September 5th – 8th 2013
Nottingham Conference Centre, United Kingdom
www.nspine.co.uk
Brief
 Opportunity to work within leading Spinal Unit.
 Access to many areas of medicine (Theatre, Orthopaedics/Sports
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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.
Before we get started!
 Vaccinations.
 Manual Handling Training (City Hospital
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Nottingham).
Fire Safety Training (Treatment Centre).
Computer Systems Training.
Security Passes (QMC, Theatre, Computer access,
Treatment Centre).
IRMER (Request for Imaging).
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.
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.
Sports Medicine Clinic
Working with Prof. Mark Batt & Dr Nick Pierce.
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Observing a range of Sports Injuries that present.
Assessment/Examination and Treatment protocols.
Imaging.
Meds prescription.
Invasive Pain Therapy.
Physio, etc.
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.
Surgery
 Observe Surgery in Theatre – observer & scrubbed in.
 Procedures of particular interest include:
 ACDF.
 Chiari Malformation.
 Spinal Fusions.
 Scoliosis Corrections.
 Discectomies.
Injection Theatre
 Observe spinal injections.
 Rationales for Referrals.
 Pain Management Strategies.
 Outcome data.
Osteopathic Research
Data Generation within the department.
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Collecting Tools: ‘Oswestry’ - Neck & Low Back, ‘COMI’ Neck and Low Back, ‘Spine Tango’, ‘EQ5D’.
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Setting up Protocols for Data Collection.
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Verification of Data.
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Data Entry.
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Analysis and Interpretation of Results.
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.
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.