DRAFT: This module has unpublished changes.

I purposefully waited until this last clinical to reflect on this core value, because I wanted to give myself the most time to increase the breadth of my PT knowledge, number of patient interactions, and have the most developed sense of clinical judgement. I have certainly, over the past 3 years, expanded tremendously on the knowledge base that I had as a working PTA. GW’s program has helped me to consistently put myself in the place of the patient and given me the craving for knowledge and understanding that I did not have prior to this program. I am happy to say that my first instinct when I have a question about plans of care is to research the condition and presentation, and I feel that I am confidently able to scrutinize the research that I do see and gain an understanding of the merits and failings of any particular study. With respect to this clinical, I found an opportunity to utilize this instinct with regards to patient education on regenerative medicines and whether they are appropriate to recommend. On the first week of my clinical, a representative from a company which performs stem cell injections came and presented to the clinic. That same week, I decided that I needed to learn more able how and if this process actually is effective, based on research evidence as opposed to taking the claims made by this representative at face value. I spent many weeks researching and felt that I was able to put together a compelling presentation which stated that in fact, there is no compelling evidence at this time supporting this very expensive set of injections, nor is the injection of hyaluronic acid supported (which is often toted as having regenerative powers.) I felt comfortable explaining this to patients, and did so toward the end of this rotation. I think that it is important to have an understanding of all of the services that patients are hearing about, their theoretical mechanism, and the evidence that does or does not exist and I will continue to pursue higher understanding of these techniques in the future.

DRAFT: This module has unpublished changes.