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A3. Consultants 4 health., 2017, Available at:
https://www.youtube.com/watch?v=yxcYmzV0sMo
Accessed : 20 April 2021

A4. Legal and Ethical Aspects of Medicine – Consent: By Nelson Chan M.D., 2016, Available at: https://www.youtube.com/watch?v=g_LEAp7_isU

Accessed: 01 April 2021

A5.Rehab My Patient. 2014., Available at:
https://www.youtube.com/watch?v=PdEKzbBFZrE
Accessed : 20 April 2021

A6.Bodyology Massage School. 2012., Available at:

https://www.youtube.com/watch?v=x0NU1Mv9rIQ&t=6s

Accessed : 10 April 2021

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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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Clinical Observation - OPS

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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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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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I found that I had more than one tutor tell me that my communication skills were good and I demonstated the ability to build an effective rapport, with the same observation that I gave all the more technical details in one long stream.  I wasn't giving space for the patient to digest the information or ask their questions.
I was given guidence and advice to make my communication easier to understand and deliver.
This link's aim is not specifically for manual therapy but it has some really useful tips.

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Chunking and checking when giving patients information

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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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We are continually reminded about gaining consent and this is a significant percentage of our overall grade in our Osteopathic Techniques module.

What is not as straightforward as purely gaining consent, is gaining informed consent.

We have built on these skills and processes in clinical integration and clinical methods and then more crucially in clinic under the guidance of the tutors.

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This is a clear explaination of informed consent is a healthcare environment.

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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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We were able to attend extended clinic sessions including Sports Clinic where we explore rehab exercise programmes.  This is an example of how we can encourage and support patients improve and maintain their own health and wellbeing. I am not an individual who enjoys trainning or the gym and my attitude was quite negative, this extended clinic gave me a new way of approaching this aspect of caring for our patients.

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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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My background before starting at the ESO was massage.  The example below was how I was trained.  On introduction to osteopathy I found it really refreshing not to have all the fuss in comparison.
My comfort zone was tested when we returned after the first lockdown  when all pillows and blankets were removed.
I have learnt that making sure the patient is fully aware what the treatment envolves and the level of undress that may be required before hand eliminates the shock factor.

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towel technique and draping your clients during massage

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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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This shows prosumptions and relying what we feel or see to be normal or our values can open us up to errors.

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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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Throughout my training I have tried several different modes of learning, one I have found really useful is audiobooks.  This one below is designed for medical students.  It covers conditions, pathophysiology, diagnostic testing and medication.

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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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Jan 2021, A patient with long running chronic pain attended the clinic for a continuing appointment.
As this was a lower back pain complaint I revised the cauda equina questions. On this the patient explained she was having urinary difficulties but due to what she thought was a bladder prolapse. We worked through the symptoms and comfirmed it was unlikely to be cauda equina and in fact as she suspected something that she needed to speak to her GP about. I put together a letter and forwarded it on to her doctor.

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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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A patient of mine presented with both sciatic pain and vascular claudication, this paper makes very interesting points. In addition I found revising the arterial supply benefitial. As shown in Evidence 2 and 3 I learn visually.

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To ensure my treatment approach is up to date I have check my compliance with NICE Guidelines.

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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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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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As explained in the report below, within this particular case I demonstrated my ability to conduct an evaluation safely allowing for the patients specific needs.

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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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This paper shows how the subject of legibility of patients records is a subject dicussed across the healthcare profession.  This also discusses the issue of medical abbreviations and their both positive and negative impacts.

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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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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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At the end of year 2 we were given the below lecture.  I had worked in a nursery before so I had done a lot of safeguarding training up to this point.  The main advantage here was we were given an action plan and clear instructions for any concearns we had.

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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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COVID-19: Donning and doffing of Personal Protective Equipment in Health and Social Care Settings

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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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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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We must be very aware of what patients think we can treat and manage their expectations accordingly.

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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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Page 14 shows what the GOsC expects of osteopaths in respect to boundaries and it also gives informative case examples.

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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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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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We covered dealing with complaints in professionalism and indentity. This was my essay submission. I have also shown the ESO clinic complaints protocol.

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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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We are also supplied with the ESO data protection policy

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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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Below I have detailed an experience in clinic where I feel anti-discrimination training would have been helpful to the student.  If they had a more heightned sense of diversity I feel this seemingly small detail would not have been missed.

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Diversity awareness trainning

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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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The first term of year 1 we were given the advise to keep our online identities private at the time I thought this was a bit over the top but with hindsight I can see how this is really important.
This last year alone we have seen in the media several figures have historical tweets and opinions come out and cause damage to their careers, I see this as a cautionary tale.
This below shows professional tips and pit falls for using social media successfully.

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The Don'ts of Social Media: What you should never do on professional social media

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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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I have been self employed prior to starting this qualification and I have a bookkeeping qualification which puts me in a informed position when starting out in my career.
We also put together a business plan in year 3 which was are really helpful.

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This is an example of online business courses available.

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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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To manage student numbers in clinic we split our clinic hours, alternating between online and Tonbridge Road. The continuing patients I had I informed and they didn't have any problem with the 2 week follow up time frame. I was asked by a collegue to work together with them to offer weekly appointments for one particular patient. This worked well for all envolved, I will consider this approach in my future practice.

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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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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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When the schools opened again after lockdown, my youngest child came down with a cough and high temperature. At this time the govenment advise was if you have any of the listed covid symptoms you must seft isolate and get tested. I knew it was unlikely to be a case of covid but knowing the guidlines we all got tested and stayed at home. This is an experience that I realise a lot of individuals in keyworker roles are having to go through right now but these are unpresidented times and we are all learning very important lessons.

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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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In the first year we had a representative from GOsC give a lecture introducing us to the benefits and agreements we enter into when we graduate and register with the council. To follow up on this we were given an graduating informative teams meeting to aid us in registering. In both these interactions we were made aware that we should make sure GOsC is notified of any significant information regarding our conduct and further to this cooperate with any action that is requested of us.

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B3. Gray, J.C., Diagnosis of intermittent vascular claudication in a patient with a diagnosis of sciatica. Physyical Therapy. 1999 Jun vol 79(6), pp.582-90

B3.National Institute for Health and Care Excellence (NICE)., 2012.

Peripheral arterial disease. [online] Available at:
https://www.nice.org.uk/guidance/cg147/chapter/recommendations

Accessed : 10 May 2021

B4.Cole, M., 2000. Learning Through Reflective Practice: A Professional Approach To Effective Continuing Professional Development Among Healthcare Professionals. Research In Post-Compulsory Education, 5(1), pp.23–38.

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C2.Murray, S., Boylan, G., O’Flynn, S., O’Tuathaigh, C. & Doran, K., 2012. Can You Read This? Legibility And Hospital Records: A Multi-Stakeholder Analysis. Clinical Risk, 18(3), pp.95–98.

C3.Parkin, E. and & Loft, P., 2020. Patient Health Records : Access Sharing And Confidentiality. , (07103), pp.1–44.

C5. COVID-19: Donning and doffing of Personal Protective Equipment in Health and Social Care Settings.,2020 Available at :

https://www.youtube.com/watch?v=-GncQ_ed-9w
Accessed : 01July 2020

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D2.General Osteopathic Council (GOsC)., 2021. professional-behaviours. [online] Available at:
https://www.osteopathy.org.uk/news-and-resources/document-library/training/guidance-professional-behaviours-and-ftp-students
Accessed : 14 Dec 2020

D5.Getting healthcare ready for GDPR., 2017

https://www.youtube.com/watch?v=41LWsjVAeMY
Accessed : 04 March 2021

D7.YouTube Video. 2020
The Don'ts of Social Media: What you should never do on professional social media. Available at : https://www.youtube.com/watch?v=cm_PIe2fBkI&t=5s
Accessed : 01 April 2021

D11.Public Health Englang.,2020
Available at:
https://www.gov.uk/government/collections/coronavirus-covid-19-list-of-guidance
Accessed : 10 April 2021

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Learning through reflective practice a professional approach to effective continuing professional development among healthcare professionals