# data[].attributes.headline
D1 -	Avoid letting my personal interest bias / impose upon my clinical reasoning. 

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D1 -	Avoid letting my personal interest bias / impose upon my clinical reasoning. 

# data[].attributes.body
The attached PDF shows evidence for personal reflection on this OPS based on a clinical experience during year 4.

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C1 - Studying cervical myelopathy and enhancing my knowledge about red flags – developing awareness when to refer

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C1 - Studying cervical myelopathy and enhancing my knowledge about red flags – developing awareness when to refer

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The attached PDF shows evidence for personal reflection on this OPS based on an article read in the journal of the Institute of Osteopathy.

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B1 - Expanding my knowledge and skills with different tools and media. 

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B1 - Expanding my knowledge and skills with different tools and media. 

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There are two events which I would like to present my reflection upon. The attached PDF contains

- PART 1: Daily case history practice with a peer to apply "the knowledge" and learn through feedback
- PART 2: When is blood pressure too high? – How to judge and recognize the right moment to refer,  journeying into discussions and opinions to inform my own clinical judgement

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The attached PDF shows the written feedback form my first CEX exam in the 3rd year in which the arising action plan was to review and improve my examination(routines). Adherence to this action plan and therefore OPS C1 is utterly important to ensure my patients care.

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D1 - Articles about trigeminal autonomic cephalalgias and hemicrania continua 

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D1 - Articles about trigeminal autonomic cephalalgias and hemicrania continua 

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This PDF shows the 3 articles I studied and read in relation to the reflection upon OPS D1.

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The attached PDF shows various practical exam feedbacks adding evidence for reflection and adherence to OPS B1.

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C2 - Taking-over a patient helps me to understand the importance of comprehensive note-taking 

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C2 - Taking-over a patient helps me to understand the importance of comprehensive note-taking 

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The attached PDF shows evidence for personal reflection on this OPS based on a clinical experience when taking-over a colleagues` patient. A anonymized copy of the case history filled out case history form is also attached.

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The following links are various free online sources which I used on a regular base to enhance my medical knowledge:

Medical lectures by Douglas Gillard:
https://www.youtube.com/watch?v=BzmXxL0UAWE

Zero to finals: https://www.youtube.com/watch?v=QZhvJc7PCVI&list=PLbYQl9-UI2ippkakiWugeiYCM0SLOa9RP&index=5

Osmosis:
https://www.youtube.com/channel/UCNI0qOojpkhsUtaQ4_2NUhQ

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D2 - Is accepting help from a patient crossing professional boundaries?

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D2 - Is accepting help from a patient crossing professional boundaries?

# data[].attributes.body
The attached PDF shows evidence for personal reflection on this OPS based on a patient experience in headache clinic in year 4.

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B2 -	Deepen my knowledge on migraines to enhance professional judgement on the scope of my practice 

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B2 -	Deepen my knowledge on migraines to enhance professional judgement on the scope of my practice 

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The attached PDF shows evidence for personal reflection on this OPS based on a clinical experience (CEX exam feedback).

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C3 -  Questioning my note taking and documentation of written material 

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C3 -  Questioning my note taking and documentation of written material 

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The attached PDF shows evidence for personal reflection on this OPS based on an experience in relation to my dissertation presentation.
The EVIDENCE 2 of section C3 below shows the PDF of the viva presentation of my dissertation.

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This appendix shows the PDF of the viva presentation of my dissertation.

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B3 - Updating my knowledge and skills about non-traumatic shoulder pain 

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B3 - Updating my knowledge and skills about non-traumatic shoulder pain 

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The attached PDF shows evidence for personal reflection on this OPS based on a clinical experience.

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B3 - CPD in spinal red flags - updating my knowledge 

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B3 - CPD in spinal red flags - updating my knowledge 

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The attached PDF shows the certificate I gained after successfully completing a CPD in recognizing spinal red flag pathology.

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A1 -	The importance of listening to unspoken signals 

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A1 -	The importance of listening to unspoken signals 

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The attached PDF shows evidence for personal reflection on this OPS based on a clinical experience.

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B4 - What is a safe practitioner? Informing patient management from evidence-based guidelines and patient care pathways

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B4 - What is a safe practitioner? Informing patient management from evidence-based guidelines and patient care pathways

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C4 - Safeguarding: Promoting my children patients` welfare by raising my awareness of child abuse 

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C4 - Safeguarding: Promoting my children patients` welfare by raising my awareness of child abuse 

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The attached PDF shows evidence for personal reflection on this OPS based on my experience as part of the introduction for children`s clinic.

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A2 - A constant dance between patient versus medical / professional language  

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A2 - A constant dance between patient versus medical / professional language  

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The attached PDF shows evidence for personal reflection on this OPS based on several clinical experiences.

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A2 - Finding appropriate patient language - a work in progress 

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A2 - Finding appropriate patient language - a work in progress 

# data[].attributes.body
The attached PDF shows my work-in progress / process document in which I am collecting terms and expressions how to express our professional / osteopathic language into patient language.

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C4 - Studied articles and online resources about safeguarding children 

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C4 - Studied articles and online resources about safeguarding children 

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Attending children clinic since beginning of year four OPS C4 became particularly relevant as it was the first time in my student practitioner career that I dealt with a more vulnerable patient group.
The attached 2 articles shows one part of how I immersed myself into this topic trying to raise my awareness for any potential child abuse and learning the pathway how to deal with these situations.

Further sources I read and studied are:

- Children act 1989: https://www.legislation.gov.uk/ukpga/1989/41/contents

- Female genital mutilation: recognizing and prevention: https://www.virtual-college.co.uk/resources/free-courses/recognising-and-preventing-fgm

- Dudley safeguarding people partnership:
https://safeguarding.dudley.gov.uk/safeguarding/learning-zone/free-online-training-courses/

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D3 - Professional identity as the (raising) awareness for the responsibility I carry as an osteopath and healthcare professional which above all is my duty of candour.  

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D3 - Professional identity as the (raising) awareness for the responsibility I carry as an osteopath and healthcare professional which above all is my duty of candour.  

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The attached PDF shows evidence for personal reflection on this OPS.

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C5 - Should the clinic be closed? Discussion with my clinic group.

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C5 - Should the clinic be closed? Discussion with my clinic group.

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The attached PDF shows evidence for personal reflection on that OPS in relation to the new introduced COVID-19 regulations at the ESO student clinic.

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This is the article which I studied in relation to Evidence 3 in the reflection on OPS A2.

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A3 - Safety netting: Conveying qualitative information and make it understood

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A3 - Safety netting: Conveying qualitative information and make it understood

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The attached PDF shows evidence for personal reflection on this OPS based on an online course I recently attended.

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D4 -	Feeling uncomfortable and paralyzed when noticing a patients` dissatisfaction.

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D4 -	Feeling uncomfortable and paralyzed when noticing a patients` dissatisfaction.

# data[].attributes.body
The attached PDF shows evidence for personal reflection on this OPS based on a clinical experience.

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These are the safety netting cards as suggested by Greenhalgh et al. (2020). As stated in the above reflection, since I have learnt about the concept of safety netting I carry a copy of these cards in my clinic to use within my patient care as appropriate.

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C6 - Recognizing my wider role as a healthcare professional in the example of a patient with an eating disorder

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C6 - Recognizing my wider role as a healthcare professional in the example of a patient with an eating disorder

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The attached PDF shows evidence for personal reflection on this OPS based on a presentation I had to do on Anorexia and Bulimia Nervosa for the subject psychology in year 3.

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A3 - Studied articles about cauda equina syndrome and safety netting

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A3 - Studied articles about cauda equina syndrome and safety netting

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These are the two articles which I studied in relation to my reflection on OPS A3.

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A4 -	Act and CONTENT of shared decision-making – passing rights and power to patient 

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A4 -	Act and CONTENT of shared decision-making – passing rights and power to patient 

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The attached PDF shows evidence for personal reflection on this OPS based on a discussion with peers and the tutor during a clinic session.

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A4 - Studied article about shared decision-making in a student population 

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A4 - Studied article about shared decision-making in a student population 

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This is the article which I reflected upon in relation to the padlet entry of OPS A4.

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A5 - What drives a person / patient to care for themselves? 

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A5 - What drives a person / patient to care for themselves? 

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The attached PDF shows evidence for personal reflection on this OPS based on a course work I wrote in my first year: PART 1 consists of the reflection upon clinical observation, PART 2 is the essay I wrote in response to that observation.

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The attached PDF is part 2 of the evidence for A5 and shows the written coursework carried out as response to the above reflection.

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The attached PDF shows evidence for personal reflection on this OPS based on a clinical experience.

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A7 -	Detaching from personal bias: Accepting and acknowledging the patient in front of me 

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A7 -	Detaching from personal bias: Accepting and acknowledging the patient in front of me 

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The attached PDF shows evidence for personal reflection on this OPS based on the reflective diary taken during my dissertation process.

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D5 - postpartum psychosis - an emergent referral!

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D5 - postpartum psychosis - an emergent referral!

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The attached PDF shows evidence for personal reflection on this OPS based on an experience during an obstetric class in year 4.

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D5 - Slides of pregnancy / post-partum lecture 

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D5 - Slides of pregnancy / post-partum lecture 

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The attached PDF shows evidence for the slides which we learnt about and studied in the obstetric lecture mentioned above.

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The attached PDF shows the article I studied in relation to my reflection upon OPS D5.

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D6 - Ethnical minorities and discrimination in healthcare

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D6 - Ethnical minorities and discrimination in healthcare

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The attached PDF shows evidence for personal reflection on this OPS based on a experience during the process of conducting interviews when carrying out my dissertation (Qualitative inquiry into final year osteopathy students` professional identity).

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D6 - Articles about ethnical minorities and discrimination in healthcare / osteopathy

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D6 - Articles about ethnical minorities and discrimination in healthcare / osteopathy

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The attached PDF shows further evidence for my reflection on this standard in form of 2 research papers I read on the subject of ethnical minorities and discrimination in healthcare / osteopathy.

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D7 -	Excerpts from various diary entries / notes written about the question "What is my professional identity?"

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D7 -	Excerpts from various diary entries / notes written about the question "What is my professional identity?"

# data[].attributes.body
The attached PDF serves as evidence for my reflection on this OPs by showing excerpts from several diary entries where I inquire into the questions what is professional identity?

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C6 -  Presentation about Anorexia and Bulimia Nervosa 

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C6 -  Presentation about Anorexia and Bulimia Nervosa 

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Welcome to the online presentation of my chosen topic «Anorexia and Bulimia Nervosa in the patient presenting with low back pain».

On this page you can find:
- A BBB online lecture (if you follow the youtube link)
- A handout which hopefully offers you guidance and help in clinical practice, as well as for you to follow up on certain references and useful sources
- A PDF document of the slides presented

Enjoy and please contact me for any further questions, suggestions, discussions, .... !

video link: https://youtu.be/ZDsq_pCOy4sThis standard

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C6 - Presentation about Anorexia and Bulimia nervosa in osteopathic practice - Slides 

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C6 - Presentation about Anorexia and Bulimia nervosa in osteopathic practice - Slides 

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PDF of my presentation slides.

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D7 - Article: Ethics and professionalism in a changing world 

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D7 - Article: Ethics and professionalism in a changing world 

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The attached PDF shows further evidence for my reflection on this standard in form of 3 research paper I read on the subject of professionalism.

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D8 -	You must be trustworthy in your professional and personal financial dealings. 

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D8 -	You must be trustworthy in your professional and personal financial dealings. 

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The attached PDF shows evidence for personal reflection on this OPS based on a clinical experience.

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D9 - How to prevent any team conflicts from diminishing patient care?

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D9 - How to prevent any team conflicts from diminishing patient care?

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The attached PDF shows evidence for personal reflection on this OPS based on a clinical experience.

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D10 - How to learn about and apply inter-professional work?

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D10 - How to learn about and apply inter-professional work?

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The attached PDF shows evidence for personal reflection on this OPS based on a diary entry about the theme inter-professional work.

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D11 - «I feel burnt out» - how to ensure that my mental health doesn`t affect the care for my patients? 

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D11 - «I feel burnt out» - how to ensure that my mental health doesn`t affect the care for my patients? 

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The attached PDF shows evidence for personal reflection based on an experience in the end of the 1st term in year 3.

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D12 - Complying with all regulatory requirements at our student clinic; Transparency towards my clinic tutors

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D12 - Complying with all regulatory requirements at our student clinic; Transparency towards my clinic tutors

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The attached PDF shows evidence for personal reflection this OPS based on a patient experience in year 4.

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For all the written reflections I used the DIEP model to structure the reflection. I used the attached PDF to help me apply the proposed model.

Source: https://www.dlsweb.rmit.edu.au/lsu/content/2_AssessmentTasks/assess_pdf/Reflective%20journal.pdf

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The attached PDF shows the complete bibliography of all written reflections in this portfolio.

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B4 - Frozen shoulder diagnosis and assessment - critical appraisal of current literature. 

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B4 - Frozen shoulder diagnosis and assessment - critical appraisal of current literature. 

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The attached PDF shows the preparation I did for the research exam in year 3. This was a critical appraisal of the literature about the diagnosis and assessment of frozen shoulder.