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 episode #39, Andrew and Maxi build off of their previous conversation with Deri Latimer from episode #38. Deri had talked about challenging the stories we tell ourselves.With this podcast, the concept of healing is explored, and why we as physiotherapists may struggle with the concept of being a healer.Key Topics Discussed:Is there a resurgence of healing in medical care?Why do we struggle with seeing ourselves as healers or the concept of healing within our practice?This topic really was triggered from reading an opinion piece from the New York Times, called “Doctors, Revolt!” which you can read here.It shares the story of this resident physician’s encounter with Bernard Lown, professor and innovator in cardiac rehab (he pioneered the use of the direct-current defibrillator and the cardioverter). He also wrote a book on healing called "The Lost Art of Healing", and he was now a patient in this resident’s hospital.The resident was challenged by Dr. Lown about the need for vitals every four hours and how disruptive this was for rest and healing. The hospital, he lamented, is more like a factory; “it tests every ache and treats every laboratory abnormality, but it does little to heal its patients.”Treating and healing are both necessary, but modern health care too often disregards the latter.I know we both really resonated with the message in this article about a return to healing. And as physiotherapists we wanted to explore this topic in more detail.He called for a return to the fundamentals of doctoring — listening to know the patient behind the symptoms; carefully touching the patient during the physical exam to communicate caring; using words that affirm the patient’s vitality; and attending to the stresses and situations of his life circumstances.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 enjoy talking with guest Deri Latimer about the topic of fostering a growth mindset as health professionals, and how it specifically relates to the Physiotherapist and clinician community.As the founder of ‘Positivity Speaking’ and a motivational keynote speaker including TEDx, Deri's work focuses on creating mindful leaders of today, re-energizing the workplace, re-engaging purpose and re-igniting performance.Some of the key topics discussed include:The definition of a growth mindset, and why it's so important.How we can lose a growth mindset.What the result is when professionals adopt a growth mindset, how it changes them and the way they interact.Practical ways that we can foster and increase our own growth mindset, for a more rewarding and satisfying career.You'll enjoy this interview!Guest Bio:Positivity Speaking! is one of fewer than 15% of speakers globally who hold the designation of CSP (Certified Speaking Professional), combining a Business degree in Human Resources Management with 20 years of experience providing high-value speaking and training services to virtually every industry and business sector. A TEDx Speaker, Author, and Organizational consultant, Deri works with organizations who want to create happy and healthy workplaces for increased positivity, productivity and prosperity! Learn more about Deri 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 parts 1 and 2 of this informative interview with guests Simon Cooke and Jeff Begg, hosts Andrew and Maxi discuss some of the challenges that clinicians may find themselves facing when treating patients who have been in a car accident.Key topics include:The patient who isn’t progressingWhen psychological factors seem to be impacting progressThe patient whose doctor gave a diagnosis that’s not consistent with the PT findingsTreating patients with pre-existing injuriesTreating patients who had a 2nd MVA before completing treatment for their first MVAWhen the insurer/adjuster ‘pushes back’The role of the injury management consultant (IMC)Guest Bios:Jeffrey Begg has treated more than 1,000 MVA patients, both prior to and since the 2004 DTPR regulations came into effect.  He  served on the Alberta Physiotherapy Association’s Auto Insurance Task Force and the Auto Insurance Implementation Committee in 2004 and 2005. He currently treats patients both within and outside of the Protocols, and he both conducts and refers patients out for Injury Management Consultations. Learn more about Jeff.Simon Cooke has been involved in the DTPR process since its inception in 2004, all as a representative of Physiotherapy Alberta. A  Clinical Working Group of physicians, physiotherapists, and chiropractors has existed since 2004 to discuss management of injuries from motor vehicle collisions, the day to day function of the DTPR as it relates to clinicians, and opportunities to move the DTPR forward or, at least, keep it current and serving Albertans in the manner in which it was intended.Simon has also had the opportunity to represent Physiotherapy Alberta - College + Association at meetings with the Superintendent of Insurance and other members of the Alberta Finance team responsible for the DTPR in that time. Learn more about Simon.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 parts 1 and 2 of this informative interview with guests Simon Cooke and Jeff Begg, hosts Andrew and Maxi discuss some of the challenges that clinicians may find themselves facing when treating patients who have been in a car accident.Key topics include:The patient who isn’t progressingWhen psychological factors seem to be impacting progressThe patient whose doctor gave a diagnosis that’s not consistent with the PT findingsTreating patients with pre-existing injuriesTreating patients who had a 2nd MVA before completing treatment for their first MVAWhen the insurer/adjuster ‘pushes back’The role of the injury management consultant (IMC)Guest Bios:Jeffrey Begg has treated more than 1,000 MVA patients, both prior to and since the 2004 DTPR regulations came into effect.  He  served on the Alberta Physiotherapy Association’s Auto Insurance Task Force and the Auto Insurance Implementation Committee in 2004 and 2005. He currently treats patients both within and outside of the Protocols, and he both conducts and refers patients out for Injury Management Consultations. Learn more about Jeff.Simon Cooke has been involved in the DTPR process since its inception in 2004, all as a representative of Physiotherapy Alberta. A  Clinical Working Group of physicians, physiotherapists, and chiropractors has existed since 2004 to discuss management of injuries from motor vehicle collisions, the day to day function of the DTPR as it relates to clinicians, and opportunities to move the DTPR forward or, at least, keep it current and serving Albertans in the manner in which it was intended.Simon has also had the opportunity to represent Physiotherapy Alberta - College + Association at meetings with the Superintendent of Insurance and other members of the Alberta Finance team responsible for the DTPR in that time. Learn more about Simon.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 these two episodes with guests Simon Cooke and Julie Chartrand, hosts Maxi and Andrew cover a lot of ground regarding the Diagnostic and Treatment Protocols (DTPR), as well as some areas that our audience may not be familiar with.Topics discussed include:An overview of the DTPR and its history and the legislationKey takeaways that clinicians should know from the DTPRWhat happens if you miss your timeline for the initial reportThe best way to communicate with insurance companies as a health providerThe purpose and role of the injury management consultant (IMC)This is an important topic to cover for physiotherapists.Guest Bios:Simon Cooke has been involved in the DTPR process since its inception in 2004, all as a representative of Physiotherapy Alberta. A  Clinical Working Group of physicians, physiotherapists, and chiropractors has existed since 2004 to discuss management of injuries from motor vehicle collisions, the day to day function of the DTPR as it relates to clinicians, and opportunities to move the DTPR forward or, at least, keep it current and serving Albertans in the manner in which it was intended.Simon has also had the opportunity to represent Physiotherapy Alberta - College + Association at meetings with the Superintendent of Insurance and other members of the Alberta Finance team responsible for the DTPR in that time. Learn more about Simon.Julie Chartrand has been in the Insurance industry since 2001 and spent 14 years as a Section B – Accident Benefits adjuster. She then moved into Section A – Liability (bodily injury claims) which is the position she currently holds. Julie has helped develop policies and procedures within Peace Hills Insurance for TMD, Concussion and their soon to be, Psychology protocols. Her passion for rehabilitation started when she was working as a Therapist Assistant, prior to entering the insurance industry. This gives her a unique perspective regarding how insurance can complement and facilitate the recovery processes in clinical and hospital settings. Julie has collaborated with many therapists throughout her career and worked with them to maximize both treatment and rehab services for her insurance customers.   She also volunteer her time to  teach and educate other adjusters and therapists on how to work together for the benefit of the client.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 these two episodes with guests Simon Cooke and Julie Chartrand, hosts Maxi and Andrew cover a lot of ground regarding the Diagnostic and Treatment Protocols (DTPR), as well as some areas that our audience may not be familiar with.Topics discussed include:An overview of the DTPR and its history and the legislationKey takeaways that clinicians should know from the DTPRWhat happens if you miss your timeline for the initial reportThe best way to communicate with insurance companies as a health providerThe purpose and role of the injury management consultant (IMC)This is an important topic to cover for physiotherapists.Guest Bios:Simon Cooke has been involved in the DTPR process since its inception in 2004, all as a representative of Physiotherapy Alberta. A  Clinical Working Group of physicians, physiotherapists, and chiropractors has existed since 2004 to discuss management of injuries from motor vehicle collisions, the day to day function of the DTPR as it relates to clinicians, and opportunities to move the DTPR forward or, at least, keep it current and serving Albertans in the manner in which it was intended.Simon has also had the opportunity to represent Physiotherapy Alberta - College + Association at meetings with the Superintendent of Insurance and other members of the Alberta Finance team responsible for the DTPR in that time. Learn more about Simon.Julie Chartrand has been in the Insurance industry since 2001 and spent 14 years as a Section B – Accident Benefits adjuster. She then moved into Section A – Liability (bodily injury claims) which is the position she currently holds. Julie has helped develop policies and procedures within Peace Hills Insurance for TMD, Concussion and their soon to be, Psychology protocols. Her passion for rehabilitation started when she was working as a Therapist Assistant, prior to entering the insurance industry. This gives her a unique perspective regarding how insurance can complement and facilitate the recovery processes in clinical and hospital settings. Julie has collaborated with many therapists throughout her career and worked with them to maximize both treatment and rehab services for her insurance customers.   She also volunteer her time to  teach and educate other adjusters and therapists on how to work together for the benefit of the client.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 Maxi interviews Andrew about his journey of understanding the critical role of sleep in the recovery of patients.For the past couple of years, Andrew has taken a deep dive into the area of sleep health, and has compiled hundreds of hours of research into a comprehensive format that pulls it all together. The culmination of his work is Sleep Health Matters.He shares in this discussion a better understanding of the process of sleep. Some of the topics include:Why sleep?Sleep and painHow the lack of knowledge about sleep impacts the ability of PT's to assist patientsHow providing advice about "Sleep Hygiene" isn't enoughHow the "Sleep Drive" is a key factor in healthy sleepThis informative episode explores the big opportunity that PT's have to provide leadership in the field of Sleep Health.Mentioned in this episode:Solehttps://yoursole.com/us/health-professionals

In this episode, Andrew & Maxi continue their conversation with their guest panel and delve into a hypothetical case study of a patient with chronic low back pain. There are some great clinical gems in this episode that will help your practice.Interested to learn more about chronic pain management? Check out the Chronic Pain Toolkit created by Physiotherapy Alberta? You can access it here: http://bit.ly/painresourcesBiosGeoff Bostick is an Associate Professor at the University of Alberta (U of A) in the Department of Physical Therapy (PT). He teaches primarily in the orthopaedic portion of the program, but incorporates as much pain education as possible into other courses in the MScPT program. His research interests include neuropathic pain in OA, cognitive factors in chronic pain and various teaching-related initiatives. He offers a small PT pain program in conjunction with the U of A Multidisciplinary Pain Centre and is the current Chair of the Pain Science Division.Murray Kowalczyk completed his physiotherapy degree from the University of Alberta, after getting his kinesiology degree from the University of Calgary (he thinks both cities are equally lovely). He continues to work in Edmonton at an interdisciplinary private practice focusing on active rehabilitation and giving patients the tools to manage their own symptoms. Murray particularly enjoys teaching patients (both of Murray’s parents were teachers…), and showing his patients that they are not broken nor as frail as they often have come to believe!Janet Holly is a Senior Physiotherapist at the Ottawa Hospital Rehabilitation Centre with 27 years clinical experience and is also a Clinical Investigator at the Ottawa Health Research Institute - Clinical Epidemiology Program. She is a clinical specialist in pain sciences and is the Communication Liaison with the Pain Sciences Division. She participated in the development of the chronic pain toolkit published by Physiotherapy Alberta.  Learn more about Janet Holly by visiting her LinkedIn profile.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 Maxi and Andrew continue to delve further into chronic pain management with 3 special guests. Our guests today are University of Alberta PT professor Dr. Geoff Bostick and clinicians Janet Holly and Murray Kowalczyk.We cover the following in this episode:What is pain science education?Which patients should we giving pain science education to?A useful analogy to use with patients in helping patients reflect on their personal storyWhat are the core components that make up pain science education?Why we need to be reflective as therapists in evaluating our interactions with patients?What’s the evidence for the effectiveness of pain science education?Why should pain science education should be a part of every therapist’s toolkit?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 & Maxi continue chatting with physiotherapists Janet Holly and Alex Chisholm.In this second episode we cover:The importance of the therapeutic alliance when treating patients with persistent painThe key shifts that therapists need to make in treating patients with painHow therapists need to relook at goal setting with patientsHow to treat patients who are looking for passive treatmentA useful analogy to use with patients who are accustomed to tissue based treatmentsWhy emotional pain is something therapists will confront when exploring goal settingHow to get patients to move past their diagnosisWhy joy is an important emotion to foster in the patient relationshipWhy listening is treatmentWhy it’s important to screen for depression in patients and what to do for patients with suicidal thoughtsWhy it’s important to have a plan in place for patients with mental health challengesMentioned in this episode:Solehttps://yoursole.com/us/health-professionals