Re: Patient or client?Professional or mechanic?

Tony Barr

Horray Texas!How about hearing from practitionors from Illinois,the great state of Washington and others on their licensure efforts??

———-

> To all my colleagues:

> I am a Certified Prosthetist, a health care professional credentialed by a

> national health care accreditation organization (ABC) and proud of it. My

> credentials result from the possession of a baccalaureate degree and a

> certificate of education in prosthetics from Northwestern University

> Prosthetic and Orthotic Center. I am pleased to have enjoyed the recognition

> of other health care professionals for 17 1/2 years I have practiced my

> PROFESSION.

>

> I am further pleased that Texas, my state of residence, has take a positive

> step by adopting a comprehensive licensure act for orthotists and

> prosthetists. I am further pleased that a board consisting of ABC

> practitioners, BOC practitioners and consumers has worked diligently and

> produced a fair and practical document delineating the rules and procedures

> for implementing the act as adopted by the Texas legislature.

>

> I am not, nor have I ever been, a mechanic or tradesman. I have been a

> Professional throughout my career, and the fact that I am now to be licensed

> by the State of Texas will not change the manner in which I treat the patients

> referred to me for care. The license will, however, provide me with additional

> recognition, both for patients and payers.

>

> I agree, Mr. Barr, this is a positive direction being taken by state

> organizations, and I encourage more state organizations to work to enact

> licensure.

>

> Joseph C. Elliott, CP

>

> Tony Barr wrote:

>

> > I believe Florida O&P consumers can now be described as patients since

> (Florida) practitionors are now required to have a state license to practise

> their profession(previously a trade.)This recent transition (July 1998) in the

> state of Florida, of mandatory licensure, and minimumal educational standards

> , raises the status of the O&P practitionor to the level of a professional

> from a tradesman / mechanic identity.

> >

> > The prior (optional) certification process did not necessarrily quarantee

> qualification of the practitionor.With the requirement of a state license to

> practise the profession, goes the recognition, responsibility and

> accountablity of being a health care professional.

> >

> > Perhaps,once the “industry” in other states recognizes the importance of

> establishing mandatory credentials thru licensure , health care insurance

> providers will revisit and review insurance coverages for O&P services.The

> beneficiaries of regulation become the patient and the professional.The

> recent expansion of O&P coverage to adults by Florida Medicaid was a direct

> result of upgrading ,thru regulation ,the image and qualifications of the

> industry(now a profession in Florida!).

> >

> > Perhaps one might ask,”What other occupation deserves the recognition as a

> profession when no license or certification is required to practice their

> trade?Espicially when that occupation is health care related “?

> >

> > Congratulations Florida and Texas O&P PROFESSIONALS!!!

> > You are leading the way to the transition of a higher standard from an

> “industry” to a “profession” and your identity as a health care professional!

> >

> > Anthony T. Barr

> > The Barr Foundation

> > www.oandp.com/barr

> >

> > > In response to the recent posting regarding referrring to amputees as

> > > “patients” instead of “clients”.

> > >

> > > I have to respectively disagree with the authors assertion that a

> > > Prosthetist is no more than a tradesman, or mechanic, who is hired to

> fill

> > > an order for a part or supply. I believe that there is a very important

> > > distinction between care giver and mechanic.

> > >

> > > Perhaps it is because I work in a hospital setting, but I do not believe

> any

> > > of the patients that I provide care for, see out relationship as one where

> > > a customer is hiring a mechanic to build them something. Of course there

> > > is a part of what we do that is technical and requires reimbursement.

> > > However, I think that it is degrading to the entire Prosthetic profession

> to

> > > look at what we do as the same as a mechanic.

> > >

> > > Without getting to longwinded here, I will pose a couple of questions

> > > myself.

> > > Is the patient / Physical Therapist relationship any different? They are

> > > hired to provide a service. They are paid to do so.

> > > Is the patient / Surgeon relationship any different? They are hired to

> > > work on the body and are also paid to do so.

> > >

> > > I do not believe that prosthetists are intentionally trying to offend

> > > amputees by referring to them as patients, but when we are called in as

> > > part of the rehabilitation team to assist with getting a person back on

> their

> > > feet, or back to work, they see it as a patient / care giver relationship.

> > > Thanks for letting me vent a little.

> > > Steve Fletcher, CPO

> > > Shands Hospital at the University of Florida

> > >

>

 

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