Hi. This is a very good post by the way. I am currently a physical therapist assistant at a sub acute facility in Cleveland, OH USA. I have been at this facility for almost 5 years. This is a very big facility with 17 therapists (OT/OTR, PT, PTA) and each therapist is usually assigned 5-10 patients a day. I have seen many therapist/students come and go in the 5 years that I worked therre. I was able to get the opportunity to observe each therapist or student treat a patient and ask questions when needed. Physcial Therapy/Occupational therapy is an ever growing field and new information is coming forth every year. Each discipline is required to have 12-24 hrs of clinical education every two years in order to keep their license renewed. However, I find that the students and new grads are more eager to learn and are sponges for new information. Unfortunately, the burn out rate in this field seems to be any where from 5-10 years. The burn out rate is mostly common in a sub acute/LTC facilities. Where I am going at is, I think the quality of care does establish from good patient rapor as well. Due to the effects of burn out, the relationship between the patient and the clinician can often be jeporadized. I feel that the patient is willing to progress quicker when they have encouragement, sympathy and genuine honesty. Those traits can be compromised when the clinician has lost motivation and desire to put an extra mile. To sum up, a good clinician doesnt necessarly have to be the most knowledable but to be the most emphathetic