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Scottsdale Healthcare Orthopaedic Residency: Reflecting on the Year

7/28/2014

1 Comment

 
Picture
Well I have officially completed my orthopaedic residency as of last week. I came out of school feeling very confident in my skills as a new graduate. I thought I was a step ahead with all the readings leading up to the residency start date. Upon retrospect, it's hard to describe how far I've come in the last year and how little I actually knew in the beginning. I cannot imagine treating patients using the methods I used a year ago. Each aspect of my residency and additional education has culminated in a better understanding of how to manage orthopaedic injuries. While it would be ideal for everyone to pursue a residency in my mind, I hope to at least provide an outline for clinical advancement by gaining additional education and training in various areas.

I have said many times before that one of my favorite aspects of the SHC residency is the multiple perspectives offered. With the Orthopaedic Section's monographs of the APTA, Sahrmann's Movement Impairment Syndromes, and lectures from a manual perspective by a FAAOMPT, we learn various methods of managing our patient's injuries. The monographs offer a summary of the more current research in regards to diagnosing and treating injuries at each joint. Unfortunately, some of the information is outdated and the monograph approach of focusing on pathological tissue is as well. However, this is something that is beneficial to be aware of as parts of the OCSE is based off it and may still be useful in patient care. The Sahrmann approach allows the clinician to categorize patients by different movement patterns that led to the injury. A therapist can become extremely successful just practicing these techniques. Finally, the manual approach was a huge draw to me as I believe manual therapy can accelerate the rehabilitation in many cases. It also allows a head start in a manual therapy fellowship.

One of the prime components of a residency is mentoring. While some jobs may state that mentoring is offered, it is required in residencies. Being able to utilize and learn from the clinical reasoning of a seasoned clinician with advanced training allows you to make connections that many require several years of practice to achieve. This coupled with lectures by experts in their field ensures high-level education.

There obviously was much more involved with the residency, but I wanted to focus on the educational aspect. As stated earlier, I have changed completely as a clinician from where the year began to where it has ended. While much of what I have learned was part of the residency, much has also come from outside that (IASTM, SFMA, following online blogs, etc.). While I feel a residency would be beneficial for any individual looking to advance their skills in a specific area, taking the appropriate courses or using the correct resources can do wonders as well. Do not simply try to get some quick CEU's to maintain your license. With each class you take, have a deliberate plan set for how you hope to grow as a clinician (not that something can't be learned in any course). For example, SFMA or McKenzie may allow you to improve your diagnostic and treatment skills by placing into appropriate categories and prioritizing your treatments. A manual therapy certification course, may enhance your hands-on skills with a specific school of thought. Reading a book like "Explain Pain" may allow you to develop a better understanding in different areas (this one being pain science and chronic pain management). Regardless of the method chosen, I hope you all begin to develop a plan for your education and development. As for me, I will be working at Foothills Sports Medicine Physical Therapy in Scottsdale, AZ. I will begin my classes and mentoring in the Manual Therapy Institute's manual therapy fellowship in September and I hope to keep you all updated with some exciting new techniques I learn.

-Chris

1 Comment
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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