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PT and the Greater Good

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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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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Productivity: Why Bother Speaking Out?
by Dean Metz
I was asked in a private message, "What are your goals in speaking out about the productivity issues facing therapists in nursing homes (and private practices) today?" A good question! We can whine and complain all we want; very little will come of that 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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My Mentor, My Inspiration
by Dean Metz
For my birthday, I've treated myself to phone calls to friends and family back in the States. I just got off the line with the person who I can say is the reason I became a PT/physiotherapist. I had been in my mid-20s and the whole starving actor gig Read More...
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Restructuring
by Dean Metz
The very word can strike fear into many employees. In my previous experiences, that translated into layoffs, with those lucky enough to remain absorbing many of the jobs that used to be done by those laid off. The NHS has gone through a fair amount of Read More...
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Unintended Consequences
by Dean Metz
A while back there was some chatter among us ADVANCE bloggers on the public health issue of obesity. Since having an elevated BMI can cause a host of health problems, and Westernized nations on the whole are getting heavier and heavier, this is an area Read More...
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Presenting, Presenting, Presenting...
by Dean Metz
I got word today that the abstract for our study on the clinical and financial efficacy of our fall prevention clinic has been approved for a poster presentation at the annual Physiotherapy UK conference in Birmingham in October. I'm very pleased. While Read More...
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Making a 'Very Bold Statement' to Physicians
by Dean Metz
A large part of my current position involves reducing the risk of falling for people in the community as well as those residing in care homes. That's what prevention is all about -- reducing risk. Not long ago, I received a phone call from an irate physician Read More...
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Beyond Multidisciplinary
by Dean Metz
Most of us are well familiar with a multidisciplinary approach to meeting all of a patient's needs. Input from doctors, nursing, OT, PT, speech, and social work help us to provide better outcomes for patients. Notice the key word there... patients. What Read More...
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Finally Merging Physio and Public Health!
by Dean Metz
Next week I'm giving a presentation to the local authority and public health department on the problem of falling in older adults and what needs to be done about it. It's helpful that this is the same town I did my master's thesis on and that I'm starting Read More...
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What Do Scores Really Mean?
by Dean Metz
The National Health Service was in the news again this weekend , and not for good reasons. The children's hospital in Bristol has a high mortality rate. The medical director of NHS England, Sir Bruce Keogh, has ordered an independent review of the matter, Read More...
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Can We Afford the Gold Standard?
by Dean Metz
When I was getting my public health degree, we took numerous modules on statistics and research methods. One of the things we were taught, which I already knew, was that randomized clinical trial (RCT) was the best way to clearly answer a research question. Read More...
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Safe Bet or Bad Practice?
by Dean Metz
Over the holidays, we were sitting and whinging (English for complaining) over drinks about the demise of clinical and critical thinking in practice. In both the US and the UK, algorithms have been employed to standardize care in an attempt to assure 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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About this Blog


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