Education and Training

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.

Using the MCA in health services

The Mental Capacity Act (MCA) is a well designed, useful 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 right off course by well-meaning but clinically inappropriate guidance which has rendered it unused and unusable. The principles of the …

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Entrustability – what is it?

Mosr professions initially developed on the basis of trust. Examinations were rare. Doctors (and other professions) learned through experience. For healthcare, as science advanced and increased in importance, examinations in basic sciences were introduced. Thereafter, once qualified, further advance depended upon the trust of patients and other doctors. Even when I trained, the only examination …

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Social Care research

Today (May 26th 2021) I attended a Zoom-based seminar on Social Care research run by the Research Design Service (South Central) of the National Institute for Health Research (NIHR). It was excellent. I will discuss it here. Anyone who wishes to see the slides can download then from this webpage here. The talks will also …

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Capabilities – evidence

I was asked, on Twitter by Jacqui Wheatcroft: “I wondered about the references to support the inclusion of each area in the mind map?” (shown here) Replying in a Tweet was a challenge! I will explain here that: capabilities are high-level abilities that are simply chosen or agreed as indicative or representative of a person’s …

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Humanities in rehabilitation

This post concerns training in and education about empathy in the practice and delivery of rehabilitation. This blog suggests that education to increase empathy is needed, and is possible. This education is through academic study to a small degree, but is best achieved through a study of the humanities. The blog points out that education …

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Exemplary paper

The published paper featured in this post illustrates many features of a good rehabilitation research paper. (A shame it was not published in a rehabilitation journal!) The blog is categorised as Education and Training, because the paper is useful as an example, and could generate discussion. The paper, available here, concerns the pain and hand …

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Competencies

Competency as a concept used within training and education was introduced in 1973. It is now used in many spheres, not simply health. A recent review (here) has investigated its use. As one might expect, there are quite wide variations in meaning, which they illustrate. The review extracts main features and recommends a uniform terminology. …

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Rehabilitation syllabus

I am currently involved in writing a syllabus for doctors training in Rehabilitation Medicine in the UK. This has involved considerable discussion within the group involved, which has meant considering, what is a syllabus? The Oxford English dictionary states it originated in the mid 17th century meaning ‘a concise table of headings of a discourse’, …

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A surfeit of guidelines?

I am writing a syllabus for doctors training in Rehabilitation Medicine. The syllabus will cover, among other things, the knowledge people need. The working party developing the syllabus suggested that, for each competency or topic, we should recommend a guideline the trainee should be familiar with. Sounds sensible? It must be sensible. The General Medical …

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