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Harris Health: First 3 months

12/12/2013

4 Comments

 
Picture
People always say that time goes by faster as you age, but I had never really thought about the truth of his statement until this year. When I was a student, time seemed to have no relevance. School was a protective bubble from reality. Now that I am working and have the freedom to create my own schedule, my scope of time has changed. It is hard for me to grasp that I have already been at the Harris Health System for 3 months. I am not sure if the time has gone so fast because of the hard work and long hours or simply because it has been a fun adventure. I am going to sum up my experiences thus far in 3 words: Challenging, Mentorship, and Growth. 

Challenging: Being part of any Orthopedic Residency program is challenging (as it should be). It is a 1-yr program that prepares someone to take a Specialty Examination. If it was not difficult, I would be questioning why I was there. But the intensity of the Harris Health Residency has been unique. I was always considered a fairly competent PT student from my clinical instructors. When first arriving at Harris Health, regardless of my clinical competence, I had to overcome the barriers of working with a complex patient population. Since I work at the county hospital, many of my patients speak Spanish as their primary language (I do not speak Spanish). They come from low socioeconomic backgrounds and have little health awareness. Little health awareness+ Low socioeconomic status + multiple comorbidities= Chronic pain. Regardless, I spent the first few weeks understanding my environment and learning how to treat this special population. As I was trying to keep my head above water in the clinic, I was also taking 3 didactic modules: Foundational Sciences, Sports/ Exercise Prescription, and Research. My residency director, Dana Tew, places these 3 modules first because of the high importance placed on differential diagnosis and understanding how to read the literature. All 3 modules were incredible learning experiences and each discussed their respective topics in much more detail than I received in PT school. The other aspect that makes Harris Health challenging (and awesome) is that everyone else in the clinic is much more intelligent than you. In the clinic gym, I am practicing around 6 or 7 OCS and FAAOMPTs. This combination of specialty degrees exists in ~1% of all physical therapists. Having a handful of them practicing next to you and mentoring you is unheard of (literally there are only a few other clinics in the entire country with this level of specialization). Every clinician is working towards or has achieved specialization.

Mentorship: Mentorship is the #1 thing that separates a residency program from any typical first job. At Harris Health we receive a minimum of 5 mentor hours per week. I switch mentors every 10-12 weeks to learn different skills and see different practice styles. Essentially, they watch me treat a patient and provide critical feedback on how to become a more efficient practitioner. Aside from improving my treatment style, the mentors have also helped advance my manual techniques. If a patient does not show up to their appointment, we drop the books and practice techniques. These practice sessions have really helped hone my palpation skills and improve my diagnostic abilities. It is these 1-on-1 sessions that have helped my clinical skills the most. 

Growth: It is often hard to detect change in your practice or personal growth unless you take a moment to reflect on where you once were. Coming out of PT school, I knew a little on a bunch of subjects. Translating that into practice, my evaluations were all over the place. I wanted to know every impairment and practice every test. One way the residency has helped me grow is in my efficiency. For example, if a patient demonstrates a positive Trendelenburg during a gait assessment, there is no need to test their posterior gluteus medius strength. They have already demonstrated weakness during a functional test. The art of observation is such a simple skill that is constantly overlooked. Taking a step back from your patient and looking at their injury in the context of their life will do great things for your treatment session and expectations for achieving goals. I would definitely not call myself an expert, but I am getting much better at synthesizing this information and diagnosing accordingly.     

In summary, my first 3 months have been great. As with anything in life, the amount of hard work and dedication you put into something will correlate with how much you receive in the end. To anyone who is on the fence about pursuing a residency, I highly recommend it. If a challenging experiences, Mentorship, and Professional Growth are things you are interested in, check out the Harris Health System Residency. Applications are due Feb. 1, 2014.   
      
-Jim


4 Comments
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3/17/2022 05:53:01 am

Well quite useful and helping information about the good health here that would be updated. I’m sure the kid is healthy and able to live happy life with his parents. The parents should good take care of their kids and help them to solve their problems their own.

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9/21/2022 01:26:30 am

amazing post. Great is see your experience. It's very helpful for students.

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10/10/2022 05:36:58 am

Harris Health is the successor to Harris Hospital which has a long history of excellence in providing quality healthcare. During its first three months of operation, we're going to provide you with up to date information regarding our services, as well as making it easy for you to book appointments.

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10/26/2022 04:23:03 am

In this first 3 months, I have learned a lot about being a social media manager. On top of that, I don't feel like I really did the company any favors. If anything, I let them down by not getting any real work done on them. That's why now I am taking you through the regular workings of my day at Harris Health.

Reply



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  • Home
  • About Us
  • Insider Access
    • About Insider Access
  • Online Courses
    • Hooper's Knee
    • Physical Therapist Entrepreneur Course
    • Physical Therapist Consultant Course
    • Orthopedic Management of the Cervical Spine
    • Return to Sport Essentials Course
  • Resources
    • Newsletter
    • Business Minded Sports Physio Podcast
    • Day in the Life of a Sports PT
    • 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