In a message dated 7/7/2005 7:52:17 AM Eastern Standard Time, 
[EMAIL PROTECTED] writes:


> A 
> patient usually places more confidence on a doctor than a PA/ nurse 
> (unless,the PA/nurse is more competent and the patient knows that). 

Joe,
Interesting topic - I understand the theory of your position above, but in 
practice have not found it to be true in the SNF, inpatient rehab.,  or school 
environments.  We've got a PA that is good, a physiatrist that is skilled, but 
if you asked the patients which was the MD, a lot of them wouldn't be able to 
tell you.

Again, I 
agree that difference in degrees do not always  produce better clinicians 
but hopefully the education behind the degree if structured corectly will, 
at least for the majority. To be more more honest, I found most with 4 to 
4.5 years Bachelors' doing better than Entry level Masters'. 

I found this too, and it raises the issue of how well the field would make 
the transition to a doctorate program, and whether the curriculum would truly 
provide the additional depth that you are hoping it would.  The master's 
programs have not necessarily achieved this goal, so why should we assume it 
would 
improve with a doctorate program?

On EBP, it seems impractical, costly and time consuming but truly it isn't. 
I can do a search online (usually free) and get the "evidence or lack of it" 
in maybe 15- 30 minutes/ over my lunch-break. It is pretty simple once we 
are introduced to it right. Really, with the internet you can unsubscribe 
all your journals or as my EBP gurus told me "just throw them away or stack 
them on my table to scare people away ".
Joe

I agree that the resources on the 'net are handy and sometimes free.  I was 
referring more to the fact that there is a dearth of research in the OT field, 
and in order for there to be evidence to base our practice on, someone needs 
to be able to do this research.  The resources that exist in the medical venues 
right now are pitiful in facilitating the pursuit of meaningful research.
Ann
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