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      • Gaenslen Test
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      • Sphinx Test
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      • Standing Forward Flexion Test
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      • Supine to Long Sit Test
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      • Drop Arm Sign
      • External Rotation Lag Sign
      • Hawkins-Kennedy Impingement Sign
      • Horizontal Adduction Test
      • Internal Rotation Lag Sign
      • Jobe Test
      • Ludington's Test
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      • Painful Arc Sign
      • Pronated Load Test
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      • Speed's Test
      • Posterior Apprehension
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        • Hyperabduction Test
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      • Cozen's Test
      • Elbow Extension Test
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      • Moving Valgus Stress Test
      • Push-up Sign
      • Ulnar Nerve Compression Test
      • Valgus Stress Test
      • Varus Stress Test
    • Wrist/Hand >
      • Allen's Test
      • Carpal Compression Test
      • Finkelstein Test
      • Phalen's Test
      • Reverse Phalen's Test
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      • Dial Test
      • FABER Test
      • FAIR Test
      • Fitzgerald's Test
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      • Labral Posterior Impingement Test
      • Long-Axis Femoral Distraction Test
      • Noble Compression Test
      • Percussion Test
      • Sign of the Buttock
      • Trendelenburg Test
    • Knee >
      • Anterior Drawer Test
      • Dial Test (Tibial Rotation Test)
      • Joint Line Tenderness
      • Lachman Test
      • McMurray Test
      • Noble Compression Test
      • Pivot-Shift Test
      • Posterior Drawer Test
      • Posterior Sag Sign
      • Quad Active Test
      • Thessaly Test
      • Valgus Stress Test
      • Varus Stress Test
    • Foot/Ankle >
      • Anterior Drawer
      • Calf Squeeze Test
      • External Rotation Test
      • Fracture Screening Tests
      • Impingement Sign
      • Navicular Drop Test
      • Squeeze Test
      • Talar Tilt
      • Tarsal Tunnel Syndrome Test
      • Test for Interdigital Neuroma
      • Windlass Test
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Various Types of Orthopedic Settings

9/7/2017

3 Comments

 
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Recently, my family and I moved to Boise, ID and I started practicing at a new private practice clinic that is one-on-one for 45 minutes with each patient. For those of you unfamiliar with my work history, I had previously worked in both a hospital-based outpatient ortho clinic (for 1 year) and a high-volume private practice ortho clinic (for 3 years). There are many differences between each setting and different pros and cons to each one as well.

​Let's start with obvious cons of high-volume clinics: less time with each patient, difficulty with case management and therapeutic alliance, and possibly tech oversight. The worst part of it is that it can be more difficult to develop your clinical skills and clinical reasoning as you are more worried about getting to your next patient or managing your schedule, instead of focusing on the patient in front of you. The pros of a high-volume clinic are that you often are paid better (not always), you may see a more active population, and you get A LOT of exposure to different types of body parts, injuries or surgeries. Having worked in an hospital-based outpatient ortho setting, I would say that 70% of my patient population was chronic low back pain, deconditioning or balance issues. I probably saw 1 case of TMD and 1 or 2 wrist/hand injuries the entire year. Comparatively, I probably had 1 each of TMD or wrist/hand dysfunction throughout most of my time in the high-volume setting. Seeing more patients not only exposes you to more injuries, but also allows you to practice your techniques and skills on more people! You can become a lot more comfortable or proficient treating less common things just via exposure. 

​I am hoping that my new setting will bring the best of both worlds: one-on-one care, diverse population, good pay, and more. The most important aspect in my opinion is one-on-one care. I cannot wait to get into proper exercise prescription, loading techniques, and, above all else, patient education. Empowering and educating our patients helps to build their independence and restore their function. While I look forward to my new position, I am extremely grateful for my time I spent in a high volume clinic. I feel much more comfortable treating a variety of injuries, managing cases, and using certain manual techniques. The busy clinic can still be a useful part of clinical development, although, I don't recommend it long-term.

​-Dr. Chris Fox, PT, DPT, OCS


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For more advanced examination and treatment techniques, check out The Insider Access Page. Our goal is to help you improve your clinical reasoning, exercise prescription, and manual techniques.
If you are looking to improve upon your clinical skills, orthopaedic knowledge and clinical decision making, consider joining OPTIM's COMT program. With OPTIM, you can expect a residency-like learning experience without breaking the bank, all while learning from highly skilled physical therapists. Check out optimfellowship.com for more information!
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3 Comments
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3/4/2023 09:06:22 pm

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  • Home
  • About Us
  • TSPT Academy
  • Resources
    • Newsletter
    • Orthopedic Blog
    • Featured Articles
    • Research Articles
    • Residency Corner
  • Special Tests
    • Cervical Spine >
      • Alar Ligament Test
      • Bakody's Sign
      • Cervical Distraction Test
      • Cervical Rotation Lateral Flexion Test
      • Craniocervical Flexion Test (CCFT)
      • Deep Neck Flexor Endurance Test
      • Posterior-Anterior Segmental Mobility
      • Segmental Mobility
      • Sharp-Purser Test
      • Spurling's Maneuver
      • Transverse Ligament Test
      • ULNT - Median
      • ULNT - Radial
      • ULNT - Ulnar
      • Vertebral Artery Test
    • Thoracic Spine >
      • Adam's Forward Bend Test
      • Passive Neck Flexion Test
      • Thoracic Compression Test
      • Thoracic Distraction Test
      • Thoracic Foraminal Closure Test
    • Lumbar Spine/Sacroiliac Joint >
      • Active Sit-Up Test
      • Alternate Gillet Test
      • Crossed Straight Leg Raise Test
      • Extensor Endurance Test
      • FABER Test
      • Fortin's Sign
      • Gaenslen Test
      • Gillet Test
      • Gower's Sign
      • Lumbar Quadrant Test
      • POSH Test
      • Posteroanterior Mobility
      • Prone Knee Bend Test
      • Prone Instability Test
      • Resisted Abduction Test
      • Sacral Clearing Test
      • Seated Forward Flexion Test
      • SIJ Compression/Distraction Test
      • Slump Test
      • Sphinx Test
      • Spine Rotators & Multifidus Test
      • Squish Test
      • Standing Forward Flexion Test
      • Straight Leg Raise Test
      • Supine to Long Sit Test
    • Shoulder >
      • Active Compression Test
      • Anterior Apprehension
      • Biceps Load Test II
      • Drop Arm Sign
      • External Rotation Lag Sign
      • Hawkins-Kennedy Impingement Sign
      • Horizontal Adduction Test
      • Internal Rotation Lag Sign
      • Jobe Test
      • Ludington's Test
      • Neer Test
      • Painful Arc Sign
      • Pronated Load Test
      • Resisted Supination External Rotation Test
      • Speed's Test
      • Posterior Apprehension
      • Sulcus Sign
      • Thoracic Outlet Tests >
        • Adson's Test
        • Costoclavicular Brace
        • Hyperabduction Test
        • Roos (EAST)
      • Yergason's Test
    • Elbow >
      • Biceps Squeeze Test
      • Chair Sign
      • Cozen's Test
      • Elbow Extension Test
      • Medial Epicondylalgia Test
      • Mill's Test
      • Moving Valgus Stress Test
      • Push-up Sign
      • Ulnar Nerve Compression Test
      • Valgus Stress Test
      • Varus Stress Test
    • Wrist/Hand >
      • Allen's Test
      • Carpal Compression Test
      • Finkelstein Test
      • Phalen's Test
      • Reverse Phalen's Test
    • Hip >
      • Craig's Test
      • Dial Test
      • FABER Test
      • FAIR Test
      • Fitzgerald's Test
      • Hip Quadrant Test
      • Hop Test
      • Labral Anterior Impingement Test
      • Labral Posterior Impingement Test
      • Long-Axis Femoral Distraction Test
      • Noble Compression Test
      • Percussion Test
      • Sign of the Buttock
      • Trendelenburg Test
    • Knee >
      • Anterior Drawer Test
      • Dial Test (Tibial Rotation Test)
      • Joint Line Tenderness
      • Lachman Test
      • McMurray Test
      • Noble Compression Test
      • Pivot-Shift Test
      • Posterior Drawer Test
      • Posterior Sag Sign
      • Quad Active Test
      • Thessaly Test
      • Valgus Stress Test
      • Varus Stress Test
    • Foot/Ankle >
      • Anterior Drawer
      • Calf Squeeze Test
      • External Rotation Test
      • Fracture Screening Tests
      • Impingement Sign
      • Navicular Drop Test
      • Squeeze Test
      • Talar Tilt
      • Tarsal Tunnel Syndrome Test
      • Test for Interdigital Neuroma
      • Windlass Test