Podcasts about clinical reasoning

In diesem Deep Dive sprechen Sebastian und Felix ausführlich über das patellofemorale Schmerzsyndrom - eine verbreitete aber oft missverstandene Ursache für Knieschmerzen. Wir gehen tief rein: was ist das PFSS? Wie äußert es sich? Wie sehen Differentialdiagnosen aus? Welche häufigen Mythen gibt es? Clinical Reasoning? Übungen? Viel Spaß beim Hören!Infos und Anmeldung zu den Seminaren:https://myomechanics.de/seminare/Quellen:Powers, C. M., Witvrouw, E., Davis, I. S., & Crossley, K. M. (2017). Evidence-based framework for a pathomechanical model of patellofemoral pain: 2017 patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester, UK: part 3. British journal of sports medicine, 51(24), 1713-1723.Neal, B. S., Lack, S. D., Bartholomew, C., & Morrissey, D. (2024). Best practice guide for patellofemoral pain based on synthesis of a systematic review, the patient voice and expert clinical reasoning. British Journal of Sports Medicine, 58(24), 1486-1495.Willy, R. W., Hoglund, L. T., Barton, C. J., Bolgla, L. A., Scalzitti, D. A., Logerstedt, D. S., ... & Torburn, L. (2019). Patellofemoral pain: clinical practice guidelines linked to the international classification of functioning, disability and health from the academy of orthopaedic physical therapy of the American physical therapy association. Journal of Orthopaedic & Sports Physical Therapy, 49(9), CPG1-CPG95.Cook, C., Hegedus, E., Hawkins, R., Scovell, F., & Wyland, D. (2010). Diagnostic accuracy and association to disability of clinical test findings associated with patellofemoral pain syndrome. Physiotherapy Canada, 62(1), 17-24.

In this episode, Noah was joined again by Adam Meakins - one of the most prominent figures in the world of physiotherapy. Adam is sometimes criticized for just talking about what treatments and practices don't work. So, in this episode, Adam and Noah go over three case studies that help illustrate Adam's clinical reasoning and how he helps his patients.  With over two decades spent as a clinician, a background in strength and conditioning, published literature in scientific journals, and experience teaching his course all around the world, Adam possesses an extensive wealth of knowledge.Enjoy!---Adam's InstagramAdam's TwitterAdam's Website---Noah's InstagramFor questions and business inquires: noahmandelphysio@gmail.com

Dr. Zohaib Siddiqi talks with Dr. Catarina Bernardes about a case involving a 35-year-old woman presenting with personality changes and gait impairment.  Show citation:  Bernardes C, Lemos JM, Santo GC. Clinical Reasoning: A 35-Year-Old Woman With Personality Change and Gait Impairment. Neurology. 2025;104(2):e210252. doi:10.1212/WNL.0000000000210252  Show transcript:  Dr. Zohaib Siddiqi: Hi, everyone. My name is Zohaib Siddiqi and I'm a fifth-year neurology resident and a part of the Neurology® Resident and Fellow Section Editorial Board. I just finished interviewing Catarina Bernardes about her article, Clinical Reasoning: A 35-year-old Woman with Personality Change and Gait Impairment. Catarina, can you tell us the main points of the article? Dr. Catarina Bernardes: So in this article, we discussed the case of a 35-year-old woman who presented with a three-year history of walking difficulties. On examination, she had signs of a frontal temporal dysfunction, a dorsal lateral myelopathy, optic atrophy, and pes cavus. Her brain and spinal cord MRI was completely normal, but her son's brain MRI was being studied for spastic paraparesis showed signs of hypomyelination involving the subcortical U fibers. Given the suggestive inheritance pattern, we considered an X-linked leukoencephalopathy and central nervous system hypomyelination points to Pelizaeus-Merzbacher disease. Important learning points. When differentiating leukoencephalopathies, remember that hypomyelinating disorders often have less pronounced hypointensity on T2 and hypointensity on T1, and in demyelinating disorders, there is very prominent hyperintensity on T2 and hypointensity on T1. Also, Pelizaeus-Merzbacher is a hypomyelinating disorder affecting the subcortical U fibers, while X-linked adrenoleukodystrophy presents a demyelinating pattern sparing the subcortical U fibers and involving mainly the parietooccipital regions. Dr. Zohaib Siddiqi: Thanks so much for that summary, Catarina. A lot of learning points there. For those of you who want to learn more about the case, you can listen to the full-length podcast available now on all streaming platforms and find the article titled, Clinical Reasoning: A 35-year-old Woman with Personality Change and Gait Impairment on the Neurology® Resident Fellow Website. Thanks so much for joining today, and see you next time. 

Dr. Zohaib Siddiqi talks with Dr. Catarina Bernardes about a case involving a 35-year-old woman presenting with personality changes and gait impairment.  Read the related Resident & Fellow Section article in Neurology®. Disclosures can be found at Neurology.org. 

In this episode, Erica explores how clinical reasoning informs decision-making across diverse areas of physical therapy practice. This is a clinical pearls discussion that will save you lots of time in the clinic.  From CKC to OKC brain mapping in an MMA fighter to exercise progression in ACL rehabilitation to thoracic dysfunction in a post partum runner experiencing hip pain and incontinence, she highlights key clinical reasoning strategies that guide effective treatment and exercise progression. For example, if your patient has a bracing strategy in their lumbar spine where they always "grip" their back when they sit, stand and even go supine, how would you prescribe exercise to "take out" that strategy to give them more options for movement? Many people do this in our "sit up straight" culture. This will make a huge difference in your practice!   Related links: Tough To Treat Website Erica's Website Susan's Website        

Ever had a client ask, “Why are we doing this?” and you froze? Or maybe your supervisor challenged a recommendation, and you stumbled over your explanation? You're not alone.In this episode, I'm diving deep into what clinical reasoning really is, why so many struggle with it, and how to build the confidence to explain your decisions with clarity and conviction.We'll unpack:Why clinical reasoning feels so hard (and what it's NOT).The 3 levels of reasoning you may move through, from beginner to advanced.Practical strategies you can start using right now to strengthen your clinical reasoning.Why you can't develop strong reasoning in isolation, and how mentoring helps you bridge the gap.By the end, you'll know exactly how to move from guessing to confidently backing up your clinical decisions.

In this episode of The ABMP Podcast, Whitney Lowe explores a systematic, creative approach to moving beyond basic routines, while confidently solving MT's most challenging client cases.   Host:   Whitney Lowe is a known authority in the field of massage therapy, with a 36-year career marked by clinical work, research, publications, and teaching in advanced massage principles. He specializes in treating pain and injuries using massage and is one of the pioneers of the orthopedic massage approach. Lowe's Orthopedic Massage Program stands out in its engaging and accessible design and comprehensive curriculum. Students, whether learning online or in-person, praise Lowe for his approachable style and personalized training.    Sponsors:   Anatomy Trains: www.anatomytrains.com    PMNT: www.pmnt.org   MassageBook: www.massagebook.com   Anatomy Trains is a global leader in online anatomy education and also provides in-classroom certification programs for structural integration in the US, Canada, Australia, Europe, Japan, and China, as well as fresh-tissue cadaver dissection labs and weekend courses. The work of Anatomy Trains originated with founder Tom Myers, who mapped the human body into 13 myofascial meridians in his original book, currently in its fourth edition and translated into 12 languages. The principles of Anatomy Trains are used by osteopaths, physical therapists, bodyworkers, massage therapists, personal trainers, yoga, Pilates, Gyrotonics, and other body-minded manual therapists and movement professionals. Anatomy Trains inspires these practitioners to work with holistic anatomy in treating system-wide patterns to provide improved client outcomes in terms of structure and function.                      Website: anatomytrains.com                        Email: info@anatomytrains.com             Facebook: facebook.com/AnatomyTrains                       Instagram: www.instagram.com/anatomytrainsofficial   YouTube: https://www.youtube.com/channel/UC2g6TOEFrX4b-CigknssKHA    Precision Neuromuscular Therapy seminars (www.pnmt.org) have been teaching high-quality seminars for more than 20 years. Doug Nelson and the PNMT teaching staff help you to practice with the confidence and creativity that comes from deep understanding, rather than the adherence to one treatment approach or technique.   Find our seminar schedule at pnmt.org/seminar-schedule with over 60 weekends of seminars across the country.   Or meet us online in the PNMT Portal, our online gateway with access to over 500 videos, 37 NCBTMB CEs, our Discovery Series webinars, one-on-one mentoring, and much, much more! All for the low yearly cost of $167.50. Learn more at pnmt.thinkific.com/courses/pnmtportal!    Follow us on social media: @precisionnmt on Instagram or at Precision Neuromuscular Therapy Seminars on Facebook.     MassageBook is offering listeners $50 off when they sign up with coupon code ABMP50. Start your free 30-day trial today and transform your practice with tools designed to increase bookings and streamline client management.   Connect with MassageBook:   Visit their website: MassageBook   Follow MassageBook on Facebook, Instagram, LinkedIn      

Shannon Wongvibulsin, MD, PhD and Shreya Johri, PhD interviewed by William Lewis, MD

Individual simulation allows students to think critically, perform nursing care, and intervene on abnormal findings, while simultaneously allowing faculty to provide appropriate coaching. Faculty developed 2 formative, individual, simulation activities incorporating multiple practice opportunities over time, clinical coaching, meaningful feedback, and reflection to enhance clinical reasoning and judgment development. The authors describe these individualized simulations and their outcomes in the podcast and article.

Craig shares insights into the origins of this innovative approach, how it can enhance occupational therapy practice, and why clinical reasoning remains critical to the profession.

Join Brock and Jess as they chat with Dr Craig Greber about an exciting new model of clinical reasoning he's helped to develop. Craig shares insights into the origins of this innovative approach, how it can enhance occupational therapy practice, and why clinical reasoning remains critical to the profession. An essential listen for anyone interested in pushing the boundaries of OT thinking! Instagram: @OccupiedPodcast Facebook: Occupied Podcast Host: Dr Jessica Levick & Brock Cook Subscribe now and never miss an episode!

Clinical Reasoning ist vielen noch kein Begriff. Sollte es aber sein! Denn der Großteil der Arbeit von Therapeuten ist genau das: Hypothesen aufstellen, überprüfen und passende Maßnahmen ableiten. In dieser Folge machen wir einen Deep Dive in das Thema Assessment & Clinical Reasoning. Viel Spaß beim Hören!Infos und Anmeldung zu den Assessment Seminaren:https://myomechanics.de/seminare/

Do you want to know how to design a workplace that fosters peer-assisted learning for the enhancement of the clinical-reasoning by undergraduate students? Find out in this paper! Read the accompanying article here: https://doi.org/10.1111/medu.15613

In this episode, Kathy Schott sits down with Dr. Kate Smith, clinical faculty and pharmacy education expert, to explore one of the most critical and challenging aspects of training student pharmacists and residents: developing clinical reasoning skills. Drawing from over a decade of experience in both clinical practice and education, Dr. Smith discusses nuanced differences between clinical reasoning, critical thinking, and problem-solving and offers preceptors practical, classroom-tested strategies to support learners. From using patient cases and SOAP notes to applying the "One Minute Preceptor" model, this episode is a must-listen for any pharmacy educator or preceptor aiming to foster confident, capable, and patient-centered practitioners.HostKathy Schott, PhDVice President, Education & OperationsCEimpactGuestKathryn (Kate) Smith, PharmD, BCACPAssociate Professor of InstructionUniversity of Iowa College of PharmacyGet CE: CLICK HERE TO CPE CREDIT FOR THE COURSE!CPE Information Learning ObjectivesAt the end of this course, preceptors will be able to:1. Differentiate clinical reasoning from critical thinking and problem-solving2. Identify practical strategies to teach and assess clinical reasoning skills in student pharmacists and residents in experiential settings.0.05 CEU/0.5 HrUAN: 0107-0000-25-215-H99-PInitial release date: 6/18/2025Expiration date: 6/18/2028Additional CPE details can be found here.The speakers have no relevant financial relationships with ineligible companies to disclose.This program has been:Approved by the Minnesota Board of Pharmacy as education for Minnesota pharmacy preceptors.Reviewed by the Texas Consortium on Experiential Programs and has been designated as preceptor education and training for Texas preceptors.Follow CEimpact on Social Media:LinkedInInstagram

Welcome back to our Ambulatory Survival Series where we sit down with some of the primary care leaders in the program and learn about how we can take the best care of our clinic patients!Author and Host: Dr. Ritika Kompella, Chief Medical Resident, UCONNGuest Speaker: Dr. Angela Stein, Ambulatory Site Director of St. Francis Gengras Clinic, Assistant Professor of Medicine at UCONNAdditional Readings:Problem Representation - Exercises in Clinical ReasoningIllness Scripts - Exercises in Clinical ReasoningDiagnostic Schema - Exercises in Clinical Reasoning

On this episode of KeyLIME+, Adam speaks with Drs. Saleem Razack and Stuart Lubarsky about the concept of medical expertise. They dig into definitions and interpretations of medical expertise, ideas around cognitive load, and the role of illness scripts in clinical reasoning. They also address the recent public discussion about the centrality of medical expertise within the CanMEDS framework and what we might expect in the next iteration of CanMEDS.   Length of episode: 50:25  Resources to check out:     Lubarsky S, Dory V, Audétat M-C, Custers E, Charlin B. Using script theory to cultivate illness script formation and clinical reasoning in health professions education. Can. Med. Ed. J [Internet]. 2015 Dec. https://journalhosting.ucalgary.ca/index.php/cmej/article/view/36631  Kahneman D, Klein G. Conditions for intuitive expertise: a failure to disagree. Am Psychol. 2009 Sep;64(6):515-26. https://pubmed.ncbi.nlm.nih.gov/19739881/   Contact us: keylime@royalcollege.ca   Follow: Dr. Adam Szulewski https://x.com/Adam_Szulewski     

Neurodynamische Tests in der neurologischen Therapie? Für viele schwer vorstellbar – unsere heutige Expertin Nora Kern zeigt, warum sie gerade hier unverzichtbar sein können. In dieser Folge sprechen wir über die Bedeutung peripherer Nerven in der Neuroreha, über den Zusammenhang zwischen Spastik und Stress, über Beobachtung statt Bewertung und warum das Nervensystem oft mehr weiß als wir selbst.

Dr. Nadia Khalil and Dr. Jean Bouchart discuss the diagnostic approach to intracerebral hemorrhage, the causes of cerebral small vessel disease, and the interpretation of biomolecular tests.  Show reference: https://www.neurology.org/doi/10.1212/WNL.0000000000209796 

Dr. Nadia Khalil talks with Dr. Jean Bouchart about the diagnostic approach to intracerebral hemorrhage, the causes of cerebral small vessel disease, and the interpretation of biomolecular tests.  Read the related article in Neurology® Resident & Fellow Section.  Disclosures can be found at Neurology.org. 

We are so thankful for help from our guests:Melissa (MJ) Sacco, MDAndrew Parsons, MDLearning Objective:By the end of this podcast, listeners should be able to develop an expert-guided approach to identifying and helping trainees improve deficits in diagnostic reasoning, complex decision-making, and effective communication of complicated clinical situations within the healthcare team.References:Parsons AS, Wijesekera TP, Rencic JJ. The Management Script: A Practical Tool for Teaching Management Reasoning. Acad Med. 2020 Aug;95(8):1179-1185. Peterson BD, Magee CD, Martindale JR, Dreicer JJ, Mutter MK, Young G, Sacco MJ, Parsons LC, Collins SR, Warburton KM, Parsons AS. REACT: Rapid Evaluation Assessment of Clinical Reasoning Tool. J Gen Intern Med. 2022 Jul;37(9):2224-2229. Citation:Questions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the showHow to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.

Welcome to our first episode of the Early Clinical Learners Series - a series dedicated towards fostering clinical reasoning skills and strategies in early clinical learners! In this episode, hosts Caroline Wang, Andrew Mohama, and Samantha Shih guide M1 student Adrian Jenson through a classic Alert and Oriented case. Joined by expert clinician Dr. Richard Abrams, they break down key clinical reasoning strategies, essential tips for early learners, and how to approach heart failure with reduced ejection fraction like a pro. Whether you're just starting clinical learning or refining your diagnostic skills, this episode is packed with valuable insights to boost your confidence on the wards!This episode experienced technical difficulties during recording, which may result in certain sections of audio being less clear than intended. We appreciate your understanding.Hosts: Caroline Wang, Andrew Mohama, Samantha Shih, Dr. Richard AbramsGuest: Adrian JensonProduced By: Caroline Wang, Andrew MohamaAlert & Oriented is a medical student-run clinical reasoning podcast dedicated to providing a unique platform for early learners to practice their skills as a team in real time. Through our podcast, we strive to foster a learning environment where medical students can engage with one another, share knowledge, and gain valuable experience in clinical reasoning. We aim to provide a comprehensive and supportive platform for early learners to develop their clinical reasoning skills, build confidence in their craft, and become the best clinicians they can be.Follow the team on Twitter:A&OA fantastic resource, by learners, for learners in Internal Medicine, Family Medicine, Pediatrics, Primary Care, Emergency Medicine, and Hospital Medicine.

In this episode, we chat with Chuck Hazle, a veteran educator and expert in manual therapy and clinical reasoning, about the challenges of preparing students for the real world. He discusses the evolution of teaching methods, the importance of rigorous practical exams, and how imaging and medical screening complement manual therapy.

What does it take to master clinical reasoning in an ever-evolving medical landscape? Dr. Daniel Boctor, MD dives into the complexities of decision-making in medicine, why asking “why” is a skill every doctor should cultivate, and how AI can complement—but never replace—the human touch in healthcare. In this intellectually stimulating conversation, host Andrew Mohama seeks out Daniel's insights on clinical reasoning through frameworks and personal stories from his journey in medicine as an internal medicine resident physician at UCSF. Along the way, Daniel offers practical advice for learners and clinicians alike, making this episode a must-listen for anyone passionate about medicine.Daniel's recent publication in JGIM questioning why residents discontinue metformin on admission: https://link.springer.com/article/10.1007/s11606-024-09226-3Host: Andrew MohamaGuest: Daniel BoctorProduced By: Andrew MohamaAlert & Oriented is a medical student-run clinical reasoning podcast dedicated to providing a unique platform for early learners to practice their skills as a team in real time. Through our podcast, we strive to foster a learning environment where medical students can engage with one another, share knowledge, and gain valuable experience in clinical reasoning. We aim to provide a comprehensive and supportive platform for early learners to develop their clinical reasoning skills, build confidence in their craft, and become the best clinicians they can be.Follow the team on Twitter:A&ORich AbramsNathan KudlapurNU Internal MedA fantastic resource, by learners, for learners in Internal Medicine, Family Medicine, Pediatrics, Primary Care, Emergency Medicine, and Hospital Medicine.

The authors offer an empirically informed model of learning of clinical reasoning in the clinical environment by drawing on the concept of "sensemaking". Read the accompanying article here: https://doi.org/10.1111/medu.15461

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.

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

"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 "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

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.

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

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

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.

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

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