Real Clinicians Real Chats

Exploring the self asked question, "do I have enough skills to manage some of my patients?"

Alex Murray and Kit Wisdom — Sun, 05 May 2024 14:45:41 +1000

Kit and Alex discuss the question and common thought we have as clinicians “do we have enough skills to assess and manage some of our patients?”

Themes that emerge include:

The practitioner’s experience of feeling a lack of worth in session and how this influences our interactions.

How thoughts questioning our worth and knowledge can reduce staying in the present when treating, the value of being grounding ourselves and being present in a session, how we might employ this skill and the benefit it has when we are experiencing these feelings and emotions.

The seduction of trying to solve our feelings around our lack of knowledge with more knowledge seeking, instead of dealing with how we can improve our own concept of self worth.

How we as practitioners might be reinforcing our clients disconnection and distance from their symptoms and problems by disconnecting from our own experiences around our knowledge, skills and worth.

The challenge of being present as a clinician and paying attention to our own embodied experience, and resisting overanalysing whilst still problem solving, providing a plan, and educating the patient when needed

Kit shares how she and Shelley Barlow held a workshop last year with a small group of health professionals exploring the practitioner experience within a novel learning container. Alex and Kit reflect on our own personal experiences, our own knowledge and concept of self-worth and what thoughts and feelings came up for each of us during our chat.

You can follow us:
@realcliniciansrealchats on Facebook and Instagram

You can follow Alex:
@therehabpodiatrist on Facebook, Instagram
@therehabpod on Twitter
www.therehabpodiatrist.com

You can follow Kit:
@wisephysiotherapy on Facebook and Instagram
www.wisephysiotherapy.com.au

Special thanks to Clariloops for our theme music.

Exploring the idea of “success” through a reflection of 2023

Alex Murray and Kit Wisdom — Wed, 17 Jan 2024 12:28:15 +1100

In true Real Clinician Real Chat styles, Alex and Kit reflect on the year in episode 13, drawing on their 2023 intention to cultivate a space for emergent discussions.

Alex introduces the concept of success and they explore what that looks and feels like, given they both navigated big professional changes during the year as sole practitioner businesses.

The discussion includes themes such as:

- navigating change and the value of experiential learning
- success beyond an outcome - as a feeling / a way of being / a sense of self
- success in the present moment, not just in the past and the future
- the value of trust within ourselves and cultivating trust within our clients as a form of success
- the value of honesty with ourselves to develop clarity
- embodied qualities to develop our wise adult part
- intentionality and the role it can play to support a process

You can follow us:
@realcliniciansrealchats on Facebook and Instagram

You can follow Alex:
@therehabpodiatrist on Facebook, Instagram
@therehabpod on Twitter
www.therehabpodiatrist.com

You can follow Kit:
@wisephysiotherapy on Facebook and Instagram
www.wisephysiotherapy.com.au

Special thanks to Clariloops for our theme music.

Connecting with colleagues as health practitioners with John Contreras

Alex Murray and Kit Wisdom — Sun, 17 Dec 2023 16:56:17 +1100

This episode, Kit and Alex are joined by John Contreras, a Melbourne based physiotherapist who has been working in the field for over 20 years.

John, as well as working as a patient centered clinician, has been busy cultivating a social club for allied health practitioners to connect and have discussions about topics other than anatomy and differential diagnoses.

He is passionate about creating space where practitioners can be nourished and treated as an equal, and where learning can look and feel different.

In this episode, emerging themes explore:

- social connection as a resource
- sitting with uncertainty
- failure in healthcare
- mentoring / supporting younger clinicians

It was a pleasure to have John in for a chat, where his experience and warm wisdom, along with his vulnerability, make for lovely listening.

You can follow us:
@realcliniciansrealchats on Facebook and Instagram

You can follow Alex:
@therehabpodiatrist on Facebook, Instagram
@therehabpod on Twitter
www.therehabpodiatrist.com

You can follow Kit:
@wisephysiotherapy on Facebook and Instagram
www.wisephysiotherapy.com.au

Special thanks to Clariloops for our theme music.

We are not feeling good … so let’s talk about it. Discussing how we show up in clinic when our capacity is low.

Alex Murray and Kit Wisdom — Wed, 25 Oct 2023 10:57:33 +1100

Alex and Kit both show up to episode 11 somewhat tired, flat, and irritable, yet instead of delaying the podcast for another day, they decide to explore what is currently present for each of them, allowing the emergent dialogue itself to be a nourishing experience.

We are becoming more aware of the research that shows our experiences as practitioners providing care influences the intersubjective space.

This means how we show up and our intentionality impacts the contextual factors of care.

By exploring our own experiences we can step towards humanising each other, and making space for our whole selves.

You can follow us:
@realcliniciansrealchats on Facebook and Instagram

You can follow Alex:
@therehabpodiatrist on Facebook, Instagram
@therehabpod on Twitter
www.therehabpodiatrist.com

You can follow Kit:
@wisephysiotherapy on Facebook and Instagram
www.wisephysiotherapy.com.au

Special thanks to Clariloops for our theme music.

Real Clinician Emily - New graduate year and deepening our conversational learning as nourishing reflective practice

Alex Murray and Kit Wisdom — Thu, 21 Sep 2023 13:31:25 +1000

This episode we welcome our second guest into our podcast home, Emily McIver. Em is a new graduate physiotherapist who is currently working in private practice on the Sunshine Coast after finishing study in Melbourne last year.

We explore reflective practice, in particular creating space for ourselves to learn that nourish us and differ from the learning environments at university. Em shares her insights around how she has resourced herself to cope with the inherent challenges of being a new graduate in the current healthcare climate. Themes emerge around cultivating her personhood, holding uncertainty and feelings oof inadequacy, the value of mentors that lower expectations and reassure, and how the process of evolving as a clinician takes time, support, and slowing down.

Em strongly advocates for more conversational learning in environments where curiosity and nonjudgement are centred - and Alex and I couldn’t agree more!

This episode is a beauty for any new graduates out there feeling alone or isolated.

You can follow us:
@realcliniciansrealchats on Facebook and Instagram

You can follow Alex:
@therehabpodiatrist on Facebook, Instagram
@therehabpod on Twitter
www.therehabpodiatrist.com

You can follow Kit:
@wisephysiotherapy on Facebook and Instagram
www.wisephysiotherapy.com.au

Special thanks to Clariloops for our theme music.

Reflections on hosting our first guest, allowing space for fear, worth, panic and how we can better collaborate with our patients

Alex Murray and Kit Wisdom — Wed, 16 Aug 2023 09:00:00 +1000

Kit and Alex reflect on their first experience of having a guest in their podcast home, appreciating the value of inviting real clinicians on rather than subject experts.

Kit shares her recent change in clinic life with taking on a new lease for her biz. She speaks about how the transition is bringing up deeper layers around fear, doubt and self-worth and how she’s noticing how those parts are sitting alongside the openness, expansion and playfulness in an embodied way.

They discuss how Kit navigated “struggle town” through the challenges that emerged with the move and how that can relate to life in clinic with the people we work alongside. They explore about how to be with people in their challenges, allowing space for fear, worth, panic, and making space for each individuals felt sense knowledge that is different to intellectual knowing.

Alex brings in research around what patients require for collaboration in terms of structure and un-structured time within session to communicate their unique experiences. They talk about how we hold different frameworks / maps as guides that can bring some structure or shape to sessions whilst allowing for unstructured time to allow for building trust and the relationship.

You can follow us:
@realcliniciansrealchats on Facebook and Instagram

You can follow Alex:
@therehabpodiatrist on Facebook, Instagram
@therehabpod on Twitter
www.therehabpodiatrist.com

You can follow Kit:
@wisephysiotherapy on Facebook and Instagram
www.wisephysiotherapy.com.au

Special thanks to Clariloops for our theme music.

Real clinician Bernie - a real chat about what is important for us as practitioners

Alex Murray and Kit Wisdom — Mon, 17 Jul 2023 12:31:00 +1000

In this episode Kit and Alex host their inaugural guest, Bernadette Meade, who is a podiatrist working in Warrnambool in south-western Victoria.

Bringing awareness and attention to the everyday clinician’s experience is an important part of the evolution of healthcare and rather than have ‘experts’ in the field on as guests, Kit and Alex wanted to honour their intention of real chats with real clinicians and delve into the experiences of those that listen to the podcast.

In this episode Bernie joins the discussion where themes emerge around practitioner overwhelm, knowledge consumption, productivity, rest, and nourishment, and how important it is for us as clinicians to recognise what we might need in each moment.

You can follow us:
@realcliniciansrealchats on Facebook and Instagram

You can follow Alex:
@therehabpodiatrist on Facebook, Instagram
@therehabpod on Twitter
www.therehabpodiatrist.com

You can follow Kit:
@wisephysiotherapy on Facebook and Instagram
www.wisephysiotherapy.com.au

Special thanks to Clariloops for our theme music.

Reflecting on reflecting: what conditions allow for deeper insight and meaning to emerge within clinical practice

Alex Murray and Kit Wisdom — Mon, 03 Jul 2023 15:24:44 +1000

This episode, Kit and Alex do some meta reflection, and explore how we engage in reflective processes within clinical settings with patients.

Kit explores an organic reflection with one of her clients that allowed new understandings to be unearthed and insights made.

Alex speaks to the framework of behaviour change and how we can miss important contextual information about the patient and their experience that is central to care.

As is becoming quite common, Kit and Alex tend to find more questions than answers, yet reflect on the importance of that!

You can follow us:
@realcliniciansrealchats on Facebook and Instagram

You can follow Alex:
@therehabpodiatrist on Facebook, Instagram
@therehabpod on Twitter
www.therehabpodiatrist.com

You can follow Kit:
@wisephysiotherapy on Facebook and Instagram
www.wisephysiotherapy.com.au

Special thanks to Clariloops for our theme music.

Good things take time. We're back after a short hiatus with a new format and more great discussions.

Alex Murray and Kit Wisdom — Sat, 08 Apr 2023 10:51:17 +1000

We’re back … with less of our own agenda.
In our first episode of this year (hello April) we reflect on our podcast approach, how it was not quite what we intended, and how that can be somewhat similar to clinical practice.

We explore:

* Wanting to deliver value to listeners by starting a podcast based around free flowing discussion, yet noticing that going into the discussion with preformed ideas and expectations limited our dialogue.

* How preformed ideas can be quite common in clinical practice and how that influences the therapeutic relationship.

* How we figured out that we weren’t being completely open to each other which influenced where the discussion did and didn’t go.

* The irony that lived in the feedback from listeners - what people resonated with most were the moments where we let go of the key points we had written down in front of us.

* By focusing on being present and responsive to each other, we realised we were truly being ourselves and talking about the change we want to see in clinical practice.

So, in the spirit of self-reflection and growth, we have evolved our approach.

Rather than approaching the discussion with a specific idea, we are going to share our reflections and explore our subjective experiences of clinical practice. Our intention is to focus on the relational aspects of the clinical encounter, and to explore what this means to each of us.

And most importantly, by sharing this together, we can create the change we are keen to see, together.

You can follow us:
@realcliniciansrealchats on Facebook and Instagram

You can follow Alex:
@therehabpodiatrist on Facebook, Instagram
@therehabpod on Twitter
www.therehabpodiatrist.com

You can follow Kit:
@wisephysiotherapy on Facebook and Instagram
www.wisephysiotherapy.com.au

Special thanks to Clariloops for our theme music.

Embodiment in Clinical Practice - How to discover more in our patient interviews

Alex Murray and Kit Wisdom — Thu, 24 Nov 2022 20:15:27 +1100

Typically clinical practice has focused more on analytical cognitive process. What can be deduced using external observation and analytical reasoning to solve a process. Embodiment refers to another form of bodily knowledge that is about knowing intuitively and represents a less used resource and process in clinical practice.

Alex has traditionally used and been trained in more analytical cognitive processes. Alongside Kit as an experienced guide, Alex talks through his experience expanding his skillset to include embodied cognition, how he is understanding the processes and how it is transforming his practice.

Kit brings in her experience at using both analytical and embodied cognitive practices together to better understand and manage her patients.

They specifically talk about:
- The difference between analytical (left brain) cognition and embodied (right brain) cognition
- Discuss examples of embodied cognition we'll often have encountered in clinical practice
- Embodiment as paying attention to the intelligence of the whole body i.e. the whole lived experience
- How we can integrate both analytical and embodied processes into our own clinical practice

For those who want to listen to the same podcast with Ian McGilchrist that we listened to, you can find the link below.

This Jungian Life - Episode 189 - A well-aligned mind: how to be alive

https://thisjungianlife.com/episode-189-a-well-aligned-mind-how-to-be-alive/

You can follow us:
@realcliniciansrealchats on Facebook and Instagram

You can follow Alex:
@therehabpodiatrist on Facebook, Instagram
@therehabpod on Twitter
www.therehabpodiatrist.com

You can follow Kit:
@wisephysiotherapy on Facebook and Instagram
www.wisephysiotherapy.com.au

Special thanks to Clariloops for our theme music.

Meeting patients where they are, but where to from there? Exploring patient and practitioner agendas.

Alex Murray and Kit Wisdom — Sat, 01 Oct 2022 03:05:28 +1000

So you've followed the advice of 'meeting the patient where they are'. But what do you do from there?

Too often we hear practitioners following this advice, understanding the current patient's situation, health literacy and goals, but then try and take them on a journey that makes to them, not their patient... defeating the purpose of the exercise!

In this months episode, Alex and Kit discuss this common advice and explore how despite this starting point and how the difference in patient and practitioner agenda can still be a source of conflict and misunderstanding when it comes to providing care.

They explore how traditional models of care can favour the practitioner's agenda, how this can impact and alienate patients from care and lead to poorer outcomes.

They also discuss psychological frameworks such as self-determination theory and acceptance and commitment therapy which helps explain why and how being attentive to the patient's agenda and suspending our own agenda and biases, can help us create treatment plans that meet the patient and practitioner's goals!

You can follow us:
@realcliniciansrealchats on Facebook and Instagram

You can follow Alex:
@therehabpodiatrist on Facebook, Instagram
@therehabpod on Twitter
www.therehabpodiatrist.com

You can follow Kit:
@wisephysiotherapy on Facebook and Instagram
www.wisephysiotherapy.com.au

Special thanks to Clariloops for our theme music.

Extra resources from this episode can be found below:

Self-Determination Theory and the Facilitation of Intrinsic Motivation, Social Development, and Well-Being
https://drive.google.com/file/d/17LzfDM8BUcfhiggKczgFYKZjRhEb8IO-/view?usp=sharing

Introduction to acceptance and commitment therapy
https://drive.google.com/file/d/1Za-K6dBKWCDN9_UIxPD3qqz-ewVigFYN/view?usp=sharing

ACT Made Simple - First Two Chapters by Dr Russ Harris
https://www.actmindfully.com.au/upimages/ACT_Made_Simple_Introduction_and_first_two_chapters.pdf

Youtube Videos:
Dr Russ Harris has a series of videos on ACT based skills and metaphors. You'll find some links to the below:

3 Happiness Myths:
https://www.youtube.com/watch?v=93LFNtcR1Ok

The Happiness Trap: The Evolution of the Human Mind
https://www.youtube.com/watch?v=kv6HkipQcfA

Values vs Goals:
https://www.youtube.com/watch?v=T-lRbuy4XtA

The Choice Point:
https://www.youtube.com/watch?v=OV15x8LvwAQ

The Struggle Switch:
https://www.youtube.com/watch?v=rCp1l16GCXI

The Therapeutic Relationship - An exploration of how it impacts us and our patients

Alex Murray and Kit Wisdom — Mon, 08 Aug 2022 11:41:17 +1000

In this episode Alex and Kit discuss the concept of the therapeutic relationship.

Challenging and expanding on common definitions and understanding they discuss:
- How the dominant approach in healthcare has led to the dehumanisation of practitioners and patients, removing what can make care so much more powerful - connecting with another human!
- A relationship built on social connection, listening, validation and shared values can be healing for people within itself
- That the relationship doesn't just come from what is said, it is an embodied in non-communicative aspects
- The need for greater self awareness of how we could be impacting the relationship outside our communication and how this isn't a common thing explored in clinical practice

- Being yourself and letting your personality shine through can make your practice more enjoyable and fruitful for you and your patients

You can follow us:
@realcliniciansrealchats on Facebook and Instagram

You can follow Alex:
@therehabpodiatrist on Facebook, Instagram
@therehabpod on Twitter

You can follow Kit:
@wisephysiotherapy on Facebook and Instagram

Special thanks to Clariloops for our theme music.

An introduction! Getting to know us, the change we're trying to create in the world and why!

Alex Murray and Kit Wisdom — Mon, 18 Jul 2022 16:18:48 +1000

Welcome to our first episode, where we talk about who we are, what we're doing and the change we want to produce in the world of musculoskeletal medicine and the management of pain and injury, through broadcasting our conversations.

You can follow us:
@realcliniciansrealchats on Facebook and Instagram

You can follow Alex:
@therehabpodiatrist on Facebook, Instagram
@therehabpod on Twitter

You can follow Kit:
@wisephysiotherapy on Facebook and Instagram

Special thanks to Clariloops for our theme music.

Real Clinicians Real Chats

Exploring the self asked question, "do I have enough skills to manage some of my patients?"

Exploring the idea of “success” through a reflection of 2023

Connecting with colleagues as health practitioners with John Contreras

We are not feeling good … so let’s talk about it. Discussing how we show up in clinic when our capacity is low.

Real Clinician Emily - New graduate year and deepening our conversational learning as nourishing reflective practice

Reflections on hosting our first guest, allowing space for fear, worth, panic and how we can better collaborate with our patients

Real clinician Bernie - a real chat about what is important for us as practitioners

Reflecting on reflecting: what conditions allow for deeper insight and meaning to emerge within clinical practice

More than the content - how course and conference environments, approaches, and facilitators influence how we learn and grow.

Good things take time. We're back after a short hiatus with a new format and more great discussions.

Embodiment in Clinical Practice - How to discover more in our patient interviews

Meeting patients where they are, but where to from there? Exploring patient and practitioner agendas.

The Therapeutic Relationship - An exploration of how it impacts us and our patients

An introduction! Getting to know us, the change we're trying to create in the world and why!