Edukacije visokog standarda u oblasti fizikalne medicine i rehabilitacije


Proposed course schedule. Lunch and breaks will stay consistent, content may change due to
participants needs and goals on the day, due to the interactive nature of the course.

Day one 8.00 – 16.00, Day two 8.00-15.00
8.00-8.15 Introduction and welcome quiz
8.15-9.00 group allocation and quiz
9.00-9.30 Group discussion course group goals setting exercise
9.30-10.00 goals review application to clinical practice and clinical reasoning
10.00-10.30 mechanisms v source of nociception and pain production.
10.30-10.45 Morning Break
10.45-11-15 the active/inactive cycle and it’s clinical application
11.15-12.00 person focused history and examination
13.00-13.30 Receiving a patents narrative v taking a history
13.30-14.00 listening workshop
14.00-1500 introduction to clinical reasoning in a patinet centred paradigm.
15.00-15.15 Afternoon break
15.15-16.00 putting the day into action. Group work and review
16.00 close of day one.
Contact hours 6hrs 30min


Day two
8.00-9.00 review of day one, CPR “content participate review” in action
9.00-9.30 the ladder of inference, clinical bias and our need to recognise it.
9.30-10.30 person focused clinical base lines.
10.30-10.45 Morning break
10.45-11.15 Person centred functional goal setting
11.15-12.00 Introduction to Poulter’s Rules of Too for injury mechanisms and rehab.
12.00-13.00 Lunch
13.00-14.00 understanding the key principles of patinet empowerment
14.00-15.00 Putting it all in action to move from patinet centred to patinet focused care?
15.00 Closing remarks
Contact hours 5hrs 45mins
Total contact hours 12hrs 15 mins


Course objectives
Participants will at the end of the course have the tools and information to:
 Identify the common sources and mechanisms of nociception (pain) and symptom production.
 Apply the Active /Inactive cycle to identify appropriate mechanical treatment strategies.
 Identify key characteristics and content of a “Person Focused” history and examination.
 Understand the process of “receiving a patient narrative.”

 Demonstrate and understand clinical reasoning including Hypothetico-deductive,, big picture and heuristics
pattern recognition.
 Utilize the Intent / Relevance cycle.
 Analyze and utilize the Ladder of Inference in clinical practice.
 Understand the importance of patient generated self-baselines.
 Utilize Person centered functional goal setting.
 Demonstrate the key principles of Patient empowerment.
 Understand the key components of “Shared decision making.”
 Demonstrate the differences between empowering and disempowering educational strategies.
 Utilize positive educational strategies.
 Understanding “Poulter’s rule of Toos” and it’s clinical application.
 Understanding and applying the move from patinet centered to person focused care



DAVID C. POULTER PT , B.Sc. Special Hon,  Dip MDT


David Poulter is a British trained Physical Therapist. He emigrated to Australia in 1986 where he ran a private practice specializing in treating musculoskeletal problems.


He obtained his Diploma in Mechanical Diagnosis and Therapy in 1992. On completion of his diploma course he moved to New Zealand to teach the McKenzie Institute International Diploma course.


David spent 3 years working alongside Robin McKenzie developing the diploma program.


In 1995 he moved the McKenzie Diploma course to Coon Rapids, Minnesota, to it’s new home at Two Rivers Center.


David was the McKenzie Institute International Director of Education from 1996-1998 inclusive.


He taught the diploma course from 1995-2000 at the Two Rivers clinic and for NovaCare after 1998. He was a Senior Faculty Member of the US McKenzie Institute from 1995-2000, and a senior faculty member of the McKenzie Institute International from 1992-2000.


After leaving the McKenzie Institute, David  developed and taught his own courses based on the “Patient Centered Model.”  He has presented his two main courses “Patients have all the Answers”, and “Telling isn’t Teaching” in Britain, Sweden, Denmark, Greece, Ireland and the USA. He also developed and presented nationally and internationally two courses on “Spinal Differentiation” and “Manual techniques in a Patient Centered Paradigm.”


David has presented at numerous MSK conferences in both the USA & internationally.


He specializes in treating Musculoskeletal issues, patient empowerment and self treatment. He has extensive experience in treating the conditions of the spine, shoulder, hip, knee, and post surgical rehabilitation.


David is currently working as a consultant through his own company MT3 .  During the COVID pandemic he has been teaching &  presenting online webinars. Recently he has co-developed a clinical mentoring program, with Evie MartinPT,  through Physios Online UK