Posts Categorized: Comment

What’s the future for Osteopathy – a new model or a Jenga type deconstruction?

This blog is the result of many months, even years, of reading literature on pain science, physiotherapy and osteopathy culminating in this summary article.  I hope that it will open up discussion with colleagues so that together we can have a vision for the future of osteopathy. It has felt as though a ‘Jenga’ type scenario has been taking place with blocks of evidence, skills and knowledge which were the foundation of my osteopathic education and practice being removed leaving what felt like a very unstable foundation for osteopathy.  I Continue Reading »

NICE LBP guidelines part 2 – what do they mean for osteopaths?

This is part 2 of discussion of the new NICE guideline on low back pain and sciatica.  Part 1 looked at the content of the guidelines – what you should/shouldn’t be doing. Part 2 considers how the guideline applies to osteopaths. Do we have to follow guidelines? It is probably not a coincidence that an article was published in Manual Therapy in October titled Quiet Dissent: The attitudes, beliefs and behaviours of osteopaths who reject low back pain guidance.  This is an excellent piece of research for providing an insight Continue Reading »

What do you include in your CPD portfolio?

Today I have been updating my CPD portfolio ready for my end of year next month. There are no set ways of recording CPD and each year I make a few adjustments to my system. At the end of each year of CPD I like to reflect on what I have learnt, where I have got to and where I am going. It’s always interesting when I review these reflections a year on and see how my thoughts have changed. At the end of last year I was really interested Continue Reading »

Thoughts on long-term patients

This week I have been thinking about patients that seem to not be responding to treatment or making very slow progress. There seem to be several categories of these patients in my experience. It all relates back to understanding the patient’s Values, Preferences and Expectations and also being aware of your own as their practitioner. There are several examples below but all left open-ended as to your conclusions, I’m not sure there are straight answers but it is interesting to consider motivations and goals in treatment. There are those patients Continue Reading »

Striking similarities between mentoring and treating

I’ve been taking a course from the Open University on Mentoring and Supervision. It’s a great course, I’d highly recommend it and it’s free – find it here  (There are some other courses available too.) One of the things that struck me was the similarity between the role of the supervisor/mentor and what we do every day in clinic. The course divided the process of supervision into sections, I will look at them here so you can see how you might enhance your clinical skills through developing your supervision/mentoring skills. Continue Reading »

What do you do when you feel discouraged in practice?

All practitioners experience times when they feel discouraged and there can be multiple causes. Maybe patients are not responding to treatment as expected, perhaps you have had a number of difficult cases, maybe you are bored or lacking enthusiasm. I am sure you can add many other reasons…. A difficult time can be as a new graduate starting out in practice. You have worked extremely hard for four years, passed all your exams, received your degree and you are now a registered practitioner. You are excited about starting your career Continue Reading »

The way forward for Osteopathy?

If you read my article in Osteopathy Today Nov/Dec edition or the previous post you will know that I am a strong advocate of celebrating our unity in osteopathy.  I believe that united we can put forward a compelling ‘case’ for osteopathy. As a profession we are easily distracted by differences in techniques and issues that are of no consequence to the patients we desire to help.  Osteopathy Today had some excellent articles on this subject, particularly the interview with Stuart Korth, Renzo Molinari and Laurie Hartman and a piece by Continue Reading »

Avoiding the risks of isolation in healthcare

Working in healthcare has many pressures and is not easy.  There is the pressure of achieving results through effective care, making diagnostic decisions, achieving clinical compliance, keeping knowledge up to date and the concern to avoid patient complaints.  Not to mention the daily pressure of working to time with your list and the physical exertion of work as well as the mental/emotional strain from the conversations and support given to patients.  All practitioners feel the pressure to varying degrees throughout their career. Many practitioners in private practice work in isolation.  Continue Reading »

10 tips for communicating risk to patients

Speaking to patients about risks is not always an easy conversation but it is a necessity.  Here are some tips which may help you: Only tell patients what they need to know, personalise the benefits and risks you communicate to them.  Remember to speak about alternatives treatments too and having no treatment. Start with the good news x out of y people is a clear format people can understand Percentages are often difficult for people to put into perspective Try to present risk in a positive manner i.e. 1 out Continue Reading »

A few questions about consent…

Here are a few of the questions from the Consent procedures audit in the Mint folder: Would you be able to explain for each patient their goals, beliefs relating to treatment and values for getting better? Would every patient visiting your practice leave with a clear understanding of their condition? Do each of your patients receive personalised information on their condition, treatment options and benefits and risks? Do you agree a treatment plan with your patients? How do you receive consent? – Written, oral or consensual? We have posted a Continue Reading »