The Pursuit of Excellence in the Face of Constant Change

Abstract

Paradigms or patterns of practice which function well in a tranquil period may cease to do so if the world around the professional activity changes. A first step in the pursuit of excellence particularly in changing times, is to know who we are, to agree on collective and individual paradigms. Much physiotherapy research continues to focus upon improvement in impairments, rather than health related quality of life outcomes in evaluating efficacy of physiotherapy interventions. Paradigms or patterns of practice which function well in a tranquil period may cease to do so if the world around the professional activity changes. A first step in the pursuit of excellence particularly in changing times, is to know who we are, to agree on collective and individual paradigms. Much physiotherapy research continues to focus upon improvement in impairments, rather than health related quality of life outcomes in evaluating efficacy of physiotherapy interventions.