I'm on my musculo now at the Curtin Clinic, and from what I've been hearing the placement there is quite different from other musculo placements. On our placement we have a 1 hour time slot for ongoing patients and 1.5 hours for new patients. Before we see our patient we have to go through the plan for our subjective and objective assessment with our supervisor. We do our subjective which is about 5-10 mins and have to ask specific questions about their pain (present, since last Rx, aggravating factors, easing factors, time to ease/increase) post Rx effect, and how they coping with their home exercise program. After the subj we pop back out to talk to our supervisor about it, and then discuss what we're going to do on our obj.
The objective consists of AROM (PROM) with P1 P2 R2 and the rest of that good stuff. Then PIVM, PAVM, NTPT, appropriate musc length and any other stuff that may be appropriate (eg neuro testing, specific tests), then an assessment of how they perform their home exercises. After that you pop back out to talk to supervisor, and tell her what you want to do as Rx, and how you want to progress your home exercises. She makes her suggestions, and you use a combination of them and your own (mostly hers) :)
After EVERY Rx you reassess something. If your Rx is left and right PAIVM you reassess after your left and then again after your right. After the Rx you write up their home exs and make a photo copy of it to put in their notes, and you book them in for their next appointment. That pretty much takes 45-60 mins and then you find time to do your notes.
Other than Minh and Nicole (who have had the same placement) does anyone else do anything comparable to that on thier musculo. If heard that some people only have to do 1 paragrapg of notes, and don't have to check in with their supervisor during their Rx, or only have 30 min for Rx.
Enjoy studying for the PCR.
Calvin
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Calvin,
On my musculo placement (I'm sure you've already heard but here goes....) I had to see my pt with the pt sheet that everyone gets....for new pt's pop out after subjective and obj, for ongoing out after both....tell my supervisor my plan for Rx...they may have made some suggestions....but rarely did as they wanted me to reassess and learn for myself...then write some notes...decide which were asterix signs so I'd ask about them and reasses that next time (this didn't need to be discussed) I only had a few notes signed for some feedback.....and that was it.
However....I was also involved in: hydro programs, knee classes, ACL classes, general fitness and conditioning classes, orthopaedic clinic with a consultant and tutes from my various supervisors.....which all grilled me in every kind of class...especially the consultant on orthopaedic clinic.
I also had planning sheets which I had to fill out on 'difficult' patients to get me thinking...and my Curtin supervisor verbally drilled me on every one of my patients so although I didn't have to write notes - it had to be in my head anyway.
I got a very good picture of how outpatient physiotherapy works in a public hospital - which was a great experience.
SO - that was my clinic!!
Hi Calvin
The musculo placement at Charlies Curtin Clinic is exactly the way you describe your clinic. It is challenging to do all you've mentioned in the given timeframe but I think it is a great set up to learn the most and to get feedback and also hints on what you've assessed and what should be tested in addition to get a clearer picture of the patient.
Hope this helps,
Edith
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