#PhysioTalk Transcript

Healthcare social media transcript of the #PhysioTalk hashtag.
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See #PhysioTalk Influencers/Analytics.

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CSP South West @CSPsouthwest
@physiotalk Let's do this #physiotalk
Hannah Willoughby @H20physio
Hi I'm Hannah neighbourhood service lead in Somerset #physiotalk
Charlotte Hayers @CharlotteHayers
#physiotalk Hello I am a Year 3 student looking forward to some information regarding whether rotations will be the best option for me and why 😀
Janet Thomas @JanetThomas47
Hi I'm on the @physiotalk account tonight from Edinburgh. I'm a long way out from Band 5 / Junior / Basic grade rotations though :) #physiotalk
Abdullah⚕️ @Abdoullwah
@physiotalk #physiotalk
CSP South West @CSPsouthwest
@Jolockyear1 @physiotalk Hi Jo. This is Alec #physiotalk
Janet Thomas @JanetThomas47
@Louise_Brennan_ @physiotalk You do get about! #physiotalk
CSP South West @CSPsouthwest
@physiotalk Great to see people joining from within the south west & beyond. Thanks for joining! #PhysioTalk
vicky fieldhouse @vics_f
#physiotalk Tweeting from Somerset with my cup of tea
CSP South West @CSPsouthwest
@Daleyfurter @physiotalk Hi, yes. Used to be Junior grade here in UK. #physiotalk
CSP South West @CSPsouthwest
@PhysioNaomi @physiotalk Hi Naomi! Alec #physiotalk
CSP South West @CSPsouthwest
@Asqbecca Will be great to get the Scottish perspective, too. Thanks. #physiotalk
CSP South West @CSPsouthwest
@mariand84 @physiotalk Hi, where about? Do you mean in UK? #physiotalk
Helen 💙 @helenvyoung
@physiotalk Seeing patients in their home environment and the plus and minus that presents, independent working and time management of course. #physiotalk
CSP South West @CSPsouthwest
@physiotalk Traditionally in the UK, most first jobs on graduation are in acute NHS hospitals for 18 months-2 years. Rotating through different clinical areas. IS this the only way? #physiotalk
Alex Winch @AWinch_Physio
@physiotalk I'm a bamd 5 rotational physio, and I'm really lucky to be in a post which allows me to rotate across different community services as well as the acute hospital #physiotalk
CSP South West @CSPsouthwest
@physiotalk Furthermore, traditionally physios entered the community after doing acute rotations, but that has changed/is changing. What are people's experiences? #physiotalk
Alex Winch @AWinch_Physio
@physiotalk Yes! I've gone from the front door to the back door in one year which has been really valuable to my understanding of the whole journey. It doesn't stop at hospital discharge! #physiotalk
Isabel Chenciner @IChenciner
@physiotalk As we move away from hospital centered care, it's important we all become more comfortable with working in the community. Community Rotations enables us to see patients in their home environments, where they spend most of their time and understand their world. #physiotalk
vicky fieldhouse @vics_f
@CSPsouthwest @physiotalk It still seems to be implied. The focus needs to change to support the Band 5 development. The community can still offer diversity but also access to specialisms earlier if a physiotherapist wants to develop in a certain area #physiotalk
Helen 💙 @helenvyoung
@CSPsouthwest @physiotalk Rotating through different clinical areas doesn’t have to just be in acute hospital setting. There is scope for other areas still within the NHS for example. #physiotalk
CSP South West @CSPsouthwest
@Jolockyear1 @physiotalk Great, thanks. I suppose the main worry some have is being supported/supervised appropriately, compared to traditional lone working etc. when you are newly qualified #physiotalk
CSP South West @CSPsouthwest
@AlexSack3 Very interesting view, thanks. #physiotalk
Alex Winch @AWinch_Physio
@physiotalk Rotating into the community have given me a whole new perspective, and I now think I'd be able to make better discharge plans within the hospital when I rotate back in #physiotalk
CSP South West @CSPsouthwest
@physiotalk Some acute trusts have demanded those applying for band 6 roles have had acute experience etc., from what I have heard. Anyone any experience of similar? #physiotalk
Janet Thomas @JanetThomas47
@physiotalk We certainly utilise as many cardioresp placements in the community as possible. Its pretty equally spread - so does this reflect the B5 opportunities too? #physiotalk
vicky fieldhouse @vics_f
@physiotalk Happening in Somerset between @SomParNHS and @MusgrovePark #physiotalk
Charlotte Hayers @CharlotteHayers
If you don’t/can’t get acute experience will this hold you back from future jobs/opportunities? #PhysioTalk
Helen 💙 @helenvyoung
@physiotalk If you’re expected to cover on call as B5 then need experience of acute respiratory. Experience in respiratory can come from other areas + request time to spend on ICU / more acute setting for example to be more confident with acute - but need supportive team lead. #physiotalk
CSP South West @CSPsouthwest
This is great to hear of so many positive experiences of community B5 rotations. it does appear most of those with experience is of community as part of a larger acute and community rotation. Anyone solely done community? #physiotalk
Helen 💙 @helenvyoung
@physiotalk For other rotations - to make a request shows interest in a particular area. #physiotalk
CSP South West @CSPsouthwest
@jackie_burnett @AWinch_Physio @physiotalk @NHSGrampian Yes, absolutely all are valuable and can be in different ways. However, with the fragmented health service, there will be some graduates who can only perhaps experience the community side? #physiotalk
Megan Wisson @Physio_Wisso
@physiotalk I often hear it referred to as lonely physio with a lack of contact between physios and the wider MDT, however my personal experience has been the complete opposite #physiotalk
CSP South West @CSPsouthwest
@CharlotteHayers Not necessarily, but that has been the worry for some time and hence the reason why @CSPsouthwest wanted the discussion tonight. #physiotalk
CSP South West @CSPsouthwest
@Daleyfurter @physiotalk I would like to think we do our best with a lot of these, but, as always, there is limited time and space to fit everything in. #physiotalk Alec, Programme Lead at Plymouth
Megan Wisson @Physio_Wisso
@physiotalk The community environment can provide barriers for certain treatment options which physios could otherwise provide if in an acute setting #physiotalk
Helen 💙 @helenvyoung
@physiotalk Lack of support from team perhaps - although not experienced. #physiotalk
CSP South West @CSPsouthwest
@LilyJac63989402 That's an interesting view, as a profession we have never had enforced rotations or a pre-registration period like medicine, pharmacy, optometry etc. Accelerated promotion does seem to have increased from my expereince. #physiotalk
Qifayah @_caphie
RT @physiotalk:
Qifayah @_caphie
RT @physiotalk:
Alex Winch @AWinch_Physio
@physiotalk I think people can feel like they are de-skilling if they aren't surrounded by a busy environment with machines beeping, but at times in the acute I've felt like a D/C planning machine whereas in the community I'm able to use all my skills #physiotalk
Helen 💙 @helenvyoung
@physiotalk Could also depend on the type of community rotation: generic vs more specialist / specific #physiotalk
vicky fieldhouse @vics_f
@CSPsouthwest @physiotalk Band 6 posts look for experience in the clinical area you are applying for. A static Band 5 MSK post can still give you knowledge and skills in T&O, rheumatology, hands, paediatrics as well as general MSK. You can utilise the opportunities #physiotalk
CSP South West @CSPsouthwest
@PointingPhysio @physiotalk On your own, but still supervised, in some way, I assume? #physiotalk
Alex Winch @AWinch_Physio
@physiotalk There is also a fear that as a junior, if you don't get acute experience you wont be able to move up the bands. I know someone who got rejected for a band 5 job for not having had any acute placements as a student :( #physiotalk
Janet Thomas @JanetThomas47
@AWinch_Physio @physiotalk That really frustrates me (as a placement coordinator!) Try to get a mix of placements and as broad a profile as possible for our students - but all placements offer transferable skills! #physiotalk
CSP South West @CSPsouthwest
@hipsterlife85 @physiotalk Oh, that's a shame, as that was why some of my friends, colleagues and wife (although I only have 1 of those!) moved from acute to community was to have time for actual rehab with patients! #physiotalk
Dr Michelle Bull 💙 @MichelleBull4
RT @JoFishpoole:
CSP South West @CSPsouthwest
@logan_angie @physiotalk @debhubb This is what needs to be highlighted about the potential to provide support in different ways to make it viable. #physiotalk
Helen 💙 @helenvyoung
@physiotalk If it’s a rotation then skills learnt helps develop breadth and depth to your clinical reasoning - that has to be a good things for a B6. If you want to continue in community then also good. #physiotalk
CSP South West @CSPsouthwest
Great discussions everyone. To clarify, we are not intending to have an acute vs. community, who's the best, but highlight that acute rotations are not necessarily the only way! #physiotalk
vicky fieldhouse @vics_f
@CarylAPhysio @emaroids1 @PhysioAlec @CharlotteHayers I feel it does depend on your interest. Personally I knew I wanted to be an MSK practitioner, I went down the rotation route in an acute Trust. This didn’t change my course, I’ve just been 2 years slower progressing there. #physiotalk
Janet Thomas @JanetThomas47
A quick google and first B6 job I found certainly has acute work as essential criteria! #physiotalk
Janet Thomas @JanetThomas47
@PhysioArmstrong It was for an hospital rotational post - but included areas such as falls, ortho and stroke where you might think community experience would be a win! #physiotalk
Barry Pryer @bmpryer
Agree 100%
vicky fieldhouse @vics_f
@AWinch_Physio @physiotalk That’s appalling, Band 5 posts are meant to focus on developing the physiotherapist. There are always transferable skills in every job role, you need to highlight what you can bring to a role whether you are moving from community to acute or vice versa #physiotalk
Megan Wisson @Physio_Wisso
@ClaireC_PT @physiotalk Often gym/rehab equipment that could not be taken to a patients home and that they could benefit from if they had the access/desire to attend a community gym for example #physiotalk
CSP South West @CSPsouthwest
@EdDavis1988 @physiotalk I think one of the key things that distinguishes us from osteopaths and sports therapists etc. is our wider medical and health experience, so appropriate rotations of any kind are key. #physiotalk
Megan Wisson @Physio_Wisso
@physiotalk Yes yes yes! As long as they seek their own learning opportunities #physiotalk
Helen 💙 @helenvyoung
@physiotalk I think that must largely depend on your team lead. In my experience, a good team lead will ensure CPD and supervision time is factored in /arranged - whether it’s acute or community. Also good experience for B5 to manage those things too. #physiotalk
vicky fieldhouse @vics_f
@emaroids1 @CarylAPhysio @PhysioAlec @CharlotteHayers Slower. It has always been sold as having a rounded approach by carrying out your Band 5 rotations. You can still gain a lot of those knowledge and skills through a static post. MSK can involve T&O, rheum, paeds, pain management, hands, neuro and reap. #physiotalk
kate bennett @kategahr_kate
RT @AlexMacKenzie11:
Janet Thomas @JanetThomas47
@PointingPhysio @physiotalk Would argue that this is when CPD and the time for this becomes even more important? #physiotalk
Janet Thomas @JanetThomas47
@EdDavis1988 @southernscampi @physiotalk But do you really know you want to do MSK from Day 1?! Perhaps 'your' speciality is one you haven't experienced - yet! ##physiotalk
CSP South West @CSPsouthwest
A fantastic example of the value of community rotations. Thanks for sharing #physiotalk
CSP South West @CSPsouthwest
@EdDavis1988 @southernscampi @physiotalk Is that akin to a neurosurgeon saying similar of their junior rotations? some of the best MSK clinicians I have known have taken their time to specialise in it and always brought a lot from their other experiences. #physiotalk
rami abbas @ramiabbas4
RT @helenvyoung: @physiotalk I think that must largely depend on your team lead. In my experience, a good team lead will ensure CPD and supervision time is factored in /arranged - whether it’s acute or community. Also good experience for B5 to manage those things too. #physiotalk
CSP South West @CSPsouthwest
Yes @AlexMacKenzie11 we completely agree! #physiotalk
vicky fieldhouse @vics_f
@CSPsouthwest @EdDavis1988 @physiotalk Within a static post there are still opportunities to develop that wider knowledge. At @SomParNHS we have a fantastic Band 5 programme, they could observe ESP’s, FCP’s, APP’s in MIU. We share working with stroke and neuro therapists. Community doesn’t stop choice #physiotalk
CSP South West @CSPsouthwest
@theLDphysio @physiotalk LOL! Did you get it back? #physiotalk
kate bennett @kategahr_kate
@physiotalk Sorry...very late joining, I'm Kate former @AGILECSP chair and clinical lead community physio. Crossover with other professions is my answer, easy to dilute skills rather than become a versatilist #physiotalk
vicky fieldhouse @vics_f
@physiotalk I’ve always found it varied depending on the Trust and the emphasis placed on a motivated and informed workforce, not acute versus community. #physiotalk
CSP South West @CSPsouthwest
@emaroids1 @physiotalk @PhysioAlec @PhysioArmstrong Thanks for joining in! Great discussions this evening. #physiotalk
CSP South West @CSPsouthwest
@Jolockyear1 @physiotalk @theLDphysio You're giving away where you work now! #physiotalk
Helen 💙 @helenvyoung
@physiotalk I’ve never experienced any challenges to my professional identity in community. More of a challenge in an acute setting sometimes TBH - patients, staff & visitors alike sometimes think we’re nurses. #physiotalk
vicky fieldhouse @vics_f
@physiotalk That said @SomParNHS CPD is excellent :) Supported Band 5 pathway for new starters Specific Band 5 training 6 weekly 1:1’s Observations Clinical supervision Joint treatment sessions And 90 minute of self CPD time a month #physiotalk #supportingdevelopment
CSP South West @CSPsouthwest
@EdDavis1988 @theLDphysio @southernscampi @physiotalk Perhaps a more formalised and structured pathway/pre-registration period to specialism etc. is the way to go in general for the profession, although the CSP is not keen on following the Royal Colleges route, AFAIK. #physiotalk
CSP South West @CSPsouthwest
@EdDavis1988 @theLDphysio @southernscampi @physiotalk Perhaps new developments like the 4-year integrated masters in physiotherapy at some universities may begin some movement? #physiotalk
CSP South West @CSPsouthwest
@PhysioArmstrong @physiotalk @PhysioAlec Thank you both! And thanks to everyone who joined in. Lots of great discussions & experiences shared. We’re looking forward to reviewing the transcripts #PhysioTalk
Anna Collier @AnnaFizz
@physiotalk I found the generic working, with minimal training, challenging initially as a community physio and was surprised how much I was expected to push my professional boundaries without competencies to demonstrate I had sufficient skills in that area #physiotalk
ÀKÀNKÉ🤸🏼 @Titilope__xo
RT @physiotalk:
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