Training frontline providers: a survey analysis of the advanced vestibular physical therapist certificate program's impact on clinical practice

BMC Med Educ. 2026 May 2;26(1):1009. doi: 10.1186/s12909-026-09369-3.

Abstract

Background: Dizziness and vertigo affect millions annually, creating a $13.3 billion US economic burden. Physical therapists are key in treating vestibular disorders, but entry-level training varies significantly, necessitating specialized post-professional education. This study evaluates whether the Advanced Vestibular Physical Therapist (AVPT) Certificate Program effectively prepares PTs to meet patient needs.

Methods: A cross-sectional survey was distributed to 230 graduates from four AVPT cohorts. The 18-question survey assessed program impact on clinical practice, professional development, and patient outcomes using 5-point Likert scales, plus demographic information and open-ended feedback.

Results: Sixty-seven graduates responded (29% response rate). Nearly all (97%) agreed the program prepared them as frontline vestibular providers, while 92% reported improved patient outcomes. All participants (100%) agreed the program met continuing education needs, and 98% reported changed clinical practice. Average likelihood to recommend was 9.69/10. However, 30% reported employers did not value the certification, and 91% received no additional compensation.

Conclusions: The AVPT program successfully creates competent expert vestibular providers, improving clinical confidence, differential diagnosis skills, and patient outcomes while addressing critical gaps in entry-level education.

Keywords: Continuing education; Physical therapy education; Post professional education; Vestibular medicine education; Vestibular rehabiliation.

MeSH terms

  • Adult
  • Certification*
  • Clinical Competence* / standards
  • Cross-Sectional Studies
  • Education, Continuing
  • Female
  • Humans
  • Male
  • Physical Therapists* / education
  • Physical Therapists* / standards
  • Physical Therapy Specialty* / education
  • Surveys and Questionnaires
  • Vestibular Diseases* / diagnosis
  • Vestibular Diseases* / therapy