Ron-  I think there are a fair number of OTs that feel the way that you do, 
but frankly, I'm quite surprised that is your personal reason.  In the past, 
your posts have made it quite clear that you see the roles of OT and PT as 
very different, and have stated that you feel one of the "problems" in our 
profession are OTs who function more as PTs.  I would think those OTs would 
be the ones most threatened by a better known PT profession "stealing" away 
their business.

To which practice areas do you feel that your scenario applies?  It seems to 
me that this potential situation would occur primarily in the outpatient 
arena, and frankly, there are many clients treated in outpatient PT programs 
who are most appropriately seen by PTs.  In a school setting, at least in my 
experience, the OTs are as well known as the PTs, and sometimes more likely 
to be called upon.  In a rehab. center, every patient is exposed to the 
entire interdisciplinary team, not just PT.  In an acute care hospital, there 
are frequently critical pathways that have referrals built in for OT for 
certain diagnoses like CVA, and while the OTs often play a smaller role, it 
is quite possible for proactive, effective OTs to expand their role, and the 
awareness of the MDs, by offering meaningful functional suggestions for their 
patients.  The same goes for home care.   Non traditional, non-medical model 
settings are not traditionally areas that PT gets as involved in, except 
maybe work hardening.  I think that area is as open to OT as it is to PT, 
depending on the marketing skills of the individual therapist. Again, I am 
not stating that I think we are necessarily well known, or that there aren't 
MDs out there who don't know what we do, but at the places I have 
worked(rehab., outpatient, home care, school, preschool, long term care), the 
MD is not the only referring source.  The nurses, teachers, OTs, and SLPs 
have all referred patients to me in these various settings.  Developing a 
good relationship to them and letting them see what I can do for their 
patients has led to these referrals increasing.  Working within the medical 
model(or the educational one) rather than trying to impose a purely 
occupational model on them has also helped strengthen these working 
relationships, as we are all "talking the same language"
On a different note, in your reply to Irene, you state:
1.  I believe OT may be in danger of being 'swallowed up' if we don't make
some fundamental changes
2.  I love OT and hate to see it disappear
What evidence do you have that either of these things is happening, or that 
PT thriving in their profession is going to result in OTs demise?
Ann

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