article-title":"Casualty rates of\u00a0US military personnel during the wars in\u00a0Iraq and\u00a0Afghanistan","volume":"29","author":"Goldberg","year":"2018","journal-title":"Def Peace Econ"},{"issue":"4","key":"2024012918210547300_R2","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1371\/journal.pone.0266588","article-title":"Combat injury profiles among U.S. military personnel who survived serious wounds in\u00a0Iraq and\u00a0Afghanistan: a latent class analysis","volume":"17","author":"D\u2019Souza","year":"2022","journal-title":"PLoS One"},{"key":"2024012918210547300_R3","article-title":"Amputation and\u00a0limb difference curricular guideline for\u00a0entry-level doctoral of\u00a0physical therapy professional degree programs","volume-title":"Academy of Acute Care Physical Therapy","author":"MacLeod","year":"2021"},{"key":"2024012918210547300_R4","article-title":"Clinical practice guideline for\u00a0rehabilitation of\u00a0lower limb Amputation","volume-title":"VA\/DOD Evidence Based Practice Workgroup","author":"Department of Veterans Affairs, Department of Defense","year":"2007"},{"key":"2024012918210547300_R5","doi-asserted-by":"crossref","DOI":"10.1037\/e628382011-001","volume-title":"Care of the Combat Amputee","author":"Pasquina","year":"2009"},{"key":"2024012918210547300_R6","doi-asserted-by":"crossref","DOI":"10.7249\/RR2898","volume-title":"Core Competencies for Amputation Rehabilitation","author":"Etchegaray","year":"2019"},{"key":"2024012918210547300_R7","article-title":"Clinical practice guideline for\u00a0the rehabilitation of\u00a0the individual with lower limb amputation","volume-title":"VA\/DOD Evidence Based Practice Workgroup","author":"Department of Veterans Affairs, Department of Defense","year":"2017"},{"key":"2024012918210547300_R8","volume-title":"A Taxonomy for Learning, Teaching, and Assessing: A Revision of Bloom\u2019s Taxonomy of Educational Objectives","author":"Krathwohl","year":"2009"}],"container-title":["Military Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/milmed\/article-pdf\/189\/1-2\/e176\/56448837\/usad231.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/milmed\/article-pdf\/189\/1-2\/e176\/56448837\/usad231.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T18:22:20Z","timestamp":1706552540000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/milmed\/article\/189\/1-2\/e176\/7207954"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,26]]},"references-count":8,"journal-issue":{"issue":"1-2","published-online":{"date-parts":[[2023,6,26]]},"published-print":{"date-parts":[[2024,1,23]]}},"URL":"https:\/\/doi.org\/10.1093\/milmed\/usad231","relation":{},"ISSN":["0026-4075","1930-613X"],"issn-type":[{"value":"0026-4075","type":"print"},{"value":"1930-613X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,1,1]]},"published":{"date-parts":[[2023,6,26]]}}}