Prosthetic and Orthotic Encroachment within Canada
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A membership survey looking at defining what encroachment means to certified prosthetist and orthotist in Canada
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Prosthetic and Orthotic Encroachment within Canada
- 1. Encroachment… What? A review of prosthetic and orthotic encroachment across Canada by means of a web-based survey By Connor Pardy M.Sc. C.P.O. (c)
- 2. OPC Membership Survey • November 2015 • Top issues membership felt needed to be addresse • Awareness of profession by government • Awareness of the profession by third party payers • Competition from outside the profession • Government regulations of the profession
- 3. Powered by En-croach-ment • enˈkrōCHmənt/noun • noun: encroachment; plural noun: encroachments 1) intrusion on a person's territory, rights, etc. "minor encroachments on our individual liberties"
- 4. 101 Total Responses Total Membership 558 Responserate 18% ContactInfo 37% Apathetic 70%379 151
- 5. Q1: What is your current OPC recognized certification? • Answered: 100 Skipped: 1 C.O. (c) C.P. (c) C.P.O. (c) R.T.O. (c) R.T.P. (c) R.T.P.O. (c) Response Percent Response Count 49.5% 50 17.8% 18 19.8% 20 8.9% 9 2.0% 2 2.0% 2
- 6. Q2: In which province or territory do you work? • Answered: 99 Skipped: 2 Response Percent Response Count 14.9% 15 23.8% 24 9.9% 10 2.0% 2 1.0% 1 1.0% 1 40.6% 41 1.0% 1 3.0% 3 3.0% 3 0.0% 0 Manitoba Prince Edward Island Answer Options Newfoundland and Labrador Saskatchewan British Columbia Ontario NewBrunswick Quebec Alberta Nova Scotia NorthwestTerritories,Nunavutand/orYukon
- 7. Q3: Have you experienced clinical or technical encroachment? • Answered: 96 Skipped: 5
- 8. Q4: Which statement defines best your definition of “encroachment”. Please choose one of the following? • Answered: 97 Skipped: 4 Other: All the above 4%
- 9. Q5: If you have experienced encroachment, please rank what you believe is the primary reason it has occurred. On the 1-5 scale scale below please rank the following 1 being a minor reason to 5 being a major reason you have experienced encroachment. • Answered: 88 Skipped: 13
- 10. Q5: Broken down… • Major reason for encroachment
- 11. Q6: From what other professions have you experienced encroachment? Please rank from most experiences of encroachment (1 ) to least (11). Please read all answers prior to ranking. • Answered: 88 Skipped: 13
- 12. Q7: If not included please indicate below other sources of encroachment you have experienced: • 20% response rate • Retailers • Athletic Therapists • Health care stores • TV/ online sales • Plaster (cast) technologist • Pharmacists • Trade shows and malls Ebay.com found on July 23 2016 at http://stores.ebay.com/Solace-Bracing
- 13. Q8: What is your definition of orthotic and prosthetic encroachment? • 76 responses • In summary • Someone providing treatment outside their training or scope of practice • Roughly 50 responses • Other people without education to provided services • Someone who is not a certified prosthetist or orthotist providing services within the scope of a certified practitioner.
- 14. Q9: How do we as certifees, address the issue of encroachment (please rank from most important (1) to least important (6)? Please read all answers prior to ranking. • Answered: 93 Skipped: 6
- 15. Strengths and Impact of encroachment (Questions 11 and 12) A Strengths of encroachment Impact of encroachment
- 16. Summary • 86% or respondents across the country have experience some form of professional encroachment • Majority in orthotics 80% • Membership believes public education/awareness and marketing to be the most important issues to address
- 17. Potential courses of actions • Approach appropriate colleges with concerns • Have P and O taught nationally at medical schools • Use the Pentland fund for licensure • Set up a national marketing and negotiating committees OPC • Advertise/market/PR • Lobbying groups for OPC across Canada
- 18. Immediate Start • Currently there is not defined SCOPE of PRACTICE document. • Over 500 or the responses mentioned something to do this SoP • Practice analysis and CPORM documentation are to be used to establish this criteria. “ I am sorry I didn’t support you; I will try to do a better job in the future…”
- 19. Thank you Thomas Munsford • Knowledge, the ability to analyze gait, determine deviations, establish which forces are necessary to resist, assist, and/or correct those deviations, then utilize materials and components, design, manufacture and critique our devices for the best possible outcomes for the patient….
Editor's Notes
- ----- Meeting Notes (16-07-24 12:10) ----- Review of membership survey wrt encroachment
- In November 2015 OPC surveyed membership from this survey among the top issues to address as outlined by membership Came four things Awareness of profession by government Awareness of the profession by third party payers Competition from outside the profession Government regulations of the profession It really brought forth the questions of where we were headed….
- The topic I wanted to discuss today is…. What does this word mean? Google defines En croach ment as: intrusion on a person's territory, rights, etc. If we umbrella the previous slide all of the four major things that we as members felt were priorty to act upon are incased in this topic.
- Lets Quicklylook at some of the demographics… Informatics and data collection is pretty incredible now a days…. Send on June 20th 2016 to all 558 members across Canada only 63 % of those who received the email opened it…. 379 opened the email with the survey link and roughly 60% Of that 155 people clicked the link and 66% of people who clicked a link… 101 of them left something behind… and 5 % of you ate yogurt this morning….. In summary it appears as if rougly an 18 % response rate So what we can conclude…. About 37% of memberships emails don’t work……and 70 percent of you are apathetic
- The first question looked at the respondents recognized certification
- Question 2 addressed the respondents location in Canada
- The third question was the most direct…. Have you
- Question 4 ….. Which statement defines best your definition of encroachment? There always has to be one….. Sole providers hip A clear majority look at the scope of practice to be the defining benchmark for encroachment Others of note.. included.: all the above 2%
- Average rating out of 5 Not enough certified clinicians Not enough education Not enough evidence Not enough public awareness Not enough professional representation Not enough professional support or resources (from within our profession) Not enough professional marketing Not enough professional colleague awareness To much competition
- 76 responses Thank you to the ¾;s of cets whom answered this question But being that it was open ended I had a mix of responses. The majority of responses…. In my opinion the best response was…..
- Respondents indicated that the major strength of professional encroachment was minimal as 30% believe to have no positive impact while 20 % indicated that it defines our role as a specialist Encroachment has or may leave to the loss of our professional status and potential referral sources.
- Membership presented these are potential resolutions
- Of note Finally a small activity Look at the person to your left and say…… Change starts with the people who care the most… we can all activity participate to increase our breath of visibility. Whether its partnerships, education with students, group discussions, presentations, lectures, committee’s being a board member, It starts because we care…
- On a personal note I wanted to thank the people who took the time to answer the full survey and to those who shared personal examples of their experience I did read all the comments I paraphrase one respondent who paraphrased thomas munsford an American orthotist from the 1970……