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PT and the Greater Good

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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The Best Medicine
by Dean Metz
I've just returned from the Physiotherapy 2013 conference in Birmingham, England. I never thought I would say this, but it's probably the best thing I've done for my career in the past decade. The speakers were inspirational. One of the main themes was 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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Just Breathe!
by Dean Metz
I've worked all through my adult life, even when in PT school. There was one period in the mid-80s when I was unemployed for about two months... it made me crazy. Having grown up in New England, I have a Puritanical work ethic. I define myself by my work, Read More...
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Time for Reassessment
by Dean Metz
Reassessment is something we do daily with our patients. Are we making progress toward our goals? Are our chosen techniques having the desired effects? Are we going to achieve the desired outcomes or do we need to change course? The same could be said 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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Just Phone It In!
by Dean Metz
A piece of research came out in the British Medical Journal at the end of last month regarding tele-physio. I've been a vocal critic of this practice "development" in this blog and to anyone who will listen. This is an important piece of research. If 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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