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FYSIOTERAPI INN I FREMTIDEN
FREDRIKSTAD 11.10.2016
#fysiofuture
A game changer changes the way that something is done, thought about or made.
Todays game changers
Todays supporters
These are the rules Please respect the speakers and keep to time Talking to eachother at coffee break and lunch is
obilgatory Please feel at home, we are here for you Questions during sessions in any two ways
- email [email protected] personal message facebook to svein kristiansen
Associate Professor Mr Roger Kerry, University of Nottingham UK
LEARNING BY DOINGHolder det ?Svein Kristiansen
Manuellterapeut, spes i manuellterapiFysioterapi inn i fremtiden, Fredrikstad 2016
#fysiofuture
INTEGRATION OF KNOWLEDGE IN PRACTICE
TYPES OF KNOWLEDGE
CLINICAL KNOWLEDGE
RESEARCHKNOWLEDGE
INTIUTIVEKNOWLEDGE
THEORETICAL KNOWLEDGE SITUATIONAL
KNOWLEDGE
EXPERIENCALKNOWLEDGE
EXECUTIONALKNOWLEDGE
ETHICAL, MORAL
KNOWLEDGE
MODERNPHYSIOTHERAPIS
T
CONSEPTUALISATION OF PRACTISE #1 Clinical practise is the execution of worthless skills, theory og
scientific knowledge to solve, in a simple mechanical way, preassumptive clinical entities.
Knowledge is unproblematic and objective.
Eraut 1994, Fish 1998, Fish & Coles 1998
CONSEPTUALISATION OF PRACTISE #2 Clinical practise is the execution of priniciples and context
dependent decisions through improvisation, inventions and tests, to construct and solve complex and linked uncertain and hypothetical clinical entities.
Knowledge is socially constructed, discussed and worthy
Eraut 1994, Fish 1998, Fish & Coles 1998
CONSEPTUALISATION OF PRACTISETechnical rationality=Hard and solid ground
Professional artistry= Swampy lowland
Can I really be bothered to think?
Could we drift through clinical practise for 40 years and do ok?
Comfortable in the grey?WISE CLINICAL DECISION MAKING ?
Wise clinical decision making(the original defintion of evidence based practise)
Clinicalexpertise
Scientific Evidence
Patient values and goals
Is it possible to be ‘a EBP physio’ i 2016?
About 64 scientific journal articles pr month About 30 articles in each journal About 15,360 pages with ‘evidence’ each month
How do you develop clinical expertise?
ALL Knowledge ClinicalReasoning
Understanding clinicl practise related to ALL
knowledgeExperience
Conseptualisation of practise
Developing clinical expertise? Physiotherapist must be able to engage in their own
practiseFind time, make time and have the ability to think
critically and objectively around their own practise. Be able to accept and challenge new ideas and change practise (behaviour)
Is this possible through the post grad education system we have today?
What do we do with all this (shit) knowledge?
Peter O’ Sullivan via SigMikk 26.05.2016
•"...we have to change what we value in a consultation. The advice we give and the strategies we empower people with are maybe way more important than the (manual) techniques we apply."
"...but I'm in there with my hands. Because TOUCH is a powerful communication tool that can guide people to safely move. The (manual) skills are very useful, but the thinking is different.“
https://www.facebook.com/groups/manuellterapi/
Physiotherapists, please read and understand published data, but realise that this data is only meaningful when positioned within the narratives and socio-cultural contexts of our patients and our own experiences. Allow data – if sufficient – to free yourself from traditions and habits. Don’t be swayed by preposterous gadgetry and pretty colours but always look towards the data to drive positive ways of developing your practice. Stop handing out leaflets.
www.rogerkerry.wordpress.com
The easiest thing is to stop being a disciple, and start to think for yourself. A bit like a professional would. Ignoring biological aspects of our patients’ complaints is evidence-based silliness. Calls to abandon a biomedical model is evidence-based moronicy. And downright dangerous. Psycho-social dimensions are of critical importance to our reasoning and management. So is differentiating non-specific back pain from aortic aneurysm.
www.rogerkerry.wordpress.com
HOW ABOUT IF WE JUST KEEP GOING?
Our perceptions, our appreciations and beliefs are rooted in the worlds of our own making that we come to accept as reality (Schon, 1987)
Spørsmål?Svein Kristiansen
Manuellterapeut MSK Klinikken ASwww.mskklinikken.no
www.facebook.com/mskklinkkenwww.twitter.com@sveinekr
#fysiofutureEpost: [email protected]
Telefon: 46973828
#fysiofuture
