Dear Anna I think the point you make is an excellent one. Having never worked in this scenario I had not considered it's usefulness in the work place. Thank you for enlightening me once again. Warm Regards Kevin. -----Original Message----- From: Anna Lee, Principal <[log in to unmask]> To: [log in to unmask] <[log in to unmask]> Date: 15 August 1999 07:47 Subject: Re: NHS practice Hello Kevin, I can understand your frustration but it does do us good to look at a broader group approach to hone our skills and challenge our imagination and flair. in the area that i spend a lot of time in (occupational health), the one to one training we have had so well drilled into us can be a disadvantage. In the workplace, one needs to approach the problem globally even when it is just a particular individual you are looking at - their work practices and organisation may be affected by the others around them and in treating him/her individually, you may miss something. I think working with groups whether they are "knee" groups or work groups seeks to challenge us as physiotherapists. Perhaps that's not quite what you meant. Cheers, Anna Anna Lee Principal, Work Ready Industrial Athlete Centre Write to me at [log in to unmask] Visit me at www.workready.com.au Snail mail: Suite 3, 82 Enmore Road, Newtown NSW 2042 Australia Tel: (02) 9519 7436 Mob: 0412 33 43 98 Fax: (02) 9519 7439 -----Original Message----- From: kevin reese <[log in to unmask]> To: physio <[log in to unmask]> Cc: Manual Therapy <[log in to unmask]> Date: Saturday, 7 August 1999 20:06 Subject: NHS practice Dear All I know I am going to regret this one. It is late Sat a.m. and I have just finished the celebration of the completion of a particularly arduous dissertation but here goes. Is there any other, predominantly UK NHS physio who also feels the terrible diachotomy facing their hospital practice. The vast majority of physio education, especially post grad is aimed at the one to one therapist/patient relationship of rehab and manual therapy. Unfortunately many of the hospitals I have worked for want both instructional and rehab classes grouping supposedly like patients, into a group where one therapist is meant to give some meaningful help. Is it that I am rubbish at these groups or that treating 20 people at once makes better economics than one at a time. There is a significant amount of single malt circulating around my person so be gentle. Thoughts please Warm Regards Kevin Reese UK