Dr Andrew Cuff
@AndrewVCuff
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Executive Director @Connect_Health_ | Exec @PhysioMACP @FSEM_UK | Strategist | Consultant MSK Physio | @BritishArmy Officer | PhD | #Leadership Views own etc.
Yorkshire, England
Joined September 2011
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Pinned Tweet
If Carlsberg did supervisors…
What a journey! Huge thanks to you, Gill and Bruno for being brilliant (& putting up with my petulance… 😉)
#BeKindNotNice
Thanks also to my examiners
@NeilOConnell
and Prof Callaghan - it was enjoyable…I think!!
Time for a beer! 🍻
#PhDone
Congratulations Dr
@AndrewVCuff
following a successful
#PhD
defence today - rationale for use of diagnostic imaging for people with common musculoskeletal disorders. Great journey together 🤓
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Video from my
#PSS2019
talk this morning - feel free to share.
'Impingement' - What does this mean to and for the patient?
@ChrisLittlew00d
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Clinical excellence is doing the basics well, consistently.
It doesn’t need to be any more complicated than that.
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“Teachers should prepare the student for the student’s future, not the teacher’s past”.
There is a lot that can be taken from this quote and applied broadly.
3
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The comments on this video highlight so many interesting questions related to clinical examination, observation and reliability!
9 different ?diagnoses and non-agreement on affected side!
This was a nice one from clinic last week. Have a look and see what you think. I’ll give you a clue, the answer can not be found in any scan.
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Having one of my papers tweeted by
@PhysioMeScience
must be like a right of passage?
#PhDChat
Guidelines for the use of diagnostic imaging in musculoskeletal pain conditions affecting the lower back, knee and shoulder: A scoping review
👀👀👇👇
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The first paper published out of my
#PhD
- when do clinical practice guidelines recommend the use of
#diagnostic
imaging for non-traumatic
#MSK
pain?
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Nothing says 'welcome back to work' than a day of
#CaudaEquina
updates!
Are you familiar with recent NICE changes?
#RedFlags
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Very happy to have been successful in obtaining research funding from
@thecsp
Research Foundation for our qualitative programme! The hard(er) work begins! 💪💪
@Connect_Health_
@MMUPhysio
@Keele_PCSC
@ChrisLittlew00d
@LDikomitis
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#TherapyLive
talk done - thank you for all the kind feedback and tweets.
In true conference tradition time for a lunchtime 🍻 before engaging in my own CPD afternoon with:
@WordsClinical
@DerekGriffin86
@MRWPhysio
@MSK_management
@jonathanhearsey
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Stoked to take up the Consultant post within
@Connect_Health_
- can’t wait to get started!
We're thrilled to announce the appointment of a new Consultant
#Physiotherapist
in the North.
@AndrewVCuff
brings a wealth of experience to the role having previously held a Clinical Lead position over the last two years.
#ConsultantPhysio
#PhysioNews
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Returned home from clinic to find this waiting for me
@PhysioMACP
!
Glad to have joined and excited to be part of the new Exec 💪🏻💪🏻
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Excited to be joining
@UOB_Physio
in an Honorary capacity.
Looking forward to working with you, building on the pioneering work already being done around
#FCP
and postgraduate MSK redesign.
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I can’t believe I’m quoting a tweet from a L*iverpool manager however, what he said 👇👇
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By not calling it ‘impingement’ 👇👇
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When you don’t buy pre-rolled pastry by mistake and realise you don’t own a rolling pin... 🙄
Improvise. Adapt. Overcome. 😂
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12 inj in each knee by an FCP over the last 3 years w/o any other care input.
#FCP
has great potential if done well & if integrated into existing MSK pathway.
Competency key to success at the front end. This example highlights what can happen if that isn’t assured.
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I’m sorry
@bbc5live
- this narrative being discussed by your invited “sports injury physiotherapist” is very outdated.
I would suggest you review the piece done with
@ashjamesphysio
on
@BBCClick
- high quality, sensible advice rooted in evidence.
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As someone who struggles with podcasts greater than 25mins duration (I have to stop, reflect and return), I am looking forward to the new
@PhysioNetwork
podcast with episodes all under 20mins! 👏🏼👏🏼💪🏻💪🏻
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Reports like this really wind me up.
How can you advise orthopaedic referral when you’ve:
a) not assessed the person
b) (as part of a) not established treatment to date
c) undertaken a shared decision process!
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First clinic as a
#ConsultantPhysio
with
@Connect_Health_
- here’s hoping for some additional non-specific, placebo effect to enhance my outcomes!
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“We have always done it that way” - seven dangerous words!
No time like the present to innovate in healthcare.
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Four years ago, I had my interview as part of the selection process to be appointed as a Consultant Physiotherapist
@Connect_Health_
.
Today we welcome four candidates to
@thecsp
HQ for their interview stage.
Best of Luck!
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The abstract of our qualitative study investigating what the diagnosis of 'Impingement' means to the pt; appears a barrier to PT engagement.
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I was told as a B5 that I wouldn’t become a B6 if I didn’t rotate - I didn’t rotate.
If this programme was around when I was a NQ Physio, I’d have attended.
Underpinned by CFT Framework, S&C, Pain Science & Health Coaching.
Taught by CLs, SMEs & Consultant PTs 💪🏻💪🏻
#ADP
Don't worry that you'll have developmental gaps because you didn't do traditional rotations, we cover the relevant stuff you need in MSK
@Connect_Health_
@AdamMeakins
@AndrewVCuff
@ashjamesphysio
@stevenawoor
@MRWPhysio
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Providing feedback is a skill.
Increasingly of the opinion that people forget this.
What are your top tips for providing effective feedback?
Mine:
1 - Be positive
2 - Ensure it’s timely
3 - Ensure it is a two-way process; converse & allow reflection.
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Really looking forward to this - honoured to be invited within such esteemed company.
Especially looking forward to linking up with Caveman
@stevenawoor
to deliver the
#AdvancedPractice
workshop 💪🏻💪🏻👌
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11
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This is excellent!
For a non-academic organisation, publishing at a rate of close to 8 peer-reviewed outputs per year is a great effort across our Clinical Delivery directorate.
Very proud to see this displayed
#Dynamic
Over the last four years, the team at Connect Health have published 30 papers in peer-reviewed journals. Each paper is now presented across our Head Office to celebrate our colleagues’ excellent contribution to new knowledge
#Pioneering
.
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2/2 - embracing new ways of working, flexibility working, prioritising well-being within the working day.
Might we come out the other side a happier, healthier, more connected population?
Here’s hoping. Stay safe. Stay well. Stay inside!
#CoronavirusUK
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Out of office on for my first period of leave in 2021 - left it way too long to take a break but looking forward to resting and recharging 💪🏻💪🏻
Starting with a lunch and an afternoon of cocktails with
@Bellssxx
in Sheffield for her birthday! 🍻🥳
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As weeks go this hasn’t been a bad one:
Birthday ✅
Developing Consultant Physiotherapist role with
@Connect_Health_
✅
Upper Limb Subject Matter Expert with
@Connect_Health_
✅
PhD Studentship with
@PCSciences
supervised by
@PhysioChris
✅
Time for a beer 🍺 ⏹
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Thanks to
@physiojack
for pulling this together from my course materials.
Soon to be available for pre-order from:
#RedFlags
#RedFlagsAndRheum
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As someone who was told I wouldn’t progress past-B5 unless I did my rOtAtiOns, I’m looking forward to the 24th session! 👇👇
I've shaken off Covid so Chewing It Over returns today!
This year it will run Mon and Fri with a heady mix of clinical & cultural topics.
Live at 12:30-13:00 on Physio Matters' Facebook, Twitter, YouTube, Linkedln & Twitch.
Huge thanks to Jan guests tagged in the graphic! 👊
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If the person doesn’t have hip pain or FAI, there is also a high likelihood that they have a hip labral tear! 👀🤷🏼
No matter your specialty, if you get a hip X-ray and you see a synovial cyst, that patient has
#HipFAI
. If the patient has hip pain and FAI, there is a high likelihood that they have a hip labral tear.
#MedTwitter
#orthotwitter
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After 3.5 years as Clinical Lead for our Yorkshire services
@Connect_Health_
it’s a pleasure to hand the reigns over to
@NeilSwift2
. It’s been a privilege and great fun.
Excited for where the services will go under your stewardship. Congrats and good luck! 💪🏻💪🏻
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Thanks, Neil - very proud to be the first. Blog in draft to share experiences of the process, I highly recommend those that are thinking about doing it, to do so!
Not sure I anticipated at the start of 2021 I'd end it as a member of
@FSEM_UK
and
@PhysioMACP
, exciting!!
A huge congratulations to
@AndrewVCuff
for being
@PhysioMACP
first ever accelerated route member !! Well done and it’s great news for us.
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Nice to see our paper accepted in
@BMJOpenSEM
:
“A musculoskeletal risk stratification tool to inform a discussion about face-to-face assessment during the COVID-19 pandemic”.
@DrMarwanAl_D
@AndreaRavindra
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Balance, functional exercises PLUS resistance exercises reduce the rate of falls by 34%👏🏼
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My write up of the take home clinical messages from
@bessconference
for Physiotherapists/Primary Care MSK:
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Absolutely. We’ve employed this for the last 3-years and have seen a) increased patient satisfaction b) increased engagement and c) lower DNA rates.
NHS told to let patients initiate follow-up appointments
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One of my slides from
@UOB_Physio
#FCP
Red Flag session today.
1 - 2 - 3
4 - 5 - 6
What do you thinks going on in each of these?
@Connect_Health_
@ashjamesphysio
@MRWPhysio
@stevenawoor
@GailSowden
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Looking forward to speaking at the next TherapyLive in June.
Should we x-ray all stiff shoulders in primary/community care?
@EUSSERBOARD
@UOB_Physio
@Connect_Health_
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Couldn’t agree more - have just re-written our MSK competencies and career pathway to reflect this.
Clear journey available to go from New Grad through to Consultant Physio with communication, goal setting and rehab skills at the centre of this journey.
Why should we expect physio’s to be good at rehab if it’s not rewarded? Loads of money going to pay FCP B7 but then back filled with B6/5 to provide rehab. Where would you put your personal resources for career progression?
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Excited to get going at
@MMUPhysio
- an unexpected Manchester signing during the transfer window!
Very impressed with the ☕️☕️
@farazhmughal
👌👌💪🏻💪🏻
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In a week where I had both a paper rejected and was unsuccessful in a grant application, it really. is. great. to. see. my. brother. release. a. new. book.
Really, great.
(Congrats 🙌😉)
Post over on the
@SCM_Press
blog - more of a reflection on why I think theology is as important now as ever, perhaps never more so - or probably a reminder to myself why the task of theology is vital.
#smclife
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Looking forward to speaking about
#TennisElbow
at the AHP Symposium tomorrow morning as part of
#BESS2018
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11
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After a lot of hard work by many people, it’s great to see the MSK AP standards live:
Fully endorsed by the
@PhysioMACP
aligned to
@IFOMPT
standards.
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13
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Disappointing to see a Director of Nursing & AHPs role open to only those with a nursing background.
Inclusivity in terms of applicants to represent
#AHPs
& benefit from
#AHP
skillset should be essential.
@rdash_nhs
@SuzanneRastrick
@stuartgpalma
@ashjamesphysio
@thecsp
3
4
51
For those unable to attend our
#FCPWebinar
yesterday, the link to the recording is here:
@CatherineThomp8
@AmandaHensman
@tose_j
@LarryKoyama
@DaniBrailsford
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18
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As I outlined in FCP3.0 - FCPs don’t need to be heroes.
Keep it simple, integrate with existing MSK pathway and if all are signed up to practicing high-quality care aligned to the image below, then you don’t need to try and do it all in 20’.
Start them off on the right foot 🤙
I don’t think is achievable for someone like me in 20min (FCP), especially MSK/comorbid health conditions. Hats off to anyone that manages it.
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Injection clinic for my local GP today; Tennis Elbow Injections still be routinely advised in General Practice.
2 referred this morning; informed discussion = 2 x shared decisions not to inject.
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9
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Currently writing up my
#PhD
thesis, 6- weeks away from first draft submission deadline.
Just got to this bit, how to conclude four years of work!
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I was called at 5.45pm, vaccinated at 6.50pm - very safe, slick set up within
@NHSWakefieldCCG
vaccination hub based at
@ClubSandal
🙏 🙏
I had to tweet about it because apparently that increases efficacy? 😁
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Higher intensity, lower frequency resisted exercise signals greater efficacy for the management of common
#tendinopathies
- rotator cuff, lateral elbow, gluteal, patella, achilles.
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10
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Just did that thing where I wrote something, and then referenced my own paper to justify it. Peak academic levels right there.
#PhDChat
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I've just written a critique of this paper; thoughts are welcomed:
@RemedyPhysio
@AdamMeakins
@TheShoulderGuy
Clinical assessment of subacromial shoulder impingement – Which factors differ from the asymptomatic population?
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Excellent - if the 20% increase went through, I’d cancel my CSP membership and take out separate indemnity cover as would be more cost-effective for the benefit received.
I’m sure others would consider similar 👍
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Private patient in clinic this morning, listed for ASAD in 2018. No rehab to date. Brought the CSAW paper with them and came for a second opinion.
#SharedDecisionMaking
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"Clinical research is no longer just a 'nice to do' exercise in the NHS - it is now a key part of improving patient care" - CQC Well Led Framework.
How research active is your service?
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Those who know me will know that I am terrible at taking holidays. Looking forward to a week of no emails and R&R with this one!
This is my twitter sign off! See you in a week! 💪🏻💪🏻
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0
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When 100% of your services show a year-on-year improvement in patient experience across the last quarter 🙌🙌
#TeamNorth
#OneTeam
@Connect_Health_
@sam_sammcintyre
@MSK_Pain_Leader
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5
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I know what you’re thinking, you’re right - I’ve not posted a coffee/laptop/train shot for a while.
Well, the wait is over.
Early start down to Birmingham for the
#MSKConference
. Programme looks great - see you there!
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2
45
Please help with my PhD research by sharing any clinical practice guidelines that indicate when to order
#diagnostic
#imaging
for
#knee
,
#shoulder
or
#LBP
. Retweets appreciated. Thank you.
@ChrisLittlew00d
@LDikomitis
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#Coronavirus
is a huge threat and we are under immense short-term pressure.
The optimist in me is thinking about getting out the other side: people taking daily exercise, lack of access to fast food, having to actively reach out to loved ones, the community spirit.
1/2
1
2
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Two years of 'constant knee pain', can never be rid of it. 5/10 at best.
*lays on plinth*
'what can you feel as you lay there?'
"Nothing"
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3
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Busy day tomorrow!
Morning = Primary Care Assessment of the Shoulder for FCPs with
@function2fitnes
et al 💪🏻💪🏻
Afternoon = ‘Does all shoulder pain have a diagnosis?’ debate with
@ClinicianBetter
with
@AdamMeakins
@CorKinetic
@ShoulderGeek1
@ShoulderDocUK
💪🏻💪🏻
Evening = 🍻🍻
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4
44
The 2022
@Connect_Health_
Graduate Development Programme “South” cohort with their bespoke
@MSKEdNet
copies of “The CES Book” with foreword from
@thomas_jesson
& Rob about their time on the GDP and beyond!
Plus a few words from
@wilksey49
&
@AWalton_Connect
on the cover!
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8
43
Anyone else disproportionately excited by the
@MicrosoftTeams
update allowing more than 4 people on the screen at once..?
No? Just me then! 😆
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We had a paper rejected today from
@BJGPjournal
- the rejection letter was perfectly written and had clearly taken some time, effort and energy.
Thank you 🙏
Not often we tweet about failed submissions!
#PhDLife
@Prof_Littlewood
@LDikomitis
@CombatSportPhys
@MMUPhysio
0
3
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When your second
#PhD
paper is accepted mid-supervision
@ChrisLittlew00d
@B_Mzqn
@thomas_jesson
@LDikomitis
5
1
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Glad we changed the garage into a gym in the summer - very useful for
#Lockdown2
especially after a day at the desk! 💪🏻💪🏻
#GodsOwn
8
1
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Very happy to have received this in the post from my colleague
@CombatSportPhys
He assures me that the hip is just a big Shoulder, we’ll see about that...
Cheers
@physiojack
for sending through very quickly
8
5
41
Yep, a further
#lockdown
will be and is shit.
We’ve all been tried over the last few months.
But, we’ve also all learned lots of lessons, skills and understand our priorities - including asking for help when needed.
We go again. We’ve got this 💪🏻💪🏻
2
6
42
Exciting opportunity to become Clinical Lead for our
#NWCATS
community MSK and FCP service.
Welcoming applications from both Consultant (Level 8) and Advanced Practice (Level 7) AHPs
Band 8a-8b equivalent dependent on level of practice.
1
28
41
If you ever want a bit of positivity on twitter check out the hashtag
#CouchTo5k
Whenever I advise someone at work to consider taking it up, I ask them to check out this hashtag on social media.
A real community of positivity and great example of behaviour change in action 🏃♂️
2
5
42
As everyone seems to be tweeting slides from their
#therapylive
talk, why not join in.
Discussing imaging indications in primary care with a focused discussion around the stiff shoulder.
#ForTheManyNotTheFew
😉
@UOB_Physio
@EUSSERBOARD
@Connect_Health_
3
5
41
Proofs returned this morning, I’m looking forward to being able to share the findings when online.
Do public-facing website recommendations around imaging align with the evidence?
@ChrisLittlew00d
@LDikomitis
@thomas_jesson
3
6
41
Progressive exercise required for up to 12/52 if your first episode of shoulder pain.
Progressive exercise required for up to 6/12 if your second episode of shoulder pain.
#HopeSR17
3
27
41
Have you really submitted your
#PhD
thesis if you don't tweet a photo of the submission form?
@ChrisLittlew00d
@Connect_Health_
8
0
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After many months of hard work across
@Connect_Health_
, not least from
@MikeCarpenterPT
who has led the clinical aspects, it is great to be in
#Oxfordshire
to kick off our new service and to meet the team!
#OxIMS
4
5
39
Critical factors to consider during a consultation when ?serious pathology:
- Is there a more likely explanation?
- What is the timeline?
- Stability - better/same/worse
- Has the patient had these symptoms before?
- How concerned am I?
- Safety net?
- Urgent?
- Emergency?
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2
38
Showing belief in those you lead is the crux of leadership. Go out of your way to boost the self-esteem of your team and they will achieve great things.
1
4
38
AVN Lunate confirmed on MRI this morning.
Referred as ?De Quervain’s.
22 year old Male, 2 years post-fall with a progressive loss of wrist ROM.
Central dorsal pain on loading.
Listening to the history is key 👂
3
4
39
What an honour to share a faculty with these experts at the
#CES
Study day.
@APPN_physio
@PhysioMACP
>50% of our ‘CES on-call’ senior clinical team were in attendance today to support their national discussions with colleagues
@Connect_Health_
#PeopleCentred
#Pioneering
2
5
38
Systematic Review of CPGs for RCRSP (2020):
Clear uncertainty of when to request imaging, what modality and why? Potential reason for why we see overutilisation?
Also, absence of some prominent "guidelines" that are influential in UK pathway design...
2
13
37
Good start to the last day of 2019!
Congrats
@tomwalker_2000
for leading on and get our Neck/Shoulder survey published 💪🏻💪🏻
Watch this space!
@Prof_Littlewood
@Emmajsalt
@GregLynch70
@nemsoc16
@EUSSERBOARD
@Connect_Health_
3
3
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#JeremyHunt
is now the Foreign Secretary - I don’t know whether to be ecstatic for the NHS or scared for the population.
2
10
37
Following
@TGC_Mitchell
talk on wrist pain and my talk on ‘Imaging and Stiff Shoulders’ as part of
#TherapyLive2021
#TherapyLive
We are launching our new online Upper Limb course with
@Physiotutors
For those attending my talk at 11, you will be provided with a discount code 💪🏻
1
6
38
Quiet day
@Connect_Health_
- spending the morning re-writing our core MSK competencies from New Grad ➡️ Consultant.
- Competency > Prof Background
@MSKReform
- Rehab & behaviour change
- Pt-therapist co-construction
💉& Imaging - additional skills not required for progression.
2
3
36
Management & leadership are different but complementary, in a changing world, one cannot function without the other.
Managers promote stability while leaders press for change, and only organisations that embrace both sides of that contradiction can thrive in turbulent times.
Leadership and management are not the same thing.
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654
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7
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Looking forward to another vaccination shift with the team from
@NHSWakefieldCCG
this morning.
500 to do this morning! 💪🏻💪🏻
Nipping out half way through to discuss “Primary Care Shoulder Assessment” for FCP3.0 with
@function2fitnes
and
@martinthomas11
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