As a part of this subject, two physical examinations and two treatment options must be recorded and uploaded at the beginning and end of the semester in order to keep track of skill development.
Here I will upload the videos and my reflections in order to keep track of how I'm improving. I have also attached several documents for each skill (SWOT analysis forms, SMART goal forms and Significant Learning Incidence forms) that I will be referring to throughout my reflections.
ASSESSMENT SKILL 1
MCMURRAY'S TEST
(For Meniscal Integrity)
Attempt 1 Week 2:
CLICK HERE for SWOT Analysis
CLICK HERE for SMART Goals
I felt quite uncomfortable completing this test, I was very unsure of correct handling and patient interaction.
Using the SWOT analysis and SMART goal templates, I identified my strengths and weaknesses, and that my main goal should be to improve my handling skills (hand placement, force application etc.)
Currently, I believe I am in the cognitive stage of skill development, explained as “Identification and development of the component parts of the skill & subdividing the formation and forming a sequential mental picture of the skill” (Fitts & Posner, 1967. Pg. 162), and by week 6 I’d like to achieve the associative stage, described as “Linking the component parts into a smooth action involving a regime of practicing the skill and using feedback to perfect/master the skill” (Fitts & Posner, 1967. Pg. 162).
CLICK HERE for SMART Goals
CLICK HERE for Significant Learning Incident Form
Attempt 2 Week 6:
In my 2nd attempt I felt more competent and confident in my handling skills. I was able to perform the test in a more effective way and elicit a more accurate result.
I found that breaking the skill down into smaller parts made it easier to practice (Park, Wilde & Shea, 2004) and that by better positioning my hands at the knee I was able to find and palpate the joint line during the test.
During practices I avoided applying too much pressure in fear of injuring the patient. By applying feedback I learnt how much force to apply safely, without causing injury.
My goal was to reach associative stage for this skill (Fitts & Posner, 1967. Pg. 162) an ambitious goal, but necessary in maintaining my motivation. I knew it could possibly take years to achieve this stage, and although I did not reach the stage I wanted to, there was a significant improvement.
ASSESSMENT SKILL 2
MEDIAL COLLATERAL LIGAMENT STRESS TESTING
Attempt 1 Week 2:
I felt, again, very uncomfortable and unsure of
myself when performing this skill. I attributed some of my unease to the fact
this was a newly learnt skill, however I am also aware that it was mostly due
to my poor handling skills.
Using the SWOT analysis and SMART goal templates, I
identified my strengths and weaknesses, and that my main goal should be to
improve my handling skills.
CLICK HERE for SMART Goals
CLICK HERE for Significant Learning Incident Form
I do, however, believe that this will be something that I will adapt and modify as I continue in my studies and career.
As with assessment skill 1, I believe I am in the cognitive stage for this skill and would
like to reach the associative stage
before my next attempt (Fitts & Posner, 1967. pg. 162).
Attempt 2 Week 6:
As seen in the 2nd video, I’d gained a
bit of confidence in my handling skills. By breaking down the skill (Park, Wilde & Shea, 2004), practicing as often as possible on
peers, family and friends I was able to modify the movements taught to us. In
doing so, I found a position that works best for me and elicits a more accurate
result.
There are still improvements that can be made, as
I’m still learning how much pressure to apply, but I believe this will come
with more practice and confidence.
I don’t believe I reached the associative stage for
this skill, although I do believe there was a significant improvement. I will
continue to build on and improve my handling skills throughout my academic and
professional career.
TREATMENT SKILL 1
TAPING
Week 6:
Unlike previous skills, I didn’t necessarily
struggle with the concept of taping, but there are a few things that can be
improved upon to make it more effective.
My applications skills (wrinkling and tension) and
positioning of the limb need improving, and my goals are identified in the
following documents.
CLICK HERE for SWOT Analysis
CLICK HERE for SMART GoalsCLICK HERE for Significant Learning Incident Form
For my treatment skills I decided to use a
different model of skill acquisition. Dreyfus’ model I found very useful in
setting goals for taping. I feel that currently I am in the Advanced Beginner stage, I would like to
have achieved the Proficient stage by week 9, and I feel like with practice, research
and through the application of feedback that it is very attainable (Dreyfus,
2004).
I used many different mediums for researching
taping. Brukner and Khan’s Clinical
Sports Medicine was really helpful in identifying the flaws in my
technique. I used peer feedback to determine how much tension I needed to apply
and how to adapt the taping technique to different shaped ankles.
As seen in the 2nd video, I showed a significant improvement. I felt more competent in my application skills and didn’t have to stop and think about what to do next. I also feel like the finished taping was more effective and will last longer than my first attempt. Judging from the improvements made and my gained confidence in the skill, I believe I have reached the proficient stage for this skill.
I will continue to practice and improve my skills until I reach stage 5 (Expertise), however I feel that this will come with constant practice and emersion within the clinical settings (Dreyfus, 2004).
TREATMENT SKILL 2
TRIGGER POINT RELEASE
Week 6:
Week 9:
This book was fantastic for all my skills, I found it super helpful in determining the proper technique and application. I also really enjoyed the visual representation of some skills such as taping. I used this book to help with all of my skills, whether it was just reading the information, or comparing my skill application to the pictures shown. The information is very credible, was thoroughly researched and is used widely in professional practices.
TRIGGER POINT RELEASE
Week 6:
I struggled a lot with this skill as seen in the 1st video. There were a lot of issues I identified that can be improved upon.
I have very little/no feeling in my fingertips or thumbs so feeling the amount of pressure I was applying was extremely difficult. Also seen in the video, my thumbs hyperextend at MCPJ and IPJ, which makes applying consistent pressure difficult.
I made my goal to work on locking my thumbs to prevent any hyperextension and visually grade the amount of pressure I was applying. I also struggled to find tight spots in the muscles.
For the treatment skills I have decided to use the Dreyfus Model of Adult Skill Acquisition (Dreyfus, 2004). Please refer to attached document for information.
CLICK HERE for Dreyfus Model of Skill Acquisition
CLICK HERE for SWOT Analysis
CLICK HERE for SMART Goals
CLICK HERE for Significant Learning Incident Form
CLICK HERE for Dreyfus Model of Skill Acquisition
CLICK HERE for SWOT Analysis
CLICK HERE for SMART Goals
CLICK HERE for Significant Learning Incident Form
For this skill, I believe I am in the Advanced Beginner stage of skill development (Dreyfus, 2004), and I know from my previous skills that I was unable to reach an ambitious goal, so for this skill my goal will be to reach the Proficiency stage.
Week 9:
As seen in the 2nd video I improved significantly. By practicing locking my thumbs, changing their orientation on the muscle and visually grading my pressure application I was able to completely alter my technique and achieve a more effective method for finding and releasing tight spots in the muscles.
There are of course improvements that can still be made, I’d like to be able to apply more pressure when it is needed, so I will work on building upper body strength and finding a position where I can use my weight to my advantage.
I believe I reached the Proficient stage for this skill, and I feel very happy with the improvements that I’ve made.
ANNOTATED REFERENCES
Brukner, P. & Khan, K. (2012). Brukner & Khan's Clinical Sports Medicine. Sydney: McGraw-Hill Publishing
This book was fantastic for all my skills, I found it super helpful in determining the proper technique and application. I also really enjoyed the visual representation of some skills such as taping. I used this book to help with all of my skills, whether it was just reading the information, or comparing my skill application to the pictures shown. The information is very credible, was thoroughly researched and is used widely in professional practices.
Business Balls. (2015). SWOT Analysis & Method. Retrieved from http://www.businessballs.com/swotanalysisfreetemplate.htm
This site a excellent for providing a template for the SWOT analysis. It also described the method in which to conduct a thorough analysis which I found really helpful
Chartered Society of Physiotherapy, England. (2015). Reflective Practice: Learning from Doing. Retrieved from: http://www.csp.org.uk/documents/reflective-practice-learning-doing
I found this website really helpful for providing a template for my significant learning incidence form. It had the best set out that I was able to find and I modified it to best fit my needs.
Corner Stone Executive & Life Coaching Ltd. (2008). SMART Goal Setting Worksheet [Brochure]. Arkansas. Retrieved from https://www.ndi.org/files/Handout%203%20-%20SMART%20Goal%20Setting%20Worksheet.pdf
This was a really helpful site, it gave me a really nice framework for constructing my SMART Goals and keeping on top of them.
Dreyfus, S. (2004). The Five-Stage Model of Adult Skill Acquisition. The Bulletin of Science, Technology & Society. 24 (177). Doi: 10.1177/0270467604264992
This was super helpful. I found that my reflections were becoming very repetitive and I was looking for a way to bring in some variety. I found this a much easier model to follow as the stages were easily described and much easier to distinguish. I feel that the research presented within this article was valid, and has been the framework used for many research papers since.
Fitts, P. M. & Posner, M. I. (1967). Human Performance. Belmont, CA: Brooks/Cole Publishing.
I found this to be an incredibly invaluable resource, as it contained the framework I used to structure my reflections. It had information on how to create and complete goals and how best to link it to scientifically researched frameworks.
Park, H., Wilde, H. & Shea, H. (2004). Part-Whole Practice of Movement Sequences. Journal of Motor Behaviour. 36(1). pp. 51-61. Doi: 10.3200/JMBR/.36.1.51-61
I really enjoyed reading this article. I felt that the information presented will help me in all aspects of skill acquisition throughout my academic and professional career. It really helped me understand the importance of breaking a skill down into digestible chunks when trying to learn it. It really helped me in learning the McMurray's Test and also the MCL stress test.
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