#PhysioTalk Transcript
Healthcare social media transcript of the #PhysioTalk hashtag.
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See #PhysioTalk Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Physiotherapy Association of Saint Lucia Inc. @pasl_pt @physiotalk @zachwalston Hi. I am Sibyl. Tweeting from St. Lucia. Interesting topic given that we as PTs are constantly making decision impacting patients' lives.#physiotalk |
 | Janet Thomas @JanetThomas47 @physiotalk I'm in the background tonight from a dreich Edinburgh making sure you all remember to use the hashtag :) #physiotalk |
 | Zachary Walston @zachwalston @PT_Solutions |
| Zachary Walston @zachwalston Love seeing this research. We need to educate students in this area. They are foundational concepts to layer clinical information on. We must learn how to think first. |
| Janet Thomas @JanetThomas47 @IanTyrrell5 @physiotalk Do you get a lot like that? I do remember many many years ago that was the norm mind... #physiotalk |
| Zachary Walston @zachwalston @IanTyrrell5 @physiotalk I like the mindset of Charlie Munger: “I never allow myself to hold an opinion on anything that I don't know the other side's argument better than they do” #physiotalk |
| Physiotherapy Association of Saint Lucia Inc. @pasl_pt @physiotalk Q1. The LBP with sciatica that is nothing but a LBP which turns out to be something more sinister. #physiotalk |
| Physiotherapy Association of Saint Lucia Inc. @pasl_pt @Daleyfurter @physiotalk @Daleyfurter, any luck of a PDF #physiotalk. |
 | J. Martin Nunez silveira @JmNunezSilveira 🤔 Can we diagnose asynchronies through the excursion of the diaphragm? #physiotalk #Fisioterapia #fisioterpaeutas #POCUS #LUS #some4mv @physiotalk @POCUSAcademy @Pocus101 @sonophysio https://t.co/UimTsoqdQR |
| Zachary Walston @zachwalston If you use dry needling, research all the reasons why you shouldn’t and try to convince yourself. If you can’t, great, you now understand the technique better. If you end up convincing yourself, drop the tool. No tool is undroppable. #physiotalk |
| Zachary Walston @zachwalston #physiotalk One of my favorite quotes that I often refer to is from the book, how not to be wrong: the power of mathematical thinking. The author, Jordan Ellenberg writes, “When you’re working hard on a theorem you should try to prove it by day and disprove it by night.” |
| Zachary Walston @zachwalston He is a mathematician, so theorems are his game, but the same concept anywhere. The best way to combat a confirmation bias is to try proving yourself wrong. I experience the most clinical growth when I research the opposite side of my current treatment approach. #physiotalk |
| Physiotherapy Association of Saint Lucia Inc. @pasl_pt @Daleyfurter @physiotalk Just had a case and turned out to be mets!!! #physiotalk |
 | C Harris, PhD @CHarrisPhysio @physiotalk Maybe occasions when a particular treatment / intervention has not worked being attributed to another (potentially irrelevant) factor, and thus the memory of that treatment not working being discounted when considering treatment options for other people in future #physiotalk |
| Zachary Walston @zachwalston @JanetThomas47 @IanTyrrell5 @physiotalk Confirmation bias is still one of the primary biases I see in the clinic. It can worsen with experience as inuition and anecdotal experience takes center stage #physiotalk |
| Physiotherapy Association of Saint Lucia Inc. @pasl_pt @Daleyfurter @physiotalk Which is why this topic is so important! #physiotalk. |
| Zachary Walston @zachwalston @_lewadam @IanTyrrell5 @physiotalk This is also a representative heuristic. Sometimes heuristics are beneficial but they can caused us to make decisions prematurely and miss information. Satisfaction of search is an issue to be wary of. #physiotalk |
| Janet Thomas @JanetThomas47 @zachwalston @IanTyrrell5 @physiotalk Do you think we are more prone to bias when we use pattern recognition model of clinical reasoning perhaps? #physiotalk |
| Zachary Walston @zachwalston @physio_back @Daleyfurter Type/system 1 is a our fast, inutitive, bias/heuristic driven thinking while type/system 2 is our slow critical thinking process #physiotalk |
| Zachary Walston @zachwalston @Daleyfurter @physio_back https://t.co/14dFjc38Y6 #physiotalk |
| Janet Thomas @JanetThomas47 @GraemeGpt @physiotalk I think we all know that feeling! #physiotalk |
| Zachary Walston @zachwalston @Daleyfurter @physio_back Scientific curiosity is one of the most powerful traits an clinician can possess. #physiotalk. |
| Zachary Walston @zachwalston @GraemeGpt @physiotalk Ha, very true. It's amazing how after someone gets certified in dry needling, everyone is a prime candidate. #physiotalk |
| Physiotherapy Association of Saint Lucia Inc. @pasl_pt After 30 years of practice, I would jump at overconfidence bias. My choice...#physiotalk |
 | @SoMe4MV @some4mv RT @JmNunezSilveira: 🤔 Can we diagnose asynchronies through the excursion of the diaphragm? #physiotalk #Fisioterapia #fisioterpaeutas #POCUS #LUS #some4mv @physiotalk @POCUSAcademy @Pocus101 @sonophysio https://t.co/0ewrICj6ag |
| Janet Thomas @JanetThomas47 @_lewadam @physiotalk Me too - is that a bias or a good thing? I'm sure all of my older patients benefit from exercise and movement - don't they????!!! #physiotalk |
 | Rehab for All South Africa @RehabforAllSA "I suppose it is tempting, if the only tool you have is a hammer, to treat everything as if it were a nail" Abraham Maslow #physiotalk |
| Zachary Walston @zachwalston #physiotalk Most common biases I see are the sunk-cost fallacy and availability heuristic. The culture of our practice, the training available, courses we attend, the school we graduated from influence our thinking . Sunk-cost amplifies our commitment to the past investments. |
| Zachary Walston @zachwalston @Daleyfurter @physiotalk It's interesting how some have an overconfidence bias while others experience the opposite. I have seen clinicians fearful to act and display a type of loss aversion (I knew I shouldn't have tried that new technique) when confidence is low. #physiotalk |
| Zachary Walston @zachwalston @Daleyfurter Absolutely. But sunk-cost can be investment in time and effort as well. We may be resistant to abandon a technique or mindset because of past investment. #physiotalk |
| Janet Thomas @JanetThomas47 @zachwalston @Daleyfurter Yes - we don't have UG fees for our home students on Scotland, but if you have personally paid for a course then I'm sure that has an effect! #physiotalk |
| Physiotherapy Association of Saint Lucia Inc. @pasl_pt @IanTyrrell5 @physiotalk I would agree as well. At the end of it all, if we can analyze what we anchored on and redirect from there, then all isn't loss. #physiotalk |
| Zachary Walston @zachwalston #physiotalk “A rational decision maker is interested only in the future consequences of current investments. Justifying earlier mistakes is not among the Econ’s concerns.” – Daniel Kahneman in Thinking, Fast and Slow Thoughts on the sunk-cost fallacy. Substitute physio for econ |
 | Abel Abrego @Abelgavino RT @JmNunezSilveira: 🤔 Can we diagnose asynchronies through the excursion of the diaphragm? #physiotalk #Fisioterapia #fisioterpaeutas #POCUS #LUS #some4mv @physiotalk @POCUSAcademy @Pocus101 @sonophysio https://t.co/UimTsoqdQR |
 | Mohammad AlShmmri @MohAlshammary RT @some4mv: RT @JmNunezSilveira: RT @JmNunezSilveira: 🤔 Can we diagnose asynchronies through the excursion of the diaphragm? #physiotalk #Fisioterapia #fisioterpaeutas #POCUS #LUS #some4mv @physiotalk @POCUSAcademy @Pocus101 @sonophysio https://t.co/0ewrICj6ag |
| Janet Thomas @JanetThomas47 @physiotalk I'm getting tortured in my thinking here. How do I know its them with the bias and not me.... #physiotalk |
| Zachary Walston @zachwalston @JanetThomas47 @physiotalk We all are prone to bias. I think it is better to focus on yourself rather than others. That actually plays into the third question #physiotalk |
| Janet Thomas @JanetThomas47 @J0Physio @zachwalston @physiotalk Good question! I think it probably is the same bias deep down #physiotalk |
| Physiotherapy Association of Saint Lucia Inc. @pasl_pt A bit of discussion and education devoid of confrontation #physiotalk |
| Rehab for All South Africa @RehabforAllSA What of the strong bias towards hands on therapy and manual techniques over broader interventions addressing the biopsychosocial causes of pain, injury and disability? #physiotalk |
| Zachary Walston @zachwalston @J0Physio @physiotalk It is absolutely a part of it. Sunk-cost is not exclusively financial cost. Time and effort are large components. Learn from the past but focus your actions on the future. #physiotalk |
| Janet Thomas @JanetThomas47 @IanTyrrell5 @physiotalk Def not confrontational - professional discussion in an open manner best I think #physiotalk |
| Zachary Walston @zachwalston @Daleyfurter @physio_back @physiotalk I recall being chief of "mount stupid" as a resident... #physiotalk |
| Zachary Walston @zachwalston @Daleyfurter @physio_back @physiotalk And then the first patient I hurt knocked me straight into the valley of dispair. The joys of residency. #physiotalk |
| Janet Thomas @JanetThomas47 @Daleyfurter @zachwalston Its very different world wide - I see that with my @IPTOPphysio role I do think there are more similarities than differences though overall #physiotalk |
| Zachary Walston @zachwalston @pasl_pt I struggle with this sometimes. Fact punching doesn’t work. Some people view bias and heuristics as theoretical. They only want hard numbers. Another response is digging heals in. I find the best strategy is to seek understanding and ask more questions. #physiotalk |
| C Harris, PhD @CHarrisPhysio @physiotalk A good start may be teaching that they exist / what they are, with reassurance that everyone is subject to them, but you can over-rule them in yourself if you are aware of them and make a conscious effort to do so #physiotalk |
| C Harris, PhD @CHarrisPhysio @J0Physio @physiotalk Also maybe getting students to work through example scenarios where 1 or more biases / fallacies / heuristics are in play #physiotalk |
| Zachary Walston @zachwalston @IanTyrrell5 @JanetThomas47 @physiotalk Agree on both. Simply pointing out a bias doesn’t necessarily work as it can still come across as an attack. It can give the impression that you are more intelligent by bringing psychology and metacognition into the conversation. #physiotalk |
| Janet Thomas @JanetThomas47 @J0Physio @physiotalk We had a great post placement sessions at @QMUPhysio using case discussions in a fishbowl discussion to allow all to participate #physiotalk |
| Physiotherapy Association of Saint Lucia Inc. @pasl_pt CDM is the backbone of a PT program. One should try actual reflections using examples ie providing the student the opportunity to examine how they make decision versus the theoretical concepts. #physiotalk |
| Zachary Walston @zachwalston @physiotalk Without doubt and uncertainty, we stop asking questions. Heuristics are valuable tools, but they need to be constantly updated and we need to recognize the potential for errors. (system 1 vs. system 2 thinking). #physiotalk |
| Janet Thomas @JanetThomas47 @zachwalston @IanTyrrell5 @physiotalk Don't bring metacognition into it :) #physiotalk https://t.co/7DYnYwyxqf |
| Zachary Walston @zachwalston @PhysioDarragh @physiotalk @physio_back @Daleyfurter It is the most influential book I have every read. I cannot recommend it enough. Another great one is How not to be wrong: the power of mathematical thinking. Superforcasting, how doctors think, your medical mind,and antifragile have influenced my practice too #physiotalk |
| Zachary Walston @zachwalston @S0uthernUpN0rth @physiotalk I think that can absolutely help. A primary challenge is the frequency of education. A single in-service or lecture is just the start. This needs to be a continuous conversation and the foundation of learning and applying information in clinical practice. #physiotalk |
| Zachary Walston @zachwalston @_lewadam @IanTyrrell5 @physiotalk Absolutely. There is so much value to be gained by learning from the perspectives of others. #physiotalk |
| Janet Thomas @JanetThomas47 @physiotalk There is always trial and error! #physiotalk |
| Zachary Walston @zachwalston @physiotalk Mental short-cuts in general allow us to more rapidly assess clinical situations. The key is taking the time to activate system two and reflect when able. Additionally, practicing recognizing biases can help us navigate cognitive traps more effectively. #physiotalk |
| Physiotherapy Association of Saint Lucia Inc. @pasl_pt @physiotalk Q5. Fast frugal where one can use classifications. #physiotalk. |
| Zachary Walston @zachwalston @IanTyrrell5 @_lewadam @physiotalk The perspectives can also provide the "art" portion of the art-science balancing act that is treatment. Trials and basic science provide a foundation for treatment efficacy, but experience, perspective, values, etc. allow us to develop tailored, patient-centric care #physiotalk |
| Zachary Walston @zachwalston #physiotalk @Daleyfurter came prepared! |
| Physiotherapy Association of Saint Lucia Inc. @pasl_pt @zachwalston @Daleyfurter So true. Lots to learn. Thanks @Daleyfurter #physiotalk |
| Zachary Walston @zachwalston @Daleyfurter @physiotalk Let me know when it is published. It will jump to the top of the stack. #physiotalk |
| Zachary Walston @zachwalston @physio_back @Daleyfurter Thank you @physio_back. I agree, I feel fortunate to have had @Daleyfurter on the #physiotalk. This hour flew by and I enjoyed it. |
| Janet Thomas @JanetThomas47 @physiotalk Fascinating topic tonight. One to really broaden your thinking and examine your own biases. Thank you @zachwalston #physiotalk |
| Zachary Walston @zachwalston @Daleyfurter @physiotalk I completely agree. Let's find time to connect. It is great to see the contributions you have made in this area. #physiotalk |
| Zachary Walston @zachwalston @JanetThomas47 @physiotalk Thank you @JanetThomas47 for the feedback and thank you @physiotalk for the opportunity. This was a great discussion and I am thrilled to see so many people interested in it. #physiotalk |
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