I felt stressed out because I was taking an exam, but also nervous because I was being observed by my tutors. It impacted his quality of life and I reckon it must have been a tough experience. I had various feelings during and after the session with John.Īlthough I haven’t been able to transmit it properly, I truly felt sympathy for this patient and also felt sad about his situation. I failed to deliver a patient-centered care because my assessment was centered on my own perception of what he had and needed, and not on the patient himself which led to a mismatch in the interaction. I have missed a lot of verbal and non-verbal cues that could have led me to a more holistic and accurate comprehension of his problem. I haven’t been able to react and interact properly with him. The patient made a few statements and asked a few questions (“what exercises should I do?” for example) about his problem that I didn’t explore or address during the subjective exam.
During the session, I collected most of my subjective markers, but noticed that the interaction wasn’t smooth, and it’s only after the feedback of my tutors after the session that I became more aware of what went wrong.Īlthough his problem and goals were quite clear, I led the subjective exam with my questions but didn’t listen to him actively and didn’t show enough empathy towards his situation. He wanted to know if it was normal or not, and if I could show him exercises he could do. When I first saw him, his thigh pain was completely resolved, but he was concerned about the fact that his back felt “stiff” at the end of the day. He was then referred in physiotherapy and obtained an appointment with me 9 months later. During this period, he saw his GP who referred him for a MRI that he only obtained in February 2018. In November 2017, he has had an intense low back and right anterior thigh pain episode. John is a 56 years old male who works as a self-employed stage installer for theaters. John sat in front of me and I started my subjective examination. I was under supervision of 2 tutors who stayed in one side of the cubicle while observing the consultation. The last paragraph explains how this reflection allowed me to recognize a similar situation and to change my behaviour accordingly to avoid repeating the same mistakes.ĭuring the formative exam of my placement in November 2018, I saw a patient named John (pseudonym), for his first session. This essay is divided by chapters corresponding to the phases described by Gibbs in his cycle: With proper analysis, it is also a chance to convert this event into a learning to avoid making the same mistakes if a similar situation reoccurs. It emphasizes the importance of self-reflection on a failed experience to gain a deeper understanding on the reasons it went wrong. To reflect on this experience, I will use Gibbs reflective cycle, described by Gibbs in 1988. This reflective essay is an opportunity to look back and analyze an incident that happened with a patient. It raised my awareness about my strengths and especially my weaknesses within my clinical practice. Thanks to my tutors, it has been a highly enriching experience. In October 2018, I completed my first clinical placement. He completed his first clinical placement in October-November 2018 and here is his self-reflective essay about his experience: He is a part time student of the MSK MSc at the University of Brighton. Wise says the therapist sat them down and instructed them to speak to one another using “I feel” statements.Nicolas Bellot is a French physiotherapist working in Brussels, Belgium in a MSK private practice and teaches Musculoskeletal post-graduate courses in France with a company named IAMPT. “I feel” statements Mary and Jason began using active listening regularly to prevent heated arguments. Wise says he taught them about “ active listening,” a communication method that requires each person in a relationship to fully focus on, understand, and repeat back what the other partner is saying. The couple, who met in 1997 and married in 2000, began seeing a marriage counselor in 2013. “I just kept feeling like I can’t keep living like this, and it had to do with me not being able to say what I felt like I needed to say in our relationship, and it had to do with feeling as though he wasn’t able to hear it, and I also wasn’t able to hear him,” Wise tells NBC News BETTER.
The pair loved each other, and their fights were never physical, says Wise, a writer who blogs regularly about relationships on - but she says the marriage had become dysfunctional.
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