The irony of our current practice standards is the skill that made our profession unique has been willfully and knowingly surrendered to care extenders.
We don’t get to rewrite history nor the patient experience and good technique doesn’t become bad technique because of a research paper. If we define good technique as that which brings about the correct patient experience, then we all ought realize how much we have to learn from those who have been clinically successful.
There is no limit to the ways that patients create abnormalities and we should have no limit to our creative application of basic principles to allow us to help the unusual or complicated presentation.
How on earth can I advocate top 10% wage earners paying back their loans slowly? Well it really comes down to the math, an understanding of cash flow, and the necessity of investing early for retirement.
"What should you do now that you are certain you failed the test that you spent the last 5 years gearing up to pass?"
At the right price education is priceless. What happens when it comes at the wrong price though?
The hardest thing to teach is self-confidence in the embodiment of basic concepts to a level sufficient to be confident going into an exam. This enables the practitioner to explore willfully in a way that will lead to finding the concordant losses and turning that finding into treatment even if you have never done it before.
"Of utmost importance is how we allow that joint to guide our handling of it as we try to improve its’ functional status."
The trophy is so much sweeter when you’ve experienced the participation ribbon. My first “participation ribbon” almost ended my career.
Let’s think about that, simply by taking the differential between an average starting PT salary and what a resident earns in their first year (minus the cost of residency) and investing it in a passive exchange traded fund and contributing nothing for the next 40 years the student would hit retirement age with 2.5 times the amount of retirement savings as the average American!
What we do not have is the right to over state what we are. The simple truth is that there is more mediocre PT delivered than there is stellar. We have a choice to be part of the problem or part of the cure. With all of the right minds participating in all of the right places we have the opportunity to be the best providers of musculoskeletal care in the medical arena.
The bottom line here is that they are doing research on examination that an examiner never does.
Over the years of listening to patients who have had poor treatment elsewhere I have grown disgusted with what commonly passes to the unwitting public as "physical therapy".