Hey Brent, Just curious...what brought you to USA? 

Neal C. Luther,OTR/L
Rehab Program Coordinator
Advanced Home Care
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From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Brent Cheyne
Sent: Tuesday, September 09, 2008 3:09 PM
To: [email protected]
Subject: Re: [OTlist] expertise

To Ron and the OTList>
I was glad to see the COPM mentioned more than once in rhe recent discussion as 
I was born raised and edcuated in Canada and have been taught by some of the 
designers of the COPM. I need to go back and get a copy of that material and 
start using it in practice. The OT profession in Canada is strong and dynamic, 
at least it was when I left 15 years ago. I wonder if some of the problems in 
practice related to occupation-based treatments are related to the different 
healthcare system(?)  being a single payer system vs our US system which has a 
lot of big business influences. I have written earlier about what the Medicare 
PPS system and RUGS classification and Rehab companies  have done to OT 
practice in SNFs..productivity, staffing, etc.. have made it hard to practice 
in a more ideal OT way. And it has created bad habits for the profession in 
terms of good occupation-based interentions.
Good to hear about some EBP going on our there too...but I know that a great 
majority of therapist don't really use it at this time including me. But 
objective validation of practices through science would clarifiy a body of 
knowledge and level of expertise.
 If OT is a powerful idea  it will be shown through the evidence.
\Good Discussion
Brent Cheyne OTR/L
 


      
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