Ann:
All good points.
1. I do agree, patients at times can't always tell the difference. In the
olden days there was the doctor, nurse and a lab guy.... now, you have some
many that even in the health care providers are not certain who is what.
Consumer and team awareness would only increase. Younger family members are
already catching on.
2. I agree that the doctorate should not be just a degree inflation but a
true reflection of appropriate expertise in whatever we are supposed to do.
The ACOTE standards is a good starting point. We did miss out on it.
Hopefully, we learnt and going forward correct our mistakes. Also, note that
the OT Framework is fairly new as well.
3. I agree again, not enough researches are being done in clinical OT. In my
opinion, this is because we are brand new into post-baccalaureate entry.
Unlike Australia and Canada, the Bachelor's degree in the US and most other
countries did not focus on research topics, hence, we did not have personnel
to even properly interpret the research articles, let alone undertake one
themselves . Wouldn't better educational peparation of our therapists help
us generate better clinical researches and its integration into practice?
Would n't we lag further behind other health professions that would have
that opportunity? I understand that most clinical doctorates do not truly
require original research for graduating but most programs require a
thorough understanding of research methodology and strongly encourage EBP.
With more doctoral trained candidates not only can we hope for more research
in OT but also interdisciplinary research where we are currently outcasted.
Joe
----- Original Message -----
From: <[EMAIL PROTECTED]>
To: <[email protected]>
Sent: Thursday, July 07, 2005 8:59 PM
Subject: Re: [OTlist] Forum of Clinical Occupational Therapists-
www.f-cot.org
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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