Posts in this category concern education and training of professionals specialising in rehabilitation. There is a focus on medical training of doctors, because it is the only profession with training leading to official recognition of expertise.
“But what do doctors do in rehabilitation? “I have been asked this question since I became interested in rehabilitation. Many healthcare professionals, including managers, worryingly state, “We don’t need doctors in our rehabilitation service.” When asked to justify this, the usual reply is, “Well, we can always ask their GP or consultant if we need …
At a recent meeting in Genoa of RIMS (Rehabilitation in Multiple Sclerosis), Dr Carlotte Kiekens discussed the leadership of the rehabilitation team, providing some challenging evidence and ideas to consider. In this blog post, I will review the whole question of leadership in rehabilitation. Traditionally doctors have considered themselves the leader, which is still the …
At 02.00 hrs on November 29th, I had an epiphany, “a moment of sudden and great revelation or realisation”. [OED] For many years, I have emphasised a distinction between assessment as a process and assessment as a measure (e.g. “the outcome assessment was the Rivermead Mobility Index”), and I have suggested that both should be …
In May 2021, Dr Sabena Yasmin Jameel published her University of Birmingham PhD thesis on Enacting Phronesis in General Practitioners. John Launer wrote about it on November 2nd, and I saw a tweet about his article. She has studied wisdom in general practitioners, but the findings apply to all healthcare professionals. Indeed, rehabilitation professionals should …
The new, significantly changed, and improved 2021 Rehabilitation Curriculum for training doctors in rehabilitation became active on August 1st 2021. This page introduces the new curriculum and its associated documents. In the UK, Rehabilitation Medicine (but not the practice of rehabilitation generally) has previously had a limited scope, reflecting its history. The 2021 curriculum is …
“Rehabilitation is a way of thinking, not a way of doing.” I have written two editorials extolling this approach, but I have recently realised that I have not explained the specific “way of thinking”. This omission struck me as I was writing some new pages for the site (not yet published) on training in rehabilitation …
Trust is central to all healthcare. A patient trusts the doctor’s diagnosis and recommendations. The doctor relies on a radiologist to read the image correctly. When the doctor refers a patient to a therapist, she trusts the therapist to assess for and provide appropriate intervention. The therapist, in return, relies on the doctor’s medical diagnosis …
Clinical Rehabilitation, the journal I have edited from 1994 to 2021, rejects about 88% of all submissions. Rejections fall into two groups. Many papers are not worth publishing or are entirely outside the scope of a rehabilitation journal. For the remainder, it is a question of relative priority. Some articles are better than others, and …
Rehabilitation is not therapy, and therapy is not rehabilitation. Rehabilitation expertise is the second area of expertise acquired by some people working within healthcare. Unfortunately, there is no mechanism to demonstrate that you have specific expertise in rehabilitation unless you happen to be a doctor. In the UK, since 1997, doctors have been able to …
The Mental Capacity Act (MCA) is a well-designed, helpful piece of legislation that governs decision-making for people who lack the mental ability to make decisions (in England and Wales). Unfortunately, it has been blown off course by well-meaning but clinically inappropriate guidance, rendering it unused and unusable. The principles of the Act are straightforward – …
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