Whilst on my last prac i had some definate difficulties satisfying the expectations that the placement and the curtin supervisors wanted. This wasnt because i was not competent and was not satifying the workload, it was for a different reason.
Whilst on the placement i was expected to work independantly with my own patient load and treat the patients as the other physiotherapists were. This consisted of quite short and very functional treatment sessions where you go in, address a problem and then leave. This approach worked very well in this scenario as it was a private rehab ward.
The difficulties arose during the 3 hour per week curtin supervisor period. As part of the prerequisite to demonstrate my competence i was required to assess, treat the impairments, treat the functional tasks and write-up goals and show how these goals were progressing. This approach required approx 1.5-2hour session with the patient. This would have been fine if i had the oppertunity to practice this approach during the week.
It turned into the most stressful prac because i was being assessed on things i havent had the oppertunity to practice in full. When i talked to the tutor about this, the solution included full write-ups for each patient. This made it easier but meant that every night i was knee deep in paperwork for each patient.
I got through the placement alright but it just emphasises the difficulties that arise when the placement and clinical tutors are on completely different wavelengths!
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I have heard of people having similar experiences to this. I think it can be really hard when a Curtin tutor wants to see everything that you can do to prove your competence, while through the whole placement this extremely thorough approach hasnt occurred. In alot of settings it is just unrealistic, due to time restraints and patient loads, that you could spend 1.5-2 hrs with every patient you see, and I think its a really important skill to become effective as well as efficient in your treatments.
Definately true! There is a real discrepency that occurs sometimes between the two groups. Whilst being assisting for most treatments during the first week of my placement and being left completely confused as to what my role was I then was thrown in to treating a patient who I'd seen once in front of the tutor-talk about stress! I agree with nae that it really should be about the quality of your treatment session rather than quantity...but can we be assessed is this way?
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