<img style="float: right;" src="https://opedge.com/Content/OldArticles/images/2004-07_08/MasonDean.jpg" hspace="4" vspace="4" /> I began my career as a certified pedorthist who was asked by a few of my referral docs to learn orthotics so that I could service their patients. My only choice was BOC [Board for Orthotist/Prosthetist Certification], as ABC [American Board for Certification in Orthotics & Prosthetics] pathways are not conducive to those who must work and take on a new credential. I was involved in the BCP [Board for Certification in Pedorthics] Role Delineation Study in 2000. This meeting was a very diverse group, including pedorthists, orthotists, prosthetists, podiatrists, orthopedic surgeons, and a public member. Both ABC and BOC were equally represented. The ABC orthotist/prosthetist proceeded to belittle BOC people. My reply to him was that I would have liked to have taken the ABC route, but it was not possible to give up two years and my practice to complete the coursework. Needless to say, I did attain my certification as a BOC orthotist. I did it with help from both ABC and BOC practitioners. Each person I contacted was more than willing to help in answering questions and in preparation for the exams. It is possible to peacefully coexist. I also received the offer from the ABC board to sign on. I haven't made up my mind yet if I want to. We must stand united as O&P practitioners against those who would cut our throats. Regardless of who certifies you, having an ABC or BOC credential does not gain you any more reimbursement dollars. <h2>Solutions Needed</h2> There are basic issues that need to be addressed by the O&P community. These are: <ol> <li> the ability to bill for time,</li> <li>better reimbursements,</li> <li> the separation of orthotics from part B rules for those undergoing rehabilitation, and</li> <li>--perhaps the most important--separating O&P from DME [Durable Medical Equipment].</li> </ol> Being an Ohioan, we have what I feel is the best licensing law in the nation. Why? Because the state brought in those who actually work in the field to draft the law. There was and is tension between the two certifying boards. Some healthy, some not. We need to work together to achieve our goal: the very best in patient care. It's what I strive for each day with each patient. Eventually the furor will die down, and once the dust settles, we may see our way toward that goal. <i>Dean Mason, CPed, BOCO, LMI, is owner of North Shore Pedorthics, Lorain, Ohio.</i>
