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.

Doctors in rehabilitation – 1

“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 …

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Rehabilitation team leadership

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 …

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Assessment competency

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 …

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Wisdom in rehabilitation

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 …

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2021 Rehabilitation Curriculum

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 …

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Rehabilitation thinking

“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 …

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Rehabilitation expertise

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 …

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Using the MCA in health services

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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