Tuesday, 30 October 2007
Different ideas...
On my last placement at a private practice I had a ‘clash’ of ideas with my supervisor. At this particular clinic 4 of the clinicians had over 35 years of experience each- so I found that with a few different principles and clinical reasoning we had very different ideas. I know that they had a lot more experience than me but they were totally unaware of some of the various principles/tests that I had learnt at university. For example = the differentiation between the diagnosis of a lumbar facet sprain and a lumbar disc protrusion. Many of the key sings that would have alerted me to a disc problem i.e. mechanism of injury, presence of neuro symptoms, they said would indicate a facet joint problem. I obviously wasn’t going to argue but I did state the typical signs that we had learnt at uni and they said that they all could indicate either. I know that essentially both conditions are treated in the same way anyway but it was just interesting to see their provisional diagnosis compared to mine.
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2 comments:
This is something that we will probably continue to experience until we are the oldest PT's around having the same conversation with yound students! After that many years of experience, clinicians have probably seen so much, that "typical" stuff doesn't often exist. We will form so much of our own ideas through experiences of assessment and treatment, it seems that some of the things we study are really a base idea to work off.
hi jess,
i have also found this on a number of my pracs, aspecially where the supervisors are 'older' - hope that isnt too rude! i think it just shows that techniques and approaches change fairly often, and unless you keep up with all the new research and techniques being proposed then you only practice what you learnt a long time ago. in saying this it may not be a bad thing, and its definately up to the individual therapist how they approach patient problems, but i think it is important to at least be aware of different ideas/techniques that are available.
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