Lessons Learned from Clinical Education 2: Week 2

 

A little delayed, but Game of Thrones season finale, Conor McGregor vs Floyd Mayweather and celebration of a friend who got his first big boy job.

 

1.)     Documentation still sucks.
The amount of inefficiency drives me nuts. The computer is smart enough to know that I can’t bill for anything OT related and so it won’t let me add those when I accidentally click. Regardless, it gives me a super long list of everything that everybody else bills and I have to scan through that and click the appropriate boxes which are about four inches away on the screen so while clicking mistakes aren’t super common, they still happen. This is just one of my many issues with the software we use.

2.)     Catchphrases make life easier.
There will be certain scenarios that you’ll encounter over and over again and it’s nice to have these in your back pocket to pull out and keep things going. For example: patient farts, “You blow a tire?” “Turning on your afterburners, huh?”
“Today it hurts, tomorrow it works.”
They go on for days but there are a couple.

3.)    Manual therapy in rehab seems fairly unpractical.
I’d say 95% plus of our patients are 65 and up. They basically all have super kyphotic thoracic spines and a lot of them can barely look straight ahead when they are walking. I’d love to just give them a quick grade V thoracic mobilization and get a nice crack in there. I also think that an abundance of those cracks would be from their bones literally cracking. In general, I also feel like manual therapy is more welcome and more effective when the patient is actively seeking it and has come to you for that specific purpose.
I already feel less confident in my manual therapy and palpation skills and it’s a bummer.

4.)     It can be hard to relate to middle aged co-workers.
Do I need to relate to them to get along and enjoy myself at work? Not necessarily. It’s just that it comes more naturally when you have more in common. It’s just kind of hard for me to get on the same wavelength when you bring up your daughters wanting to switch bedrooms on your birthday. Maybe one day I will understand the throes of picking up kids from school, but that day seems far off, if ever.

5.)     Rehab schedules are most excellent.
Mine is at least. Set periods for breakfast, lunch and dinner make for a guaranteed lunch break and prevent working late. I don’t get to work crazy early either because the patients are getting ready for their day and eating. Do some notes and eat a nice little lunch during the lunch hour. Badda-bing-badda-boom. Out at a very nice time each day.

Note to self: ten week rotations, try to only learn lessons every two weeks instead.

 

Ramble on,

Sam

 

 

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