Monday, February 12, 2007
Week 1 of Musculo
In all the excitment of it all I seem to have forgotten to blog my l'il heart out last week. I guess the thing is that I do not have any particularly interesting or challenging patients to share with you. I have a caseload that seems to consist of a fair # of DNA's and the rest with a focus around the knee (PFJ) and ankle (#'s). While it is good to get experience with these problems I do hope that I get some more challenging individuals as now is the time to "learn using them" with our great supervisor! I guess the biggest challenge so far is the time management side of things. I have not had a problem sticking to the alloted time slots so far (new pts up to 1.5hrs, repeats 1hr) - however, the thought of going to private practice 20-30min/pt! Scares the life outta me! I am just unsure how one progresses to that stage, in well,... such a short time from now until we graduate and still manage to be thorough and effective. Obviously exposure to all sorts of conditions/disorders/etc prepares you for similar cases - so experience is key. I think my goals for this week are: 1) to cut out a little of the chitchat of the beginning - more direct and to the point 2) tighten up on my objective - be more efficient between the various assessements 3) remember to REASSESS after all interventions - I seem to be focussing on the overall picture/assessment at the end of all Rx and not each intervention. Okay, until later this week.....
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2 comments:
Hi Don,
I found the time management thing a bit scary also, when thinking of the expectations with a private practice. The one thing that I learnt (my superviser confirmed this also) is that in a private practice you will not be doing half the assessment you are doing now with your patients. Another thing, as you have said, there will be treatment techniques that you may have used previously for a similar pathology that has 'worked'. You will find that by the last week, things get alot easier and your mind is put to ease! ENJOY
Hi All
You all are reflecting on your learning experiences well! Keep it up
In regards to time management in your M/S placements I remember feeling exactly the same as a student!
-Remember that alot of the paper work is so that your supervsior can see your thought processes and to make sure that your clinical reasoning is sound.Once you start to work, alot of this is stored in your mind (problem lists and planning etc)
-Once you have experience the Ax becomes very automatic and routine which allows you to chat to your patient to develop rapport at the same time, you also learn which part of the assessment is or is not relevant.
-Ax techniques that take time now also improve eg PAVMs and PIVMs
-I also found that you quickly are able to decipher the important information and the irrelevant information with complex presentations.
It will all come together!
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