In today's episode, I wanted to talk about what is going through my head during manual therapy. I discovered this week that there are differing opinions about what should be going through a person's head now that we know manual therapy techniques aren't specific to anatomical structures and in many cases aren't impacting the tissue in the way that we once thought. 

I want to say that this could be an entire course. My focus in this Thoughtlight was to give a brief overview of what may be going through my head just during the treatment phase of a visit during the application of a manual therapy technique. As I say toward the end: thinking never stops. It doesn't start during manual therapy and it doesn't end there, either.

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In this episode, I run over the cliff notes of our recent paper "Referral Decision-Making and Care Continuity in Physical Therapist Practice," published this month in Physical Therapy & Rehabilitation Journal (PTJ).

Why should you care about referral decision-making? Well, you probably do its to some degree every day. But, like most things, if you don't recognize you're doing it, you probably aren't maximizing your ability. This doesn't just entail how to refer and to whom, but a framework for thinking about referral and what key things you should be doing NOW to improve your patient outcomes.

Article in PTJ  is accessible: HERE

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Rebekah Griffith, PT, DPT, NCS is a physical therapist practicing in the Emergency Department in Highlands Ranch, Colorado. She is author of the book "Top of Scope: The Emergency Department Physical Therapist Handbook." Rebekah is also a fellow in training at Regis University and provides cash-based services away from the hospital setting. 

In this episode, Rebekah talks about the importance of providing high-level care that truly is "top of scope" as well as how physical therapists are currently doing this in the ED.

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Nathan Tanney, PT, DPT, OCS, FAAOMPT is a physical therapist clinician working at Bellin College. He has teaching roles in Bellin's Fellowship in Orthopaedic Manual Physical Therapy and has mentored physical therapists for several years. Nathan is also a mentor and faculty in The Movement Brainery's 6-month mentorship program. 

In this episode, Nathan gives a primer on motivational interviewing, something he has taught at a national level for several years. By listening, you'll hear about what MI is and which specific techniques you can use to implement this approach in the clinic. 

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Nick Rainey, PT, DPT, OCS, CCT FAAOMPT is a private practice owner of Rainey Pain & Performance and mentor in our 6-month mentorship program. He has mentored residents, fellows, and taught nationally for several years. In this episode, Nick talks about deliberate practice—what he sees in his clinic and which times he has for other clinicians trying to improve their knowledge acquisition and application.

You can check out our 6-month Career and Clinical Mentorship Program HERE.

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John Heick, PT, PhD, OCS, SCS, NCS is the Director of NAU's Physical Therapy Program and Editor of Goodman and Synder's Screening for Referral textbook. Prior to his career in physical therapy, John was an Air Force medic. He has been actively involved in concussion research and leading the movement toward Primary Care as a specialty area within physical therapy.

John is an instructor in our 8-week Primary Care PT course, which you can check out HERE.

He also co-authored a recent paper in PTJ entitled Referral Decision Making and Care Continuity in Physical Therapist Practice. 

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Mark Shepherd, the Director of Bellin College's Fellowship in OMT and Faculty in their DPT program, hops on to talk about something that's been on his mind: boundaries.

In this episode, Mark talks about how to set boundaries with patients, why you would want to, and how it has the potential to help improve your outcomes in the clinic.

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Dr. Katie O'Bright, PT, DPT  is the owner of Redefine Health Education. She teaches on Primary Care Physical Therapy. After graduating , Dr. O'Bright served in the United States Army as a Captain & physical therapist, primarily working in a multidisciplinary Soldier Centered Medical Home. She furthered her education in the Military Musculoskeletal Residency in 2017, at which point she obtained her OCS. After her time in service, she was the lead physical therapist at the University of Oklahoma’s Stephenson Cancer Center, a team-based clinical setting where she enhanced her skills working with individuals with complex needs. Dr. O'Bright moved on to another multidisciplinary primary care practice in Pittsburgh before starting her own cash-based practice.

- Connect with Dr. Katie O'Bright @redefinehealthed on Linkedin, Instagram & Facebook and @redefineconed on Twitter

- Join the APTA Primary Care Special Interest Group for exclusive resources and networking. Go to your APTA profile and add "APTA federal" to your chapters  for just $25. Then go to https://aptafederal.org/primary-care/ and click "Join SIG here!"

- Mark your calendar for the first annual Primary Care PT Summit & Think Tank at Baylor University in Waco, TX - Sept 30, 2023. 7.5 CEUs will be offered! Registration links coming soon!

- Check out primary care PT and imaging CEU courses at https://learn.redefinehealthed.com/ 

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David Poulter is a retired physical therapist who has lived and worked in Australia, New Zealand, and the UK. He has taught alongside Robin McKenzie as a faculty member of the US McKenzie Institute and taught around the world on patient-centered care and communication. 

In this episode, David asks you to ponder whether you consider yourself a good listener. He introduces the concepts of ethos, pathos, and logos as they may pertain to clinical practice and provides some basic guidance on how you can become a better listener in the clinic.

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Chad Cook, PT, PhD talks about his evolution in thinking during the 33 years of his career. From the beginning as a clinician to today, as a researcher working on multiple grants related to mechanisms of manual therapy. 

In this "ThoughtLight," Dr. Cook highlights some of the past problems with mechanisms research and how recent grants and projects he is working on will attempt to uncover more about how our interventions work.

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