Quote Originally Posted by physiogirl76 View Post
Really??? Well, I don`t know about you, but as far as I´m concerned, I always use my brain (i.e. think) when I see patients, no matter, where in the world I´m treating these patients. Even when I worked in Germany, where the patient needs a referral and the doctor needs to come up with the diagnosis (something like "lumbar syndrome" or "shoulder-arm-syndrome"....great! what a useful "diagnosis") and the treatment modality (e.g. manual therapy combined with electrotherapy), I have ALWAYS assessed the patients and then treated accordingly. I always considered the prescription more like a document for billing purposes (as insurances pay different rates depending on treatment modalities), rather than a guide for treatment or worse: a substitute for my own clinical judgement. In my past jobs in Germany, we always had the freedom to adjust treatments. I would hope that you do the same.

Anyway, enough of my rant. My point is: Physios here enjoy greater autonomy than in Germany which also means greater responsibility. But it´s so much better After working in NZ and AUS, I went back to Germany for a year, but I had a real hard time to adjust professionally: I felt it was very rigid (prescriptions) and I couldn`t stand the snobbishness of most doctors who considered themselves "superior" (whereas here, everybody works in a team and there are little hierachies).
So I returned to Australia
First of all, thanks to both of you. Very helpful.

@Physiogirl
What you said in the lower quoted part + I don't like the attitude to see the prescription as a document for billing purposes (which i see in most Physios i have met so far). I can see no reason to bend the law in order to provide better service to a broken system. Neither do i want to provide inferior/useless treatment to my patients. So obviously not working in germany is the logical choice.

Going over all the things that bother me would take too long and wouldn't be very productive as well so nevermind.