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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ARE YOU A QUALIFICATION SNOB?

Uncategorized Feb 27, 2020

Here at the Better Clinician Project we are determined not to have any egos or elitism, instead we want to create an open, honest, friendly, and down to earth community of healthcare professionals who are not up their own arses and full of academic or qualification snobbery, which unfortunately in our experience is rife in healthcare.

If you want to find out more about the project CLICK THIS NOW

I was reminded how common academic and qualification snobbery is when I attended a large scientific conference recently. The conference was great and I learnt a lot, but it was tarnished by a few conversations I had with some of the very smart and immensely qualified delegates who suddenly appeared to think my IQ level dropped through the floor when they realised I was ‘just’ a clinical physio, who didn’t have a PhD and wasn’t widely published.

Am I simple?

I swear to god that one guy even started to speak a little slower and louder as if he suddenly...

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THE DEFINITIVE GUIDE TO POSTURE & PAIN IN 3 MINUTES FLAT

Uncategorized Feb 20, 2020

Go check out the Better Clinician Project *HERE*

POSTURE AND PAIN ARE NOT WELL LINKED IN THE RESEARCH 

This means no if's, no but's, no maybe’s or even worse…… “in my experience”, which of course is completely ludicrous as someone else may have had exactly the opposite experience.

Who is right? Who the f**k knows? That’s why we have science!!!!

Evidence based practice is a game of probabilities and the probabilities are well stacked against posture being a cause of many musculoskeletal problems.

There are far to many papers to list, so here is one each for some different areas of the body. If you think I have just cherry picked these, there really is shit loads of this stuff out there so go and have a look if you don’t believe me!

Shoulder posture

Cervical posture 

Lumbar posture

Thoracic posture

We have no gold standard for what is good and bad posture. So what people base their correction or postural goal on has to be a...

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WHATS THE EVIDENCE ON SIJ ASSESSMENTS

Uncategorized Feb 15, 2020

Within the therapy world the assessment and treatment of the Sacroiliac Joint, or the 'SIJ' as its more commonly known, is a fiercely debated area that often creates lively disagreements, as I recently found out when I posted a comment on Twitter a while ago stating I was surprised that many still use unreliable palpation tests to assess it. After some much RSI inducing tweeting, which ended up with one tweeter calling me a 'critical arsehole' I thought I would write a piece on what my experience and more importantly what the research is telling us about assessing the Sacroiliac Joint.

For me as physio the SIJ has always been one of those areas I never did fully understand when I was a student many years ago. I can recall being in classes being confused as hell listening to tutors explaining the arthro-kinematics of it during movement, and how alterations to these movements can cause pain and dysfunction.

And it got even worse in the practical lessons with being even more...

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WHAT DOES THE EVIDENCE TELL US IS THE BEST EXERCISE FOR BACK PAIN?

Uncategorized Feb 06, 2020

Lower back pain is a real BIG DEAL for a lot of people and with all the opinion and dogma that gets attached to various exercise types surrounding it I thought I would take a little look at the EVIDENCE base to try and get some clarity on what really is the BEST exercise for low back pain (LBP).

We are in luck here too. The good folks of academia have blessed us with a plethora of studies to choose from, not just looking at if a certain type of exercise is effective for LBP but also comparison studies to find out if they are MORE effective than something else!

THE EVIDENCE

Lets start off looking at one of the most popular methods touted to resolve chronic back pain…..Pilates. This study *HERE* looked at Pilates in comparison to a stationary bike program over 8 weeks. The results indicated that at a 6 month follow up, an important time measure for CHRONIC pain, there was no between group differences, both were effective for reducing pain, disability and...

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How is this going to work?

Uncategorized Jan 23, 2020

So its only 9 days until the Better Clinician Project gets under way and we (Adam & Ben) want to let you know exactly how this exciting new project is going to work when it goes LIVE on the 1st of February.

If you sign up you will receive weekly content around 10-20 minutes long, usually video based, on one of 4 subjects. This will be delivered at set times each week so you can plan your education. 

We will have case studies, interviews and clinically relevant topics in all areas

Better Clinician - Key topics that impact on clinicians and clinical practice

Better Rehab - Exercise examples and case studies to improve your knowledge of rehab

Better Patient - Patient focused information that is about understanding the people we are helping better

Better Research - How do you filter and navigate the mountains of research? This section helps you do just that!

You can see examples of this content if you pop over to the website ...

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Welcome to the Better Clinician Project

blog welcome Dec 17, 2019

Hello there, and welcome to The Better Clinician Project a brand new and unique online learning resource that aims to deliver high-quality content at a low cost that aims to make you a better clinician helping those you see get better.

The project is hosted by Adam Meakins a Physiotherapist and Strength and Conditioning Specialist from North London, and Ben Cormack a musculoskeletal therapist from South London in England. Together they have created an exciting, educational learning experience for you.

The better clinician project aims to become the most comprehensive online learning resource for the busy, hardworking, evidenced-based clinician, who is pushed for time and cash.

We aim to deliver high-quality weekly information offering clear, simple, practical, evidence-based advice and information. We want to prove that high quality continuing education doesn't have to be bland, boring or expensive and can cost you less the price of a frothy coffee a week.

The better clinician...

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