Abstract
Purpose: The National Physical Therapy Examination (NPTE) is a pivotal requirement for PT licensure in the US. While conventional preparation methods such as textbooks, review courses, and standardized practice exams are effective, they often pose logistical and financial challenges. Method: The COVID-19 pandemic accelerated the adoption of asynchronous, on-demand educational tools. Among these, podcasting has emerged as a promising, mobile-friendly modality, yet its usage trends and educational value for NPTE preparation remain underexplored. The purpose of this study was to analyze multiyear podcast engagement data from a high-performing NPTE-focused podcast hosted on Buzzsprout, spanning January 2020 to March 2025. Engagement metrics were evaluated between two phases: pandemic (2021–2022), and post-pandemic (2023–2025). Key variables included annual and cumulative download counts, platform usage, episode popularity by topic, and geographic distribution based on IP-derived metadata. Descriptive statistics were used to assess download trends over time. Visualizations included bar graphs of annual usage, platform-specific shares, top and bottom city-level engagement, and continental reach. Episode themes were categorized by clinical content (e.g., test procedures, cardiorespiratory topics), and patterns were compared across time phases. Results: The podcast accrued over 1.24 million downloads, with peak engagement in 2021 (395,552). Post-pandemic downloads remained elevated at 150,000–180,000 annually before declining in early 2025. Spotify (322,682 downloads, 26%) and Apple Podcasts (246,436, 19%) were the leading platforms among over 70 sources. North America dominated engagement (651,664 downloads), followed by Asia (73,747). Top-performing U.S. cities included New York, Los Angeles, and Chicago, while cities like Aberdeen and Adel recorded just one download. During the pandemic, the most downloaded episodes focused on ankle-brachial index testing, wheelchair measurements, and neurodynamic tests. Post-pandemic, popular topics included emphysema, chronic bronchitis, and talocrural joint evaluation. Conclusion: In conclusion, this analysis highlights podcasting as a scalable and flexible educational tool for NPTE preparation, with clinically focused, mobile-accessible content that sustained learner engagement beyond the pandemic. Platform data showed strong user-loyalty, while geographic trends revealed both high-engagement and underserved areas. Podcasting serves as a durable supplement to traditional preparation methods. Future research should explore its impact on NPTE outcomes and strategies to expand access among underserved learners.
Recommended Citation
Singh B, Purohit R, Gerbehy E, Camilleri D. Reaching Learners Where They Are: Podcasting as a Scalable Tool for the National Physical Therapy Exam Preparation. The Internet Journal of Allied Health Sciences and Practice. 2026 Mar 03;24(1), Article 21.
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