Is there any requirement of Second opinion in Physiotherapy practice

Second opinion in Physiotherapy practice?

Definition:  Second opinion is the seeking of another medical (professional including same field) opinion to verify or validate what the first doctor had diagnosed or advised to the patient.

Second opinion is important in all medical  branches

Second opinion is often  proved a valuable step in healthcare delivery so we as a physiotherapists should not hesitate in this. For example if you advise your patient that you have GB syndrome or muscular dystrophy or ligament tear which need  expansive laser procedure he and his family may like to verify the test results, explore if there are other management options, weigh the pros and cons, and particularly in our country, see if they can get the treatment at more affordable rates, before they decide to start.

The diagnosis of Spinal stenosis, Herniated disc, Sciatica are another such situations. It often comes as a shock and evokes a sense of disbelief and denial in patients with thoughts like “it just can’t be true, I just had symptoms of back pain” or “it cannot be happening to me”. 
A second evaluation by a competent doctor re-confirming the diagnosis helps the patient to accept the unpleasant truth.Thus it is very much important.

Good physiotherapists often advise their patients to consult a physician or orthopedics so as to get convinced of the unpleasant diagnosis and then return with greater motivation to embark on a treatment that is challenging.

Although, Our physiotherapists and physician are not that much good they behave badly and irresponsibly in cases of second opinion: most end up contradicting the previous one with an attitude of one-showmanship, change the treatment protocols in a fresh prescription, and try to win over and grab the patient rather than sending him back to the first one. this will lead the patient in to more confusion.

The line that divides second opinion from doctor shopping is however a thin and blurred one.

Doctor shopping is quite similar to what we do while buying vegetables and groceries, going from one grocer to another inquiring the rates of vegetables, seeing their shapes, size, color, and at times bargaining, before making our final purchase. 

There are people who in their bad habit of seeking the cheapest, they will inquire about the cost of laser therapy in 5 different physiotherapy centers before going in for one. 
It may not always be the price, but the popularity of the Physiotherapist or the market-stature of the clinic instead which could be the choice determinant.
Now a days patients have multiple options so they can choose their best.So as a physical therapists we should also not put our steps back to take second opinion in order to provide the best treatment.


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BPT colleges and admissions process

Take an overview before getting admission to a Physiotherapy collage

Bachelor of Physiotherapy courses are offered by various universities in India. In order to achieve world class quality the BPT courses are designed to meet the international standards and is recognized by the IAP (Indian association of physiotherapists) and accepted by regulatory bodies like WCPT in abroad.

The courses should be taught by qualified faculty and has a balanced exposure of both academic and clinical training to students. 

The recognized undergraduate program is for four years plus a half year compulsory rotatory internship with a well-organized curriculum.

The treatment delivery modes emphasizing on evidence based practices so it is very important to recognize such excellent colleges which are very few.

If you are taking admission in relatively new collage make sure that college is connected to a good hospital for practical exposure.

CAREER OPPORTUNITIES IN INDIA AND ABROAD:

Physiotherapists play an integral part in the healthcare system and hence are required in all hospitals starting from PHC to tertiary care. Clinics and holistic healthcare setups have also need of well trained physiotherapists from good colleges.

Industries (industrial health) Special schools Health and fitness clinics, centers Multinational companies for fitness of their employees, wherever people are at risk of injury from their occupation ergonomics or activities.

Role of Physiotherapy in healthcare:

Outpatients

Orthopedics

Neurological rehabilitation

Cardiac disorders

Mental illness

Learning difficulties

Occupational health

Terminal illness

Pulmonary disorders

Postoperative care

Intensive care

Pediatrics

Women's health

Care of the elderly.

Duration of BPT Course:

Most of the universities run four years plus a half year compulsory rotatory internship with a well-organized curriculum.

Eligibility for admission in Bachelor of Physiotherapy:

Candidates over 17 years of age are eligible to apply. The candidate must have passed 10+2, A Level, IB, American 12th Grade or equivalent with Physics, Chemistry, English and Biology with a minimum of 50% marks taken together in Physics, Chemistry and Biology.

Please Note: Candidates can apply both under General and Foreign/NRI categories.

Indian nationals can apply for general and reserved seats but and Foreign/NRI categories are also there in all of the colleges.

Admission procedure:

There is no Entrance Test for this course in most of the universities only your percentage is enough to get you admission through Merit List.

Some gold standard institutes and Universities do conducts entrance test for admissions.

How the Merit List prepared:

Based on the marks obtained in Physics, Chemistry, Biology or Mathematics at 10+2, respective University will declare a list of candidates in the order of merit in their website. Candidates with Mathematics as subject in10+2 will be given separate rank based on PCM marks in the merit list. In case of two or more candidates obtaining equal marks in the merit list, the inter-se merit of such candidate will be determined respectively on the basis of English marks and total marks at the qualifying examination.

For further details about BPT/ MPT courses  in India and other queries you can comment in given below box.

I will be more than happy to help you.

Your,

Dr. Vijay Guleria
vijayguleria80@gmail.com

(BPT, MPT orthopadics) MSW, D.Project management.

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