Hello All:

The other day, a therapist was talking with me about explaining OT to a PT
colleague.  The OT explained to me that she was able to help the PT
understand OT by talking about fine motor coordination.  According to the
OT, the PT seemed to really understand and agreed that she (i.e. the PT)
would never try to teach a client how to button a shirt.

This example presents a compelling dilemma for myself.  While it's certainly
accurate to say OT helps client's with fine motor deficits, I feel that
explaining our unique contribution in this manner serves to really paint us
into a corner. It seems that in trying to break our skills down into
'understandable chunks' we often severely limit our professional
contribution to health care.

Additionally, in my professional experience, OT's are generally NOT trained
as upper extremity experts (at least right out of school) and are often NOT
recognized by our PT colleagues as orthopedic experts in upper extremity,
much less anything else. However, I guess some PTs might give OT credit for
having more expertise in fine motor training.  The issue of fine motor
training leads back to the original paragraph and a couple of questions.

In all of our professional literature and documents, OT is recognized NOT as
orthopedic experts but as occupational experts.  If this is true, why do
therapists sometimes explain OT as being UE experts?  Are we saying one
thing and practicing another?  How is it that we can convey this expertise
to our colleagues and even amongst ourselves?

Thanks for reading and hope everyone has a great Thanksgiving.  Indeed, we
do have much for which to be thankful!

Ron

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