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September 5 th – 8 th 2013 Nottingham Conference Centre, United Kingdom nspine.co.uk

September 5 th – 8 th 2013 Nottingham Conference Centre, United Kingdom www.nspine.co.uk. The Osteopathic Fellowship Program. Brief. Opportunity to work within leading Spinal Unit. Access to many areas of medicine (Theatre, Orthopaedics/Sports Medicine, Radiology, etc.).

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September 5 th – 8 th 2013 Nottingham Conference Centre, United Kingdom nspine.co.uk

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  1. September 5th – 8th 2013 Nottingham Conference Centre, United Kingdom www.nspine.co.uk

  2. The Osteopathic Fellowship Program

  3. Brief • Opportunity to work within leading Spinal Unit. • Access to many areas of medicine (Theatre, Orthopaedics/Sports Medicine, Radiology, etc.). • Gain insight to the working of an NHS facility as well as PFI (Treatment Centre). • Opportunity to see what Osteopathy can offer in ‘’Spines’’ as well as in other areas. • Osteopathy - Developing existing activities, Expanding in to other areas. • Collation of a robust data set - Osteopathic. • Gain knowledge in order to understand how Osteopathy can play an important role in future of UK Health Care.

  4. Before we get started! • Vaccinations. • Manual Handling Training (City Hospital Nottingham). • Fire Safety Training (Treatment Centre). • Computer Systems Training. • Security Passes (QMC, Theatre, Computer access, Treatment Centre). • IRMER (Request for Imaging).

  5. First 3-4 Months • Observe in Spinal Outpatients Department - Osteopathic clinic & other spinal teams. • Attending Multi-Disciplinary Team Meetings - Spinal Department (daily meetings discussing Admissions, Pre-ops and Post-op outcomes). • Attending Training Courses.

  6. Spinal Outpatients Observe Spinal Consultants & Spinal Fellows at work in the Outpatients Clinic. • Assessment and Examination Protocols. • Scoliosis measurements. • MRI/CT/X-ray etc. • Treatment rationales and protocols for surgery or other treatment modalities used in the Spinal Unit.

  7. Sports Medicine Clinic Working with Prof. Mark Batt & Dr Nick Pierce. • Observing a range of Sports Injuries that present. • Assessment/Examination and Treatment protocols. • Imaging. • Meds prescription. • Invasive Pain Therapy. • Physio, etc.

  8. Radiology Department • On Call Trauma. • Protocols for Accepting Imaging Requests. • U/S scanning techniques. • Imaging techniques(CT/MRI/U/S/X-ray). • Data Interpretation and Reporting of Imaging.

  9. Surgery • Observe Surgery in Theatre – observer & scrubbed in. • Procedures of particular interest include: • ACDF. • Chiari Malformation. • Spinal Fusions. • Scoliosis Corrections. • Discectomies.

  10. Injection Theatre • Observe spinal injections. • Rationales for Referrals. • Pain Management Strategies. • Outcome data.

  11. Osteopathic Research Data Generation within the department. • Collecting Tools: ‘Oswestry’ - Neck & Low Back, ‘COMI’ - Neck and Low Back, ‘Spine Tango’, ‘EQ5D’. • Setting up Protocols for Data Collection. • Verification of Data. • Data Entry. • Analysis and Interpretation of Results.

  12. Research • Tools • Spine Tango For Functional Limitations, Medications Levels, Grading of Patients Symptoms, Changing levels of Flags, What Treatments Modalities they have had before. • Presentation of Data - British Association of Spine Surgeons - Norwich 2013.

  13. Achieved Objectives • Insight to the NHS - Working Model. • Knowledge in Fields of Medicine. • Access to Teaching Faculty. • What Osteopathy can bring to the NHS Model. • Generation of Quantitative Data - Credence to Osteopathic Model.

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