Background and Purpose. The purpose of this study was to determine the
opinions of directors of physical therapy education programs concerni
ng the essential functions physical therapist students must be able to
complete, with or without reasonable accommodation. Subjects. Fifty-e
ight physical therapy education program directors participated. Method
s. Participants completed surveys as part of a three-round Delphi tech
nique. They had the opportunity to modify or make additions to the ini
tial list in the first round and rate the items in the last two rounds
using an ordinal scale. Results. All participants rated communication
skills and practicing in a safe, ethical, and legal manner as definit
ely essential functions. Nearly universal agreement (95%-99%) was pres
ent for determining physical therapy needs of patients with movement d
ysfunction and demonstrating the ability to apply universal precaution
s. Performance of treatment procedures and performance of assessment p
rocedures were rated essential by 90% to 95% of the participants. The
least agreement was found for participation in the process of scientif
ic inquiry. Conclusion and Discussion. There is agreement among the ph
ysical therapy education program directors concerning the essential fu
nctions that should be required of students. The results of this study
should serve as a reference for physical therapy education programs f
or developing the essential functions required of students.