Joe,
I'm curious what setting(s) you envision the entry level doctorate OT to best 
fill.  Many of your arguments in support of this and direct access seem to be 
directed toward a private practice setting.  In medical settings, including 
acute care, rehab. hospitals and nursing homes, as well as school settings, I 
doubt you could find many or any patients who would be able to identify for you 
who in the dept. had a bachelor's vs. a masters, and in some settings, who 
was a COTA and who was an OTR.  I know as a former manager of an OT dept., the 
degree that an applicant had was no guarantee of the subsequent skill displayed 
once hired - I have hired both masters prepared and bachelors prepared, and 
the degree did not determine the quality of the employee.  I also had no 
ability to pay a higher salary to the more advanced degrees, and in this age of 
pressure to reduce health care costs, the ability to pay more for an even more 
advanced degree is highly unlikely.
I too believe in EBP, but am not convinced that spending more time learning 
about it in college results in its regular practice or promotion in the clinic. 
 An environment needs to exist that allows the resources, time and support 
for research.  Unfortunately, in this age of productivity standards and 
diminishing resources and reimbursement, that environment is difficult to come 
by.
Ann

In a message dated 7/6/2005 3:36:12 AM Eastern Standard Time, 
[EMAIL PROTECTED] writes:


> 4. Though arguable, educational preparation (usually evidenced by formal 
> degrees) plays an important part in public perception and confidence. When 
> you need counselling, you usually choose a Psy.D. over a LSW and when your 
> back really hurts, you go to the DC (or, better still the Orthopod) versus 
> the massage therapist, mostly without knowledge of the individual provider's 
> 
> skills.
> 
-- 
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