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Phase
Two:
2.
Clinical Practice - Patient evaluation and treatment at primary and secondary care
facilities:
The Model Clinic is unique in its concept of providing coordinated, structured care from primary to
secondary care facilities.
Primary Care Facility:
The multidisciplinary team works with labor, management, and unions to establish standardized
nomenclature and procedures vital to the provision of optimal care for the injured worker with the focus on returning
the employee to full-time duty. A referral network of physicians and other specialists will be established for workers
who require specialized evaluation and treatment.
In the Model Clinic Program when the employee visits the primary healthcare facility to report an injury, a standard
protocol is followed. The employee completes questionnaires regarding work conditions, attitudes about pain and
disability, and general well being. A thorough clinical evaluation is then performed. This examination determines
if the injured worker can return to work immediately or if sick leave from work is indicated. If no symptoms or
signs are present, return to regular duty is recommended. If the employee is unable to return to duty, an aggressive,
individualized, and work-oriented treatment is recommended.
Secondary Care Facility:
If the employee is unable to return to work after 4 weeks or more, s/he may choose to visit
a secondary care facility that has been trained in the procedures and protocols of the OIOC Model Clinic for evaluation
and treatment. At the secondary care facility the employee meets with a clinician who has special training in the
management of patients with sub-acute work-related musculoskeletal conditions. The worker will have:
- a thorough clinical evaluation by a physician
- an interview with a psychologist, and
- a standardized functional evaluation by a physical therapist.
The results of all these assessments are discussed at a clinical team meeting where the team decides
what is the most appropriate treatment program for each individual. The
worker can be enrolled in an aggressive multi-disciplinary
Return To Work (RTW) program, or if she/he is better suited for another type of treatment,
such as a combination of intense physical therapy and cognitive
behavioral therapy. The treatment is guided based on the worker's need
as well as "input".
Phase One: Education at the primary care facility:
Phase Three: Research and Evaluation:
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