Brent,  the  issue  of  research  supporting practice is very valid. I
don't  have  a good reply other than to follow up with your sentiments
that OT is NOT alone in the lack of evidence supporting practice.

At  this point, I must confess a small secret. I do not like research;
I  don't  like  doing it or reading it. I KNOW it's important but I am
just  NOT  a  research  man.  As  such,  I  tend to never focus on the
research question(s) that you mention, but maybe I should.

Maybe  someone  else  on  the list has a better answer. None the less,
thanks for taking time to write.....

Ron
--
Ron Carson MHS, OT

----- Original Message -----
From: Brent Cheyne <[EMAIL PROTECTED]>
Sent: Sunday, September 07, 2008
To:   [email protected] <[email protected]>
Subj: [OTlist] expertise

BC> Ron and all,
BC>      While defining expertise for OTs as being "Occupation" seems
BC> to fill the void of a professional identitity crisis. To be an
BC> "expert" as a profession should be more than just about what we
BC> "believe in" or what we "hold dear". These beliefs, values, and
BC> assumptions are a philosophical ideology (Theory) which has great
BC> usefulness in forming a professional identity but what about the
BC> role facts and evidence in refining our practices? What if facts
BC> and evidence refute our belief about the use of Occupation in
BC> certain situations?...will we refine our beliefs and practices?
BC> Currently it seems as though practices can neither be fully confirmed or 
refuted....
BC>      When we make these judgements about what is good OT and
BC> not-good OT shouldn't we also have an scientific method of
BC> establishing what does work and refine our practice from that
BC> data. Shouldn't all theories be tested and questioned and
BC> proven?...or at least a tendency or trend be established?
BC>        Granted it is very hard work to find information that
BC> supports and validates completely certain practices, please steer
BC> me in the direction of some good research and outcomes that shows
BC> that Occupation is a powerful tool, process, method, to achieve
BC> functional outcomes....I know that we all believe in Occupation
BC> but is that enough?  This kind of information would validate our
BC> practices and confirm us as experts. We are not alone in this
BC> disconnection between theory and objective evidence. The lack of
BC> evidence and science in practice is a problem for not only OT, but
BC> PT, MDs, pharmacology and countless other health-related professions.
BC> It feels good to believe but I want more specifics for my work in Geriatric 
Rehab.
BC> Sincerely,
BC> Brent Cheyne OTR/L
BC>       


BC>       



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