Ron Carson wrote:
> 
> Hello Vicki:
> 
> Thank your for apologizing, truly a rare commodity in today's world.
> 
> Your  previous comments really have made me think as to why some people
> see a conflict and others don't. For example, were I previously worked,
> I  was  probably  the  only  OT  (out  of  7)  that had issues with the
> physician's  perceptions  of  OT's  role. I now think that one possible
> explanation  for  this  is  bases more on my expectation of the OT role
> versus other OT's.
> 
> Several  of  the  OT's  were  comfortable and quite happy with the OT =
> Upper  Extremity format of treatment. This sort of treatment philosophy
> was  well supported and endorsed by the medical system of the hospital.
> OT's  that  has  this  perspective seemed to accept their role and they
> seemed comfortable within the system.
> 
> On  the  other  had,  my  role  expectation  of  OT was not about upper
> extremity.  My expectation was that I was the expert in occupation, not
> the expert in upper extremity function. It is this expectation that did
> not  fill  well  within  the medical model and that was not recognized.
> But, it is what our profession claims to do and it is to a small degree
> how  I  was trained. For me, being an occupation-based practitioner was
> like a round peg in a square hole.
> 
> The ironic thing is that occupation-based practice really is a good fit
> in  the  medical  model  but  only  if the model widens its view. There
> already  exists  much  anecdotal evidence and some research pointing to
> the fact that what is most important is restoring occupation (what some
> call  function  but which is NOT equivalent with occupation). Insurance
> willing pays for people to regain some of their lost occupation. People
> want  to be able to do what's meaningful and relevant (i.e. occupation)
> and outcomes are about occupation. Unfortunately however, some outcomes
> look  at function (i.e. the functional independence measure) but do not
> really  look  at  occupation.  None  the less, occupation (function) is
> where  it's  at  and the said thing is that OT is already there and has
> been  there  for a LONG time. In my opinion, our future is NOT in upper
> extremity function, it is in occupation.
> 
> On  a  side note, I have asked many PT's if they believe OT's are upper
> extremity  experts and I have yet to have one say yes. It's like we are
> experts  in  our  own  minds  but the reality is that other professions
> don't  see  that.  Of course, there are always exceptions and I am sure
> there  are many reader on this list who ARE upper extremity experts but
> this is probably because of advance training they have taken. To what I
> am  referring  is  to the average practitioner who has not taken course
> that specialize in upper extremity function)
> 
> WOW!, sorry for the long tirade. And I haven't even had a cup of coffee
> yet!  Well  off  to see my therapist! (sorry for grammatical errors, no
> time to proof read)
> 
> Ron
> 
> ~~~~~
> On 7/24/02, Vickie <[EMAIL PROTECTED]> said:
> 
> VP> Ron Carson wrote:
> >>
> >> Hello Vicki:
> >>
> >> I am not sure how long you've been a member of this list.  Just for your
> >> information, I started this list, albeit with a different name, in 1998.
> >> This was two years before I began teaching.  Back then, the discussions and
> >> conversations where much the same as they are today.  My impetus for
> >> starting the original discussion forum was because of my experiences in the
> >> 'real world'.  The 'conflict' that you mention did not start at the academic
> >> level, it started at the treatment level.  My intention is not about
> >> justifying my job (in fact this list has NOTHING to do with my job) but it
> >> is my attempt to help ensure that there are jobs for graduates of OT schools
> >> around the country.
> >>
> >> Ron
> >>
> >> ~~~~~
> >> On 7/23/2002, Vickie <[EMAIL PROTECTED]> said:
> >>
> >> VP> THERE is plenty for everyone to do. Not just if you work in Canada or
> >> VP> the UK but here in the USA.
> >>
> >> VP> This 'conflict' it appears to me, has been initiated at the academic
> >> VP> level.  AND I think the 'conflict' is either a 'perceived' one, or is a
> >> VP> 'political' one.
> >>
> >> VP> I'M GOING TO MAKE A REALLY SWEEPING ASSUMPTION HERE, THAT IT DOESN'T
> >> VP> REALLY EXIST IN THE REAL WORLD.
> >>
> >> VP> Academicians, please find something better to do with your time than
> >> VP> drum up conflict with the working force so you can justify your jobs!
> >>
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> 
> VP> Ron,
> VP> Thanks for the response and for correcting my assumption.  My apologies.
> VP> My opinion still stands, however.  That is the view from where I sit.
> 
> VP> OT's I have had contact with and PT's are not in conflict with each
> VP> other, in this area.  Nurses are the conflict/control originators.
> VP> I'm in Texas in home care.  Have been for 20 years. Although I've done
> VP> some 'prn' work in most all major in pt. facilities in the Dallas area
> VP> inthe last 10 years.
> 
> VP> The combined OT/PT board helps set the stage for cooperation.
> VP> vickie
> 
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WELL, Ron,

In Home Health, Occupation is where it's at!
No where is occupation MORE conducive to wellness than in Home Health.

vickie

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