WTF is the BCP?

Uncategorized May 02, 2021

Who are we?

The Better Clinician Project or BCP for short, is an easily accessible online platform that delivers clinically applicable information in easily digestible bite sized chunks. Set up back in 2019 by Adam Meakins and Ben Cormack, two well known clinician’s on the international teaching scene, the BCP has grown into a vast resource of evidence based clinical education that can be accessed easily via your computer or our app anywhere and anytime.

 Our slogan is “By clinicians, for clinicians” and this guides how we design and deliver our content to make it applicable to you the clinician. It’s not about us, it's about YOU and we are growing into a healthy and interactive online community that is a safe space to ask questions, find information and post tricky cases. The BCP is for ALL clinicians. We have physio’s, osteo’s, chiro’s, trainers, massage therapists, sports therapists and even more. You name it, we got it. This brings...

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I believe you!

Uncategorized Nov 22, 2020

Over the last 4 weeks, myself and Ben Cormack have been interviewing patients on the 'Better Clinician Project' to gain their insights and experiences of both healthcare and the clinicians working within it. I have found these discussions such an invaluable resource and have learnt so much from them all and I cannot urge you all enough to go watch them now here.

I know that as a clinician you may be thinking, why do I need to listen to more patients when I’m already listening to so many of my own? I used to think like that as well, but there are a number of very good reasons to go and listen to other patients reflecting about their interactions with other clinicians as it can give us insight into what our current patients may be feeling and thinking but not telling us.

You don't know much

I don’t care how good you may think you are at communicating I will guarantee that most of your patients won’t be telling you everything they know or feel, and this is...

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THE SCIENCE BEHIND WHY ASSESSING AND BLAMING POSTURE FOR PAIN IS BS

Uncategorized Oct 28, 2020

If I had a £ for everybody that mentioned posture on social media or when they had a pain problem…… well lets just say I would be a pretty rich guy.

POSTURE has literally become engrained in peoples thoughts when talking about back, shoulder or neck pain even though we have a shit ton of studies that compare the postures of pain free people with those with back, shoulder or neck pain and find no real differences, this information gets regularly IGNORED.

NEVER let science get in the way of a good story, especially if it’s on the interwebs!

But just to kick off with a bit of science, this paper HERE from 2016 found NO significant difference in lumbar lordosis (spinal curve) between people with back pain and those without.

This is super important. HOW can we blame something that we see in people WITHOUT pain as a cause of pain for those that do?

I will just let that sink in……

WHAT ARE YOU MEASURING?

So in this blog we are going to...

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DIVIDED WE STAND

Uncategorized Aug 10, 2020

Here at the BCP, we try our best to find the delicate balance between the clinical and academical worlds. But it's tough, really tough trying to find the best evidence-based solutions for our patients whilst dealing with the day to day clinical realities and challenges.

Find out how the BCP is closing the gap between the academical and clinical worlds here

Despite some initiatives to bring the clinical and academical worlds closer together, it does still feel like there is a huge metaphorical divide between them.

Often clinicians feel like academics and researchers don't appreciate or understand the time and resource restrictions they face, and academics feel like clinicians are ignorant and lethargic in understanding basic scientific principles and following research-informed suggestions.

And so it appears that many clinicians and academics are 'standing divided' in their attempts to help patients and unless this divide is reduced then both are going to be united in...

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IS YOUR ANTERIOR PELVIC TILT SLOWLY KILLING YOU?

Uncategorized May 21, 2020

Now there’s a sensational title to draw you in! Admit it I got ya!

I thought would do a quick bloggy thing on anterior pelvic tilts (APT) and the associated problems they may cause based on a recent discussion I had. It is certainly not an original post by any means but it is a topic that will not die. In fact any blog post out there that focuses on a bit of the research into this topic rather than just the theory is just a drop in the ocean compared to the mountains of well…stories really. These pieces tend to be thick on biomechanical theory of X pulls Y and causes Z (generally pain) but much thinner on any real science to back it up.

ATP

That theory may go a bit like this. You sit too much therefore your hip flexors get tight which pull your pelvis into an anterior pelvic tilt that increases your lumbar lordosis which gives you your back pain.

The humble APT is blamed for all sorts from lower back pain to groin pain and hip pain, in fact any pain that is remotely...

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THE 10 BEST THERAPISTS

Uncategorized May 05, 2020

A previous article I wrote called 'The 10 worst therapists' a while ago highlighted some of the flaws and issues I see in many therapists across all the professions. However, I thought it's also time to look at the other side of the coin and discuss what are the 10 attributes and traits of the best therapists I know across all the professions.

However, before we get started if you want to become a better therapist then please check out THE BETTER CLINICAL PROJECT HERE.

Now before I start this is not an exhaustive list and these are by no means all my own traits. If I'm being honest I reckon I score around a 5 or 6 here, with me slipping on some of these traits from time to time. In fact I seriously doubt any of you could say you are all 10 of these, all the time. However, I think if we all tried a little harder to score as high as we can, as often as we can, then I don't think we can go far wrong. So without further ado, here are my 10 best therapists.

No 1: The Caring...

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FREE Webinar: Challenges & Opportunities of Online Consultations for MSK Clinicians

Uncategorized Apr 21, 2020
 

This is a full recording of our extremely popular FREE 1 hour webinar on the challenges and opportunities of online consultations. 

We wanted to make this available to everybody that missed it or could not get signed up due to the popularity. 

If you like what you see PLEASE go and check out the "Better Clinician Project" *CLICK HERE* 

Or you can get directly signed up HERE

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10 practical tips to make your online consults BETTER

Uncategorized Apr 02, 2020

Online consults have become a big talking point amongst healthcare professionals and many have had to take their trade online with the current Covid-19 pandemic. It can be challenging and a little discombobulating at first but here are 10 things that you might want to bear in mind when you come to do It and could even improve them : )

Check out more the Better Clinician Project HERE 

See it as an opportunity

We should not view this move into the online world as inferior or sub optimal, just different! In some ways it might actually be superior with people feeling comfortable in their own environments and not having the stress of travelling to us.

It also provides opportunities to focus on areas us HCPs have been discussing upskilling in for years! Building better relationships, communication, advice, coaching & promoting self management are all things I hear regularly discussed as being under emphasised. Well now is time to put away the ideology as these are the tools at...

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10 reasons you and your patients should EXERCISE

Uncategorized Mar 25, 2020

Exercise is great, we know this, right?

Well sort of.

Many people know exercise is good for us on a general level, but the question is, do they know it’s right for them on an individual level and is it the right fix for their problem?

This is an entirely different proposition, applying that general information to the person. This idea that these things are good for us can be quite vague, one of those things we may have glanced over in a newspaper or half heard on the news whilst eating our cornflakes.

People also build up ideas about what is the correct treatment for them. This can be from their own in depth research on the internet (right!), what they have picked up from friends and family or from previous treatment with a therapist. This can lead to some pretty strong ideas about what should and perhaps should not be done to help them.

These beliefs don’t always align with the best available data we have about interventions. A prime example of this is the belief that...

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EXERCISE DOSING FOR PAIN IS NOT THE SAME AS EXERCISE DOSING FOR FITNESS!

Uncategorized Mar 05, 2020

Go check out the Better Clinician Project *HERE*

Exercise dosage in rehab is still one of the biggest areas of uncertainty in clinical practice. On one hand we have modern thinking that promotes higher loading & dosage for patients and on the other hand we have the traditional model of lower load and lower dosage that has probably evolved to minimise the risk of adverse scenarios such as increased pain and decreased patient confidence in the therapist.

Currently we have some basic dosage guidelines for rehab that focus on the physical qualities that we know can be a PART of rehab. But if we take the primary target of the majority of rehab, PAIN, and if we are being honest with our current knowledge base, we don’t really have the sets and reps, or other dosage parameters that we can use to achieve a reliable outcome on our patients pain.

If we look at the current research base for rehab exercise we regularly see that the confidence intervals around the mean effect...

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