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Chad Cook webinar Q&A

Episode
2 of 2
Published
Dec 17th, 2021
Run time
59m 45s
Topic
Clinically Useful Clinical Reasoning
Your instructor
Chad Cook
Chad Cook
Chad Cook, PT, PhD, MBA, FAPTA is a tenured professor at Duke University, clinical researcher, physical therap...

Episode summary

Discover how stronger clinical reasoning can sharpen physiotherapy decisions, from recognizing bias and handling uncertainty to using shared decision-making that truly involves the patient. Learn why communication, context, and small treatment effects matter more than chasing a single “magic” solution.

Clinical reasoning in physiotherapy is presented as the process of gathering patient information, interpreting it meaningfully, and using it to make decisions together with the patient. The discussion emphasizes self-awareness, especially recognizing personal biases, limits in knowledge, and the need to work comfortably with uncertainty rather than expecting clear-cut answers for every case. A major theme is that recovery is influenced by many factors beyond treatment techniques, including time, patient preferences, psychological factors, and social determinants of health such as employment, environment, and access to care. Learners can expect a strong focus on shared decision-making, patient engagement, and communication skills, with the therapist acting more as a guide than a fixer. The session also examines the limited size of treatment effects in musculoskeletal care, the role of non-specific effects, and the importance of combining small helpful influences. Additional topics include critical appraisal of research, the strengths and limits of special tests, telehealth assessment, pain education, and how evidence should inform but not oversimplify clinical practice.
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