Sanja Maretic, an osteopath and pain clinician, discusses the role of narratives in healthcare, the concept of structural competency, and the importance of incorporating the arts and humanities in healthcare education. They explore narrative thinking in clinical care, emphasizing the significance of listening and understanding in healthcare. The chapter also discusses the importance of touch in understanding patient backgrounds and highlights the challenges of finding a role in the pain service.

Welcome to another episode of The Words Matter Podcast.A quick note to thank all of you that support the podcast via Patreon, your contributions make a big difference (contribute here).We’re about halfway through the clinical reasoning series and today I’m speaking with Dr Euson Yeung. Euson is a physiotherapist and an Assistant Professor in the department of Physical Therapy University of Toronto.His primary area of teaching and research interest is in orthopaedic manual therapy as well as the assessment and facilitation of clinical reasoning among health professional learners. Euson completed his Masters in Education at the University of Toronto (Adult Education) and his PhD with the Rehabilitation Sciences Institute at the University of Toronto.In this episode we hover around a research paper he published year titled ‘Making Strange’: Exploring the Development of Students’ Capacity in Epistemic Reflexivity published in the Journal of Humanities in RehabilitationSo on this episode we speak about:How the process of reflexivity and in particular epistemic reflexivity calls us to question, or to ‘make strange’ the taken-for granted ways in which we practice.We talk about the organizational and social structures which surround healthcare interactions, and the embedded assumptions within our practice.We talk about how reconceptualising practice also entails Imagining other ways of how our practice could be.We talk about the challenges of becoming more enraging in reflexivity.And we discuss ways that clinicians can better support the more reflexive aspect of their practice and thinking.So I really enjoyed talking with Euson; the work he is doing within physical therapy education is fundamental.Support the podcast and contribute via Patreon hereIf you liked the podcast, you'll love The Words Matter online course and mentoring to develop your clinical expertise  - ideal for all MSK therapists.Follow Words Matter on:Instagram @Wordsmatter_education @TheWordsMatterPodcastTwitter @WordsClinicalFacebook Words Matter - Improving Clinical Communication ★ Support this podcast on Patreon ★

Philosopher of medicine Prof. Bjørn Hofmann discusses overdiagnosis and medicalization. They explore the distinction between the two concepts and the driving factors behind them. They also touch on the positive and adverse effects of giving diagnoses. The role of AI and machine learning in improving diagnostic accuracy is highlighted. The podcast delves into the connection between medicalization and overdiagnosis, as well as the ethical complexities of determining necessary medical procedures.

Prof. Bjørn Hofmann, a specialist in the ethics of disease, discusses the concept of disease from biological and societal perspectives, the challenges of detecting and understanding complex illnesses, the moral aspects of disease, societal reactions to illness, and the practical implications and moral functions of disease.

Welcome to another episode of The Words Matter Podcast. So we continue on the clinical reasoning series, and on this episode I’m speaking with Mark Jones. And if you haven’t already listened to the previous episode in the series “Do clinicians think link scientists” with Roger Kerry, I suggest you take a listen as my conversation with Mark builds nicely from there.Mark is an Adjunct Senior Lecturer in the University of South Australia with 35 years’ experience teaching undergraduate and postgraduate physiotherapy.He has a special interest in biopsychosocial health care and the teaching and assessment of clinical reasoning in physiotherapy. Mark has conducted and supervised research in the areas of clinical reasoning and musculoskeletal physiotherapy with over 90 publications including three editions of the text “Clinical Reasoning in the Health Professions” and the text “Clinical Reasoning for Manual Therapists”. His latest text “Clinical Reasoning in Musculoskeletal Practice” was published in 2019.And he has been on one of the major contributors to the development of clinical reasoning theory within MSK healthcare in the last 30 years, and we discuss some of his key work, including the seminal work with the late Louis Gifford and Ian Edwards (see Ian's work on clinical reasoning here here and here).So on this episode we talk about: The development of clinical reasoning theory beyond mere diagnostic reasoning.Different aspects or strategies of clinical reasoning such as procedural, predictive and collaborative reasoning.The pursuit of a structural or pathological diagnosis.Mark's own clinical reasoning framework involving hypothesis categories.Clinical reasoning within a biopsychosocial framework.Diagnostic reasoning approaches such as hypothetico-deductive reasoning and pattern recognition.Clinical reasoning in novice compared to expert clinicians.And finally we discuss the role of metacognition to mitigating errors in reasoning.So it was truly and honour speaking with Mark. The label ‘pioneer’ is probably over used, but in Mark’s case it captures his status perfectly. His work on clinical reasoning theory was one of the cornerstones of my own doctoral work into clinical reasoning (see here here and here) and helped make explicit the processes behind my thinking and doing in my clinical practice – which up until engaging with Mark’s work were completely unbeknownst to me.His knowledge of the field is incredibly extensive as is his ability to communicate and make this information accessible to clinicians and students.Support the podcast and contribute via Patreon hereIf you liked the podcast, you'll love The Words Matter online course and mentoring to develop your clinical expertise  - ideal for all MSK therapists.Follow Words Matter on:Instagram @Wordsmatter_education @TheWordsMatterPodcastTwitter @WordsClinicalFacebook Words Matter - Improving Clinical Communication ★ Support this podcast on Patreon ★

Dr Roger Kerry, clinical reasoning specialist, discusses how evidence-based practice shapes clinical reasoning and the similarities between clinicians and scientists. They explore the challenges in communication and decision-making in clinical practice, as well as the lack of substantial changes in clinical practice. They reflect on the slow progress of changes in empathy and communication.

Welcome to another episode of The Words Matter Podcast. As usual, thank you to all the support via Patreon – every pledge is hugely appreciated.So I did say that the previous episode with Rob Jonah would be the last outsider episode for a while, in order to make way for the clinical reasoning series.However, there’s time for one more and I’m delighted to squeeze this one in before Dr Roger Kerry kicks off the Clinical Reasoning Series where we talk about sciencey thinking in the context of evidence informed clinical reasoning.So make sure you hit the subscribe button on your podcast player so you don’t miss out on what will be a brilliant collection of conversations.On this outsider episode, I’m speaking with Dr Gita Ramdharry. Gita is a Consultant Allied Health Professional in Neuromuscular Diseases at the Queen Square Centre for Neuromuscular Diseases UCLH in London. She is an Honorary Associate Professor at UCL and a Visiting Professor at Kingston University.She has worked as a physiotherapist since 1995 and developed a special interest in neurology early on. Gita completed a PhD in 2008 looking at walking patterns, endurance and orthotic interventions for people with Charcot-Marie-Tooth disease. See more about Gita’s research here.Last year, Gita wrote a wonderful blog post on her experiences of the interaction and sometimes clash between the physiotherapy professional culture and her own mixed heritage and cultural background. The blog is titled 'Awakening to the impact of culture on how we deliver care and treat our colleagues'.In her blog Gita talks about the challenges she perceived as student, educator and clinician in feeling like a cultural outsider in relation to physiotherapy. I’ve linked the blog in the show notes and would encourage you to have a read as it’s the perfect accompaniment to our conversation.This is the first time that I’ve directly focused on culture and ethnicity on the Podcast and Gita provided the ideal opening to these important issues and I’ve taken so much away from listening to her experience and I am sure you will too.Find Gita on Twitter @gitaramdharrySupport the show and contribute via Patreon hereIf you liked the podcast, you'll love The Words Matter online course and mentoring to develop your clinical expertise  - ideal for all MSK therapists.Follow Words Matter on:Instagram @Wordsmatter_education @TheWordsMatterPodcastTwitter @WordsClinicalFacebook Words Matter - Improving Clinical Communication ★ Support this podcast on Patreon ★

Welcome to another episode of The Words Matter Podcast.As always, a huge thank you to those of you supporting the podcast via Patreon – you help enable these conversations to become possible. f you’d like to contribute you can visit Patreon.com/thewordsmatterpodcast – every little helps.So, on this episode I’m continuing with the Outsider Series where I speak with clinicians who feel they’re outsiders of their profession; sharing their experiences, struggles and how things could maybe change.And this may be the last outsider episode for a while, as I’m pausing the series to commence the much-anticipated clinical reasoning series, with some fantastic guests, so stay tuned, but there are plenty more outsiders planned to share their experiences.Today I’m speaking with former osteopath Rob Jonah. Rob qualified as an osteopath in the UK a couple of years ago, having changing from his previous career as a plumber. He talks about his experience as a student and initial period in professional practice; a combination of which lead him to leave the osteopathy profession and return to his plumbing career.Rob’s experience of being an osteopath is just that, his experience. And as you will hear it’s a largely negative one. However, I believe that by hearing his experience of how he entered the osteopathy profession and then abruptly left those of us in clinical education and leadership may learn how we can better develop new osteopaths who are on the edge of professional life and support new clinicians post-qualification.I know Rob personally, and he’s not some disgruntled and bitter new grad that couldn’t hack it as an osteopath. It was clear to me that he wanted to make it work, he gave it his all and that leaving the profession was a difficult and undesired last resort. I hope and I think you will come to the same view after listening.If you want to have more context into Rob’s decision to leave the osteopathic profession, you can check out the place where he announced his decision on his Instagram profile @How2Move.Needless to say, it sounds like Rob’s in a much better place now and I wish him the best in his return to his previous career (see here).Support the show and contribute via Patreon hereIf you liked the podcast, you'll love The Words Matter online course and mentoring to develop your clinical expertise  - ideal for all MSK therapists.Follow Words Matter on:Instagram @Wordsmatter_education @TheWordsMatterPodcastTwitter @WordsClinicalFacebook Words Matter - Improving Clinical Communication ★ Support this podcast on Patreon ★

Welcome to another episode of The Words Matter Podcast. On this episode I’m continuing with the Outsider Series where I speak with clinicians who feel they’re divorced from their profession, and share their experiences, struggles and how things could change.And today I’m speaking with Aaron Kubal. Aaron is a chiropractor in the United States who works with people experiencing pain via telehealth exclusively. He has developed a large social media following, which he uses to advocate for evidence-based, person-centered care, as well as criticise harmful/unsupported narratives & practices. Aaron's non-conventional journey through the beginning stages of his career has positioned him as an outsider within his chiropractic profession.So it was great to speak with Aaron, his journey to the outsider resonates with mine (see my outsider episode here). And many of you will know Aaron from his incredibly engaging Instagram posts and Tiktoks where he transfers knowledge and evidence around the care of people experiencing pain, and smashed head on the myths and dogma which surround chiropractic and MSK practice. Sailing against such a strong current, it’s not surprising that Aaron feels like an outsider of his profession.Support the show and contribute via Patreon hereIf you liked the podcast, you'll love The Words Matter online course and mentoring to develop your clinical expertise  - ideal for all MSK therapists.Follow Words Matter on:Instagram @Wordsmatter_education @TheWordsMatterPodcastTwitter @WordsClinicalFacebook Words Matter - Improving Clinical Communication ★ Support this podcast on Patreon ★

Welcome to another episode of The Words Matter Podcast.As always, a huge thank you to those of you supporting the podcast via Patreon – you help enable these conversations to become possible. f you’d like to contribute you can visit Patreon.com/thewordsmatterpodcast – every little helps.Before we start I want to mention that a good friend of the podcast, Dave Nicholls who I spoke to on episodes 21 and 51 has a new book coming out titled Physiotherapy Otherwise, which is a follow up to his phenomenal book The End of Physiotherapy. I haven’t fully read it yet, but I am certain it will be immensely thought (and hopefully action) provoking and transformative like the it’s predecessor. The book will be available to download for free as a pdf and ePub in early January and I’ve provided the link here.So in this episode I’m introducing a series of conversations with clinicians or former clinicians who feel they’re outsiders of their healthcare profession, sharing their experiences, struggles and how things could change. I’m calling this series the outsider series and I hope by speaking to people that feel like professional outsiders for a range reasons and in different ways, we can learn more about our professional selves and how we relate (or not) to each other and the idea of our respective professions. The intention of these episodes is not to further deepen any divisions within professions, but to better understand where and why divisions might exist.Papers discussed in this episode:Cant, S.L. and Sharma, U., 1996. Professionalization of complementary medicine in the United Kingdom. Complementary Therapies in Medicine, 4(3), pp.157-162.Tyreman, S., 2011. Values in complementary and alternative medicine. Medicine, Health Care and Philosophy, 14(2), pp.209-217.Tyreman, S., 2008. Valuing osteopathy: what are (our) professional values and how do we teach them?. International Journal of Osteopathic Medicine, 11(3), pp.90-95.Support the show and contribute via Patreon hereIf you liked the podcast, you'll love The Words Matter online course and mentoring to develop your clinical expertise  - ideal for all MSK therapists.Follow Words Matter on:Instagram @Wordsmatter_education @TheWordsMatterPodcastTwitter @WordsClinicalFacebook Words Matter - Improving Clinical Communication ★ Support this podcast on Patreon ★