Clinical Flow with Physiotherapist Andrew Koppejan

Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey! In this episode, hosts Andrew and Maxi reflect on the topic of self-care and seeking help. They discuss Maxi's recent health challenges and her experience of being on the receiving end of help and support, and her ongoing commitment to her own self-care.As therapists in the helping profession, it is very easy to put the needs of others first, with self-care not as highly valued as self-autonomy. Together, Andrew and Maxi examine the value of keeping our own well-being a priority, ways to incorporates self-care into our own lives, and to acknowledge and encourage it with our patients. Some of the key topics discussed include:Recognizing that as therapists, the need to be looking at our own self-care, and facing the resistance that we can feel internally to asking for help.Being aware and recognizing our own warning signs of neglecting an aspect of our well being, and the tendency to cope by pushing through.The emotional component around self-care and the manifestation of physiological reactions and symptoms.Ways to create space for reflection and grounding.Using our body rather than a cerebral approach as a way to enter into becoming more grounded in a place of safety.Acknowledging patients for taking the step in their own self-care, and what we can do as therapists to celebrate that as part of their treatment plan.Recognizing how part of our role as therapists is to help patients feel safe in their bodies, beyond just improving function. Also, our podcast is now available on Spotify by searching under podcasts!   Mentioned in this episode:Solehttps://yoursole.com/us/health-professionals

Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey! In this episode, hosts Andrew and Maxi welcome guest Cindy Grand about the emerging area of health coaching for physiotherapists.Cindy works at Alberta Health Services as an Implementation Lead for the Walter C. MacKenzie campus Connect Care team, supporting Allied Health in their implementation of the new health information system set to launch in November, 2019. Some of the key topics discussed include:How Cindy uses coaching techniques in her current role of overseeing the implementation process of Connect-Care to support people and processes through the change.How taking “Health Change Methodology” training for health behaviour change was the pivotal training that transformed her work and interactions with patients.Cindy’s definition of health coaching and its role within the physiotherapy profession, and the shift away from the expert-driven model.Why coaching skills supports efficient goal setting with the right timing for when the patient is ready.  How non-judgmental curiosity improves the interaction with patients and establishes rapport and trust.Why health coaching is becoming increasingly important for physiotherapists to incorporate into their daily practice with today's complex social issues. How addressing health behaviour change starts by asking the patient better questions. A review of coaching tools and frameworks to use in your practice, and Cindy’s techniques she uses every day.Click HERE to access the Toolkit developed by Physiotherapy Alberta for health coaching with tools and resources.Guest Bio:Cindy Grand is a change-maker fueled by good coffee and a passion for patient-centred care. She worked in sports/orthopedics for 14 years and then on the Provincial Bariatric Resource team, a multidisciplinary team supporting providers of care for patients with obesity for 5 years. She completed her Master of Public Health and is Prosci Change Management Certified, has her HealthChange Associates Peer Training levels 1 & 2 and has completed Foundational Training in Cognitive Coaching. Cindy has had the honor of being a lecturer at the University of Alberta for physiotherapy and interdisciplinary students. You can currently find her in a temporary role of Implementation Lead on the Walter McKenzie Campus Connect Care Implementation Team before she returns to the Integration & Innovation Team within the Provincial Primary Health Care Program, AHS.Subscribe to the ignitephysio podcast on iTunes here.Also, our podcast is now available on Spotify by searching under podcasts!  Need instructions on how to subscribe to the podcast on iTunes? Check out our instructions here. Mentioned in this episode:Solehttps://yoursole.com/us/health-professionals

Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey! In this episode, hosts Andrew and Maxi take a deeper look at the power of touch in the therapeutic relationship.Andrew discussion the impact of reading The Lost Art of Healing: Practicing Compassion in Medicine, and shares some great quotes which examines how touch augments the therapeutic relationship.Some of the key topics discussed include:How touch can be used both for assessment and connection with the patient.The Ted Talks episode by Abraham Verghes - “A Doctor’s Touch”.How touching is key to the transformation of a patient's level of trust, and how as clinicians we often forget the feeling of being a patient.Why we need to build a bridge to create a sense of safety in the therapeutic relationship.How responsive touch bypasses cognition and engages the neurophysiological system to activate the parasympathetic response which creates trust and safety.How the patient’s mental and emotional state can change with each assessment, and using touch to re-build the bridge.Using appropriate touch in context to each patient, and communicating why, with added sensitivity to trauma survivors.Adjusting our own state of being fully present while touching the patient, and observing their response.How safe and appropriate touch can positively impact the patient and allow a deeper healing.Why practicing your “presence” skills rather than just touching skills is important.A key takeaway from this episode is to observe your own state and do an out-breath before you touch a patient, and observe what’s happening with their response, and adjust yourself as needed.Mentioned in this episode:Solehttps://yoursole.com/us/health-professionals

Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey! In this episode, hosts Andrew and Maxi discuss the reality of burnout, and the challenge of staying energized, satisfied and motivated with daily clinic work.Following Andrew’s feedback from a nation-wide survey of PT’s, he reflects on the conversations with new grads about their struggles with managing the complexities of treatments, while also managing expectations from multiple stakeholders.Some of the key topics discussed include:The common challenge of providing good-quality care while managing so many expectations.The impact of incongruency of what we’re feeling internally and what we present to the patient.Recognizing emotional exhaustion as the early warning sign of burnout, and patterns of behaviour in response.Maintaining the therapeutic relationship while also self-regulating our own energy and presence, to work in an authentic way.Being overly attached to the outcome of a patient’s progress, and not taking things personally when the patient doesn’t improve.The feeling of professional loneliness, and the importance of social connection. Mentioned in this episode:Solehttps://yoursole.com/us/health-professionals

Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey! In this episode, hosts Andrew and Maxi are back in the lounge for an ad-lib discussion about the topic of vulnerability and leadership for physiotherapists.Andrew's conversations with both new and seasoned clinicians has revealed a common sentiment of not wanting to feel "yucky” in patient interactions. This is especially true for clinicians that are new to practice, with feeling overwhelmed and pressured to have extensive knowledge. But it's also why seasoned clinicians often get caught in a rut that's within their comfort zone.Some of the key topics discussed include:The review of Brene Brown’s book “Dare to Lead” about vulnerability in leadership and leaning in to discomfort, as an analogy for clinicians.Growth and adapting versus being too comfortable, and how to stay in the mode of growth.Finding the balance between safe practice and taking risks, and returning back to core principles and values when feeling vulnerable.Examples of how to hold therapeutic and grounded presence when feeling vulnerable and uncomfortable with a patient, and how to develop trust in the therapeutic relationship.Allowing space in a patient caseload to slow things down a bit, and giving yourself enough space to practice out of the comfort zone.When it’s not a good time to apply a new technique and put yourself in a vulnerable position.Maxi's review of deeper reflection practices and moving it into action, and Andrew's example of how therapeutic presence impacts the quality of treatment.How setting the intention to work on one simple thing and incremental change can add up over time to make a big difference.Mentioned in this episode:Solehttps://yoursole.com/us/health-professionals

Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey! In this episode, Andrew welcomes back Todd Wolansky, Physiotherapist and a Clinical Lead with Alberta Health Services in Canmore. Todd's passion for geriatrics led him to recently obtain the designation of Clinical Specialist in Seniors Health with the Canadian Physiotherapy Association. You can listen to Todd's previous podcast interview; Why Seniors Health is the New Sexy.In this episode the discussion centers on the fastest growing segment of the Physiotherapy patient caseload; seniors. Todd provides the changing treatment plan of the aging population with the focus of providing mobility and assessment tools, and the move from reaction to prevention with providing balance and strength training.Some of the key topics discussed include:Todd's review of predictive toolsHow to incorporate a screen and assessment into a treatment planThe Canadian Geriatric Society's framework called “The 5 M’s” - 1) Mobility 2) Mind 3) Medications 4) Multi-complexity 5) Matters MostHow to integrate these concepts into a private practice, (with Andrew’s experience and examples)How to connect the dots and provide a bigger picture of their goals of strength and mobilityCommon misperceptions that Todd experiencesHow PT's can be more comfortable with senior care, even though they're not specialized in GeriatricsKey warning signs for PT's to look for with mobility issuesUsing the Seniors' Mobility Toolkit Interview Guest:Todd Wolansky is a physiotherapist working as a clinical lead for rural rehabilitation in the Calgary Zone of AHS. Clinically, Todd’s areas of passion & experience are in seniors’ health, chronic disease management, health coaching, and exercise prescription. In his lead role, he works with clinicians and operational leaders to support the delivery of evidence-informed service models. Todd is an elected council member with Physiotherapy Alberta. He is a certified coach with the Coaches Training Institute, and a Clinical Assistant Professor with the University of Alberta. Todd is currently a candidate with the CPA’s clinical specialty program in Seniors’ Health.Mentioned in this episode:Solehttps://yoursole.com/us/health-professionals

Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey! In episode 43, hosts Andrew and Maxi further the discussion about patient caseloads, following the recent article on Unpacking the 4 Key Components to a Thriving Caseload.As a guest speaker at the recent Orthopaedic Symposium in Edmonton, Andrew discusses his presentation about different strategies around building a thriving caseload in and out of the clinic.Some of the key topics discussed include:The surprising findings from Andrew's research and interviews with 25 therapists across the country, and the push-back about having a full caseload versus a thriving caseload.Why we need to move beyond just numbers and focus on other caseload factors.Can we do a better job with improving the branding of our profession?How we can engage and be proactive participants in our communities.How we demonstrate value; not just expect it.The process of self-discovery and understanding our "why" and personal values.Mentioned in this episode:Solehttps://yoursole.com/us/health-professionals

Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey! In episode 42, hosts Andrew and Maxi discuss some of the findings from Andrew's recent interviews with over 25 PT's across Canada for researching his article about growing and managing a clinical caseload.From discussions with clinicians in all stages of their career, ranging from recent grads to seasoned clinic owners, Andrew discovered new insights and fresh perspectives on the importance and common challenges of strengthening the patient relationship.Some of the key topics discussed include:The challenge of caseload managementThe common theme around "relationship"The importance of the first appointment to set the foundationWhy language matters, and how information overload can lead to patient overwhelm instead of providing valueLeaning on research to build trust for new gradsCreating a safe space for patientsGrab a beverage and enjoy the discussion!Mentioned in this episode:Solehttps://yoursole.com/us/health-professionals

Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey! In episode 41, hosts Andrew and Maxi have a lively coffee-lounge conversation about a topic that is often overlooked by clinicians; taking space to acknowledge and celebrate their patients' progress and success!Some of the key topics discussed include:Why it's so important to celebrate success with our patients, and how it fosters patient engagement and improves the therapeutic relationship.The pitfalls of glossing over their achievements and not taking the time to acknowledge their progress.Grab a coffee and listen in!Mentioned in this episode:Solehttps://yoursole.com/us/health-professionals

Outcome Measures 2.0: I'm building a web-based tool (called Clinio360) that will help physical therapists get below the surface of what makes their patients tick, click here to Join the Journey! In episode 40, hosts Andrew and Maxi talked with guest Dave Walton about the important topic of the future of the Physiotherapy profession.Dave is an Associate Professor with the School of Physical Therapy at Western University. He has a PhD in Rehab Science with over 70 scientific publications, and is a passionate advocate for the profession as well as those who live in pain.Last year, Dave started a project called "Physio Moves Canada" which focused on getting input about the current state of the PT profession, and the future direction of the profession in Canada.Some of the key topics discussed include:Findings, reflections and surprises from Dave's recent cross-country trip with "Physio Moves Canada".The current state of the profession in todays' rapidly changing healthcare landscape, including the challenges / threats and opportunities.What Dave discovered about emerging trends in, and outside of healthcare.Reactions to Dave's presentations over the past year on his findings from the cross-country trip.What individual PTs can do to contribute to a refreshed vision of the profession.The message needed for today's PT leaders.You'll enjoy this interview!Guest Bio:David Walton PT PhD is an Associate Professor with the School of Physical Therapy at Western University (London Ontario), an Associate Scientist with the Lawson Health Research Institute, and Director of the Pain and Quality of Life Integrative Research Lab at Western. A graduate of Western's BScPT program in 1999, Dave has had many roles over the years, including clinician, educator, advocate, mentor, and researcher.Mentioned in this episode:Solehttps://yoursole.com/us/health-professionals