The OP&P profession is facing significant structural challenges that will shape the field for decades. Workforce shortages, rising education costs, research funding limitations, and reimbursement pressures are converging in ways that directly influence access to care, quality outcomes, and sustainability of clinical practice. The O&P Foundation for Education and Research has built a portfolio of programs aimed at targeting these pressures through scholarships, research grants, and professional development support.
The initiatives are grounded in one premise: A strong profession requires proactive investment in its people, evidence base, and future capacity.
Rising Patient Need and Strain on Clinical Capacity
A single clinician typically impacts hundreds of patients per year, while care extenders, including assistants, fitters, and technicians, expand that reach into the thousands. Practices are working harder to deliver comprehensive patient care while navigating revenue compression, staffing constraints, and higher operational costs. When clinical capacity tightens, patients experience longer wait times, more travel burdens, and delayed access to medically necessary care.
Against this backdrop, the O&P Foundation’s education programs are designed to start expanding and stabilizing the pipeline. Scholarships for assistants and pedorthists support precertification education, training, and clinical hour completion, directly strengthening entry pathways for nationally recognized clinical roles. These professionals multiply clinical capacity, enable earlier access to care, and support efficient treatment delivery in clinics that are increasingly resource constrained.
The Need for Early-Stage Scientific Support
National research funding in rehabilitation sciences has grown more competitive, with fewer dollars available for clinical, translational, and patient-centered investigations. These realities disproportionately affect O&P researchers, who need early-stage seed funding to establish feasibility, build mentorship relationships, and generate preliminary data.
The O&P Foundation’s research programs are designed to fill these gaps. Collectively, these mechanisms help launch research activities to support continued work in the space and progress toward larger applications within the National Institutes of Health, the Patient-Centered Outcomes Research Institute, or the Department of Defense.
By supporting high-quality, clinically relevant research, the O&P Foundation seeks to strengthen the profession’s evidence base while enabling OP&P investigators to remain engaged and competitive in increasingly narrow federal funding environments.
Contraction Risks in the Incoming Pipeline
Graduate tuition for O&P education continues to rise, creating barriers for well-qualified students interested in entering the field. Coupled with new graduate loan caps, the profession is encountering a narrowing pipeline and reduced economic feasibility for candidates committed to clinical service.
The O&P Foundation’s scholarship programs recognize capacity for impact while ensuring that financial capacity does not determine access to the profession. By reducing financial barriers and increasing accessibility, the programs aim to stabilize the future workforce and preserve diversity of talent, background, and perspective in the field.
Retention, Burnout, and Professional Engagement
Financial strain that limits early-career compensation, high caseload demands, limited professional growth, and reduced resources influence retention. Retaining a skilled, engaged workforce is essential to ensuring timely access and sustained delivery of specialized care.
The O&P Foundation’s professional awards programs are designed to support long-term clinician engagement and skill. Conference travel awards for O&P residents, assistants, and pedorthists, and development support for clinical and technical staff provide access to national education, peer collaboration, and hands-on clinical learning. Doctoral training awards ensure that certified clinicians who pursue research can remain clinically engaged and connected while enrolled in doctoral programs. These initiatives reinforce a professional culture that values growth, connection, and lifelong learning.
Strengthening Care Extender Pathways
The O&P Foundation programs supporting care extenders can be a part of the broader solutions needed to address shortages of O&P clinicians, researchers, technicians, and assistants. Award mechanisms for O&P assistants as well as technician development are a critical start in removing barriers to certification and career entry.
Advancing Standards and Quality
The healthcare environment is moving toward evidence-based, value-centered care, where measurable outcomes, quality metrics, and continuous improvement frameworks are central to reimbursement, regulatory alignment, and public accountability. OP&P professionals must be prepared to lead in these areas as payer systems evolve and value-driven expectations continue to expand.
The O&P Foundation’s OP&P Healthcare Quality Fellowship provides a new and unique opportunity to support professionals pursuing recognized credentials in healthcare quality and process improvement, as well as certificate- and graduate-level education in healthcare quality.
The fellowship is designed to translate training into measurable changes in clinical quality and operational performance and aims to encourage professionals to design, implement, and lead initiatives that prepare the field for value-based care and contribute to the long-term viability and recognition of OP&P within the broader healthcare system.
A Strategic Investment Model
Viewed collectively, the O&P Foundation’s programs represent a strategy to address profession-wide structural vulnerabilities.
The initiatives target the most consequential pressures facing OP&P by building resilience through investments in the people, ideas, evidence, and leadership that will help us evolve within the healthcare ecosystem.
Each scholarship, grant, award, and fellowship serves one clear goal: ensuring patients have access to adaptive and insightful clinicians capable of delivering high-quality care to a growing and increasingly complex patient population.
The Role of Community Support
The O&P Foundation’s programs are powered by contributions from individuals, companies, organizations, and partners committed to strengthening the profession. In an environment where patient demand is increasing, research funding is tightening, and financial pressures are intensifying, philanthropic investment is an essential component of workforce stability, research advancement, and professional competitiveness.
Future-focused investment in OP&P is not a symbolic commitment—it is a strategic imperative. Continued support enables development of expertise, expansion of clinical capacity, strengthening of research infrastructure, and advancement of clinical quality.
The challenges are clear, and for the O&P Foundation the path forward is equally defined. By fueling research, supporting education, expanding the workforce, and equipping clinicians to lead in value-focused systems, the profession is positioned to meet growing demand and advance in step with a rapidly evolving healthcare landscape.
The O&P Foundation is building and evolving the mechanisms. The community’s support will ultimately determine their reach.
Fanny Schultea, MS, MSED, CPO, LP, FAAOP(D), is the executive director of the O&P Foundation for Education and Research. She can be contacted at executivedirector@oandpfoundation.org.
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