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ignite physio

The ignitephysio podcast mission is simple: to inspire you to continue learning and growing in your clinical practice. Hosted by physiotherapists Andrew Koppejan & Maxi Miciak, the podcast brings fresh perspectives and conversations to help you challenge your own perspectives. Plus, you’ll come away with new concepts & strategies to help you further foster a psychologically informed practice. Wherever you find yourself in your career, you’ll walk away re-energized in your journey as a health professional.

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014-Diving into the Therapeutic Relationship with Maxi Miciak

In this episode, I chat with Maxi Miciak, physiotherapist and PhD from Edmonton, Alberta. Maxi's research has centered around exploring and understanding the therapeutic relationship between physiotherapist and patient. Her experience, research and and training has given her a unique perspective in unpacking this complex topic and she shares many useful nuggets in our discussion.  Are you a part of ignitephysio? Join today for free! You can ask and answer practice questions, get access to 100 reviewed and custom practice resources and access a host of other tools to improve your career and practice. https://ignitephysio.ca

1hr 2mins

18 Jan 2017

Rank #1

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050-The Power of Beliefs and Reframing for Patient Recovery

In this 50th, and final episode of 2019, hosts Andrew and Maxi discuss how physiotherapists can provide a deeper transformation for patients by using reframing and healing words.With three of Andrew’s recent cases as examples, they explore how Andrew’s approach, inquiry, mutual exploration, and reframing helped his patients become more present and aware in their body, allowing for deeper healing and function.By reframing the role of movement, and inviting them to be aware of their beliefs about “exercise” and “struggle” as necessary for recovery, Andrew shares how his approach opened the door to provide the space for patients to tell their story, and become more empowered in their own recovery.Some of the key topics discussed include:How healing words and reframing provide a deeper awareness for the patient.How movement can be used as an invitation for the patient to change their relationship to pain.How transitioning from movement with struggle, to softening into movement resulted in a significant shift in perspective.Also, our podcast is now available on Spotify by searching under podcasts!  Need instructions on how to subscribe to the podcast on iTunes? Check out our instructions here.

44mins

23 Dec 2019

Rank #2

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047-The Power of Therapeutic Touch

In this episode, hosts Andrew and Maxi take a deeper look at the power of touch in the therapeutic relationship. Andrew discussion the impact of reading The Lost Art of Healing: Practicing Compassion in Medicine, and shares some great quotes which examines how touch alters the therapeutic relationship opposed to just listening. The key takeaway from this episode is to observe your own state and do an out-breath before you touch a patient, and observe what’s happening with their response, and adjust yourself as needed. Some of the key topics discussed include: How touch can be used both for assessment and connection with the patient. The Ted Talks episode by Abraham Verghes - “A Doctor’s Touch”. How touching is key to the transformation of a patient's level of trust, and how as clinicians we often forget the feeling of being a patient. Why we need to build a bridge to create a sense of safety in the therapeutic relationship. How responsive touch bypasses cognition and engages the neurophysiological system to activate the parasympathetic response which creates trust and safety. How the patient’s mental and emotional state can change with each assessment, and using touch to re-build the bridge.  Using appropriate touch in context to each patient, and communicating why, with added sensitivity to trauma survivors.   Adjusting our own state of being fully present while touching the patient, and observing their response. How safe and appropriate touch can positively impact the patient and allow a deeper healing.  Why practicing your “presence” skills rather than just touching skills is important.   Subscribe to the ignitephysio podcast on iTunes here! Need instructions on how to subscribe to the podcast on iTunes? Check out our instructions here. Are you a part of ignitephysio? Join today for free! You can ask and answer practice questions, get access to 100 reviewed and custom practice resources and access a host of other tools to improve your career and practice. https://ignitephysio.ca

28mins

27 Jun 2019

Rank #3

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042-The Importance of Relationship in Building a Patient Caseload

In episode 42, hosts Andrew and Maxi discuss the results of Andrew's recent interviews with 25 PT's across Canada for researching an article about caseload management.From discussions with clinicians in all stages of their career from recent grad to seasoned clinic owner, Andrew discovered new insights and fresh perspective on the importance, and common challenges of strengthening the patient relationship. Some of the key topics discussed include: The challenge of caseload management.The key and common theme around "relationship".The importance of the first appointment to set the foundation.Why language matters, and how information overload can lead to patient overwhelm instead of providing value.Leaning on the research to build trust versus over-pathologizing.Being a witness to their situation and pain in a professional way.How providing reassurance instead of positivity is a better approach.

25mins

29 Aug 2018

Rank #4

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045-Why Our Clinical Growth Requires Us to Lean into Discomfort

In this episode, hosts Andrew and Maxi are back in the lounge for an ad-lib discussion about the topic of vulnerability and leadership for physiotherapists. Andrew's conversations with both new and seasoned clinicians has revealed a common sentiment of not wanting to feel "yucky” in patient interactions. This is especially true for clinicians that are new to practice, with feeling overwhelmed and pressured to have extensive knowledge. But it's also why seasoned clinicians often get caught in a rut that's within their comfort zone.  Some of the key topics discussed include: The review of Brene Brown’s book “Dare to Lead” about vulnerability in leadership and leaning in to discomfort, as an analogy for clinicians.  Growth and adapting versus being too comfortable, and how to stay in the mode of growth. Finding the balance between safe practice and taking risks, and returning back to core principles and values when feeling vulnerable.  Examples of how to hold therapeutic and grounded presence when feeling vulnerable and uncomfortable with a patient, and how to develop trust in the therapeutic relationship. Allowing space in a patient caseload to slow things down a bit, and giving yourself enough space to practice out of the comfort zone. When it’s not a good time to apply a new technique and put yourself in a vulnerable position. Maxi's review of deeper reflection practices and moving it into action, and Andrew's example of how therapeutic presence impacts the quality of treatment.  How setting the intention to work on one simple thing and incremental change can add up over time to make a big difference. Subscribe to the ignitephysio podcast on iTunes here! Need instructions on how to subscribe to the podcast on iTunes? Check out our instructions here. Are you a part of ignitephysio? Join today for free! You can ask and answer practice questions, get access to 100 reviewed and custom practice resources and access a host of other tools to improve your career and practice. https://ignitephysio.ca

32mins

7 Mar 2019

Rank #5

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018 - Navigating Difficult Conversations - How to Avoid Blame in Difficult Conversations

In this episode I explore the common pitfall of blaming the other person in difficult conversations and the strategies to move from blame to a conversation of contribution. 

9mins

12 Apr 2017

Rank #6

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048-Exploring Health Coaching for Physiotherapists

In this episode of the ignitephysio podcast, hosts Andrew and Maxi welcome guest Cindy Grand about the emerging area of health coaching for physiotherapists.Cindy works at Alberta Health Services as an Implementation Lead for the Walter C. MacKenzie campus Connect Care team, supporting Allied Health in their implementation of the new health information system set to launch in November, 2019. Some of the key topics discussed include:How Cindy uses coaching techniques in her current role of overseeing the implementation process of Connect-Care to support people and processes through the change.How taking “Health Change Methodology” training for health behaviour change was the pivotal training that transformed her work and interactions with patients.Cindy’s definition of health coaching and its role within the physiotherapy profession, and the shift away from the expert-driven model.Why coaching skills supports efficient goal setting with the right timing for when the patient is ready.  How non-judgmental curiosity improves the interaction with patients and establishes rapport and trust.Why health coaching is becoming increasingly important for physiotherapists to incorporate into their daily practice with today's complex social issues. How addressing health behaviour change starts by asking the patient better questions. A review of coaching tools and frameworks to use in your practice, and Cindy’s techniques she uses every day.Click HERE to access the Toolkit developed by Physiotherapy Alberta for health coaching with tools and resources.Guest Bio:Cindy Grand is a change-maker fueled by good coffee and a passion for patient-centred care. She worked in sports/orthopedics for 14 years and then on the Provincial Bariatric Resource team, a multidisciplinary team supporting providers of care for patients with obesity for 5 years. She completed her Master of Public Health and is Prosci Change Management Certified, has her HealthChange Associates Peer Training levels 1 & 2 and has completed Foundational Training in Cognitive Coaching. Cindy has had the honor of being a lecturer at the University of Alberta for physiotherapy and interdisciplinary students. You can currently find her in a temporary role of Implementation Lead on the Walter McKenzie Campus Connect Care Implementation Team before she returns to the Integration & Innovation Team within the Provincial Primary Health Care Program, AHS.Subscribe to the ignitephysio podcast on iTunes here.Also, our podcast is now available on Spotify by searching under podcasts!  Need instructions on how to subscribe to the podcast on iTunes? Check out our instructions here.

44mins

11 Sep 2019

Rank #7

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009 - Pelvic Health Physiotherapy and Abdominal Retraining

In this episode I interview Mary Wood, a pelvic health physiotherapist and clinic owner in Edmonton, Alberta. We have a great chat about the progression of her career and focus on pelvic health. Here's a few of the things you'll learn in the episode:  Questions to ask in your history taking Her perspective on transverse abdominals Exploring abdominal retraining using hypopressives  Site update: We’ve added a section on the website that pulls in upcoming courses from across the country in one easy list so you can filter and sort based on topic area, course provider or province. Now you don’t need to check 10 different websites to see what’s coming up. Tied into this, we’ve developed a course reviews section. You can read course reviews as well as leave reviews of courses you’ve taken. If you have any questions, topic ideas or would be interested in being a part of the show let me know by dropping me a line at hello@ignitephysio.ca Not a part of ignitephyio yet? Join today for free here: https://ignitephysio.ca

41mins

9 Nov 2016

Rank #8

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044-Treating an Aging Caseload: Physio's Role in Improving Seniors Health

In this episode, Andrew welcomes back Todd Wolansky, Physiotherapist and a Clinical Lead with Alberta Health Services in Canmore. Todd's passion for geriatrics led him to recently obtain the designation of Clinical Specialist in Seniors Health with the Canadian Physiotherapy Association. You can listen to Todd's previous podcast interview; Why Seniors Health is the New Sexy. In this episode the discussion centers on the fastest growing segment of the Physiotherapy patient caseload; seniors. Todd provides the changing treatment plan of the aging population with the focus of providing mobility and assessment tools, and the move from reaction to prevention with providing balance and strength training. Some of the key topics discussed include: Todd's review of predictive tools How to incorporate a screen and assessment into a treatment plan The Canadian Geriatric Society's framework called “The 5 M’s” - 1) Mobility 2) Mind 3) Medications 4) Multi-complexity 5) Matters Most How to integrate these concepts into a private practice, (with Andrew’s experience and examples) How to connect the dots and provide a bigger picture of their goals of strength and mobility Common misperceptions that Todd experiences How PT's can be more comfortable with senior care, even though they're not specialized in Geriatrics Key warning signs for PT's to look for with mobility issues Using the Seniors' Mobility Toolkit (see Resource below) Enjoy the discussion and share your thoughts! Resource: Healthy Aging: Seniors’ Mobility Toolkit for Physiotherapists Interview Guest: Todd Wolansky is a physiotherapist working as a clinical lead for rural rehabilitation in the Calgary Zone of AHS. Clinically, Todd’s areas of passion & experience are in seniors’ health, chronic disease management, health coaching, and exercise prescription. In his lead role, he works with clinicians and operational leaders to support the delivery of evidence-informed service models. Todd is an elected council member with Physiotherapy Alberta. He is a certified coach with the Coaches Training Institute, and a Clinical Assistant Professor with the University of Alberta. Todd is currently a candidate with the CPA’s clinical specialty program in Seniors’ Health. Subscribe to the ignitephysio podcast on iTunes here! Need instructions on how to subscribe to the podcast on iTunes? Check out our instructions here. Are you a part of ignitephysio? Join today for free! You can ask and answer practice questions, get access to 100 reviewed and custom practice resources and access a host of other tools to improve your career and practice. https://ignitephysio.ca

39mins

30 Jan 2019

Rank #9

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049-Self-care and the Importance of Asking for Help

In this episode of the ignitephysio podcast, hosts Andrew and Maxi reflect on the topic of self-care and seeking help. They discuss Maxi's recent health challenges and her experience of being on the receiving end of help and support, and her ongoing commitment to her own self-care.As therapists in the helping profession, it is very easy to put the needs of others first, with self-care not as highly valued as self-autonomy. Together, Andrew and Maxi examine the value of keeping our own well-being a priority, ways to incorporates self-care into our own lives, and to acknowledge and encourage it with our patients. Some of the key topics discussed include:Recognizing that as therapists, the need to be looking at our own self-care, and facing the resistance that we can feel internally to asking for help.Being aware and recognizing our own warning signs of neglecting an aspect of our well being, and the tendency to cope by pushing through.The emotional component around self-care and the manifestation of physiological reactions and symptoms.Ways to create space for reflection and grounding.Using our body rather than a cerebral approach as a way to enter into becoming more grounded in a place of safety.Acknowledging patients for taking the step in their own self-care, and what we can do as therapists to celebrate that as part of their treatment plan.Recognizing how part of our role as therapists is to help patients feel safe in their bodies, beyond just improving function. Also, our podcast is now available on Spotify by searching under podcasts!  Need instructions on how to subscribe to the podcast on iTunes? Check out our instructions here.

34mins

30 Oct 2019

Rank #10

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013-Exploring Global Health: An Interview with Jennifer Carvajal

In this episode, I talk with Jennifer Carvajal, a physiotherapist and former chair of the Global Health Division, about global health and the role physiotherapy plays in improving the lives of people around the world. In this podcast you will learn: What it is like to work internationally in Ghana and Nepal. How physiotherapists can get involved in global health. Challenges and benefits of international work. Information on the Global Health Division Join ignitephysio today for free and get access reviewed resources, an active discussion forum and great blog content.

21mins

4 Jan 2017

Rank #11

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021- Osteoarthritis Management Initiative - An Interview With Rhona McGlasson

In this episode, Andrew chats with Rhona McGlasson, the Executive Director of Bone and Joint Canada. Rhona shares about a new initiative recently launched in Canada for patients with osteoarthritis and talks about how physiotherapists can get involved.

24mins

6 Jun 2017

Rank #12

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041-Creating Space to Celebrate Patients' Successes

In episode 41, hosts Andrew and Maxi have a lively coffee-lounge conversation about a topic that is often overlooked by Clinicians; taking space to acknowledge and celebrate their patients' progress and success! Some of the key topics discussed include: Why it's so important to celebrate success with our patients, and how it fosters patient engagement and improves the therapeutic relationship. The pitfalls of glossing over their achievements and not taking the time to acknowledge their progress. Grab a coffee and listen in!

28mins

11 Jul 2018

Rank #13

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019- Navigating Difficult Conversations - Understanding the Feelings Conversation

In this episode, I discuss the importance of not neglecting feelings in difficult conversations. Feelings can become a major barrier to navigating through difficult conversations, and so I cover common challenges and key strategies to move forward difficult conversations.  Are you a part of ignitephysio? Join today for free! You can ask and answer practice questions, get access to 100 reviewed and custom practice resources and access a host of other tools to improve your career and practice. https://ignitephysio.ca

11mins

26 Apr 2017

Rank #14

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012 - Understanding Compensation for Physiotherapists

In this episode, I discuss compensation for physiotherapists. This is an important topic for anyone, especially new graduates who are seeking their first physiotherapist position. Having a good grasp of the key areas of compensation will allow you to have a meaningful conversation with your potential employer and help you to negotiate a position that will work for you. In this podcast you will learn: The foundation of the compensation conversation Percentage pay vs salary. Billables vs receivables.  Types of benefits that may be offered. The right questions to ask during a compensation conversation Walk away better equipped with the questions and conversation you should have during your next compensation conversation.  Join ignitephysio today for free and get access reviewed resources, an active discussion forum and great blog content.

15mins

21 Dec 2016

Rank #15

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043-Move Beyond the Numbers...Focus on Building a THRIVING Patient Caseload

In episode 43. hosts Andrew and Maxi further the discussion about patient caseload building, following the recent article on Unpacking the 4 Key Components to a Thriving Caseload. As a guest speaker at the recent Orthopaedic Symposium in Calgary, Andrew discusses his presentation about different strategies around building a thriving caseload in and out of the clinic.  Some of the key topics discussed include: The surprising findings from Andrew's research and interviews with 25 therapists across the country, and the push-back about having a full caseload versus a thriving caseload. Why we need to move beyond just numbers and focus on other caseload factors. Can we do a better job with improving the branding of our profession? How we can engage and be proactive participants in our communities. How we demonstrate value; not just tell people about our value. The process of self-discovery and understanding our "why" and personal values. Enjoy the discussion and share your thoughts! If you enjoy this episode, we'd love for you to leave a review on iTunes. 

32mins

16 Nov 2018

Rank #16

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046-Therapist Burnout & The Need for Self-Regulation

In this episode, hosts Andrew and Maxi discuss the reality of burnout, and the challenge of staying energized, satisfied and motivated with daily clinic work. Following Andrew’s feedback from a nation-wide survey of PT’s, he reflects on the conversations with new grads about their struggles with managing the complexities of treatments, while also managing expectations from multiple levels. Some of the key topics discussed include: The common challenge of providing good-quality care while managing so many expectations. The impact of incongruency of what we’re feeling internally and what we present to the patient. Recognizing emotional exhaustion as the early warning sign of burnout, and patterns of behaviour in response. Maintaining the therapeutic relationship while also self-regulating our own energy and presence, to work in an authentic way. Being overly attached to the outcome of a patient’s progress, and not taking things personally when the patient doesn’t improve. The feeling of professional loneliness, and the importance of social connection. Subscribe to the ignitephysio podcast on iTunes here! Need instructions on how to subscribe to the podcast on iTunes? Check out our instructions here. Are you a part of ignitephysio? Join today for free! You can ask and answer practice questions, get access to 100 reviewed and custom practice resources and access a host of other tools to improve your career and practice. https://ignitephysio.ca

34mins

29 Apr 2019

Rank #17

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040-Navigating the Future of the Profession: What Can We Do to Evolve?

In episode 40, hosts Andrew and Maxi talked with guest Dave Walton about the important topic of the future of the Physiotherapy profession. Dave is an Associate Professor with the School of Physical Therapy at Western University. He has a PhD in Rehab Science with over 70 scientific publications, and is a passionate advocate for the profession as well as those who live in pain. Last year, Dave started a project called "Physio Moves Canada" which focused on getting input about the current state of the PT profession, and the future direction of the profession in Canada.  Some of the key topics discussed include: Findings, reflections and surprises from Dave's recent cross-country trip with "Physio Moves Canada". The current state of the profession in todays' rapidly changing healthcare landscape, including the challenges / threats and opportunities. What Dave discovered about emerging trends in, and outside of healthcare. Reactions to Dave's presentations over the past year on his findings from the cross-country trip. What individual PTs can do to contribute to a refreshed vision of the profession. The message needed for today's PT leaders.  You'll enjoy this interview!

36mins

11 Jun 2018

Rank #18

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039-Exploring the Concept of Healing within Patient Care

In episode #39, Andrew and Maxi build off of their conversation with Deri Latimer from episode #38. Deri had talked about challenging the stories we tell ourselves.  With this podcast, the concept of healing is explored, and why we as physiotherapists may struggle with the concept of being a healer.  Key Topics Discussed: Is there a resurgence of healing in medical care? Why do we struggle with seeing ourselves as healers or the concept of healing within our practice? This topic really was triggered from reading an opinion piece from the New York Times, called “Doctors, Revolt!” which you can read here.  It shares the story of this resident physician’s encounter with Bernard Lown, professor and innovator in cardiac rehab (he pioneered the use of the direct-current defibrillator and the cardioverter.) He also wrote a book on healing called "The Lost Art of Healing", and he was now a patient in this resident’s hospital. The resident was challenged by Dr. Lown about the need for vitals every four hours and how disruptive this was for rest and healing. The hospital, he lamented, is more like a factory; “it tests every ache and treats every laboratory abnormality, but it does little to heal its patients.” Treating and healing are both necessary, but modern health care too often disregards the latter.  I know we both really resonated with the message in this article about a return to healing. And as physiotherapists we wanted to explore this topic in more detail.   He called for a return to the fundamentals of doctoring — listening to know the patient behind the symptoms; carefully touching the patient during the physical exam to communicate caring; using words that affirm the patient’s vitality; and attending to the stresses and situations of his life circumstances. We hope you enjoy this episode!

33mins

11 May 2018

Rank #19

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038-How to Foster a Growth Mindset With Deri Latimer

In episode 38, hosts Andrew and Maxi enjoy talking with guest Deri Latimer about the topic of fostering a growth mindset as health professionals, and how it specifically relates to the Physiotherapist and clinician community. As the founder of ‘Positivity Speaking’ and a motivational keynote speaker including TEDx, Deri's work focuses on creating mindful leaders of today, re-energizing the workplace, re-engaging purpose and re-igniting performance.  Some of the key topics discussed include: The definition of a growth mindset, and why it's so important. How we can lose a growth mindset. What the result is when professionals adopt a growth mindset, how it changes them and the way they interact. Practical ways that we can foster and increase our own growth mindset, for a more rewarding and satisfying career. You'll enjoy this interview!

53mins

11 Apr 2018

Rank #20