Hey guys, I think this is my last blog (Peter??)
Ok I'm still on my rural prac... there are 2 physios working up here and both are taking 2 weeks leave while I am here so I have spent my first 2 weeks with one physio, and now the next two with another physio. Both have VERY different ways of treating patients in the acute stages. Lets take an acute ankle injury for example- the first likes to go in quite easy for the first one or two sessions ie. treat the swelling (ice, US, compression etc), and start gentle active movements etc, while the second likes to get straight in there and mobilise to get as much ROM as possible as early as possible. Considering I have just spent 2 weeks with the 'gentle' physio its a bit of a shock to the system to now be with the second physio!! I tend to agree more with the way the first physio deals with acute injuries, so I am quite reluctant to go against the grain with the second physio... this close to the end of uni and I am pretty content not to rock the boat so basically I'm just going along with how she does things (afterall she is marking my final assessment)... When I reflect on it later I think I should treat the patient as I see fit (ultimately making the patients progress more my responsibility), but at the same time I'm happy to take advice from either supervisor. Does anyone else out there modify what you would normally do to please a supervisor, or am I the only one who just wants to get through the year without rocking too many boats??
Cheers,
Ezza
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3 comments:
Hey Ez
Similar situation when I was there. One of the physios was away for 3 weeks. I was lucky though that my prime supervisor stayed the same throughout. Both of the physios at Tom Price have so much to teach and it's a great opportunity to have input from both of them. having said that, i agree that it is difficult to deal with input that may be conflicting, especially because part of this year is pleasing the person who is evaluating you. I think either of them would be receptive to you discussing the fact that they have different aproaches, and that you're not sure what to do when it comes to choosing a treatment pathway. Ultimately, they won't care about you pleasing them, they'd prefer to see you coming up with a solid clinical reasoning process for yourself. Enjoy your last week dude. Say hi to them all for me.
M
Hi Ezza,
That sounds like the story of my year!! I can't wait to graduate so I can do what i feel is best for the patient as opposed to trying to splease my supervisor. I am on my rural prac now and I am basically in th outpatients department. The orthopaedic senior treats patients alot differently to my supervisor i had for my musculo placement earlier in the year. So, like you, I am finding it really frustrating trying to please my supervisor, as opposed to what I have learnt/ feel is best for the patient. One more week to go!!! :)
Hi Ez
I agree completely. Sometimes you have to do what you feel maybe isnt the best thing for the patient. I like ot think of it as seeing as amny different techniques and approaches as possible and then trying to shape mine from the best of everyone elses. Sounds like thats what you're doing by evaluating and making judgements, even though how you're treating cant reflect that.
All the best! Mel
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