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.
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 …
“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, 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 …
Most professions initially developed based on trust. Examinations were rare. Doctors (and other professions) learn through experience. For healthcare, as science advanced and increased in importance, examinations in basic sciences were introduced. Once qualified, further advance depended upon the trust of patients and other doctors. Even when I trained, the only examination after qualification was …
The role of an Advanced Clinical Practitioner could be characterised as a role searching for a purpose. This post suggests a purpose, to meet the rehabilitation needs of people with Long Covid. They could, eventually, help increase and improve all rehabilitation services. This post reviews how the role emerged over the last 30 years or …
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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