Abstract：
BACKGROUND: To optimise the management of Musculoskeletal disorders (MSKDs), many countries have implemented direct access to physiotherapy; however, the core competencies required for first contact physiotherapists (PTs) have not been precisely defined. The aim of this scoping review is to identify and describe the core competencies required for first contact PTs treating adults with MSKDs.
METHODS: We conducted a scoping review of the literature by searching eight databases and grey literature up to July 2023. We performed a thematic analysis of the competencies identified based on predefined themes relevant to first contact physiotherapy in direct access models in primary or emergency care settings.
RESULTS: Sixty-five articles were included. Seventeen core competencies were identified and grouped into 5 themes: (1) Assessment and examination; (2) Management and interventions; (3) Communication; (4) Cooperation and collaboration; and (5) Professionalism and leadership.
CONCLUSIONS: Our findings provide an international perspective on the core competencies required for first contact PTs.
METHODS: We conducted a scoping review of the literature by searching eight databases and grey literature up to July 2023. We performed a thematic analysis of the competencies identified based on predefined themes relevant to first contact physiotherapy in direct access models in primary or emergency care settings.
RESULTS: Sixty-five articles were included. Seventeen core competencies were identified and grouped into 5 themes: (1) Assessment and examination; (2) Management and interventions; (3) Communication; (4) Cooperation and collaboration; and (5) Professionalism and leadership.
CONCLUSIONS: Our findings provide an international perspective on the core competencies required for first contact PTs.
摘要：
背景：为了优化肌肉骨骼疾病（MSKD）的管理，许多国家已经实施了直接获得物理治疗；然而，首次接触物理治疗师(PT)所需的核心能力尚未精确定义.这项范围界定审查的目的是确定和描述首次接触PT治疗患有MSKD的成年人所需的核心能力。
方法：我们通过搜索截至2023年7月的8个数据库和灰色文献对文献进行了范围审查。我们根据在初级或急诊护理环境中直接访问模型中与首次接触物理治疗相关的预定义主题，对确定的能力进行了主题分析。
结果：共纳入65篇。确定了17项核心能力，并将其分为5个主题：（1）评估和考试；（2）管理和干预；（3）沟通；（4）合作与协作；（5）专业精神和领导能力。
结论：我们的发现为首次接触PT所需的核心能力提供了国际视野。
方法：我们通过搜索截至2023年7月的8个数据库和灰色文献对文献进行了范围审查。我们根据在初级或急诊护理环境中直接访问模型中与首次接触物理治疗相关的预定义主题，对确定的能力进行了主题分析。
结果：共纳入65篇。确定了17项核心能力，并将其分为5个主题：（1）评估和考试；（2）管理和干预；（3）沟通；（4）合作与协作；（5）专业精神和领导能力。
结论：我们的发现为首次接触PT所需的核心能力提供了国际视野。
