You know the evidence. At 4pm, with the diary full and a patient asking for something else, you don't use it. That gap is not a character flaw and it has a structure. By Faraz Majlessi: Physiotherapist · Co-Creator of the Reflective Practice Clinics · Head of Faculty,...
Your patient is back for their third treatment, and they want one thing: your hands on the sore spot, proof you’re doing something. You know hands-on won’t change much. You know the evidence points somewhere slower, harder to explain, and you reach for it anyway...
You Haven’t Left. But You’ve Done the Maths. Somewhere between the patient who didn’t rebook and the Sunday night that arrived too fast, you’ve caught yourself wondering, quietly, without telling anyone whether you’ll still be doing this in five years. You’re not...
It’s 4pm on a Thursday. The patient in front of you has been treated by a few other clinicians before they got to you. A failed surgery. A medication regimen that isn’t working. A list of things they’ve already tried and given up on. Their shoulders are set against...
Why the supervision gap in allied health isn’t a personal failing, it’s a system-level design flaw. And why people living with chronic pain are paying the price. Think about the last patient who kept you up at night. Not the clinical details but the diagnosis, the...
Who do you think really owns the recovery process? This question quietly shapes outcomes. The clinicians believe ownership sits with the patient. The patients believe it sits with the clinician. Somewhere between those two beliefs, progress stalls. The...
In clinical practice, there is a familiar moment that almost every physiotherapist knows too well. A patient returns after their second or third session, unsure whether they are improving, describing little change in symptoms, or even questioning whether therapy is...
The latest RACGP report reveals what patients living with chronic pain need most and highlights the growing gap between those needs and what the current system can deliver. We recently read the latest RACGP report exploring what patients living with chronic non-cancer...
Where patients fall through the cracks Sarah is a 38-year-old busy mum of three, sitting in her car outside her psychologist's clinic, hesitating and fatigued. A few months earlier her physiotherapist referred her because he cared and knew he had reached the edge of...
You're the clinician everyone books for the hard cases. Patients travel to see you and colleagues know your work. Your diary is full, your reputation solid. It feels good, until the ceiling arrives. New ideas slow. You keep using your tried and tested techniques that...