Patient Perspectives on Continuing Education in Physical Therapy: A Cross-Sectional Survey

Continuing education (CE) is required for physical therapist licensure in most U.S. states to support competence and patient safety. Although prior work has examined CE’s effects on clinical outcomes, clinical reasoning, and workforce issues, no research has explored patients’ perspectives for CE. This study examined patients’ awareness, attitudes, experiences, and preferences regarding physical therapists’ engagement in CE. A total of 329 adult patients (mean age = 51 years; 58% female; 74% with prior PT experience) receiving outpatient physical therapy across 10 United States clinics completed an electronic survey. The survey assessed demographics, prior PT experience, and perceived importance of therapist characteristics, including CE involvement, board certification, and years of experience. Likert and rank-order questions evaluated awareness, attitudes, and preferences toward CE. Subgroup analyses compared responses by geographic location, education level, and prior PT experience. Years of experience ranked as the most important therapist characteristic (x̄ = 2.0), followed by board certification (x̄ = 2.4) and CE involvement (x̄ = 2.9). Fewer than half were aware of CE requirements, yet 79.6% believed PTs should engage in CE. In-person CE was rated most important for manual therapy and dry needling, while social media engagement was rated lowest. Subgroup differences were observed by residence, education level, and prior PT experience. Patients view CE as essential and value advanced certification and in-person training for hands-on skills. Incorporating patient expectations into CE planning may enhance the patient experience and patient-centered care.