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PT and the Greater Good

Interstate Practice
by Dean Metz
One of the things that surprised me when I first moved to the United Kingdom was that my registration (equivalent to licensing) was valid not only in England, but also in Wales, Scotland, and Northern Ireland. If I suddenly got an offer in Edinburgh or Read More...
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Evidence-Based... Astrology?
by Dean Metz
For the past 5 years, I've spent a fair amount of time talking to people about the reality of the National Health Service (NHS) in England. That it is actually a very good service and an organization I'm rather proud to work within. I've worked hard to Read More...
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The SNF Rehab Model Must Change
by Dean Metz
I've learned immense amounts about what my American PT colleagues are going through just to work these days. It disheartened me at first, inspired me next, and now has propelled me to think more creatively. I think it may be time to throw out the baby Read More...
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Effective Agents for Change
by Dean Metz
Two weeks ago I attended, and presented a poster, at a seminar on change within the National Health Service (NHS). We were asked to present because we had excellent outcomes in our service and we got them by doing things differently than other services Read More...
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Consent for Professional Abuse
by Dean Metz
If you're thinking this is a post about patient consent, it's not. Last week I wrote about the nearly unachievable productivity levels in skilled nursing facilities . I got a lot of responses from it. A former classmate wrote to tell me he was just separated Read More...
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Productivity Woes
by Dean Metz
Many of my fellow ADVANCE bloggers have been voicing concerns over productivity standards where they work. There is concern over not being able to reach targets and still do required work that's not billable; concern over working on one's own time; concern Read More...
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What Part Will You Play in the Future of PT?
by Dean Metz
If you've read my last blog, which ranged from Facebook to Adweek , you may wonder what all that had to do with PT? Reasonable question actually. Physical therapy has the potential to impact greatly on improved health outcomes for every country. On the Read More...
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Staffing Levels an Easy Problem to Fix... Badly
by Dean Metz
I've written a lot about the Francis inquiry into the failings of the Mid-Staffordshire NHS Trust . One of the most troubling findings was that in order to save costs, management had cut staff, primarily nursing, to levels that could not assure patients Read More...
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Autonomous Since 1977
by Dean Metz
I found out some interesting facts when I attended the Physiotherapy UK conference two weeks ago. One that surprised me was that physios have not required a medical referral to treat since 1978. Physiotherapy was recognized as an autonomous profession Read More...
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Medical Tourism
by Dean Metz
Over the years that I've been blogging about my findings whilst working here in the UK, I've had more than a few people state something like, "Well if the care is so good there, why do so many people come to the USA for the best treatment?" Some people Read More...
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Is This a Way to Get a Job?
by Dean Metz
I landed in England a week ago and am finally getting over the jet lag and readjusting to the different culture over here. Lots of "Oh yeah, that's right!" moments such as remembering bathroom light switches are on the outside of the door (Unless it's Read More...
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All That Negativity
by Dean Metz
I've seen some interesting responses to some of my fellow ADVANCE bloggers' posts as of late. I've seen people suggest that they look for other careers, they negatively impact the profession, and they should essentially stop expressing their dissatisfaction Read More...
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Telephonic Physical Therapy... the Notion Persists and Grows
by Dean Metz
I've written before about the trend in the UK towards triaging all and treating some patients with musculoskeletal complaints over the telephone. I've been very skeptical of this approach to the problem of access to PT services. By its very definition, Read More...
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‘Does it Do What It Says on the Tin?'
by Dean Metz
I learned this expression while working in England. It was a way of getting to the core of something, often a product, to determine the original intent and whether it was accomplished. I wonder that about continuing education requirements. Florida has Read More...
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Continuing Education Continues
by Dean Metz
So I'm back in the US about six months now and I've got a massive amount of continuing education to do. Before anyone starts wagging fingers about "serves you right" or anything else that sounds like your mother scolding, I had to do lots of CPD (continuous Read More...
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About this Blog


    Dean Metz
    Occupation: Staff Development Specialist
    Setting: New York, NY – Newcastle Upon Tyne, Great Britain
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