Tonight I got the email that I passed my CCA last week!! Such a relieve, can't wait to get the detailed feedback next week...
 
Two weeks ago I gave a tutorial in clinic on foot differentials. I welcomed this as it was a change to work on my presentation and communication skills. To make this a good learning experience I asked my audience for some feedback therefore I send them an email with the link to a survey monkey questionnaire, using the in-house mailing system, after I had given my presentation. 


Clinic tutorial feedback
My audience, which included third and fourth year students, rated both the tutorial (71,4%) and the power point presentation (100%) as 'useful'. The majority would like to receive a handout. Also did the audience rated me as having 'a good understanding of the subject'. 57,1% experienced the 'short foot posture exercise' as 'useful', while 71,4% noticed when doing this exercise the importance of feet on our balance, body posture and proprioception. As this were excercise I use with physiotherapy patients I had asked if my osteopath colleagues would like to learn more about those techniques I had learned during my previous studies. 71,4% would be happy to learn more while 28,6% are not sure if they want to get to know more physiotherapy intervention. I also provided an open section in my questionnaire to leave my colleagues the option to provide further feedback. In this section I got the feedback that 'my voice sometimes went really low so it was difficult to understand..'


I really appreciate this feedback and will use this frame of gathering details in the future especially as preparation for my dissertation presentation but also CCA patient presentation skills. 
surveysummary_foot_tutorial.pdf
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Today I had my mock CCA which will be similar to the final CCAs in spring term. This time I had only one continuation patient that I had seen before and one new patient while in the real CCA I will have two new patients in a row. So it was a great experience. We had two assessors and one operator per student. It was a completely different scenario as I had never presented to these tutors. On normal clinic days were are always having a dialog with our tutors and can ask for their opinion however today it was all our responsibility and decision for what we do. My first patient was my self chosen continuation patient which went pretty well. I was asked a couple of questions whilst treating but think I managed the situation quite well. Sometimes I got very distracted that three extra people went in and out of the room... also quized by question from an unfamiliar examiner was quite a challenge. Having made this experience I plan to practice this with my study group. The idea I have in mind is that we will role play case histories, case presentation but also whilst practising technique to quiz each each other on decisions but also unrelated questions to an area we e.g. practice on in this moment. I also had to write a precise report for my continuation patient which was a great experience as we normally do not have to do this. The aim was to summaries the patients presentation, my management and progress of my treatment by today. I find this a useful step in presenting a patient to other colleagues and could also use this when I discuss patients with my colleagues as this could become helpful when I am qualified. then I am familiar with the process of writing reports not only to osteopaths but also other health care practitioners. 
I had my new patient straight after and think it went quite well as well. I am very pleased with myself. However I need to work on my time management as I hardly had time in the end for treatment. This time it was required to present in a very clear and structured way my findings and use these to back up my clinical diagnosis. We have practiced this the whole term however in a CCA situation it is so different, no help, no hints,... and the decision needs to be made promptly. 
All in all, I am very grateful that we have the change to have such a mock CCA, great experience! ....now I eagerly wait for my feedback!!!
 
Today I gave a tutorial for my team on foot and ankle differentials. I had prepared a power point presentation and went through the most common presentations but also added some uncommon conditions which I came across during my preparation. My colleagues were very grateful that I went through the differentails again as this is a good preparation for the CCAs. In the end I decided to finish off with an active part and therefore asked everybody to wear off their shoes and socks. I tried to demonstrated how important the foot and ankle complex is and that we should not miss to consider this when we assess and treat our patients. I briefly went through the physiology of the 'short foot posture' from Janda, a czech neurologist. I myself had learned this during my physiotherapy course and wanted to share this with my osteopath colleagues. I asked them to feel in themselves for their balance, sensation in their feet before, during and after the exercises. Someone felt it in the back, another in the core,.. . Thats what I wanted to achieve that my audience gets aware of the relevance of a good foot mechanics and how this affects the muscle tone and posture of the body.


With presenting this tutorial I revised foot differentials but also worked on my presentation skills. I have both revised my anatomy/pathophysiology knowledge and worked on my confidence to give lectures for a group with todays clinic tutorial. To use and make more out of this experience I provided all participants with a anonymous survey monkey questionnaire to collect feedback on my presentation skills.