Hi everyone,
Last week of clinic coming up! I feel like I have seen a good mix of conditions and learnt a lot. I guess I have two brief comments this week…Firstly, from what I can gather from reading blogs and speaking to other students, there is quite a varied approach to supervision.
It is now getting into the final week of placement and we all still have to come out to speak with our supervisor between the subjective, objective and treatment for all patients including follow ups. Some of which I have seen 4 or 5 times before. Now time management is obviously paramount, but when you have to line up with your 4 other colleagues three times per hour, it makes finishing on time very difficult.
On the flip side, there are advantages to such close scrutiny of your skills, such as having your supervisor reax your Pivm and Paivm findings to see if they correlate with what you think you are feeling as far as mobility goes. I have found this really helpful in developing this integral musculo skill.
Finally, just to touch on ultrasound and other EPA modalities, there have been several instances in previous weeks where I have suggested the use of ultrasound for conditions which I considered appropriate. However, it never seems to be a worthy treatment choice. So much so that it is locked in a separate store. I wonder if it has ever been used? My question to you all is did you find EPA modalities to be useful clinically? And if so for which conditions?
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Hi Jess,
i agree with you totally in the issue of time management. i think i spent more time waiting for the chance to talk to the supervisor then talking to my patient. things are much worse if 3-4 of the students have new patients. the process is so much longer and tedious. Of course on the other hand, really appreciate the guidance that was given. for the last three weeks, i have learnt heaps and discussion with the supervisor let me see things in a different perspective. Well, not sure if any thing can be done to this, but i do hope that future bathces of students can cut down on the waiting time and use that time to spend with the patient. Enjoy the last week!!!
Yes i agree guys, a difficult problem. I think by the last week your supervisor should just be observing your session with intervention as required. The reality is in a few short weeks we will be physios and you need to get into a flow. This helps with time management. On my musculo placement we gradually got less and less supervision over the 4 weeks and this allowed us to try to cut our time down and gain a feeling of independence and confidence. Hopefully the feedback to you give in you supervisor report will help them to see where you might benefit from some changes.
As far as EPA goes. I used it the most out of the 5 of us on our musculo placement. Only because the types of patients I had it was difficult to do much else. Very suitable for the more acute patient. I had an acute disc herniation which i used IFT on with very good effect, I had a grade 2 med belly gatroc tear which responded well to ultrasound. Usually the outcome measure you are going with is subjective but thats a start.
Good luck, hope that helps
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