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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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In my practice, I often meet patients who think spinal manipulation will give them quick relief. At first, they hope for immediate results. Over time, I help them realize that real health improvement requires a holistic approach, which includes lifestyle changes, regular exercise, and addressing underlying issues. By crafting personalized plans and offering continuous treatment, patients begin to grasp the idea that "the body is capable of self-regulation, self-healing, and health maintenance" (About Osteopathic Medicine | AACOM, n.d.). Shaping my practice to meet these different needs has brought in a wider range of patients, each with their own unique hopes and objectives.

WHO (2010) ‘WHO benchmarks for training in osteopathy - General Osteopathic Council’. Available at: https://www.osteopathy.org.uk/news-and-resources/document-library/research-and-surveys/who-benchmarks-for-training-in-osteopathy/ (Accessed: 8 June 2024).

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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

# data[].attributes.body
In osteopathy, connecting with patients means really speaking their language, understanding their needs, and building trust through open, caring conversations. It’s about genuinely listening, supporting their health journey, and respecting their choices. We adapt our communication style to each individual and encourage them to take an active role in their care decisions. Sometimes, I refer patients to a colleague, not because of their manual skills, but because effective communication might be easier with them.

Reflecting on my practice, I’ve learned that patient-centered communication can significantly improve outcomes, like faster recovery and better emotional health. It also means fewer referrals to other specialists, making the treatment process smoother. I can build stronger connections and achieve better results by showing empathy, listening, and involving patients in their care decisions. Embracing these principles makes me a better healthcare provider. This study really backs up that approach.

The impact of patient-centered care on outcomes - PubMed. Available at: https://pubmed.ncbi.nlm.nih.gov/11032203/ (Accessed: 8 June 2024).

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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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The article below highlights that involving patients in their care, providing clear information, and encouraging questions improve outcomes and satisfaction. This approach emphasizes the importance of effective communication, ensuring understanding, and openly discussing treatment options.

When I introduce a new treatment, I make sure to explain it in simple terms and check the patient’s understanding throughout our conversation. This makes them feel confident and informed about their healthcare choices. If they’re not comfortable with my suggestion, I offer other options until we find something that works for them. In my journal system, I simply note their decisions with a yes or no. This helps me keep track of their choices and ensures I don’t repeat questions. Here’s an example of a follow-up entry in my journal.

Coulter, A. and Ellins, J. (2007) ‘Effectiveness of strategies for informing, educating, and involving patients’, BMJ (Clinical research ed.), 335(7609), pp. 24–27. Available at: https://doi.org/10.1136/BMJ.39246.581169.80.

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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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A1-A4, year two exam feedback: During my second year, I received feedback highlighting how important it is to communicate well with patients. Before starting any treatment, I explain the procedure in detail and ask for their consent, ensuring they feel at ease and comfortable. This approach builds trust and makes the treatment more effective. For example, in every treatment, I explain what I am about to do and ask for consent, letting patients know they can speak up if they feel discomfort. This clear communication keeps patients well-informed and comfortable, leading to better results. I also make sure to give clear information about their conditions and treatment options, support them in self-care practices, and always respect their dignity and modesty. These practices are crucial for building strong relationships and achieving positive outcomes. The feedback reassured me that my communication skills are effective and motivates me to keep improving with each new patient.

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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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Helping patients with self-care means guiding them through lifestyle changes, exercises, and self-management strategies, empowering them to take control of their health. By identifying what affects their condition, patients can take more responsibility for their well-being between appointments. This study shows how crucial self-management education is, especially for chronic diseases, as it boosts patients' confidence and improves health outcomes. This way, patients are well-informed and actively involved in their care.

In my fourth year, I attended a workshop on fibromyalgia at my workplace. It gave me valuable insights into how to improve well-being through self-care activities. The information was beneficial for understanding how to help patients manage their condition better with simple, effective self-care practices. The workshop emphasised giving patients the tools and strategies to enhance their daily lives and manage symptoms more effectively.

Lorig, K.R. and Holman, H.R. (2003) ‘Self-management education: history, definition, outcomes, and mechanisms’, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 26(1), pp. 1–7. Available at: https://doi.org/10.1207/S15324796ABM2601_0

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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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In my first year at the clinic, I observed that many visits were being cancelled, particularly by women between 18 and 26. Speaking with an experienced physician about this, he said he had encountered similar problems when asking patients to undress their underwear for examinations. I then adopted a different strategy and began by telling them to "undress to the level you're comfortable with" Since then, most cancellations have stopped. Tracking statistics and adjusting my methods based on patient comfort have been key to improving retention and patient satisfaction. The statistics available at my workplace are one of the yearly toppings on how to improve.

From this example and daily communication as an osteopath student, I've learned the importance of respecting patients' dignity and modesty. This means always considering their comfort during exams and treatments, clearly explaining procedures and why undressing might be needed, and always getting their consent. Providing options to cover my patients with towels or offering them extra shorts helps maintain their dignity and modesty—evidence of tools I use in the clinic to keep patients' dignity and modesty in the picture.

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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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It makes sense to me to give the same quality of service to all my patients, regardless of their age, disability, gender reassignment, marital or civil partnership status, pregnancy or maternity status, race, religion or belief, sex, or sexual orientation. This approach is not just about following the law but about treating everyone with the respect and dignity they deserve. I had an episode with a patient who didn’t attend an appointment and was very rude when I called him. I was able to stay calm and remain polite. I have attached the mail I sent.

Kolb's Reflective model next page ->

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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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It is essential to have the knowledge and skills needed to provide effective osteopathic care. This includes that I keep updating my knowledge with the latest research and integrating evidence-based practices into my daily occupation. Recently, I updated my knowledge of managing patients with whiplash injuries referenced below. When I'm uncertain about managing a particular issue, I’m fortunate to have over 100 colleagues who share the latest information on various topics every six months or through online discussions from other parts of the country. This network helps me keep my knowledge up to date.

NICE. (2023). Scenario: Whiplash injury | Management | Neck pain. Available at: https://cks.nice.org.uk/topics/neck-pain-whiplash-injury/management/ [Accessed 8 June 2024].

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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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In my second year, I had a patient with low back pain radiating to the anterior thigh, thoracic pain, and headaches. He had recently lost weight intentionally and thought the headaches were due to work stress. His blood pressure was normal. Upon examination, I noticed restricted cervical rotation to the right and less side bending to the left, with tightness on the right side of his neck. After treating his main complaint twice, his back pain nearly disappeared, neck movement improved significantly, and headaches became less severe, but his thoracic pain didn't improve. During a cranial suture check, I found an unusual mole that was darker and less circular than normal. I advised him to see a doctor, and he later thanked me because it turned out to be melanoma.

His thoracic pain still hadn’t improved, so I referred him to a colleague because I didn't have training in thoracic viscera yet. My colleague treated the vertebropericardial ligament, which helped him immediately. This experience reinforced the importance of recognizing my limits and referring patients when necessary to provide the best care possible.

Reflection using Kolbs’s reflective model attached.

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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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As an osteopath student from Denmark at ESO, I'm excited to be among the first to graduate with a master's degree. To keep my professional knowledge and skills current, I stay professionally engaged through development activities and comply with GOsC requirements for continuing professional development. I keep up with relevant factors for my practice, including GOsC guidance, legal requirements, and new research. One of the perks of writing a dissertation is learning how to critically evaluate and apply the latest knowledge from published articles, distinguishing between reliable sources and those to avoid.

Standards of practice - General Osteopathic Council. Available at: https://www.osteopathy.org.uk/standards/osteopathic-practice/ (Accessed: 9 June 2024).

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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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In my third year, I had an elderly patient who came in with persistent headaches. Concerned about her condition, I took her blood pressure three times on her left arm, and each reading was quite high. Wanting to be thorough, I checked the latest guidelines and discovered that it’s recommended to measure blood pressure in both arms. This is because there can be significant differences between the two arms, and using the one with the higher reading gives a more accurate picture of cardiovascular risk. Armed with this new information, I was able to make a more accurate diagnosis when I referred her back to her doctor. This experience highlights the importance of keeping up with the latest guidelines and evidence in medical practice. It also highlighted how essential it is to constantly reflect on and refine my methods to improve both patient care and my own professional growth.

National Institute for Health and Care Excellence (NICE), 2023. Hypertension in adults: diagnosis and management. NICE guideline [NG136]. Available at: https://www.nice.org.uk/guidance/ng136/chapter/Recommendations#measuring-blood-pressure [Accessed 8 June 2024].

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C1 and C2: Reflecting on Practice and Patient Records

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C1 and C2: Reflecting on Practice and Patient Records

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Reflecting on my practice, I've realised how crucial thorough patient evaluations and detailed records are for safe and effective care. It is crucial that I take detailed case histories and adjust my communication with each patient. The likelihood of a more precise diagnosis increased when the time needed for case history and assessment was spent, which led to effective treatment plans. By adapting techniques and monitoring responses, I ensure treatments are working. Knowing when to refer patients and understanding contraindications is crucial for safety, just like I referred a patient in b2.

At my clinic, we use the electronic health record system EasyMe. EasyMe helps us keep accurate and comprehensive patient records, from case histories to treatment outcomes. It supports timely record-keeping, ensuring all details are logged immediately, which is essential for high-quality care. Integrating EasyMe into our practice helps us maintain thorough records that enhance patient safety and effective treatment.

I always use a pre-made first consultation template (attached), adding specific details based on each patient’s needs to ensure all necessary information is included.

Coulter, A. and Ellins, J. (2007) ‘Effectiveness of strategies for informing, educating, and involving patients’, BMJ (Clinical research ed.), 335(7609), pp. 24–27. Available at: https://doi.org/10.1136/BMJ.39246.581169.80.

Kodner, D.L. and Spreeuwenberg, C. (2002) ‘Integrated care: meaning, logic, applications, and implications – a discussion paper’, International Journal of Integrated Care, 2(4). Available at: https://doi.org/10.5334/IJIC.67.

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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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I produce clear and structured reports and referrals to support patient care and effective practice management. For instance, I recently referred a patient who had a positive sensation and vibration perception test but no sensation in his feet to a doctor, correspondence attached. It turned out the neuropathy was caused by his cholesterol-lowering medication, not diabetes. This highlights the importance of thorough and accurate referrals.

Like in C1 and C2, EasyMe helps me manage patient records efficiently, ensuring all documentation is accurate and available.

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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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During my internship as a student physiotherapist at a nursing home, I saw a physiotherapist putting an elderly patient on two balance boards, which looked very risky. I expressed my concern, but the physiotherapist assured me that the patient could handle it. Luckily, no harm came to the patient during my internship, but this experience highlighted the need to always take action to protect patients.

Kolb's Reflective Model next page ->

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I have reflected on the situation with Kolb’s Reflective Model.

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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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To ensure my practice is safe, clean, and compliant with health and safety legislation, I follow the Danish Working Environment Authority (WEA) guidelines. This involves maintaining a clean and hygienic clinic, which is made easier through our partnership with a cleaning company, ensuring the premises are comfortable and appropriately equipped, and staying updated with legal health and safety requirements.

During the COVID-19 pandemic, I took all necessary steps to control its spread. This included using mouthguards, implementing social distancing, and ensuring extra regular hand hygiene. We increased the cleaning and disinfection frequency of all surfaces and equipment in the clinic. I also had the recommended vaccines to take extra care of my vulnerable patients. These actions followed the guidelines provided by professional health authorities to maintain a safe environment for everyone.

What I do in daily practice is attached.

Workplace Denmark. The Danish Working Environment Authority's role and tasks. Available at: https://workplacedenmark.dk/health-and-safety/arbejdstilsynets-role-and-tasks/ [Accessed 3 January 2024].

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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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I find it natural to contribute to patients' health and wellbeing, which includes offering lifestyle advice. One patient wanted to improve his sleep, but the melatonin prescribed by his doctor wasn't effective for him. He was staying up until 1 AM because he felt he couldn't fall asleep earlier. A couple of months before this consultation in September 2023, I had watched a video on circadian rhythms. I discussed this with him and shared the video from one of my role models in public science communication. Remarkably, within three days, he managed to adjust his sleep schedule, and that was all the help he needed from me. It was a fortunate coincidence that made a big difference for him.

Andrew Huberman. (2023). Use Your Circadian Rhythm to Improve Health. Available at: https://www.youtube.com/watch?v=gR_f-iwUGY4&t=216s (Accessed: 7 November 2023).

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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 in Professional Practice In my clinic, we offer various products, but I only recommend them when they genuinely benefit the patient. For example, I sell elastic bands for exercises to strengthen weak areas (Items attached). I make sure to compare prices and quality with other available options to ensure my patients get the best deal. Importantly, I don't receive extra pay for selling these items, so there is no personal interest involved. This ensures my recommendations are always in the patient's best interest. Additionally, if my patients forget a sheet for the couch, I sell them one for a modest price.

I have never had a problem where patients thought I was a doctor or any other title. The new M. Ost. title will certainly help me on that same path, as opposed to DO, M.D.O., which might confuse some patients and need some explanation. D1 makes good sense to me, and reading up on ASA guidelines has definitely kept me up to date.

Advertising Standards Authority (ASA). The UK Code of Non-broadcast Advertising and Direct & Promotional Marketing. Available at: ASA Guidelines [Accessed 06 June 2024]

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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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I believe that maintaining clear professional boundaries is crucial for trust and effective therapeutic relationships between osteopaths and their patients. Some of the boundaries are physical, emotional, and sexual. Avoiding these boundaries can harm the patient and damage the profession's reputation.

In 2021, I treated a patient who recommended me to his female friend. I treated her four times, and in every session, she would look at me in a way that I felt was inappropriate in that setting. During the fourth appointment, she told me I was handsome and mentioned she was single. I simply thanked her, but her attitude changed, and she seemed uncomfortable and wanted to leave. I haven't seen her since.

I have never seen a patient privately, except for family members who wanted treatment. Early in my career, I treated family members at home, especially my ex-wife's family. It became overwhelming because they would constantly ask for quick fixes for headaches or sleep issues, which wasn't appropriate. They also didn't take my advice seriously. Since my second year, I haven't treated anyone at home, only at my clinic. Even today, I treat my ex-mother-in-law and ex-father-in-law, but they make appointments like everyone else and pay like everyone else, with a minor discount.

I have reflected on the inappropriate situation with Kolb's Reflective Model

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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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During my first year, I treated a female patient over 60 with osteoporosis. Given her condition, I was very gentle and avoided using force. I had previously treated her as a physiotherapist. During one session, I found a restriction around her liver and used a gentle technique on her right triangular ligament. As I applied slack on the tissues under her ribs, we both felt something move slightly. At the time, I thought it was my wrist, not considering it could be her rib.

Later, she emailed me, complaining of severe pain. This reminded me of a lesson from Richard, one of our teachers, who had unintentionally pressed a rib on three different patients during his career. Realizing it might have been her rib, I informed her about the possibility on the phone and apologized. Lucky her rib wasn't broken, and a few days after her email, the severe pain became more of an unpleasant feeling. She experienced discomfort for three weeks, but despite the incident, she returned for more treatments, which provided a good opportunity to learn from that experience, and for another chance to apologize. The mail she sent is attached.

Reflection and Learning: From this experience, I learned the importance of being honest with patients about any complications. I also learned to be more cautious when treating areas near the ribs, especially in elderly patients with conditions like osteoporosis. Since then, I ensure to use skin slack when treating organs near the ribs and have not encountered the same issue again and hopefully never will.

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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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I've never had a complaint before, but if I ever do (hopefully not), I plan to handle it professionally. If D3 counts as a complaint, I believe I managed it well.

Reflecting on this, I understand the importance of having a structured approach to handling complaints. It's easy for a practitioner's pride to get in the way of common sense. Thankfully, I haven't faced any complaints so far, but if one does come up, I'll approach it with professionalism, see it as a chance to grow, and keep open communication with the patient to resolve the issue.

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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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In my practice, I make sure to protect patient confidentiality and keep their information secure. We use EasyMe, an electronic health record system, to safely store and manage patient data. Sometimes, I have students with me during patient demonstrations, and I always get the patient's consent beforehand. When we discuss cases in meetings, we avoid using names or other obvious details to keep things anonymous. Patients have the right to access their notes, and I handle these requests according to the law and good practice guidelines. I use secure methods to store patient information, and thanks to online storage, these records will be accessible in the future. Checking GMC guidelines has refreshed my understanding of my responsibilities, even though I'm already familiar with them.

Confidentiality: good practice in handling patient information - professional standards - GMC (no date). Available at: https://www.gmc-uk.org/professional-standards/professional-standards-for-doctors/confidentiality (Accessed: 9 June 2024).

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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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In my practice, I make sure every patient is treated fairly and with respect for their diversity and individual values. I've never refused to treat anyone, and I won't without a very good reason. If I believe another practitioner can better meet a patient's needs, I refer them to that person in good faith. The Equality Act 2010 legally protects people from discrimination based on characteristics like age, disability, gender reassignment, marriage or civil partnership, pregnancy or maternity, race, religion or belief, sex, and sexual orientation.

Equality Act 2010: guidance - GOV.UK. Available at: https://www.gov.uk/guidance/equality-act-2010-guidance (Accessed: 9 June 2024)

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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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As a healthcare practitioner, I know it is essential to maintain a good image both at work and in my personal life. Since I started my career, I've chosen not to share my personal opinions on topics like religion and politics online, and I try to avoid it with my patients, too. One of the most common topics in the clinic at the moment is the conflict between Palestine and Israel, and I have managed to stay neutral this far. I've also transitioned from being seen as a "clown" to being respected professionally, boosting my self-confidence. I untag myself from any inappropriate posts on Facebook to protect my professional image. I've also had to block my uncle, who tends to tag everyone in explicit content due to his condition. It's not his fault, but it doesn't help my professional image.

Professionalism in the Use of Social Media | AMA-Code (no date). Available at: https://code-medical-ethics.ama-assn.org/ethics-opinions/professionalism-use-social-media (Accessed: 9 June 2024).

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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 strive to be honest and polite regarding fees, as demonstrated in A7. If there's ever an issue, I let the doubt favour my patient the first time it arises. I always check with my patients if they would like to schedule a new appointment before booking and give them the option to make it after the treatment or book online. As mentioned in D1, I only sell products my patients need, and I receive no benefits from any company or products I recommend. I have tried everything I recommend, including the exercises, to provide firsthand experience. I adjust my rates at the end of each school year, always informing my patients beforehand.

Reflection: Being honest and trustworthy is crucial for maintaining patient trust and the profession's reputation. By ensuring transparency, clear communication, and prioritising patient needs, I uphold these standards effectively.

Standards of conduct, performance and ethics. Available at: https://www.hcpc-uk.org/standards/standards-of-conduct-performance-and-ethics/ (Accessed: 9 June 2024).

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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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I have no employees but share a workplace with other professionals. One of the benefits of working with colleagues as a student is always having someone to refer to if you lack the competence. As a fourth-year student, I often receive patients from new students, and I always recommend they be present during the first session to learn. We have three professional secretaries who handle mail and phone calls, forwarding any unsettled tasks to the practitioner.

I have attached an extreme example where one of my colleagues needed help and guidance in the patient's best interest to avoid suicide. I personally would not have used a smiley in a situation like this, as shown in the picture.

D9 how I would act in a similar situation ->

Standards of practice - General Osteopathic Council. (Available at: https://www.osteopathy.org.uk/standards/osteopathic-practice/ (Accessed: 9 June 2024).

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D9 how I would act in a similar situation

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D9 how I would act in a similar situation

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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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I always refer patients to other healthcare professionals if it is in their best interest, as demonstrated in C3 and B2. If I think that my patients need more experienced psychiatric help, I recommend them to contact a psychologist.

Reflection: I can provide the best possible care for my patients by respecting and collaborating with other healthcare professionals. Referring patients to specialists, like psychologists, when needed ensures they receive the comprehensive care they deserve. This approach benefits the patients and strengthens the overall healthcare system.

I align with the General Osteopathic Council's guideline that osteopaths should refer patients to a General Practitioner when osteopathic treatment isn't suitable for their medical condition. This ensures patients receive the most appropriate care for their health needs.

Referrals to osteopaths - General Osteopathic Council. Available at: https://www.osteopathy.org.uk/visiting-an-osteopath/referrals-to-osteopaths/ (Accessed: 9 June 2024).

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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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I make it a priority to take care of my own health to ensure it doesn't affect my patients. Whenever I face any health issues, I consult with other osteopaths to improve my condition. I document these consultations in my journal shown below. Additionally, I have a standard calendar shown below, where I dedicate Wednesdays as my study day to manage stress effectively. After graduation, I plan to work a half day less because I find that working 37 hours a week is too draining for me. Keeping my hours under 37 allows me to enjoy my job and stay energized. Additionally, if I suspect my health might impact patient care, I seek appropriate medical advice to determine if I need to modify my practice, at least until I am cabable again.

Evidence of my osteopathic consultations attached.

My weekly study day attached next page ->

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Evidence of my weekly study day attached.

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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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Informing the GOsC: I promise to inform the General Osteopathic Council (GOsC) as soon as possible of any significant information regarding my conduct and competence. I will also cooperate fully with any requests for information or investigation and comply with all regulatory requirements. Promise to maintain integrity: I strive to maintain the highest standards of integrity and professionalism. I will inform the GOsC of any significant issues and ensure that I uphold the trust placed in me as a healthcare professional.

Standards of practice - General Osteopathic Council. Available at: https://www.osteopathy.org.uk/standards/osteopathic-practice/ (Accessed: 9 June 2024).

# data[].attributes.headline
Reflection on A7 with Kolb's Reflection Model

# data[].attributes.subject
Reflection on A7 with Kolb's Reflection Model