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A1. You must listen to patients and respect their individuality, concerns, and preferences. You must be polite and considerate with patients and treat them with dignity and courtesy.

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A1. You must listen to patients and respect their individuality, concerns, and preferences. You must be polite and considerate with patients and treat them with dignity and courtesy.

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As healthcare practitioners, active listening is extremely important (Lester and Rogers, 2012). Building a rapport with the patient will allow the patient to feel more comfortable and give us the information we need. Depending on the patient, this rapport can be more difficult to obtain. So, we might need to adapt our way of talking, positioning ourselves and overall attitude to try to match the patients'. Working in care helped me with that aspect as it allowed me to be in contact with a great range of different personalities I had to adapt to.

Reference:
Lester, D. and Rogers, J.R. (2012). Crisis intervention and counseling by telephone and the internet. Springfield, Ill.: Charles C. Thomas, Publisher.

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A2. You must work in partnership with patients, adapting your communication approach to take into account their particular needs and supporting patients in expressing to you what is important to them.

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A2. You must work in partnership with patients, adapting your communication approach to take into account their particular needs and supporting patients in expressing to you what is important to them.

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The aspect of working in partnership with the patient I struggle the most with is the presentation of risks. Whether it is the risks of the techniques or the adverse effect of the osteopathic treatment. I always feel like the patient will refuse the techniques or the treatment because I won't be able to formulate how little the risk is for them. I am trying to integrate this aspect more into my treatment session to have a real patient partnership. I also need to do more research about the adverse effects, at what percentage do they happen at, and how to justify my choice of techniques

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A3. You must give patients the information they want or need to know in a way they can understand. 

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A3. You must give patients the information they want or need to know in a way they can understand. 

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Explaining to the patient what findings we have after our tests will help the patient understand their pain and how we can treat them (Yu et al., 2016). I always make sure to implicate the patient during my tests and make them feel restrictions. Once I gathered all of my needed information, I like to show patients a picture of what I felt and how my findings are related.
I once had the experience with one of my patients that was seen by another practitioner while I was on holiday. This other practitioner did not explain the finding and just went on with the treatment. When I next saw the patient, the pain levels had gone way up. I did ask the patient why they thought it happened, and they told me that the other practitioner did not explain the findings and reasons for the treatment so the patient felt like the other practitioner had less knowledge than me. This reinforced my idea of explanation to the patient.

References:
Yu, H., Côté, P., Southerst, D., Wong, J.J., Varatharajan, S., Shearer, H.M., Gross, D.P., van der Velde, G.M., Carroll, L.J., Mior, S.A., Ameis, A., Jacobs, C.L. and Taylor-Vaisey, A.L. (2016). Does structured patient education improve the recovery and clinical outcomes of patients with neck pain? A systematic review from the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. The Spine Journal, 16(12), pp.1524–1540. doi:10.1016/j.spinee.2014.03.039.

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Pictures of multiple CEX, feedback from one of my colleagues and from a patient's file

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A4. You must receive valid consent for all aspects of examination and treatment and record this as appropriate. 

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A4. You must receive valid consent for all aspects of examination and treatment and record this as appropriate. 

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Consent is very integrated into the English osteopathic world. As I started my studies in France (where consent is not as needed), I had a hard time adapting to this new model and understanding the need for this consent. After a long reflection on my part and observation of my colleagues, I concluded that consent offers a healthier patient-practitioner relationship and it protects the practitioner. I still think that we don't need to ask multiple times to palpate the same area in one session, especially if it isn't a sensitive area. it can make us seem hesitant and can make the treatment an awkward experience.  Most patients also ask me to "get started" and skip the consent part of treatment.

Recording this consent protects us. I recently started recording the given consent on the follow-up treatment sheets. I used to only record it on the initial consultation form, but really, consent needs to be given at every session.

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Pictures of a patient's file and a diet book I red

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A5. You must support patients in caring for themselves to improve and maintain their own health and wellbeing. 

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A5. You must support patients in caring for themselves to improve and maintain their own health and wellbeing. 

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Most of the time, to support patients in caring for themselves, we need to discuss their weight. This is always a very difficult part for me as I don't want the patient to feel bad about their weight and I want them to embrace their body shape. Unfortunately, being overweight can cause pain that is increased by weight (Leboeuf-Yde, 2000). I don't want to be seen as rude on non-inclusive, so when a patient talks about their weight and how they would like to lose weight, I always brush the discussion off. Because I am aware that this is not the appropriate attitude to have as a health care practitioner, I plan to go through this discussion with my tutors to have pieces of advice on how to formulate my thought without sounding rude. To help me in this direction, I increased my knowledge of diet through books, But I still don't feel confident enough.
This reflection also goes with mental health for me. I have a hard time indicating to the patient the beneficial effect psychological appointments could have on them and their complaints (Linton and Bergbom, 2011).

I feel confident in referring patients when they need to for every other subject, even sinister ones.

References:
Leboeuf-Yde, C. (2000). Body Weight and Low Back Pain. Spine, 25(2), p.226. doi:10.1097/00007632-200001150-00015.

‌Linton, S.J. and Bergbom, S. (2011). Understanding the link between depression and pain. Scandinavian Journal of Pain, 2(2), pp.47–54. doi:10.1016/j.sjpain.2011.01.005.

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A6. You must respect your patients’ dignity and modesty.

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A6. You must respect your patients’ dignity and modesty.

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As I started my studies in France, I have learn the French treatment model. Treatment is way more global, and so patients usually need to undress up to their underwear to complete full body testing. In the UK, modesty is a very big part of the treatment and we are taught to let the patient decide what they want to take off and what they want to keep. I still struggle asking the patient to take off only a part of their clothing, especially when they are willing to get into their underwear. I do understand the aspect of modesty and I am getting better at it. On some occasions like low back pain, I still think that having the patient in underwear will allow me better palpatory sensations, and so a better and more precise diagnosis and axis of treatment.

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A7. You must make sure your beliefs and values do not prejudice your patients’ care.

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A7. You must make sure your beliefs and values do not prejudice your patients’ care.

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Being part of a younger and more open-minded generation can sometimes be conflictual with the older generation in particular.
I had a case in clinic where I was covering the patient of one of my colleagues. The patient was having sexist remarks to me about how women are more gentle and have less knowledge. Being a woman, I had to prove myself during the treatment to show that I had a sufficient amount of knowledge and that I had enough power to work with every type of technique. To avoid confrontation, I showed the patient these aspects through my actions and not my words.
At the end of the session, I was proud of myself because I was able to change the patient's mind about me and my ability to treat every type of patient, without having to get into a verbal argument.
In the future, I want to keep this strategy for sexist remarks.
I usually tend to not answer and ignore the homophobic or racist comments. As I am generally a chatty person, me not answering shows disapproval and my refusal to talk about those subjects.

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Pictures of flashcards, drawings and diagrams I made

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B1. You must have and be able to apply sufficient and appropriate knowledge and skills to support your work as an osteopath.

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B1. You must have and be able to apply sufficient and appropriate knowledge and skills to support your work as an osteopath.

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To support our work as an osteopath, our anatomy and physiology must be excellent. That will help us treat effectively and safely our patients.
Anatomy and physiology being two very hard subjects, I don't feel like I know enough yet. This makes me doubt myself during a patient's diagnosis and it can make me need a larger number of sessions. I do continue to study anatomy and physiology to learn as much as possible. Being anxious about this feeling, I made flashcards, drawings and diagrams. This helped me a lot to remember and understand the body better.
After multiple discussions with tutors, I also feel more at ease as I realize that this feeling was present for every student and newly graduated tutors.
Since then, I have noticed a big improvement in my learning and it makes me feel more confident about my knowledge and my ability to treat patients effectively and safely.

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B2. You must recognise and work within the limits of your training and competence.

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B2. You must recognise and work within the limits of your training and competence.

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Recognizing our limits as osteopaths gives better recovery chances for the patient. It requires us a sufficient knowledge about physiology to know when actions need to be taken.
As I am still a student, I have this beautiful view of osteopathy and how it can help anyone as long as the patient doesn't need a referral. This causes me to try during multiple sessions to improve my patient's complaints and sometimes not have the expected results. I need more research on what the most effective treatment option is for different diagnoses so I can redirect my patient to the best practitioner for them.

When a red flag is present in a patient case, I will immediately refer my patient for another treatment or further examinations as I need to keep my patients safe. Sometimes, I can also get anxious about the treatment of a patient with yellow flags and what further examination. Thankfully, my tutors helped me to clear out any real counter-indications to the treatment. This allowed me to learn a process to be safe and decide whether the patient is a candidate for osteopathy or not.

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Poster presentation of Subacromial Impingement Syndrome with references

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B3. You must keep your professional knowledge and skills up to date.

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B3. You must keep your professional knowledge and skills up to date.

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Osteopathic studies in France are based on our teacher's experience and osteopathic books. When I arrived in the UK, I noticed how important studies are in the osteopathic world.
I had to adapt my way of thinking to understand why and how studies were important and necessary to our profession. They can give us the most appropriate treatment approach for our patient and allows us to justify our work and train of thought.
As I arrived only recently, I haven't had time to go through each diagnosis and make research on the effects of osteopathy on a particular condition. I have noticed a clear improvement in my patient's recovery after I made research and applied the study's recommendations.
Keeping our knowledge up to date also allows us to respect the OPS B2.
To maintain my skills, I practice with my colleagues, and I intend to participate in seminars and workshops once I graduate.

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B4. You must be able to analyse and reflect upon information related to your practice in order to enhance patient care.

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B4. You must be able to analyse and reflect upon information related to your practice in order to enhance patient care.

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The best way to improve our patient's care is through feedback.
As I am a student, I ask my observers to write feedback down to enhance my practice. Through feedback, I will be able to have a direct analysis of the attitude toward a patient and how to get better at it. Once I get this feedback, I like to reflect on the negative parts to find a way to modify them and optimally be a better practitioner. Also, I usually compare my feedback to see if a recurring issue is surfacing.
If I have trouble rectifying a negative aspect, I always go to the person who gave me this feedback and ask for advice on how to improve.
I also always acknowledge the positive aspects to keep them positive for my next feedback.
Once I graduate, I would like to leave the option to give feedback anonymously to the patients. That way, this process of getting better can continue even when I am not in school anymore.
Asking for the patients' feedback is also very important. It gives us a direct point of view on how patients would feel during the session. As it might be awkward for the patient to criticize us directly, I think that it would be very interesting to leave the option of anonymous feedback, online or in reception on a piece of paper for example.

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C1. You must be able to conduct an osteopathic patient evaluation and deliver safe, competent and appropriate osteopathic care to your patients.

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C1. You must be able to conduct an osteopathic patient evaluation and deliver safe, competent and appropriate osteopathic care to your patients.

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Being safe in our practice is probably one of the most stressful aspects of the osteopathic session. As I studied in France, I was taught for three years how to conduct a case history and testing to be as safe as possible with our patients.
For me, missing a red flag was a real worry. Thankfully, after two years of clinic, I feel way better about my knowledge and my ability to spot a red flag. Our tutors are also very inclined to follow our decisions and judgments, which gave me a lot of confidence as it shows trust from my tutors.
I also took on the advice from one of my teachers which helped me be reassured about a case. This advice was to go through the case history again with the patient once I'm done with the questioning and ask if I missed anything. It helps me clear my mind, think about diagnosis and about the information I would need on top of that.
Another piece of advice I was given is to implicate the patient in the diagnosis and treatment by saying "based on the information you have given me". This will give the patient to opportunity to give more information if they forgot to mention something.

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C2. You must ensure that your patient records are comprehensive, accurate, legible and completed promptly. 

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C2. You must ensure that your patient records are comprehensive, accurate, legible and completed promptly. 

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Writing our notes with clear and comprehensible writing is necessary. Not only does it allow other practitioners to understand what is written and was done, but it also keeps us safe if our notes need to be reviewed. Associated with that, our notes need to be complete and up to date.
For now, my notes had to be used only by other student practitioners that were covering for me.
I had to make an effort, to write in a comprehensible manner to allow my colleagues to understand the patient's presentation, treatment and advice given. I am now writing in detail the techniques used and their positions to give a clear vision of the treatment to my colleagues.
I started this improvement in notes taking after having to struggle with some of my colleagues' notes. This allowed me to reflect on my own notes and how to make them accessible to any of my colleagues.

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Picture of the form of consent for patients' referral 

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C3. You must respond effectively and appropriately to requests for the production of written material and data. 

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C3. You must respond effectively and appropriately to requests for the production of written material and data. 

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Being a student practitioner, I am not in charge of the patient's file after the session. I have to write my notes, keep the file tidy and then give this file to reception. If a patient requests the file, the receptionist will give them the file.
To help the receptionist, every letter sent to the patient's GP is also included in the file, as well as any document the patient gave me.
If I write a letter to the GP, I need to file out a consent form that will be also included in the patient's file.
To be prepared for my practice, I did some research and found out that I am legally required to keep my patient's file for 10 years (Dyson, 2021). I plan on having an electronic database with all of my patients' records for up to 10 years. I would also like to keep and be able to modify a document about the patients' medical history so I can go back to it whenever I want and I can be able to update it.

References:
Dyson, M. (2021). Retention of health records. [online] The British Medical Association is the trade union and professional body for doctors in the UK. Available at: https://www.bma.org.uk/advice-and-support/ethics/confidentiality-and-health-records/retention-of-health-records.

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Picture of the safety floorplan in clinic

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C4. You must take action to keep patients from harm. 

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C4. You must take action to keep patients from harm. 

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Keeping patients from harm include their presenting complaints as well as every piece of equipment present on site.
As mentioned in the OPS B1, I made flashcards, drawings and diagrams to help me memorise red flags, and the anatomy and physiology of the human body. This helps me decide whether the patient is a candidate for osteopathy or the patient needs a referral.
As for the safety on site, it is the responsibility of the clinic and me (as I am a student) to make sure the electric socket are safe and working, as well as the treatment couches, the stools, windows, extinguishers, lights, etc.. and that no sharp objects are brought into the treatment room (PAT Testing, 2017). Even if it is the role of clinic to organise checks of the equipment and change the broken ones, it is the responsibility of the students to inform clinic of any damage made to the clinic.
Keeping the patients from harm also include not going to clinic if we are sick to not risk the transmission of the disease to the patient.
As I am graduating in a couple of months, I must start learning about the safety rule inside a practice to make sure I can apply them correctly once I have my practice.

References:
PAT Testing. (2017). PAT Testing Regulations - PAT Testing. [online] Available at: https://www.pat.org.uk/pat-testing-regulations/.

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Picture of the COVID procedure in clinic

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C5. You must ensure that your practice is safe, clean and hygienic, and complies with health and safety legislation.

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C5. You must ensure that your practice is safe, clean and hygienic, and complies with health and safety legislation.

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This OPS was widely used during the recent pandemic. Because the hygenic rules changed before I arrived at clinic, it was very easy to adapt to those new rules.
Now that we are out of the pandemic in the sense of the health and safety legislation has come way down, I had a reflection about the general hygiene of clinics and how I feel clean. This is a very personal reflection as everyone has different cleaning standards.
I feel like cleaning the cough with antibacterial sprays improves the general comfort of the patient, it also gets rid of the previous patient's sweat and bacteria. I also think that washing our hands before touching the patient reassures the patient of our hygiene. opening the windows in between patients is also very important. It gets rid of the previous patient's bodily odours and makes the next patient more at ease.
Even if the general cost of the clinic will increase because of the anti-bacterial spray and the window openings, I feel like this will give the patient and myself a better quality of the session and prevent the risk of spreading any diseases.

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C6. You must be aware of your wider role as a healthcare professional to contribute to enhancing the health and wellbeing of your patients.

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C6. You must be aware of your wider role as a healthcare professional to contribute to enhancing the health and wellbeing of your patients.

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The picture provided shows a referral letter to a patient's GP. After multiple sessions without any improvement with one of my colleagues, I had to cover this patient. Seeing how the patient's symptoms were getting worse and after asking additional questions, I decided to send the patient to his GP to get further examinations. This decision was supported by the tutor that comforted me in my thoughts and helped me write my letter.
After the session, I felt confident about my letter and my reasons to refer the patient. Unfortunately, I haven't heard from the patient since.
Interestingly, I was in the room when the patient first came to the clinic and while the practitioner was presenting, I thought about the sinister diagnosis needing further examination. I explained my thought to the tutor who brushed off my suggestion. I was with the same tutor when the letter was written.
I was very proud of myself as my initial diagnosis was the one we ended up taking. Unfortunately for the patient, this diagnosis came on later than it should have because of a lack of details on certain points.

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Picture of the notes from a patient's case

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D1. You must act with honesty and integrity in your professional practice.

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D1. You must act with honesty and integrity in your professional practice.

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Acting with honesty and integrity with patients can be difficult depending on the case.
Having to tell a patient I cannot treat them because of new symptoms they are presenting with is an uncomfortable situation. In the particular case of the presenting picture, the patient came after a month of break complaining of neurological symptoms in the hands and feet. After I went to present the case to my tutor, I had to explain to my patient why I didn't want to treat her and why she needed some additional exams for the treatment to be safe.
When I have those discussions with the patient, I usually found myself repeating the same sentence and not giving the patient real useful information. Patients are always very understanding and grateful for the explanation and non-treatment.
I would like to train with tutors to have a better and easier conversation

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D2. You must establish and maintain clear professional boundaries with patients, and must not abuse your professional standing and the position of trust which you have as an osteopath.

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D2. You must establish and maintain clear professional boundaries with patients, and must not abuse your professional standing and the position of trust which you have as an osteopath.

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During a treatment session, it is always nice to have discussions with patients. It can make them feel more at ease and relaxed and it can give us a deeper insight into their life. Patients usually tend to ask questions about your life during this time.
I once had an experience with a patient that was asking quite a lot of questions about me, where I lived, who I was leaving with, if I had a lot of friends or if I was alone in the UK, etc. As those questions were spread out over multiple sessions, I didn't realise I was giving too much information to the patient. The tutor asked me how I felt about treating this patient, and then told me he thought the patient was coming to treatments for me rather than the actual treatment.
After reflection on the observation of the patient during the next treatment, I came to the same conclusion. As the patient's complaints were not present anymore, I discharged the patient anyway.
This experience taught me to keep information about myself private, and so, to redirect the questions to the patient instead of answering, or trying to be as vague as possible.

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D3. You must be open and honest with patients, fulfilling your duty of candour.

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D3. You must be open and honest with patients, fulfilling your duty of candour.

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Being honest to fulfil our duty of candour with patients means letting them know of any adverse effect the treatment could have on them.
I had a patient coming in with pain in his lower back. This pain was very known to him as he had it for more than 20 years. Upon further questioning, I found out that the patient had multiple lymphoid nodules in both lungs. Because the patient only found out about those nodules about 2 months prior, he didn't have results from MRI and CT scans yet. I explained that I couldn't treat him because of the nodules and studies showing the negative effects of osteopathic treatment on the development of cancer. The patient understood the reasons and was thankful I was honest with him and did not treat him.
I was happy and confident about my decision and was supported by my tutor.

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D4. You must have a policy in place to manage patient complaints, and respond quickly and appropriately to any that arise.

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D4. You must have a policy in place to manage patient complaints, and respond quickly and appropriately to any that arise.

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Patients' complaints must be taken into consideration with great care. As far as I am aware, no complaints have been made about me so far.
Thanks to complaints, we can improve our way of treating, be more specific and can redirect our treatment plan.
In the clinic, we had to act as if a complaining patient was coming to us. During this experience, I felt at the beginning a lot of aggression from the actor colleague, and then I found it difficult to stay calm and not panic. We need to be able to justify ourselves and calm the patient down to come up with another plan of action.
When a patient has a negative reaction to my treatment, his feedback helps me adapt and improve my treatment as stated in the OPS B4

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Picture of the form of consent for patients' referral 

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D5. You must respect your patients’ rights to privacy and confidentiality, and maintain and protect patient information effectively.

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D5. You must respect your patients’ rights to privacy and confidentiality, and maintain and protect patient information effectively.

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Every patient has the right to confidentiality. We cannot give information that will permit the identification of patients. For that, we are required to hide the patient's name during exam presentations. We also need to have a signed consent from the patient to contact their GP.
I do feel like this procedure is healthy and gives more power to the patient as they have to give us their approval first.
When I was taught about contacting GPs in France, letters are usually made without informing the patient. Or, when patients are aware and are redirected, most letters are given to the patient directly. To ensure better patient care, I feel that sending the letter directly to the GP guarantees us that the GP will indeed receive the letter.

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D6. You must treat patients fairly and recognise diversity and individual values. You must comply with equality and anti-discrimination law.

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D6. You must treat patients fairly and recognise diversity and individual values. You must comply with equality and anti-discrimination law.

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I was brought up in a very open-minded family. This helped me see the individual for their values and nothing else. For me, this should be a principle for every healthcare practitioner.
Unfortunately, when I was studying in France, one student, in particular, was racist and believed in treating only "good" people, meaning not treating anyone that had been to jail for example. I was appalled by that statement as for me everyone deserves the right to treatment.
To make myself even more accepting, I started to work as a carer, first in the community, and then, only with leaning personality patients. We need to offer the same level of care to each patient, even the violent ones. This opened my mind to also including disabled patients in our scope of patients and I would like to specialise myself in that field.

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D7. You must uphold the reputation of the profession at all times through your conduct, in and out of the workplace.

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D7. You must uphold the reputation of the profession at all times through your conduct, in and out of the workplace.

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In every healthcare profession, it is very important to uphold the reputation in and out of the workplace. This is even more true in professions that still need more studies to gain an important place in society.
Reputation is a very personal notion and will differ for every individual. From my point of view, as long as we are acting with the basic principles of politeness and conduct, we are upholding the reputation of the profession. When socializing outside of our worktime, we often come across people who doesn’t have a lot of knowledge about osteopathy, which brings us to discuss with them about our profession. While doing so, I try to stay as respectful and honest about the profession and our colleagues.
To keep the reputation of the profession, we also need to follow the guidelines in place on what we can and cannot treat. On top of that, we also need to keep our knowledge and skills up to date.

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

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

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For me, being honest and trustworthy about my professional dealings means charging for a service, including the treatment and the facilities that allow me such treatment.
It does mean that with the experience, charging more for the consultation is only fair. We also need to consider the price of rent, the table, and everything used for the consultation. In year 3, we had to conduct a business plan to help us with the financial aspects of working as an osteopath.
To be trustworthy, our service needs to be of good quality and must correspond to the average of the area.
For patients, prices must be indicated and stated. This will help us to decide if they want our services or someone else's. There is also the opportunity for the public to be aware of the business financial dealing online as the business must be registered as a company.

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As a registered charity and teaching clinic, the ESO Clinic is able to offer very competitive pricing

Our current treatment fees are shown below - Re-consultation patients, ie those who have not visited the Clinic for more than six months, will be charged as a new patient. Please allow approximately 1hr 20mins for a new patient consultation - returning patient appointments 40mins. To book or for further information please call 01622 685989.

Concessions

We offer ongoing daytime concessions for certain key workers (including those employed by the NHS, Ambulance, Army, Fire, Police or Prison services, Carers and care staff) - please click for details.

Students

Reduced price consultations are available for students who are over the age of 18 and in full-time education. The initial consultation is provided at the standard New Patient fee, with subsequent appointments half the standard daytime rate. Documentary evidence must be provided in order to qualify. Concessionary rate valid for daytime appointments only.

Refer a friend

Share the benefits of osteopathic treatment with a friend or relative and receive your next osteopathic treatment for just £12 - your friend will also qualify for a reduced price for their first consultation. Find out more here.

General Clinic

Sports Clinic

Women's Health Clinic

Maternity & Children's Clinics

Headache Clinic

Saturday Clinic

MSK Diagnostic Ultrasound

Please Note: From 1st June 2022, our Ultrasound Clinic patient fees will increase: £75 (ESO Referral) and £85 (External Referral)

Cancellation Policy

The European School of Osteopathy is a registered charity and every Clinic appointment is subsidised by the School, helping to keep treatment fees to a minimum. To keep our fees low and to enable us to offer appointments to others, we do ask patients to provide as much notice as possible if they need to cancel - PLEASE NOTE: A £12 charge will apply for appointments cancelled with less than 24 hours notice. If you would like to lend your support to the School there are various ways you can get involved ... and it doesn't have to cost a penny! To find out more please click here

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Prices - ESO - European School of Osteopathy

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As a registered charity and teaching clinic, the ESO Clinic is able to offer very competitive pricing Our current treatment fees are shown below - Re-consultation patients, ie those who have not visited the Clinic for more than six months, will be charged as a new patient.

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Picture of my feedback to one of my colleagues 

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D9. You must support colleagues and cooperate with them to enhance patient care.

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D9. You must support colleagues and cooperate with them to enhance patient care.

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As stated in OPS B4, feedback is one of the best tools to improve. To uphold the reputation of the profession, not only must I be good, but my colleagues need to have sufficient knowledge too.
I always offer feedback when I observe my colleague's treatment. I usually tend to be very hard on them so they can improve to the maximum of their capacity.
I also plan study sessions with my peers so we can both enhance our palpatory skills and I share my notes.
Once graduated, I will be able to share my patients' experiences with colleagues. This will be beneficial for my peers and me as it can guide us and overall improve our osteopathic care.

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Picture of the research I made about Yoga 

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D10. You must consider the contributions of other health and care professionals, to optimise patient care.

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D10. You must consider the contributions of other health and care professionals, to optimise patient care.

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To provide the best care possible to our patients, we must know the other professions, their specialities and how they can help our patient's wellbeing.
On top of another healthcare profession, we also need knowledge on sports and how they can improve our patient's complaints and well-being.
For example, we need to have a great knowledge of most common sports to have an understanding of the mechanism of injury. We will also be able to determine into which expend the patient needs to be ready before going back to this sport. There is a real lack of knowledge in this field for me and I want to do some research on it.
We also need to know the different types of sports like yoga and pilates as they improve the patient's wellbeing. Having a deep knowledge and understanding of those sports will help us advise them to our patients when appropriate.

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Picture of the most recent COVID guidelines in clinic

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D11. You must ensure that any problems with your own health do not affect your patients. You must not rely on your own assessment of the risk to patients.

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D11. You must ensure that any problems with your own health do not affect your patients. You must not rely on your own assessment of the risk to patients.

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To keep the patient's well-being, we need to keep ourselves healthy. We cannot risk compromising our patient's health because of a disease we might have.
Following the global pandemic, we are still required from the clinic to stay home if we have any of the COVID symptoms.
Even if now most of the population is vaccinated, I still think about my patient's families and how they could have someone at risk. Plus, as the whole population is not vaccinated, there is still a high chance of treating someone not vaccinated and causing them harm.
This goes with every disease. I cannot get vaccinated for a lot of diseases because I am allergic to some of the vaccine's components. This makes me at risk of getting diseases like hepatitis B.
Unfortunately, the medical world saw the importance of prioritising the health of healthcare workers to stop the spread of diseases.
But health does not only include physical health. Having good mental health is also necessary to provide the best care possible to our patients.

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Picture of GOsC requirements for a clear BDS

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D12. You must inform the GOsC as soon as is practicable of any significant information regarding your conduct and competence, cooperate with any requests for information or investigation and comply with all regulatory requirements.

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D12. You must inform the GOsC as soon as is practicable of any significant information regarding your conduct and competence, cooperate with any requests for information or investigation and comply with all regulatory requirements.

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As I never needed to use this OPS, I've never had the opportunity or need to reflect upon it.