One week prior to the commencement of my Bently Outpatient placement i have attended an orientation and made contact with my supervisor. As this is my second musculo skeletal placement, my own expectations have changed. I have increased expectations of my level of clinical reasoning, my time efficiency in managing my caseload and the accuracy and effectiveness of my techniques. During the orientation day my supervisor discussed our caseload and the plan of attack for the first week. I will be seeing on average two to three patients per day for the first week and consulting my supervisor inbetween my subjective, objective and treatment sessions. This is a lot more supervision than i have previously recieved on placement, it is also a much smaller caseload than i would normally manage in a day. I expect that my caseload will gradually increase over the five weeks and that i will become more independent with my assessement and treatment sessions.
As it is an outpatient hospital ward i am expecting to be seeing a mixed presentation of musculoskeletal patients, orthopaedic patients, maybe some cardiorespiratory and even postnatal patients. As in previous placements i expect to be constantly referring to text books and journal articles to reveiw the relevent material for the different presentations.
During my orientation day my supervisor went through our initial patient assessement form in thorough detail, explaining the detail he will be expecting. My supervisor explained that he is looking for a very thorough and accurate subjective and objective assessement rather than speed and efficiency. Throughout my previous placements my feedback has been consistent with excellent time management and clinical reasoning however i need to ensure that my assessements are more thorough and that i don't jump to a diagnosis too early. I am concerned that i am going to find this very challenging during my Bently placement as i will have more supervision and input from my supervisor than previously and i will be constantly challenged to dig deeper into the patient presentation and do a thorough assessment before i diagnose.
The Bentley hospital seems like a very friendly and welcoming environment, i have no concerns that i will enjoy my placement there. I hope that throughout this five weeks i can take my musculoskeletal knowledge, my clinical reasoning and my practical skills to a more advanced level. I am hoping to get a few complex patients to challenge my clinical reasoning, i intend to hone my soft tissue and mobilisation techniques and work on the depth and accuracy of my assessments.
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