Physician Testimonials

WHAT PHYSICIANS LIKED ABOUT NUGGETSMan using power chair
 “I like that I can read them standing up – it is an excellent means of passing information”
“Concise, practical, evidence based ”
“I like them because they were concise – little nuggets of information”
“Important information that fills a knowledge gap”
“It did show a lot of stuff I didn’t know before”
“Excellent – useful, to the point, and so easy to refer to and remember”
“I liked having the physical card to refer to”
“The cards with tables are better to have in hard copy format”

HOW PHYSICIANS USED THE NUGGETS
 “I posted them on the bulletin board in my exam room”
“I read them immediately and then saved them in a plastic jacket”
“I laminated them and put them in the treatment room on the wall”
“I have given it to residents as a teaching tool”
“You could file them as pages in a book”
“They are like a good review article to use as a reference”

INCREASED AWARENESS OF PATIENT NEEDS
“I have a heightened awareness of the needs of SCI patients, and satisfaction that I am doing the right things for them”
“I plan to bring up topics in my visits that I was not aware of before”
“When my patient came for a visit it helped me know what issues to look for”
“They reminded me to screen for all other medical concerns, and not just focus on the paraplegia”

PREVENTIVE CARE
“I am more aware of screening and general maintenance issues”
“Screening for colorectal cancer and cardiovascular disease”
“Changes to practice are gradual, but reminders of screening were helpful”
“I used the cards to organize a template based on SCI clinic encounters, to help me give comprehensive care in a structured multi-visit fashion, and to ensure evidence based preventative care”

UROLOGICAL CARE
 “UTI cards helped remind me of the need for an active approach to bladder care”
“I am more aware of the need for routine referral for my SCI patients to urology”
“Providing better care for one of my patients who has a lot of UTI’s and frequent autonomic dysreflexia”
“I made a referral to urology for renal ultrasound and cystoscopy and ordered an annual recall on my EMR”
“I used the screening protocol for bladder, and referred my patient to urology for cystoscopy.”

PRACTICE ACCESSIBILITY
 “I did an accessibility audit of my practice, and asked my SCI patients whether they thought any changes were necessary.”
“We are building a new medical center. We were reminded it is not just about getting into the clinic but also about halls, doorways and toilets”

OTHER SPECIAL ISSUES
 “I used the Braden scale for wound care”
“I used the screen on the CVD prevention card to assess one of my patients”
“I used the information on upper extremity pain and it confirmed I was doing the right things”
“I was made more aware of autonomic dysreflexia and problems chronic with upper extremity pain”
“I was made more aware of sexuality as an important area which may get neglected”
“The bowel care information was not part of my regular protocol prior to the study”

STIMULATED INTEREST
“I would like to know more about chronic pain and the nuances of pain assessment in spinal cord patients”
“I would like to know more about the psychosocial problems of new SCI patients”
“I would like to know more detail about the sexual health spectrum and problems”