Podcasts about clinical reasoning

In this episode, we answer the most common questions we get from listeners. We dive into course recommendations, highlighting resources for continuing education, mentoring and evidence-based practices.   A key focus is on clinical reasoning strategies—how to approach complex cases and integrate patient-specific factors into your decision-making. We also discuss the value of spending the majority of your first session taking the patient's story.   Your patients will make you a better physical therapist, if you listen to them. Be curious and let it lead you towards mastery.   A glance at this episode: [2:27] Courses and Continuous Learning [12:11] Starting the Podcast and Building a Community [13:17] Mentorship and Clinical Reasoning [19:10] Treatment Sessions and Client Engagement [22:56] The Role of Patients in Clinical Learning [26:41] Reflecting on the Year and Planning for the Future   Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript  

In this insightful episode, we explore the transformative role of play and playfulness in paediatric occupational therapy from multiple perspectives. From real-life case studies to theoretical discussions on the STEPPSI model and polyvagal theory, we uncover how play enhances child development and therapy. Learn about the challenges and triumphs therapists face in incorporating fun into clinical practice, and discover strategies for balancing playful engagement with therapeutic goals. Through stories, research, and practical tips, we highlight the profound impact of playful interactions and social dynamics in fostering growth and emotional regulation in children.00:00 Exploring Play in Child Development01:16 The Origins and Evolution of STEP SI05:24 Personal Journeys into Pediatric Occupational Therapy08:05 The Vulnerability and Joy of Play10:03 Balancing Playfulness and Professionalism20:55 Clinical Reasoning in Play-Based Therapy25:18 Playfulness vs. Play: Definitions and Applications28:45 Case Study: Attuned Play in Therapy33:19 Struggles with Play and Skill Development34:28 Letting Go of the Agenda35:30 A Breakthrough in Play38:22 The Importance of Play in Therapy39:28 Navigating Play and Regulation41:31 Personal Reflections on Play45:20 Autonomic Nervous System in Play47:15 Grandchildren and Play Dynamics53:06 Therapeutic Strategies in Play59:14 Concluding Thoughts on PlayConnect with us: Instagram: https://www.instagram.com/spiritedconversations_ot/Facebook: https://www.facebook.com/spiritedconversationsOTYouTube: https://www.youtube.com/@spiritedconversations_OTWebsite: https://www.spiritedconversationspodcast.com/ Loved this episode and want an easy cost-free way to support us? Subscribe to our youtube channel! Hosted on Acast. See acast.com/privacy for more information.

Það er komið að öðrum þætti af klínískri rökleiðslu (e. clinical reasoning).  Í þessum þætti mun Bára Dís Benediktsdóttir, þá sérnámslæknir, en nú sérfræðingur, kynna tilfelli sem við reynum að leysa í rauntíma. Leggið við hlustir!Dagáll læknanemans er hlaðvarp fyrir læknanema og annað áhugasamt fólk um hvaðeina sem viðkemur klínik og læknisfræði. Stjórnendur eru Sólveig Bjarnadóttir og Teitur Ari Theodórsson.

In this episode, Erica explores the often-overlooked relationship between hip pain and knee function during walking when the patient does NOT have knee pain. Join in as she dives into the role of the knee in compensating for hip dysfunction, and how a thorough knee assessment can uncover hidden contributors to hip discomfort. Remember: old injuries have a way of sneaking up on us and becoming one of the drivers of our current problem. An old hamstring tear 5 years ago as a contributor to this patient's problem? Think again.   A glance at this episode: [2:23] Patient Background and Injury History [3:46] Assessment and Initial Findings [6:33] Knee and Hip Mechanics [10:11] Terminal Knee Extension and Treatment Approach [20:43] Clinical Reasoning and Patient Outcome [20:58] Conclusion and Call to Action   Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript  

One of the most overlooked joints in the lower quarter is the first MTP joint unless that is the client's primary complaint. How does the stiffness of the MTP joint affect gait and lower quarter movement of all kinds? We spend some great time discussing differential diagnosis and practical interventions and sharing some new discoveries. Hint: the exam and intervention do not always center around the stiff 1st MTP - there is likely a primary driver elsewhere.   A glance at this episode: [0:01] Introduction and Podcast Rebroadcast [2:13] Overview of Stiff First MTP Joint [4:21] Compensation and Adaptation [6:30] Assessment and Treatment Approaches [23:22] Exercise and Proprioception [25:47] Shoe Recommendations and Adaptations [34:17] Conclusion and Final Thoughts   Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript  

In this episode, we explore the concept of evidence-based practice in nature-based pediatric therapy. Evidence-based practice (EBP) can be broken down into three components: research analysis and application, clinical reasoning, and reflective practice. You'll learn how EBP is more than just understanding various types of research, and understand how clinical reasoning evolves through experience, reflective practice, and community interaction. Resources shared in this episode: Mattingly, C. (1991). What is clinical reasoning? The American Journal of Occupational Therapy, 45(11), 979–986. https://doi.org/10.5014/ajot.45.11.979 Research hub: Evidence based practice toolkit: Levels of evidence. (n.d.). https://libguides.winona.edu/ebptoolkit/Levels-Evidence Schön, D. A. (1984). The reflective practitioner. Routledge. 00:00 Introduction to Evidence-Based Practice 00:56 Understanding Research Analysis and Application 01:28 Levels of Evidence in Research 03:11 The Value of Qualitative Research 10:09 Clinical Reasoning in Therapy 17:14 Reflective Practice for Therapists 20:04 Conclusion and Community Invitation

What is the cause of bilateral calf pain in this young fencer? From start to finish, it shows the power of a thorough evaluation, a specific exercise progression, and a return to the sport she loves. When it comes to exercise progression in persistent pain, think about context. How can you improve optimal movement patterning by changing the context? Think about this one. You can intervene via the visual system, eyes open, eyes closed. How about changing their base of support? Wide to narrow. And why not have them do their exercises to their favorite music? These are just some examples. Look at your patients through a different lens and then see positive change.   A glance at this episode: [0:01] Introduction and Case Overview [7:46] Initial Assessment and Clinical Reasoning  [10:27] Hypermobility and Initial Treatment [20:14] Progression and Additional Techniques [32:40] Advanced Techniques and Future Plans  [52:04] Conclusion and Reflection   Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript  

In this episode with Mark Jones we cover: Common principles of clinical reasoning What Physios can do to improve their clinical reasoning skillsPsychosocial factors in clinical reasoningCategories of clinical reasoning/hypothesis categoriesAnalysis of clinical reasoning and using this in your treatmentMark Jones is an Adjunct Senior Lecturer at the University of South Australia with 35 years' experience teaching undergraduate and postgraduate physiotherapy. He has over 90 publications including three editions of the text “Clinical Reasoning in the Health Professions” and two editions of the text “Clinical Reasoning in Musculoskeletal Practice”.Want to learn more about Clinical Reasoning? Mark recently did a brilliant Masterclass with us, called, “Enhancing Clinical Reasoning: Effective Strategies for Clinicians” where he goes into further depth on this topic.

Kimmel-Morrison et al. offer empirical guidance regarding how physicians' relationships with patients and their caregivers are important influences on clinical reasoning Read the accompanying article here: https://doi.org/10.1111/medu.15377

Join us as Dr Sarah Vick @SVickMD shares practical techniques and frameworks from her workshop at AIMW24 on helping diagnose and treat clinical reasoning gaps in your learners.  We break down clinical reasoning into actionable steps; you'll come away with helpful tips you can take back to clinic or wards next time you are teaching! Claim CME for this episode at curbsiders.vcuhealth.org! Website | Instagram | Twitter | Subscribe | Patreon | CME!| Youtube  thecurbsidersteach@gmail.com Show Segments 0:00 Intro, disclaimer, guest bio, Picks of the Week 6:48 Case from Kashlack, Defining clinical reasoning  10:42 Pyramid Framework for assessing clinical reasoning skills 16:13 Systems 1 vs system 2 thinking 18:21 Problems with hypothesis generation- diagnosis and treatment 26:16 Problems with premature closure- diagnosis and treatment 28:31 React Framework 29:50 Problem Representation 31:50 IDEA Framework 35:52 Synthesis/Illness Scripts 40:36 Teaching clinical reasoning explicitly 42:54 When to escalate or pass on to next attending Credits Script: Era Kryzhanovska MD Show Notes/CME/Infographic/Cover Art: Molly Heublein MD Hosts/Editors: Era Kryzhanovskaya MD, Molly Heublein MD   Peer Reviewer: Amit Pahwa, MD Guest: Sarah Vick MD Technical support: Podpaste Theme Music: MorsyMusic 

Linda's selection hails from a relatively unknown journal. The paper's author proposes that there is a link between the quality of case presentations (CP) by learners and the learner's diagnostic reasoning (DR) ability. Author: Onishi, H. Publication details: Assessment of Clinical Reasoning by Listening to Case Presentations: VSOP Method for Better Feedback. Journal of Medical Education and Curricular Development. 2016 (3): 125-131. Link to article abstract

Welcome to a new Physio Podcast interview. In this interview Fabian talks with the Mark Jones about his topic clinical reasoning in physical therapy. Mark is a established expert in this topic an wrote a massive amount about it. In our conversation we spoke -among other topics- about pattern recognition and how important teachers and a secure learning environment are to develope CR skills. Check out the new episode and leave a review. Guest: Mark Jones Researchgate: ⁠⁠Mark Jones Book: Clinical Reasoning in Musculoskeletal Practice (Affiliate Link) Contact: Ferdinand Hardinghaus  Physiotherapist, M.Sc. (cand.), Neuroathletik Master Practicioner  Instagram: ⁠⁠⁠⁠the.brainhealth.physio ⁠⁠⁠⁠ Dr. Fabian Moll  Physiotherapist, OMPT, Neuroathletik Practicioner  Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Physio.Consult⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠www.fabianmoll.de⁠⁠⁠⁠⁠⁠ Buch-Recommendation (German): ⁠1. ⁠⁠Red Flags erkennen ⁠ ⁠⁠⁠⁠⁠⁠⁠2. Differentialdiagnostik in der Physiotherapie⁠⁠⁠ (Affiliate Links)

In the third and final episode in this series of New PossibilOTs, Mahek and Larissa dive into the multifaceted world of paediatric occupational therapy (OT). While acknowledging variations in clinic focus, they discuss their commitment to functional participation across all areas of a child's life, collaborating with families and other professionals to achieve holistic goals.   Throughout the discussion, Mahek and Larissa highlight the pivotal role of understanding diagnoses in enhancing support for families. They stress the importance of clinical reasoning, empathy, and collaboration in navigating diagnostic journeys. Moreover, they offer practical tips for initiating conversations with families, the significance of building trust, selecting appropriate timing and settings, and planting seeds of discussion gradually. Ultimately, they emphasise that while diagnoses provide valuable insights, the primary focus remains on empowering children to achieve their functional goals, ensuring a comprehensive and empathetic approach to paediatric OT practice. Resources: https://www.occupationaltherapy.com.au/goal-setting-at-occupational-therapy-helping-children/ https://www.verywellhealth.com/an-overview-of-the-dsm-5-5197607#toc-what-is-the-dsm-5 https://www.cdc.gov/index.htm  More Episodes & Info: Our website: https://www.occupationaltherapy.com.au/ Transcript: https://www.occupationaltherapy.com.au/podcasts/paediatric-diagnoses-the-ot-role Instagram: @NewPossibilOTsPodcast

"You cannot have full osteokinematic or physiological movement unless you have full arthrokinematic or accessory movement." Dr. Chris Showalter  Our guest is Dr. Chris Showalter the Co-Owner and Clinical Director of MAPS, Program Director of the MAPS Orthopedic Manual Therapy Fellowship Program, Senior MAPS Course Instructor, and Senior Faculty Advisor. Board Certified Orthopedic Clinical Specialist (OCS), Fellow of the American Academy of Orthopedic Manual Therapists (FAAOMPT). He was appointed Chair of the Accreditation Council on Orthopedic Manual Physical Therapy Education (ACOMPTE) which sets the Standards and issues accreditation for U.S. Fellowship programs for the American Academy of Orthopedic Manual Therapists (AAOMPT) in compliance with both US and International Standards per the International Federation of Orthopedic Manipulative Physical Therapists (IFOMPT). Chris has also served as the US Representative to IFOMPT (2000-2009), and on the RIG Development Task Force (2015-2020) Since 1990 Chris has been teaching skilled orthopedic manual therapy through MAPS in the USA and internationally including: Brazil, Canada, China, India, Netherlands, Saudi Arabia, Spain, Taiwan, and the UK. He has authored 28 Peer-reviewed papers, 2 Textbook Chapters, and 70 Research Commentaries and has been an invited Keynote Speaker for many US and International physical therapy professional conferences. His clinical interests include: Clinical Reasoning, Cervicogenic Headaches, and Bio-Psycho-Social effects of manual therapy.

"You cannot have full osteokinematic or physiological movement unless you have full arthrokinematic or accessory movement." Dr. Chris Showalter  Our guest is Dr. Chris Showalter the Co-Owner and Clinical Director of MAPS, Program Director of the MAPS Orthopedic Manual Therapy Fellowship Program, Senior MAPS Course Instructor, and Senior Faculty Advisor. Board Certified Orthopedic Clinical Specialist (OCS), Fellow of the American Academy of Orthopedic Manual Therapists (FAAOMPT). He was appointed Chair of the Accreditation Council on Orthopedic Manual Physical Therapy Education (ACOMPTE) which sets the Standards and issues accreditation for U.S. Fellowship programs for the American Academy of Orthopedic Manual Therapists (AAOMPT) in compliance with both US and International Standards per the International Federation of Orthopedic Manipulative Physical Therapists (IFOMPT). Chris has also served as the US Representative to IFOMPT (2000-2009), and on the RIG Development Task Force (2015-2020) Since 1990 Chris has been teaching skilled orthopedic manual therapy through MAPS in the USA and internationally including: Brazil, Canada, China, India, Netherlands, Saudi Arabia, Spain, Taiwan, and the UK. He has authored 28 Peer-reviewed papers, 2 Textbook Chapters, and 70 Research Commentaries and has been an invited Keynote Speaker for many US and International physical therapy professional conferences. His clinical interests include: Clinical Reasoning, Cervicogenic Headaches, and Bio-Psycho-Social effects of manual therapy.

Welcome to a new Physio Podcast interview. In this interview Fabian talks with Prof. Dr. Susan Armijo-Olivo about orofacial and temporomandibular pain and the Clinical Reasoning Process when working with patients with symptoms in these areas. Check out the new episode and leave a review. Guest: Prof. Dr. Susan Armijo-Olivo Researchgate: ⁠Prof. Dr. Susan Armijo-Olivo CRAFTA Conference: ⁠5. Internationale CRAFTA Konferenz⁠ Instagram: ⁠crafta_conference⁠ Instagram: ⁠crafta_education⁠ Contact: Ferdinand Hardinghaus  Physiotherapist, M.Sc. (cand.), Neuroathletik Master Practicioner  Instagram: ⁠⁠⁠the.brainhealth.physio ⁠⁠⁠ Dr. Fabian Moll  Physiotherapist, OMPT, Neuroathletik Practicioner  Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Physio.Consult⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠www.fabianmoll.de⁠⁠⁠⁠⁠⁠

Welcome to "The Rub," a captivating podcast delving into the world of massage therapy. Join your host, Corey Rivera, as they explore the intricacies of continuing education in massage therapy with guests Ruth Werner, Whitney Lowe, and Rebecca Sturgeon.In this enlightening episode, Corey engages in insightful conversations with industry experts about the transformative shift in massage therapy education, particularly focusing on the transition from traditional in-person classes to the realm of online learning.The discussion delves into contrasting viewpoints on education's purpose within the massage therapy community. Whitney laments the prevailing focus on technique-oriented courses, advocating for broader clinical reasoning skills.Ruth Werner shares her passion for teaching ethics in massage therapy, emphasizing the power of role-playing and peer discussions in cultivating a supportive learning environment.Rebecca Sturgeon champions the emotional and social dimensions of in-person learning, highlighting its unique ability to foster camaraderie and resilience among practitioners.As the episode draws to a close, Corey invites reflections from the guests on their favorite topics to teach and learn.Join Corey Rivera and their esteemed guests on "The Rub," where each episode invites you to uncover the secrets, challenges, and triumphs of the massage therapy profession.Links:Healwell's Oncology ClassesWhat is the Transformative Learning Theory?An Update on Transformational LearningRuth WernerWhitney LoweRebecca Sturg Healwell Homecoming; Sept 20-21In true Healwell fashion, we're inviting you to join us as we redefine the status quo, lead with kindness, and have fun doing it. Come as you are and come ready to collaborate, celebrate, and learn! Connect or reconnect with people you've met over the years through Healwell!Come for the classes and stay for the party!Support the showHealwell Homecoming is September 20-21st in Arlington, VA. Come for the classes and stay for the party!Let us know what you think! Send us an email: podcast@healwell.orgCheck out our interview-style podcast: InterdisciplinaryYou can support Healwell and the cool things we make by donating here!Other ways join in: Leave us a review on Apple Podcasts Find bonus content from Interdisciplinary and early release episodes on Patreon! Check Healwell's live and online classes Continue the conversation with a two-week free trial of the Healwell Community Find a copy of Rebecca Sturgeon's book: "Oncology Massage: An Integrative Approach to Cancer Care" Thank you to ABMP for sponsoring The Rub!Healwell is a 501(c)(3) non-profit based out of the Washington DC area. Check us out at www.healwell.org

In this episode of New PossibilOTs, Mahek Bansal and Larissa Ferrari dive deeper into understanding child development and its practical implications in occupational therapy (OT) interventions. By examining real-life examples and discussing the role of developmental milestones in goal setting and intervention planning, Mahek and Larissa highlight the nuanced approach required to support children with diverse needs effectively. They emphasise the significance of clinical reasoning rooted in activity analysis and meaningful occupational performance goals as foundational skills for pediatric OT practitioners, providing valuable insights for professionals entering the field.   In their engaging discussion, Mahek and Larissa outline the holistic nature of paediatric OT, emphasising the essential balance between understanding child development and addressing the unique circumstances of each child and family. They discuss meaningful participation and functional outcomes over rigid adherence to developmental norms. Their conversation serves as a reminder for practitioners to remain flexible, child-centered, and attentive to the diverse needs of children as they navigate the complexities of developmental milestones and readiness for school. By offering practical tips and emphasizing the foundational skills of activity analysis and goal setting, Mahek and Larissa provide valuable guidance for both novice and experienced pediatric OT professionals, encouraging them to maintain a holistic perspective in their practice. More Episodes & Info: Our website: https://www.occupationaltherapy.com.au/ Transcript: https://www.occupationaltherapy.com.au/podcasts/child-development-clinical-reasoning-in-paediatric-ot Instagram: @NewPossibilOTsPodcast

Welcome back to the New PossibilOTs podcast with Mahek Bansal and Larissa Ferrari. In this episode, they kick off their first series focused on understanding the paediatric population, as they investigate the intricacies of child development. With Mahek and Larissa both being paediatric occupational therapists (OTs), they emphasise the importance of grasping the broader context of child development beyond mere milestones. Highlighting the significance of this knowledge within their clinical reasoning process, Mahek and Larissa discuss how they utilise developmental information to guide their occupational therapy practice. They highlight the role of OTs in understanding the individualised needs of each child and family, steering away from rigid checklists and instead focusing on meaningful support tailored to their circumstances. Moreover, they shed light on external factors such as trauma and societal changes like the impact of events such as COVID-19, emphasising the fluidity and adaptability required in addressing child development challenges. Connect with Mahek and Larissa to share your thoughts, questions, or comments, as they eagerly await your engagement in this enriching conversation Resources: Understanding your child's development: https://www.occupationaltherapy.com.au/understanding-your-childs-development/ Child development charts: https://childdevelopment.com.au/resources/child-development-charts/ More Episodes & Info: Our website: https://www.occupationaltherapy.com.au Transcript: https://www.occupationaltherapy.com.au/podcasts/child-development-understanding-the-bigger-picture Instagram: @NewPossibilOTsPodcast

Dr. Nick Helton (E-mail, LinkedIn, Instagram) is interviewed by Dr. Leanna Blanchard on his award winning poster from this year's 2023 AAOMPT Conference titled, “Non-Thrust Joint Manipulation to the Upper Cervical Spine for the Management of Balance Impairments in a Patient with Cervicogenic Dizziness: A Case Report.” This episode would be interesting for clinicians who enjoy working through the clinical reasoning and successful implementation of manual therapy to a complex patient case.  Here are the references mentioned in the interview:-How to Diagnose Cervicogenic Dizziness: Reiley et al (2017)-Manual Therapy for Cervicogenic Dizziness RCT: Reid et al (2014)-JOSPT Cervicogenic Case Series Find out more about the Foundation for Orthopaedic Manual Physical Therapy (FOMPT) and the American Academy of Orthopaedic Manual Physical Therapists (AAOMPT) at the following links:Foundation website: www.aaompt.org/foundationAcademy website: www.aaompt.orgTwitter: @AAOMPTFacebook: https://www.facebook.com/aaompt/Instagram: https://www.instagram.com/officialaaompt/?hl=enPodcast e-mail: aaomptpodcast@gmail.comPodcast website: https://aaomptpodcast.simplecast.fm

Welcome to a crucial installment of "OT Helpdesk," where we embark on a deep dive into the art of test-taking. In Part I of our series on test-taking strategies, Dr. John Connelly and Joseph illuminate the path to success by introducing clinical reasoning within the context of answering board exam questions.Uncover the power of applying the Occupational Therapy Practice Framework (OTPF) and The Wingman Process to enhance your clinical reasoning skills. This episode serves as a compass, guiding you through the intricacies of understanding and employing these frameworks effectively.But that's not all – we also dissect the nuances between remediation, compensation, and adaptation intervention techniques. John and Joseph provide real-world examples, offering a comprehensive review that will not only bolster your exam preparation but also enrich your understanding of these critical concepts in occupational therapy.Stay tuned for valuable insights, actionable strategies, and a roadmap to mastering the art of clinical reasoning on your journey to becoming a certified occupational therapist. Subscribe now to "OT Helpdesk" and empower yourself with the knowledge that sets the foundation for success.

In this previously run episode of Faculty Feed, we talk with Dr. Russ Farmer (Associate Professor, Department of Surgery) about how best to drive critical thinking skills in our learners. He highlights a tool that facilitates the use of strategic questioning strategies for our busy and chaotic clinical learning environments. Instead of defaulting to lower-order questions that require only fact-based answers, this tool, the Questioning Aid for Rich, Real-Time Discussion (QARRD), prompts faculty to craft higher-order questions that require the learner to apply, analyze, evaluate, and create solutions to clinical problems. Better questions drive the development of critical thinking skills in our learners. The app is now available on Apple and Android. Search in the app store for QARRD. For more information check out our publication in ⁠⁠MedEd Portal⁠⁠ or email ⁠⁠HSCFacDv@louisville.edu⁠⁠to schedule training for your clinical educators. Do you have comments or questions about Faculty Feed? Contact us at ⁠FacFeed@louisville.edu⁠. We look forward to hearing from you. Do you have comments or questions about Faculty Feed? Contact us at FacFeed@louisville.edu. We look forward to hearing from you. --- Send in a voice message: https://podcasters.spotify.com/pod/show/hscfacdev/message

Here is the clinical story of a client that is presenting with pain/sensitivity in the area of the (R) posterior pelvis.  A common area of symptoms for many patients. But there are many potential drivers and the need to differentially diagnose is crucial.   Why? Because you won't want to miss the hidden connections that are so often present in patients, that when missed, can make the difference between a successful outcome and a patient who walks away unhappy.  In this episode, we discuss what has been unhelpful for her with regard to past interventions and why the biopsychosocial approach and creating the therapeutic alliance are so important to give her the ability to improve her movement system. Meaningful activities, violating expectations, and movement system changes were key to her healing journey.   A glance at this episode: [1:35] History of the patient [5:30] Digging deeper to find the driver [9:19] Lifestyle changes that work [15:00] Establishing an alliance to explore fears [25:30] Making the evaluation meaningful to the patient [33:23] The reset exercise [37:33] The problem with a sagittal plane squat   Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript

In this episode, Erica explores the intersection of functional movement and persistent pain, offering a comprehensive blueprint for understanding and addressing movement dysfunctions that may contribute to ongoing discomfort.  Join her as she discusses her insights and tips with examples from her patient caseload.  Erica also speaks to functional movements that will help you find "hidden" drivers in other regions of the body.  Whether you're dealing with persistent pain or are a healthcare provider seeing those persistent cases, this episode equips you with advanced clinical reasoning knowledge and tools to create a solid assessment so you don't miss important connections.   A glance at this episode: [2:41] Assessing low back pain [4:45] How to assess the squat the right way [6:57] Looking at functional movement patterns [9:11] Non-optimal movement patterning, symptomatic or not [11:08] Sling squats and heel raises [13:12] Inversion patters [14:57] How to evaluate neck pain [16:53] The connections in the body and they relate to functional movement   Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript  

One of the most overlooked joints in the lower quarter is the first MTP joint unless that is the primary complaint of the client.  How does the stiffness of the 1st MTP joint affect gait and lower quarter movement of all kinds? We spend some great time with discussions of differential diagnosis, and practical interventions and share some new discoveries.  Hint: the exam and intervention do not always center around the stiff 1st MTP - there is likely a primary driver elsewhere.   A glance at this episode: [5:05] Compensate and adjust your feet [11:23] Maintaining the pyramid of the foot [13:54] How to assess the foot position [17:17] Assessing the big toe [20:17] How to treat plantar flexion inversion [24:37] How to get started with the squat [27:46] What shoes to wear for diabetic feet   Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript

Heart rate variability is getting a lot of press recently.  Join Susan as she presents a webinar on HRV as a predictor and intervention in sleep and stress.  It doesn't take complicated interventions to make real changes in our health!   A glance at this episode: [1:59] What is heart rate variability [4:07] Inhibition of the flight or fight system [6:26] How you measure heart rate variability [8:58] When to measure heart rate variability [13:38] The cycles of sleep [15:31] Memory and sleep  [18:07] Prolonged poor response to stress [20:07] Aerobic fitness and heart rate variability [22:05] Biofeedback and the readiness measure   Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript

Dr. Kelly Brinkman from Logan University shares with us her clinic experience with compression fractures. Dr. Kelly Brinkman earned her BS degree from Iowa State University in 1983 and graduated from Logan College of Chiropractic in 1990. She has been in private practice in both Illinois and Missouri and has worked on a volunteer medical team on the Pine Ridge Indian Reservation. She finished the Insurance Consultant post graduate program and earned her MCS-P (Medical Compliance Specialist – Physician) in 2009. She has held the position of clinician and Educational Coordinator at Logan and is currently full time faculty. She has taught the Cox Flexion Distraction course since 1991 and has lectured for James Cox DC, DACBR through National College of Chiropractic post graduate department in years past. She also currently teaches the Billing and Documentation and Clinical Reasoning 1 courses and has assisted in numerous other classes. Resources: Kelly.Brinkman@logan.edu Find a Back Doctor http://thebackdoctorspodcast.com/ The Cox 8 Table by Haven Medical

Critical thinking skills are crucial for health professionals, especially in clinical settings. However, most health professions educators engage learners with only lower-level concepts such as definitions, fact recall, or basic explanations. Employing strategic questioning methods that require learners to use higher-order thinking can help develop clinical reasoning skills. The Questioning Aid for Rich, Real-time Discussion (QARRD) was created for health professions educators to purposefully implement concepts from Bloom's taxonomy and hierarchical questioning in clinical settings. Listen to this episode of Faculty Feed as the team discusses Bloom's Taxonomy, the QARRD and the connection to critical thinking and clinical reasoning. Do you have comments or questions about Faculty Feed? Contact us at FacFeed@louisville.edu. We look forward to hearing from you.

One essential goal of EMS education is to promote clinical reasoning. However, assessing student learning in this dimension is challenging. This study describes the adaptation of script concordance testing, a strategy used in other professions, to assess clinical reasoning in paramedic students. Article found here: https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-023-04020-x

In this episode co-hosts Rachel Holloway and Alex Gillotte sit down to have a Med Ed discussion. Through being students themselves and being a part of the longitudinal Clinical Teaching Elective at UCCOM, they realized that there are various things that we do as clinical teachers that are not beneficial for learners, and may actually harm them!Topics1) Not dedicating time for feedback (Time 03:20)JAMA feedback articleMedical Education: Effective Feedback2)  Not assessing what they know/how they felt they did (Time 13:40)ICE Blog | Reflective PracticeICE Blog | Self-Directed Assessment Seeking12 Tips for Teaching Reflection at all levels of Medical Education3) Telling them information/lecturing, versus inquisitive questioning with guidance(Time  21:28)ICE Blog | Spaced Repetition Theory ICE Blog| Learning Curve Basis of CBME: The Nonlinearity of Learning ICE Blog| Multiple Resource TheoryHow to Learn Effectively in Medical School: Test Yourself, Learn Actively, and Repeat in IntervalsMake it Stick4) Malignant Questioning(Time 25:20)Things We Do for No Reason™: Toxic quizzing in medical education5) Fixed mindset(Time 34:10)Mindset: The New Psychology of Success: Carol S.  Dweck- section titled the Danger of Praise and Positive LabelsICE Blog | Prototype TheoryA ‘Toolkit' for Clinical Educators to Foster Learners' Clinical Reasoning and Skills Acquisition NEJM | Educational Strategies to Promote Clinical Diagnostic ReasoningTwelve Tips | Clinical Reasoning6) Not utilizing spaced repetition learning(Time 42:32)first 3 resources for #3How to Learn Effectively in Medical School: Test Yourself, Learn Actively, and Repeat in Intervals

In the last of our 6-part series on Clinical Reasoning with Dr Nicola Cooper, we discuss metacognition, reflection, and how it influences our decision making.  Whilst knowledge definitely matters in diagnosing and managing cases, research in psychology shows other things matter too. As well as motivation (including empathy), mood, ambient conditions and cognitive style has a significant impact – our tendency to look for evidence, weigh things up, be aware of context, have a healthy scepticism about other people's diagnoses, and think about our own thinking. While some people are naturally good at this, others are not. BUT... these are skills that can be cultivated by the way we teach/supervise during case-based learning! Listen here to find out more...

This episode from our clinical series is brought to you by Elanco, makers of the broadest range of parasiticides including Advocate, Milbemax, Seresto and Credelio Plus. "The question about the biochemistry is really interesting, because what your question now is, is 'what is it, and where is it?' And the problem that we have is that the liver enzymes aren't gonna tell us, because it's really hard to separate hepatic from post-hepatic on bloods. ALP is very insensitive in the cat and will go up with both hepatic and post-hepatic. ALT will go up with hepatic and post-hepatic. Bilirubin will be up. So what?!" We recorded this case-based interactive session about how to work up the jaundiced cat with one of the world's leading Small Animal Medicine specialists and teachers, ⁠Prof Jill Maddison⁠ at session our live event in 2022. Prof Jill Jill Maddison, BVSc, DipVetClinStud, PhD, SFHEA, MRCVS, is a professor of general practice, the director of professional development, and the BVetMed and CertAVP course director at Royal Veterinary College. She is also a coordinator for London Vet Show and is a consultant at a local veterinary practice and at Beaumont Sainsbury Animal Hospital in London. Dr Maddison is the senior editor of the second edition of Small Animal Clinical Pharmacology and the senior editor of Clinical Reasoning in Small Animal Practice. She has lectured worldwide on clinical problem-solving, small animal internal medicine, and clinical pharmacology.  In this session she helps us reason through a case of jaundice in a cat to create a deeper understanding, rather than a simple list of facts. She also shifts some long-standing beliefs around diagnostic testing in liver disease in both dogs and cats. Topic list: 5:07 Where to begin your workup. 6:05 Defining the problem and localising the problem: Pre-hepatic, hepatic or post-hepatic? 9:17 How much does dehydration actually affect PCV? 10:43 Bilirubin - how useful is it? "It's the most over-interpreted test I reckon. I have so many vets tell me, “Oh, the bilirubin is 16, it has to have a problem with its liver…” No, it probably just has inflammatory disease." 13:14 Dd's for hepatic disease in cats. 14:20 Dd's for post-hepatic causes of jaundice. 16:04 Biochem in jaundice: ALP, ALT, GGT. "The problem that we have is that the liver enzymes aren't going to tell us." 19:51 Why bile acids are useless in the diagnosis of liver disease. "The bile acids don't tell you anything more than you already know. There is no relationship between the level of bile acids and the prognosis or reversibility of the lesion." 24:25 Can't I just trial-treat? 26:16 Ultrasound. 28:27 Signalment: how useful is it? 29:36 Cholesterol and liver disease. 30:52 Pancreatic lipase and pancreatitis in cats. "What we found was that we had 24% false negatives. So we had a quarter of our cats who had what seemed to be pancreatitis that did not have an increased Pli." 36:54 Hepatic lipidosis. For more world-class specialists in an easy-to-consume format join our community of Vet Vault Nerds at vvn.supercast.com. Visit thevetvault.com for the show notes for this episode. Join us in at Vets on Tour in Wanaka, New Zealand on 13 - 18 August 2023 for great CE, more live podcasting and snow... lots of snow! --- Send in a voice message: https://podcasters.spotify.com/pod/show/vet-vault/message

How do you rehab someone who is VERY hypermobile and suffers from persistent low back pain?  Carefully and specifically!  When someone who is hypermobile complains of continued and persistent back pain, your first thought is, " Is this an overactive system? An underactive system? Or both?".  This re-release of an episode from 2018 highlights the beauty of a specific exercise progression tailored to the patient's meaningful movement and her dominant impairment.  Listen as we go through the clinical reasoning process to determine what types of movement patterns will work and what ones won't.  Doing the right thing at the right time is clinical expertise.   A glance at this episode: [5:55] Hypermobility Syndrome and the pelvic floor [12:11] How and why her back extensors are overworking [19:44] Taping-does it help here? [24:42] Recruitment of the diaphragm in back pain [28:34] Taking out the overactivity-Posterior pelvic tilt on all fours [32:33] Spinning and mirroring that into exercise [36:35] Not a stretching issue but a coordination problem [39:55] Flexion based stabilization and progression [44:38] Resistance bands on the bike   Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript

In this episode, Erica throws out some clinical gems when it comes to clinical reasoning through these scenarios.   What do you do when your patient says, "I am 85% better but I am still getting (insert symptom) when I do (insert activity)." or " I am so much better but my foot hurts on and off when I still sit at my desk".   The key is "what does my patient need at this point in time?" Using 2 examples from her patient caseload, Erica discusses how changing the activity and the environment may be the last piece of the clinical puzzle.  Erica also discusses the concept of "centering". If someone lives on their left side, as was the case with these 2 patients, how can you use this concept to give them more options for loading to the right?   We need choices for movement- loading one side of your body for long periods takes away those choices and limits our options. This MUST be trained for your patient to have success.    A glance at this episode: [2:05] Introduction to patient's history [5:06] Advanced clinical reasoning [7:24] Changing input into the nervous system [9:48] How can you change the environment to suit your patient [11:30] Example of a patient with lower back pain [13:43] Do you need to treat the right knee and foot [15:55] Centering exercises for strength training [18:10] Kneeling strength training and centering   Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript

Looking to expand your network and collaborate with others in education research? Listen in to our latest episode, where we explore the importance of building strong connections with mentors and peers to drive successful education research In this episode of the Healthcare Education Transformation Podcast, our guests Dr. Richard Segal and Dr. Gail M. Jensen, dive into the challenges facing education research and the importance of collaboration and transdisciplinarity in breaking down these barriers. We explore the need for deeper meaning in education research and our guests share insights into how to secure funding for pilot studies, and the importance of professional development plans for younger colleagues in the field. Dr. Segal has over 30 years of experience carrying out rehabilitation-oriented Neuroscience research on motor control and spinal circuits. He served as a mentor for the past 15 years for the intensive grant writing workshops (first ERRIS and now TIGRR) with numerous mentees successfully attaining extramural funding following the workshop. Feel free to email Dr. Segal at segal@musc.edu Dr. Jensen is Vice Provost for Learning and Assessment, Dean Emerita, and Professor of Physical Therapy at Creighton University. She is known nationally and internationally for scholarly contributions in expert practice, clinical reasoning, professional ethics, and interprofessional education. Dr. Jensen is author or coauthor of more than 90 publications in peer-reviewed journals and has coauthored 13 books, including the fourth edition of Clinical Reasoning in the Health Professions (Higgs, Jensen, Loftus, Christensen), Educating Physical Therapists, and in 2020, Clinical Reasoning and Decision Making in Physical Therapy. Feel free to email Dr. Jensen at gailjensen@creighton.edu Dr F Scott Feil is a husband, a father, a physical therapist, a professor, and most recently an Amazon best-selling author. F Scott is also a business coach and mentor despite starting his journey as an English major before landing as a Physical Therapist. He is one of the creators and co-hosts of the Healthcare Education Transformation Podcast which aims to break down the silos between healthcare professions in an attempt to find best practices in teaching and learning throughout healthcare academia. Special thanks to both our sponsors, The NPTE Final Frontier, and Varela Financial! If you are taking the NPTE or are teaching those about to take the NPTE, visit the NPTE FInal Frontier at www.NPTEFF.com and use code "HET" for 10% off all purchases at the website...and BREAKING NEWS!!!! They now have an OCS review option as well... You're welcome! You can also reach out to them on Instagram @npteff If you're a PT and you have student loan debt, you gotta talk to these guys. What makes them unique is that they view financial planning as like running hurdles on a track. And for PTs, the first hurdle many of us run into is student loan debt. Varela Financial will help you get over that hurdle. They not only take the time to explain to you which plans you individually qualify for and how those plans work, but they ALSO take the time to show you what YOUR individual case looks like mapped out within each option. So if you're looking for help on your student loan debt, or any area of your personal finances, we highly recommend working with them. You can check out Varela Financial out at varelafinancial.com. Feel free to reach out to us at:  http://healthcareeducationtransformationpodcast.com/ https://www.facebook.com/HETPodcast https://twitter.com/HETpodcast Instagram: @hetpodcast @dawnbrown_pt @pteducator @dawnmagnusson31 @farleyschweighart @mail.in.stew.art @ujima_institute For more information on how we can optimize and standardize healthcare education and delivery, subscribe to the Healthcare Education Transformation Podcast on Apple Podcasts or wherever you listen to podcasts.

Dr. Zachary Walston the director of quality and research and the orthopaedic residency coordinator at PT Solutions Physical Therapy discusses their orthopaedic residency program, what they do to build their clinicians clinical reasoning skills and how those things have evolved over time. Listen and find out how he has built his clinical reasoning skills and how PTs can build theirs. Helpful research and training: Evidence In Motion Residency and Fellowships Evidence-Based Practice Are Residency Programs the Best Option for Graduates Ad Info: If you want to keep learning beyond what you hear today, EIM offers certifications that elevate your clinical decision making and take you to the next level of patient care and subject matter expertise. I encourage you to check out their website and explore your different options. What's really cool is that you can get 10% off by letting your enrollment advisor know you're a PT Elevated Podcast listener or entering code PODCAST10 in your program application. Details and links to certifications are in the show notes. I encourage you to check it out. Connect with us on socials:ZacharyWaltson.com Website @zachwalston on Twitter zach.walston on Instagram@PMintkenDPT on Twitter@ZimneyKJ on Twitter EIM Website - EvidenceInMotion.com

Shoulder pain, stiffness, and lack of functional mobility are not uncommon in clients with post-breast cancer.  Join us as we discuss the evaluation and treatment sequence that addresses the particular soft tissue involvement and drivers of this client's limitation—hint: several tissue issues are involved.  The clinical reasoning around the client's story is key here!   A glance at this episode: [2:04] Susan introduces her patient's history [7:34] Shoulder girdles and head position [10:34] Flexion of the cervical spine [16:40] Looking at passive vs. active range of motion [19:19] How Susan started the abduction exercise  [24:21] Towel roll exercise for mobility [27:27] How to add movement into decompression [33:29] The thorax is 360 right and left   Related links: Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript

In this 2 part episode, Susan and Erica discuss what it takes to become a clinical expert, and how that translates into effectively assessing and treating the "tough to treat". They highlight common errors in clinical reasoning and how to avoid them. They also discuss common red and yellow flags and when to trust your gut. This is part of what makes an expert. Remember, the organization and structure of a clinician's knowledge are more important than the content itself. Learning how to ask the right questions will lead you to the driver more quicker.   A glance at this episode: [5:48] The importance of critical thinking in clinical practice [10:44] Clinical red flags and clinical yellow flags [12:35] Red flags that go along with back pain [18:08] Central sensitization is a good outcome measure [20:51] What does a successful outcome look like [26:47] How to get someone from free contemplative to contemplative [29:41] A brief case study of two patients with low back pain [35:24] What's optimal for these patients [41:19] Nerves are bloodsuckers and need to move [48:32] How to know when to change posture [55:23] Case study of a client with progressive pain in back of pelvis   Related links: Access the Slides for this Webinar Tough To Treat Website Erica's Course: Decoding the Complex Patient Susan's Pelvic Health Education Subscription Access the Transcript

In this short episode, Susan discusses the upper cervical region and its effects on the rest of the body: core, pelvic floor dysfunction, muscle recruitment, balance, dizziness, etc. Join Susan as she takes a journey into the remarkable system from one of her lectures. Erl Pettman's work has long influenced Susan on her clinical reasoning and the importance of convergence of symptoms throughout the body from the upper cervical spine and the cervical trigeminal nucleus. Retraining this region is one of the reasons we "recommend" the Clock Yourself App - for the cervico-occular-vestibular reflex training. A glance at this episode: [1:36] Trigeminal system [3:02] What is C5 C6 nerve root irritation [4:28] The three different nuclei for the trigeminal system [7:15] The biggest threat to mankind [8:21] The trigeminal system is a sensory experience Related Links: Tough To Treat Website Erica's Course: Decoding the Complex Patient  Susan's Pelvic Health Education Subscription Access the Transcript

Nathan Carlson is a physical therapist, coach, and business owner based out of Kansas City. He specializes in the management of bone stress injuries, managing the high school and collegiate runner, and implementing resistance training with endurance athletes. Nathan teaches nationally and internationally on these topics. Nathan has two digital resources - A Guidebook to Running After a Stress Fracture and A Guidebook to Navigating High School Running. In this episode, we focus on how to approach bone stress injuries once we have established our diagnosis. We open our discussion with the physiology of bone healing and what the current research says about how long it actually takes for a bone to heal and how that may differ based on the location of the injury. We also discuss the factors that influence treatment, how to test when an athlete is ready to return to running, and how to progress training load for a successful recovery. Bone stress injuries are one of the most complex and frustrating injuries for runners. After our discussion with Nathan, we hope that you will have a better understanding of the training, nutrition, and metabolic factors that need to be considered with diagnosing and treating these injuries. What we talked about: 3:05- The physiology of bone healing and the expectations to set for patients 17:40- Modalities for recovery 22:20- Focus for the return to run program 31:00- Being flexible with the protocol Show notes: Nathan's website Nathan on Instagram References: Gehman S, Ackerman KE, Caksa S, Rudolph SE, Hughes JM, Garrahan M, Tenforde AS, Bouxsein ML, Popp KL. Restrictive Eating and Prior Low-Energy Fractures Are Associated With History of Multiple Bone Stress Injuries. Int J Sport Nutr Exerc Metab. 2022 May 6;32(5):325-333. Popp KL, Ackerman KE, Rudolph SE, Johannesdottir F, Hughes JM, Tenforde AS, Bredella MA, Xu C, Unnikrishnan G, Reifman J, Bouxsein ML. Changes in Volumetric Bone Mineral Density Over 12 Months After a Tibial Bone Stress Injury Diagnosis: Implications for Return to Sports and Military Duty. Am J Sports Med. 2021 Jan;49(1):226-235. Rudolph SE, Caksa S, Gehman S, Garrahan M, Hughes JM, Tenforde AS, Ackerman KE, Bouxsein ML, Popp KL. Physical Activity, Menstrual History, and Bone Microarchitecture in Female Athletes with Multiple Bone Stress Injuries. Med Sci Sports Exerc. 2021 Oct 1;53(10):2182-2189. Warden SJ, Davis IS, Fredericson M. Management and prevention of bone stress injuries in long-distance runners. J Orthop Sports Phys Ther. 2014 Oct;44(10):749-65. Warden SJ, Edwards WB, Willy RW. Optimal Load for Managing Low-Risk Tibial and Metatarsal Bone Stress Injuries in Runners: The Science Behind the Clinical Reasoning. J Orthop Sports Phys Ther. 2021 Jul;51(7):322-330.

Can you identify where along the clinical reasoning pathway the learner is struggling? What coaching exercises can be helpful? What feedback do you fall back on when working with learners? What are common challenges?Digital Education Conference 2022 in Oct 7 2022: https://cmecatalog.hms.harvard.edu/digital-educationShow notes, Transcript and References: https://www.coreimpodcast.com/2020/12/09/hoofbeats-strugg…inical-reasoning/ACP CME: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im

Having a list of illnesses to rule out based on a pet's symptoms can help veterinarians be more open-minded and efficient while practicing. This week, Shawn & Ivan speak with Dr. Mike Petty of GekkoVet about augmented diagnosis in veterinary medicine. Mike recommends Clinical Reasoning in Small Animal Practice (amzn.to/3KvGYh3) and Clinical Reasoning in Veterinary Practice (amzn.to/3R3C3pj) by Jill Maddison, Holger Volk & David Church. Learn more about Mike at gekkovet.com.

Welcome to another episode of The Words Matter Podcast.Sorry for the slight hiatus; COVID and general life caught up with me – but I'm pleased to be on top of them both and bring you the final episode of the clinical reasoning series.The series really has been incredible – to have 10 episodes totalling over 10 hours of long-form discussion with guests that have such a depth of expertise and insight into their respective domains of clinical reasoning is just wonderful – I very much hope and think, that this series will form an invaluable resource for clinicians and students just like the CauseHealth and Qualitative research series. So please enjoy and share.So as promised, in this episode I'm speaking with consultant physiotherapist Matthew Low. Matthew is a good friend and regular guest on the podcast (listen here, here, here and here). His ability reflect and think deeply about the experience of clinical practice and to use evidence and theory to get some sort purchase on a clinical reality is a joy to engage with and listen to. Matt and I meander through some of the implications from the series. Our conversation is wide ranging, and we cover: How ‘clinical reasoning' as a term fails to capture the technicolour and socially interactive process of sense-making. We talk about The Cynefin framework as a way of aiding clinical decision-making. The challenge and awkwardness of diagnosis construction in MSK practice. What it means to embrace uncertainty, and from who's perspective. We speak about ethics-based practice and also the primacy of thinking narratively. So thanks again to all my guests, listeners and Patreon supporters.Support the podcast and contribute via Patreon here.If you liked the podcast, you'll love The Words Matter online course and mentoring to develop your clinical expertise  - ideal for all MSK therapists.Follow Words Matter on:Instagram @Wordsmatter_education @TheWordsMatterPodcastTwitter @WordsClinicalFacebook Words Matter - Improving Clinical Communication★ Support this podcast on Patreon ★

Welcome to the Summer of 2022 KeyLIME “re run” series! Over the summer months, we will be re-releasing some of our earliest episodes: Give some old favorites a listen or discover some episodes from our archive you may not have heard yet! This week, in summer re run #9, we play back Episode #132, where we examineed a paper that proposed a link between the quality of case presentations (CP) by learners and the learner's diagnostic reasoning (DR) ability. Onishi, H. Assessment of Clinical Reasoning by Listening to Case Presentations: VSOP Method for Better Feedback. Journal of Medical Education and Curricular Development. 2016; (3): 125-131.  View the abstract here Follow our co-hosts on Twitter! Jason R. Frank: @drjfrank  Jonathan Sherbino: @sherbino  Linda Snell: @LindaSMedEd  Lara Varpio: @LaraVarpio Lara Varpio's Disclaimer: The views expressed in this manuscript are solely those of the authors and do not necessarily reflect those of the Uniformed Services University of the Unites States Department of Defense.  Want to learn more about KeyLIME? Click here!

Welcome to another episode of the Words Matter Podcast.So we are at the penultimate episode of the clinical reasoning series and I hope you've enjoyed it and much as I have. In the final episode I'll be chatting with Matthew Low where we will be reflecting on the series as a whole and tying up any loose ends in regards to what this all means for clinical practice.Matt is a good friend of the podcast and he's been on several times taking about evidence-based practice (listen here), person-centred care (listen here) and causal dispositionalism (listen here and here). He has impressive combination of clinical experience and expertise combined with a vice like grip on theory and evidence for practice. And a big thank you to you all for supporting the podcast and series - needless to say, your support makes the show possible. Support the podcast via Patreon here.I've received quite a few questions and comments as a result of the series, so I thought I dedicate some time in responding to some of them in clinical reasoning-themed ask me anything. The questions I've received are wide ranging, so I've tried to choose a good spread and will seek cover as much ground as time and energy allow. So in this episode I cover: How my view of clinical reasoning has shifted. My research on clinical reasoning in osteopathy (see here). Our assumptions when seeking to understand why a person is suffering and how we might help them. Whether I think that the different musculoskeletal professions such as physiotherapy, osteopathy, and chiropractic clinically reason differently.  How theory can shroud and inform the focus of our cognitive processes involved in clinical reasoning. The nature of expertise in relation to clinical reasoning. My suggestions for developing your clinical reasoning. Thanks to all for listening, sharing and supporting The Words Matter Podcast and a huge thank you for all the guests that have shared their own reasoning and thinking so wonderfully.Support the podcast and contribute via Patreon hereIf you liked the podcast, you'll love The Words Matter online course and mentoring to develop your clinical expertise  - ideal for all MSK therapists.Follow Words Matter on:Instagram @Wordsmatter_education @TheWordsMatterPodcastTwitter @WordsClinicalFacebook Words Matter - Improving Clinical Communication ★ Support this podcast on Patreon ★

University of Florida students Rohan Patel, Cathleen Mestre, Estherland Duqueney, Lauren Katzell, Torie Livingston, Precious Ichitie discuss a case presented by fellow classmate Tayna Latortue about a 7 year old with vomting and fatigue.

Welcome to another episode of The Words Matter Podcast.We have reached the final few episodes of the clinical reasoning series; and I hope you have enjoyed the journey up to this point. This series and the podcast more broadly is made possible by all the Patreon support, and ever a huge thank you for those supporting the show and to those listening and sharing the podcast with your friends, colleagues and students. On this episode I'm speaking with Dr Elena Rocca and Dr Saúl Pérez-González about how evidence of biological mechanisms can support our clinical reasoning.Elena is an associate professor at Oslo Metropolitan University, and specializes in issues related to responsible knowledge-based decision-making with focus on risk and safety of medicines, both from a practical, methodological and philosophical perspective. Her work is interdisciplinary between scientific evidence, practice, policy and philosophy. Elena's research includes causality assessment in drug safety, clinical reasoning, analysis of expert disagreement. Elena is part of The CauseHealth team and we spoke several times on the CauseHealth Series on probability, medical uniqueness, causal dispensationalism and philosophy for practice.Saúl is a Post-doctoral research fellow at the Center for Logic, Language, and Cognition in the Department of Philosophy and Educational Sciences at the University of Turin. Italy. He has a background in philosophy, with a PhD in Philosophy and MA in Contemporary Philosophical Thought. He is currently Working on/Member of the PRIN research project “From Models to Decisions” Funded by the Italian Ministry of University and Research.Saúl has held Visiting researcher positions at Centre for Humanities Engaging Science and Society - Durham University the Centre for Philosophy of Social Science - University of Helsinki.In this episode we talk around a paper that Saul and Elena wrote together titled 'Evidence of Biological Mechanisms and Health Predictions: An Insight into Clinical Reasoning' published in the journal Perspectives in Biology and Medicine.So on this episode we speak about:  What is meant by the term ‘mechanisms' and what constitutes of them. How evidence of mechanisms is typically portrayed and valued in the epistemological and methodological hierarchies of evidence-based medicine. How evidence of mechanisms can be useful to our clinical reasoning by helping us make predictions around safety and efficacy of treatment interventions for individual patients. The potential the dangers of relying on mechanistic knowledge in replacement of knowledge about effectiveness (such as knowledge generated from clinical trial). How evidence of mechanisms can take any form of study design; from lab-based animal studies to understand biological mechanisms at play to qualitative studies to understand the mechanisms involved in the processes of the social world. How evidence of mechanisms is generally more decisive for discarding inadequate interventions than for identifying suitable ones. This was yet another enlightening conversation and quite distinct from the previous episodes on the series. As such, it adds to rounding and deepening the view of clinical reasoning that this series seeks to offer.Find Elena and Saúl on Twitter @ElenaRoccaPD@SaulPerGonSupport the podcast and contribute via Patreon hereIf you liked the podcast, you'll love The Words Matter online course and mentoring to develop your clinical expertise  - ideal for all MSK therapists.Follow Words Matter on:Instagram @Wordsmatter_education @TheWordsMatterPodcastTwitter @WordsClinicalFacebook Words Matter - Improving Clinical Communication★ Support this podcast on Patreon ★

Welcome to another episode of The Words Matter Podcast.So we are up to the 8th episode of the Clinical Reasoning Series and on today I'm speaking with Dr Nathalia Costa about clinical uncertainty. Nathalia is a Brazilian physiotherapist who completed PhD studies in Australia used mixed-methods to investigate the nature of low back pain flares (see here). This PhD work was won the Lumbar Spine Research Prize awarded by the Society for Study of the Lumbar Spine in 2021 (see Nathalia's other research here).Nathalia is currently working as a Postdoctoral Research Fellow at the Universities of Queensland (UQ) and Sydney (USyd) investigating how both clinicians and people with low back pain navigate uncertainty during clinical encounters. And as such we speak about her work investigating uncertainty and talk around a paper, she and her colleagues published this year titled 'Uncertainty in low back pain care – insights from an ethnographic study', published in the journal Disability and Rehabilitation (see paper here) and a previous podcast on ethnography here with Dr Fiona Webster here).So on this episode we speak about: What uncertainty is and allude to the different ways and taxonomies used to describe it. Different sources of uncertainty and use the ambiguous nature of low back pain as an exemplar. The ways that we as clinicians might neglect uncertainty or attend to it. How we often seek to reduce uncertainty through the use of clinical reasoning or the application of evidence for examples through clinical guidelines. We talk about how an intolerance to uncertainty may prompt binary thinking and cause us to retreat to the comfort of the biomedical model and biomedical thinking. Occasions when we really do want to be certain as we can possibly be, and that there may be some ethical and therapeutic merit in communicating this to our patients. How uncertainty with low back pain is imbued with emotions – on both patient and clinician's part. How clinicians may emphasise uncertainty to patients, intentionally or unintentionally and the resulting impact that this might have on the balance of power within the relationship And we reflect on ways that clinicians better navigate uncertainty. So this was another brilliant conversation. Uncertainty, whether we like it or not surrounds and often defines our clinical work and is the omnipresent elephant in the clinical room and lives of our patients. Nathalia's work provides some crucial insights into the slippery and uncomfortable nature of clinical uncertainty which can allow us to reflect on how it make us and our patients feel and consider how we react in the face of it.As always, I have linked Nathalia's paper in the show notes, but please look out for a follow up paper which adopts a theory-driven post-qualitative approach to explore clinicians' experiences navigating uncertainty when working with patients with low back pain (see podcasts here on post-qualitative research here and here).Find Nathalia on Twitter @nathaliaccosta1Support the podcast and contribute via Patreon hereIf you liked the podcast, you'll love The Words Matter online course and mentoring to develop your clinical expertise  - ideal for all MSK therapists.Follow Words Matter on:Instagram @Wordsmatter_education @TheWordsMatterPodcastTwitter @WordsClinicalFacebook Words Matter - Improving Clinical CommunicationFind Nathalia on Twitter @nathaliaccosta1★ Support this podcast on Patreon ★

Welcome to another episode of The Words Matter Podcast.If you're enjoying the Clinical Reasoning Series and the podcast more generally, please consider supporting the show via Patreon. You can pledge as little as a pound or a couple of dollars per episode. Your support really makes a difference and helps ensure the quality and regularity of the episodes.Following on my previous episodes in the series with Bjørn Hofmann (here and here) where we spoke about the ethics of disease and the moral obligations that flowed from being given a disease label - on this episode we are going to speak more explicitly about clinicians' thinking directed towards ethical problems and the resulting moral judgments they should endeavour to make and the processes which delivers them to those judgments.And so today I'm speaking with Professor Clare Delany. Clare is a Professor in Clinical Education at the University of Melbourne, Department of Medical Education, and a Clinical Ethicist at the Royal Children's Hospital Children's Bioethics Centre and Peter MacCallum Cancer Centre in Melbourne. She also chairs the University of Melbourne Central Human Research Ethics Committee.  Clare's health professional background is in physiotherapy. For the past 15 years, Clare's research and professional work has focused on a combination of clinical education and clinical ethics. Her research interests  include applied health ethics, paediatric bioethics, clinical reasoning, and critical reflection and she has authored more than 100 publications in peer-reviewed journals covering these areas of applied clinical ethics and clinical education.Clare has co-edited the books ‘Learning and Teaching in Clinical Contexts: A Practical Guide' and ‘When Doctors and Parents Disagree: Ethics, Paediatrics and the Zone of Parental Discretion.'So on this episode we speak about: What ethics is in the context of healthcare practice including the ethical principles of autonomy, non-maleficence, beneficence and justice About the interaction and occasional tension between evidence-based practice and ethics-based practice and how ethics can help settle clashes between research evidence, patient values and clinician judgement and experience. What ethical reasoning is and the processes involved In making moral judgements. How it feels to identify an ethical problem which is often intuitive or as Clare describes an ‘ikiness'. Ethical reasoning when the consequences or stakes are high. Communicating risk to patients prior to treatment. Some case examples including patients requesting seemingly ineffective treatments or treatments which the clinician may feel is potentially harmful or not in the patients best interest. How the ethical principles should apply to all healthcare settings, whether public or private but in reality there are differences on how these principles are interpreted and applied in these respective settings. And finally we speak about how ethical reasoning motivates us to be aware of our own assumptions and of the assumptions and values of others which enriches our clinical work and also the therapeutic bond with our patients. So, this was such a wonderful conversation with Clare. She beautifully highlighted the foundational nature yet often prickliness of the ethical dilemmas we all face in practice and shares some extremely useful reasoning strategies to identify, manage and resolve the inevitable ethical moments in our clinical practice.Support the podcast and contribute via Patreon here.If you liked the podcast, you'll love The Words Matter online course and mentoring to develop your clinical expertise  - ideal for all MSK therapists.Follow Words Matter on:Instagram @Wordsmatter_education @TheWordsMatterPodcastTwitter @WordsClinicalFacebook Words Matter - Improving Clinical Communication★ Support this podcast on Patreon ★

On today's episode, we spotlight nursing education because trends in the profession and healthcare at large are making it more important than ever. "The job of nursing has become far more complex, and first-year nurses are being asked to make very complex decisions right away," says Brent Gordon, President of Nursing and Health Education at Elsevier. That underscores the urgency of developing clinical reasoning skills, and nursing educators have to evolve their programs in response. They are also preparing students for the updated NCLEX national licensing exam, which has been revised to assess clinical judgment skills. As Gordon tells host Shiv Gaglani, Elsevier is supporting institutions, faculty and students with these changes. Examples include newer offerings focused on skills assessment, and digital simulations solutions to augment clinical rotations. Always top of mind is the persistent shortage of nurses, with pandemic-induced burnout making the situation worse by the day. "I would argue it's a crisis, and we need governments and higher education institutions to really be innovative around how they can increase their enrollment," adds Gordon. Don't miss this deep dive into the evolution of nursing and Elsevier's partnership with the nursing education community in addressing the many challenges facing the field.