SlideShare a Scribd company logo
#fysiofuture
Associate Professor Mr Roger Kerry, University of
Nottingham UK
#fysiofuture
INTEGRATION OF KNOWLEDGE IN PRACTICE
CLINICAL
KNOWLEDGE
RESEARCH
KNOWLEDGE
INTIUTIVE
KNOWLEDGE
THEORETICAL
KNOWLEDGE
SITUATIONAL
KNOWLEDGE
EXPERIENCAL
KNOWLEDGE
EXECUTIONAL
KNOWLEDGE
ETHICAL, MORAL
KNOWLEDGE
MODERN
PHYSIOTHERAPIST
Eraut 1994, Fish 1998, Fish & Coles 1998
Eraut 1994, Fish 1998, Fish & Coles 1998
Could we drift through clinical practise for 40 years and do ok?
Clinical
expertise
Scientific
Evidence
Patient
values
and goals
ALL Knowledge
Clinical
Reasoning
Understanding
clinicl practise
related to ALL
knowledge
Experience
Conseptualisation
of practise
Peter O’ Sullivan via SigMikk 26.05.2016
•
"...we have to change what we value in a consultation. The advice we give and
the strategies we empower people with are maybe way more important than the
(manual) techniques we apply."
"...but I'm in there with my hands. Because TOUCH is a powerful communication
tool that can guide people to safely move. The (manual) skills are very useful, but
the thinking is different.“
https://www.facebook.com/groups/manuellterapi/
Physiotherapists, please read and understand published data, but realise
that this data is only meaningful when positioned within the narratives and
socio-cultural contexts of our patients and our own experiences. Allow data
– if sufficient – to free yourself from traditions and habits. Don’t be swayed
by preposterous gadgetry and pretty colours but always look towards the
data to drive positive ways of developing your practice. Stop handing out
leaflets.
www.rogerkerry.wordpress.com
The easiest thing is to stop being a disciple, and start to think for yourself. A
bit like a professional would. Ignoring biological aspects of our patients’
complaints is evidence-based silliness. Calls to abandon a biomedical model
is evidence-based moronicy. And downright dangerous. Psycho-social
dimensions are of critical importance to our reasoning and management. So
is differentiating non-specific back pain from aortic aneurysm.
www.rogerkerry.wordpress.com
Our perceptions, our
appreciations and
beliefs are rooted in the
worlds of our own
making that we come to
accept as reality (Schon,
1987)
#fysiofuture

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