Creating a Clubfoot Clinic

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Top Contributors - Naomi O'Reilly, Kim Jackson, Rachael Lowe, Simisola Ajeyalemi, Rucha Gadgil and Olajumoke Ogunleye  

Considerations Clinic Set Up

Clinic Days

Having a set clubfoot clinic day each week helps in many ways:

• Ensures availability of team members
• Enhances sensitization and awareness efforts
• Makes appointment scheduling easier
• Easier for referral sources to refer.
• Allows mothers to meet and support each other

Clinic Team

Having a good team is clearly important for a clinic to work well. This includes: 


• Ensuring staff are committed and interested in clubfoot 

• Having the same staff each week and over time, for consistency and parent relationships 

• Ensuring that all staff are trained in the Ponseti method 

• Making sure each staff member understands their roles: 

  • Leader / Coordinator

  • Preparing Supplies

  • Assessment and Treatment - Casting, Tenotomies, Bracing
  • Parent Education and Support, including Follow-Up

  • Appointment Scheduling 


Space

Having enough space for different clinic functions is important. The key functions for which space is needed are

Waiting Area

• This is a good place for parent interaction and education. Can parents be encouraged to chat to others so that they can be encouraged and learn about the next stage of treatment? Often a grass area outside is just as good as a seated area inside. As long as it’s not raining!

Assessment and Treatment

• Casting, Tenotomies, Bracing
• Some clinics have nice areas outside that work well which is fine too!

Parent Education and Support

• Remember sometimes confidentiality will be needed

Record Storage

• Patient records should be stored so that they are organized and confidential

Supplies Storage and Set-Up

• Supplies should be easily accessed before and during clinics