Patients’ Experience With Evaluation by Both a Musculoskeletal Physician and Physical Therapist in the Same Digital Visit: Survey Study

Abstract BackgroundPatients undergoing evaluation for musculoskeletal concerns are often seen by a physician and physical therapist in the in-person setting in a sequential manner. This process typically delays the onset of nonoperative care, inclusive of physical therapy, and...

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Main Authors: Mary I O'Connor, Carolyn Chudy, Kaitlyn C Peters, Megan Ribaudo, Carrie McCulloch, Jared Aguilar, Trista Taylor, Ryan A Grant
Format: Article
Language:English
Published: JMIR Publications 2025-03-01
Series:JMIR Formative Research
Online Access:https://formative.jmir.org/2025/1/e66744
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author Mary I O'Connor
Carolyn Chudy
Kaitlyn C Peters
Megan Ribaudo
Carrie McCulloch
Jared Aguilar
Trista Taylor
Ryan A Grant
author_facet Mary I O'Connor
Carolyn Chudy
Kaitlyn C Peters
Megan Ribaudo
Carrie McCulloch
Jared Aguilar
Trista Taylor
Ryan A Grant
author_sort Mary I O'Connor
collection DOAJ
description Abstract BackgroundPatients undergoing evaluation for musculoskeletal concerns are often seen by a physician and physical therapist in the in-person setting in a sequential manner. This process typically delays the onset of nonoperative care, inclusive of physical therapy, and creates the risk of inadequate clinical collaboration between physician and physical therapist. To address these issues, we designed a novel initial patient evaluation to a group visit in which both a specialty-trained musculoskeletal physician and physical therapist simultaneously evaluate a patient together in the digital encounter. ObjectiveThe aim of the study is to gain insights from patients on their experience with this innovative digital simultaneous musculoskeletal medical doctor and physical therapist (MD+PT) visit format for the initial evaluation of musculoskeletal concerns. MethodsAn electronic 7-question survey was sent to 750 patients who completed an MD+PT visit asking them to comment on prior musculoskeletal evaluations and their experience with the MD+PT format. ResultsIn total, 195 (26%) patients responded to the survey with the frequent body regions of diagnosis being lumbar spine (n=65), knee (n=32), shoulder (n=21), cervical spine (n=20), hip (n=14), and hand (n=11). Most patients had prior musculoskeletal experience with a physician or nurse practitioner (171/195, 87.7%) or physical therapist (148/195, 75.9%) with nearly all such encounters in the in-person setting (161/171,94.2% for physician or nurse practitioner and 144/148, 97.3% for physical therapy). Only 3.1% (6/193) of patients reported seeing both a physician and physical therapist during the same in-person visit. Patients rated the simultaneous MD+PT visit very favorably: this type of digital evaluation saved them time (179/192, 93.2%) and permitted them to promptly start their treatment plan (174/192, 90.6%). Overall, 87.5% (168/192) rated the MD+PT visit as enjoyable, and 92.2% (177/192) responded that it increased their confidence with understanding their medical condition and how to start treating it. ConclusionsOur early experience with the evaluation of patients with musculoskeletal conditions by both a specialty-trained musculoskeletal physician and physical therapist simultaneously in the same digital visit resulted in patients reporting a very positive experience with high satisfaction, engagement, and confidence in understanding their diagnosis and how to start treating it.
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spelling doaj-art-1efcdb887ede40be86145ea11a2d25142025-08-20T02:56:55ZengJMIR PublicationsJMIR Formative Research2561-326X2025-03-019e66744e6674410.2196/66744Patients’ Experience With Evaluation by Both a Musculoskeletal Physician and Physical Therapist in the Same Digital Visit: Survey StudyMary I O'Connorhttp://orcid.org/0000-0002-1435-653XCarolyn Chudyhttp://orcid.org/0009-0009-2990-4269Kaitlyn C Petershttp://orcid.org/0009-0008-1145-5664Megan Ribaudohttp://orcid.org/0009-0008-0563-5538Carrie McCullochhttp://orcid.org/0009-0003-9480-7058Jared Aguilarhttp://orcid.org/0009-0009-7026-2536Trista Taylorhttp://orcid.org/0009-0006-0361-2282Ryan A Granthttp://orcid.org/0000-0002-2351-8983 Abstract BackgroundPatients undergoing evaluation for musculoskeletal concerns are often seen by a physician and physical therapist in the in-person setting in a sequential manner. This process typically delays the onset of nonoperative care, inclusive of physical therapy, and creates the risk of inadequate clinical collaboration between physician and physical therapist. To address these issues, we designed a novel initial patient evaluation to a group visit in which both a specialty-trained musculoskeletal physician and physical therapist simultaneously evaluate a patient together in the digital encounter. ObjectiveThe aim of the study is to gain insights from patients on their experience with this innovative digital simultaneous musculoskeletal medical doctor and physical therapist (MD+PT) visit format for the initial evaluation of musculoskeletal concerns. MethodsAn electronic 7-question survey was sent to 750 patients who completed an MD+PT visit asking them to comment on prior musculoskeletal evaluations and their experience with the MD+PT format. ResultsIn total, 195 (26%) patients responded to the survey with the frequent body regions of diagnosis being lumbar spine (n=65), knee (n=32), shoulder (n=21), cervical spine (n=20), hip (n=14), and hand (n=11). Most patients had prior musculoskeletal experience with a physician or nurse practitioner (171/195, 87.7%) or physical therapist (148/195, 75.9%) with nearly all such encounters in the in-person setting (161/171,94.2% for physician or nurse practitioner and 144/148, 97.3% for physical therapy). Only 3.1% (6/193) of patients reported seeing both a physician and physical therapist during the same in-person visit. Patients rated the simultaneous MD+PT visit very favorably: this type of digital evaluation saved them time (179/192, 93.2%) and permitted them to promptly start their treatment plan (174/192, 90.6%). Overall, 87.5% (168/192) rated the MD+PT visit as enjoyable, and 92.2% (177/192) responded that it increased their confidence with understanding their medical condition and how to start treating it. ConclusionsOur early experience with the evaluation of patients with musculoskeletal conditions by both a specialty-trained musculoskeletal physician and physical therapist simultaneously in the same digital visit resulted in patients reporting a very positive experience with high satisfaction, engagement, and confidence in understanding their diagnosis and how to start treating it.https://formative.jmir.org/2025/1/e66744
spellingShingle Mary I O'Connor
Carolyn Chudy
Kaitlyn C Peters
Megan Ribaudo
Carrie McCulloch
Jared Aguilar
Trista Taylor
Ryan A Grant
Patients’ Experience With Evaluation by Both a Musculoskeletal Physician and Physical Therapist in the Same Digital Visit: Survey Study
JMIR Formative Research
title Patients’ Experience With Evaluation by Both a Musculoskeletal Physician and Physical Therapist in the Same Digital Visit: Survey Study
title_full Patients’ Experience With Evaluation by Both a Musculoskeletal Physician and Physical Therapist in the Same Digital Visit: Survey Study
title_fullStr Patients’ Experience With Evaluation by Both a Musculoskeletal Physician and Physical Therapist in the Same Digital Visit: Survey Study
title_full_unstemmed Patients’ Experience With Evaluation by Both a Musculoskeletal Physician and Physical Therapist in the Same Digital Visit: Survey Study
title_short Patients’ Experience With Evaluation by Both a Musculoskeletal Physician and Physical Therapist in the Same Digital Visit: Survey Study
title_sort patients experience with evaluation by both a musculoskeletal physician and physical therapist in the same digital visit survey study
url https://formative.jmir.org/2025/1/e66744
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