Dear Kevin,
You will receive two responses from me due to an inadvertent touch of the
mouse. As I was saying before I so rudely interrupted myself, I could not
agree with you more. In my first job at a large London teaching hospital
several of the rotations hardly gave you time to draw breath let alone
provide the level of care that one desired. The respiratory rotation had
many strengths such as impressive training and variety of conditions seen
but at one stage I was covering 144 beds on 7-8 different wards. The
outpatient rotation again had excellent teaching and self/peer assessment
but you were expected to treat people in twenty minute slots after your
first month. Of course one became proficient in managing the above case
loads but were the patients receiving effective treatment? In the end I
unilaterally convinced my out patients boss to allow me to see patients in
half hour slots. I still achieved the departmental standard of ten new
patients a week but felt I provided a more thorough and user friendly
service. Unfortunately I did not audit my treatment periods and compare
them. I did not have enough time!
> -----Original Message-----
> From: kevin reese [SMTP:[log in to unmask]]
> Sent: 08 December 1999 17:47
> To: [log in to unmask]
> Subject: Re: Quality of Physiotherapy Services
>
> Dear All
>
> And particularly Chris, I am not being flipant. Does anyone know of any
> profession where quality rises with the less time you have to spend on a
> job. If you ask a carpenter to build a table in 15mins it is unlikely to
> be
> pretty rough. Why do we feel physio is any difference ?.
>
> Out of curiousity does anyone say to an orthopaedic surgeon. We like the
> work you do but would prefer you did twice as many? THR's in the same
> time.
> My guess would be no, so why do we feel the need to pander to often non or
> out of practice clinicians who tell us how to treat ?.
>
> You can't get a rolls royce for the price of a lada.
>
> I am braced for the barrage. Warm Regards Kevin Reese PT UK
> -----Original Message-----
> From: Dan Spence <[log in to unmask]>
> To: [log in to unmask] <[log in to unmask]>
> Date: 08 December 1999 08:35
> Subject: Re: Quality of Physiotherapy Services
>
>
> >
> >< Do they spend more time with staff or are they
> > spending more time with management issues?>
> >
> >This is just my two cents but as a junior member of
> >staff I feel that if I am given more time with
> >patients
> >it becomes easier to actually help them to manage
> >their problem and hopefully prevent them from being
> >re-refferred.
> >
> >I know this is not an easy area to audit but it is
> >surely our goal with a certain proportion of patients.
> >
> >Dan Spence
> >____________________________________________________________
> >Do You Yahoo!?
> >Get your free @yahoo.co.uk address at http://mail.yahoo.co.uk
> >or your free @yahoo.ie address at http://mail.yahoo.ie
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