The document discusses the development of osteopathic scope of practice and competence assessment in New Zealand from 2007-2016. It outlines the timeline of scope reform, development of an osteopathic capabilities framework, and trials of a work-based e-portfolio assessment tool called PebblePad. Key steps included consultations on scope, defining osteopathic capabilities, preceptor training on PebblePad, and establishing PebblePad for overseas assessment and eventual mandatory recertification of osteopaths.
OIA Texas 2014 Keynote Emma Fairs OCNZ @OsteoRegulationOCNZ
The Osteopathic Council of New Zealand is the statutory regulatory authority for the NZ profession and is responsible for determining scopes of practice and developing competencies frameworks.
OCNZ Aug 2012 Regional Conference Scope of Practice ReformOCNZ
Stiofan Mac Suibhne presentation on the proposed scope of practice schema for the NZ osteopathic profession. Overview of the legislative framework and demographic changes driving the healthcare agenda.
OIA Texas 2014 Keynote Emma Fairs OCNZ @OsteoRegulationOCNZ
The Osteopathic Council of New Zealand is the statutory regulatory authority for the NZ profession and is responsible for determining scopes of practice and developing competencies frameworks.
OCNZ Aug 2012 Regional Conference Scope of Practice ReformOCNZ
Stiofan Mac Suibhne presentation on the proposed scope of practice schema for the NZ osteopathic profession. Overview of the legislative framework and demographic changes driving the healthcare agenda.
Let's Talk Research Annual Conference - 24th-25th September 2014 (Martin Troe...NHSNWRD
"Negotiated Work Based Learning: pedagogy to up-skill Advanced Practice Physiotherapists to enhance patient journey and experience in the Emergency Department": Martin Troedel's presentation from the conference.
Interdisciplinary Seminars and First-Aid Textbook on Dental Trauma for Medica...Cecilia Young 楊幽幽
Interdisciplinary Seminars and First-Aid Textbook on Dental Trauma for Medical Students and Practitioners
Cecilia Young*
Independent Researcher, Hong Kong
*Corresponding Author: Cecilia Young, Independent Researcher, Hong Kong.
Received: May 29, 2018 ; Published: June 21, 2018
AOA Convocation 2010 Melbourne Stiofan Mac Suibhne Scope of PracticeOCNZ
Keynote presentation by Stiofan Mac Suibhne at the 2010 AOA annual conference on the development of the New Zealand scope of practice within the NZ legislative framework with a comparison to the Australian legislation
Let's Talk Research Annual Conference - 24th-25th September 2014 (Martin Troe...NHSNWRD
"Negotiated Work Based Learning: pedagogy to up-skill Advanced Practice Physiotherapists to enhance patient journey and experience in the Emergency Department": Martin Troedel's presentation from the conference.
Interdisciplinary Seminars and First-Aid Textbook on Dental Trauma for Medica...Cecilia Young 楊幽幽
Interdisciplinary Seminars and First-Aid Textbook on Dental Trauma for Medical Students and Practitioners
Cecilia Young*
Independent Researcher, Hong Kong
*Corresponding Author: Cecilia Young, Independent Researcher, Hong Kong.
Received: May 29, 2018 ; Published: June 21, 2018
AOA Convocation 2010 Melbourne Stiofan Mac Suibhne Scope of PracticeOCNZ
Keynote presentation by Stiofan Mac Suibhne at the 2010 AOA annual conference on the development of the New Zealand scope of practice within the NZ legislative framework with a comparison to the Australian legislation
Future capacity for expert generalist care: a critical view of European trainingGreg Irving
Future capacity for expert generalist care: a critical view of European training
Presented by Alice Shiner, Jessica Watson, Greg Irving, Joaane Reeve at WONCA Prague 2013
Paramedics are people who enable the healthcare services such as blood sampling, CT scans, MRI, operation theatre preparations, nursing care, emergency support, dialysis, and optometry to name a few. In a widespread sector where doctors and medical practioners primarily treat the patients, paramedical personnel helps in the facilitation of the treatment.
· Psychiatric Mental Health Nursing. Scope and Standards of Practi.docxoswald1horne84988
· Psychiatric Mental Health Nursing. Scope and Standards of Practice.
Review the Scope and Standards of Practice from APNA (American Psychiatric Nurses Association). If you are an APNA member you can access the book free of charge. The link in this section will link you to the book but you will have to log in. It is a good idea to join APNA. You can also buy a print copy if you desire; it is inexpensive. The book is not a required reading. I have provided the standards here.
The standards are taken directly from APNA Scope and Standards of Practice 2ndedition (2014).
Assignment for this module:
Take each Standard and give several examples of how you will follow these standards in your practice. Please, only list just a few bullet points to address each standard. Ex: Standard 1: Assessment—what screening tools will you use? Will you meet with the pt and family together or separate or both? How much time will you allow for a new patient eval?
As a NP will need to know your scope of practice. You cannot rely on someone else to know your scope.
Standard 1: Assessment
· Collect and synthesize comprehensive health data that are pertinent to the healthcare consumer’s health and/or situation.
Standard 2: Diagnosis
· Develop standard psychiatric and substance use diagnoses
Standard 3: Outcomes Identification
· Identify expected outcomes and the healthcare consumer’s goals for a plan individualized to the healthcare consumer or to the situation.
Standard 4: Planning
· Develop a plan that prescribes strategies and alternatives to assist the healthcare consumer in attainment of expected outcomes.
Standard 5: Implementation
· Implement the identified plan
· Coordinate care delivery
· Employ strategies to promote health and a safe environment
· Provide consultation to influence the identified plan, enhance the abilities of other clinicians to provide services for the healthcare consumers, and effect change.
· Use prescriptive authority, procedures, referrals, treatments and therapies in accordance with state and federal laws and regulations.
· Incorporate knowledge of pharmacological, biological, and complementary interventions with applied clinical skills to restore the healthcare consumer’s health and prevent further disability
· Provide structures and maintains a safe, therapeutic, recovery-oriented environment in collaboration with healthcare consumers, families and other healthcare clinicians.
· Use the therapeutic relationship and counseling interventions to assist healthcare consumers in their individual recovery journeys by improving and regaining their previous coping abilities, fostering mental health, and preventing mental disorder and disability
· Conducts individual, couples, group, and family psychotherapy using evidence based psychotherapeutic frameworks and the nurse-client therapeutic relationship
Standard 6: Evaluation
· Evaluate progress toward attainment of expected outcomes
Standard 7: Ethics
· Integrate ethical provisions in all .
This presentation highlighted the process that the MoH in Oman used to build consensus on the importance of establishing the role of NP in Oman. All of what has been presented could be used by other health systems especially in GCC
Transform Your Career with a Fellowship in Reproductive MedicineIVF Treatment
Embarking on the journey of parenthood is a significant milestone for many individuals and couples. However, reproductive challenges can arise, leading to the need for specialized medical assistance. In such cases, the field of reproductive medicine offers hope and innovative solutions. Among the various educational and training programs available for healthcare professionals, a Fellowship in Reproductive Medicine stands out as a valuable opportunity to gain expertise in this evolving field. This article explores the significance, benefits, and career prospects associated with pursuing a Fellowship in Reproductive Medicine.
Specialization is the process by which a physical therapist builds on a broad base of professional education and practice to develop a greater depth of knowledge and skills related to a particular area of practice.
Clinical specialization in physical therapy responds to a specific area of patient need and requires knowledge, skill, and experience exceeding that of the physical therapist at entry to the profession and unique to the specialized area of practice.
A Cross Sectional Study of Musculoskeletal Problems Among Dentists in Pondich...QUESTJOURNAL
Purpose: This questionnaire based study was aimed at identifying common occupational hazards affecting dentists in Pondicherry which may help to make dentists aware and to take adequate precautions in their practice to prolong the service imparted to patients as well as improve the overall well being of the dental professionals The prevalence of work related musculoskeletal problems among dentists in Pondicherry was evaluated with this study. Methods: A pretested and validated questionnaire was used to collect details from practising dentists in Pondicherry .272 dentists responded to the questionnaire. Results: The data obtained was statistically analysed with SPSS Version 20 for calculating proportion and mean.84.9% (n=272) of respondents had some kind of musculoskeletal problem affecting different parts of the body.52.2% had low back pain and 50% had neck pain. Conclusion: The dental professionals are regularly exposed to various health hazards in their day to day practice. Chronic musculoskeletal disease is one of the common ailments affecting majority of dentists It is important for the dentists to be aware of the work related factors affecting their health and take adequate precautions or modifications in their working environment
OCNZ Paediatric Capabilities Stiofan Mac Suibhne London @OIAlliance Conventio...OCNZ
#OCNZ @OsteoRegulation has an ongoing research project to develop capabilities of osteopathic paediatric practice. This presentation is an update on progress so far
2013 Abbreviations in Contemporaneous Notes OCNZ @OsteoRegulationOCNZ
Tim Friedlander's presentation on the use of abbreviations in contemporaneous notes. Osteopaths need to be mindful that third parties need to be able to understand notes and not just other osteopaths.
OCNZ has adopted a capabilities framework for NZ osteopaths. Domain 6 deals with a wide range of compliance issues - practice takes places in both a spatial environment and a wide legal context
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
2. Timeline of Scope Reform
Current Scope of Practice Schema
Amending qualifications for the existing vocational
scopes of practice: (1) pain management (2)
gerontology
Additional Vocational Scope in Rehabilitation
Consultation on amendments to the general
osteopathic scope of practice
Extended scope of practice for internal techniques
3. Determine scopes of practice
Prescribe qualifications / accredit institutions
Determine Competency / Recertification Frameworks
Assess international osteopathic graduates
Complaints – HPDT / HDC
Competence reviews
Fitness to practice reviews
Professional conduct
4. Scope of Practice Consultation 2007 – 12
Osteopathic Capabilities Framework 2007-09
WMA Scope Gazetted Sept 2009
Clear SkiesThinkingWorkshop December 2009
Scope ReformWhite Paper June & Conference 2010
Three Cycles of OCNZ Regional Conferences
Revised General SoP Schema January 2013
Proposed Amendments to the SoP Schema
5. (1)The principal purpose of this Act is to
protect the health and safety of members
of the public by providing for mechanisms to
ensure that health practitioners are
competent and fit to practise their
professions.
6. Broad Based & Inclusive General SoP
Aligned to the strategic direction of NZ
Healthcare Policy
Vocational Scopes for particular areas of
practice expressly included in General SoP
(Pain Management & Gerontology)
Extended Scopes for techniques expressly
excluded from the GeneralOsteopathic SoP
Western Medical Acupuncture & Related
NeedlingTechniques
7. Osteopaths are primary healthcare practitioners
Osteopathy is a person-centred form of manual medicine
Osteopaths conceptualise health and disease within a broad holistic
bio-psycho-social and environmental context
Osteopathic practice may be situated within the continuum of
healthcare - wellness
The competent practice of osteopathy requires broad diagnostic
competencies
Osteopaths work with patients from across the lifespan
8. Osteopaths are primary healthcare practitioners. Central to
the competent practice of osteopathy is an understanding of
the role of the primary care team and referral routes within
primary care and to hospital based service.
Rogers, F., D'Alonzo, J., GE. , Glover, J., Korr, I., Osborn, G., Patterson, M., et al.
(2002). Proposed tenets of osteopathic medicine and principles for patient care.
J Am Osteopath Assoc, 102, 63-65.
9. Osteopaths are primary healthcare practitioners. Central to
the competent practice of osteopathy is an understanding of
the role of the primary care team and referral routes within
primary care and to hospital based service.
Rogers, F., D'Alonzo, J., GE. , Glover, J., Korr, I., Osborn, G., Patterson, M., et al.
(2002). Proposed tenets of osteopathic medicine and principles for patient care.
J Am Osteopath Assoc, 102, 63-65.
10. Osteopathy is a person-centred form of manual medicine
informed by osteopathic principles. Osteopathic medicine is
not confined to historical osteopathic knowledge; rather
osteopathic philosophies and concepts inform the
interpretation and application of interdisciplinary knowledge
and the basic medical sciences.
Osteopathic medicine is an evolving field of knowledge and
incorporates new concepts as our understanding of health
and disease progresses.
11. (1) Each authority appointed in respect of a
profession must, by notice published in the
Gazette, describe the contents of the
profession in terms of 1 or more scopes of
practice.
12. (2) A scope of practice may be described in any
way the authority thinks fit, including, without
limitation, in any 1 or more of the following
ways:
(a) by reference to a name or form of words that is
commonly understood by persons who work in the
health sector:
(b) by reference to an area of science or learning:
(c) by reference to tasks commonly performed:
(d) by reference to illnesses or conditions to be diagnosed,
treated, or managed
13. Post Graduate Diploma in Pain Management or Older PeoplesWellness
(Gerontology). NZQF Level 9
The diploma level qualification aims to equip registrants with evidenced
based practice approaches and critical appraisal skills
Unitec Grads have Level 9 Qual with 90 Units Research Component
ACC requiring 50% providers have PG Qualification inVocational Rehab (PG
Cert)
Council proposing that for Unitec Grads or other registrants with a Clinically
relevant Masters degree acquired post registrationVocSoP qual reduced to
a PG Cert
Original SoP Consultation Document proposed Rehab SoP – Aligned to ACC
14. Advanced standing and post graduate study /
specialisation in areas of practice that remain within the
general scope of practice.
There is a continuum of skills / knowledge from novice to
expert. Pre-professional training prepares osteopaths to
commence practice.
Gerontology
Pain management
Rehabilitation
Child health / Paediatrics
Sports injuries
Occupational Health
17. Council is undertaking research to determine capabilities
for osteopathic practice with children.
Discussion with the profession and other stakeholders on
refining the boundaries of the general osteopathic scope
with regard to two specific areas of paediatric practice:
Internal techniques
Manual techniques applied to the spine
And removing Internal techniques from the General SoP
for adults & creating an extended SoP
18. In August 2013 the Council issued interim guidelines
Legitimately part of the repertoire of osteopathic
techniques (PV & PR).
Adequate information about proposed examination and
treatment to allow patents to make informed decisions.
A chaperone or support person is offered.
Universal precautions are used for infection control
purposes.
19. The Council is considering removing internal techniques
from the General SoP for under 18s.
Potential psychological harm to a child or adolescent from
such a procedure out ways the potential benefits
From a regulatory perspective children and young people
are particularly vulnerable.
It is rarely the case in osteopathic practice for any given
presentation that a single technique would be the only
approach that may be of value.
20. Issue of ‘sensitive areas’ and opportunity for general up-
skilling in consent.
Council does not currently accredit any training pathways
that cover internal techniques.
No formal instruction on internal techniques as part of the
curriculum on the Unitec osteopathic programme.
Council has no data on the educational biographies of
individual osteopaths relating to their pre-registration
training with regard to internal techniques.
21. Determining an extended scope of practice and mandating
a qualification for prospective registrants.
Pathway of study, blending e-learning with in-attendance
practical sessions - medico-legal consideration, differential
diagnosis and conduction examination and treatment.
Interdisciplinary focus with input from ‘expert’
practitioners in internal techniques from osteopathy and
other clinical disciplines such as midwifery, nursing,
physiotherapy or medicine.
22. Number of potential benefits not only in terms of public
protection but developing expertise in the profession.
Patients interested in these treatment approaches would
be reassured that the osteopath is competent in this area
of practice.
In order to ensure those registered in the general
osteopathic scope were not bearing the costs the course
would be run on a cost recovery basis.
23. A range of osteopathic manual techniques (OMT) are
applied to the spine.
HVLA techniques applied to the cervical spine are often
considered the procedures that carry the greatest risk.
The literature reveals very few studies concerned with such
techniques in osteopathic practice.
Dearth of published studies relating to the use of such
techniques in children in any professional discipline
24. The Council is aware of a number of cases internationally
where manual techniques applied to spines of young
children have purportedly resulted in severe damaged or
death of a child.
Incomplete details of these cases are in the public domain,
the Council is minded to apply the precautionary principle
and consider the risks of manual procedures applied to
children.
25. Research conducted by Council in 2011 was reassuring as
no respondents reported using HVLA on patients younger
than 8 years of age.
Council thinking at present would be to seek to restrict
HVLA in children under the age of 14 (consistent with the
definition of a ‘child’ in the ChildrenYoung Persons and
Their Families Act 1989).
Whilst the risk and reward ratios are unknown for HVLA
techniques this is not a straightforward matter.
26. Cervical spine?
All regions of the spine?
+/- peripheral joints?
The forces used in motion testing or techniques other than
HVLA may also need to be considered.
27.
28.
29.
30. Move the focus of what the profession
understands constitutes competence beyond
the boundaries and artificial subject areas of
traditional pre-registration training courses
to professional practice.
Progress not perfection
31. Resource constraints
Conventional thinking amongst administrative staff.
Focus on the added value of reflection on practice over the
growing pains of different working practices.
Reluctance of osteopaths to be assessed.
Osteopathic Exceptionalism - the ultra-positivists & the insider /
outsider problem.
An advantage of the slow burn approach with the profession has
been time for the conceptual framework to be understood and
producing practitioners that are keen to push forward with
innovation.
32. A form of assessment that aligns learning and
assessment was required allowing the practitioner to
identify and develop a reflective approach.
Defensible mechanism that allows evidence to be
assembled and, notwithstanding the diversity of
approaches to practice, allows competencies to be
identified within a flexible capabilities framework.
Creating an understanding of reflective practice and a
commitment to lifelong/lifewide learning - training
and dialogue with the profession.
33. Reflective practice: ‘the capacity to reflect
on action so as to engage in a process of
continuous learning’ (Donald Schön 1930 –
1997).
One of the defining characteristics of
professional practice.
34.
35.
36. An understanding of the nature of ‘Practice’ is central to
designing an assessment process which is capable of
capturing evidence of an individual’s ability to practice.
The first step in designing the assessment process was
accepting a conceptual model for osteopathic
practice.
Then developing an analysis / deconstruction of practice
from the perspective of process - rather focussed on
academic knowledge – Osteopathic Capabilities
Framework.
Identifying assessment tools to assess the various
components of practice. K S A
37. Three year cycle of regional conferences to raise awareness
amongst the profession.
Problematising current approaches and sharing an understanding
of the theoretical framework supporting the use of PebblePad
Migrating from a p-portfolio to an e-portfolio:
Encouraging practitioners to creatively develop and use
PebblePad as a personal learning space.
Creating allies and project champions. Identifying potential pilot
sites for trialling professional development/recertification
processes.
38. Conventional wisdom of evidence based practice applies
theoretical knowledge to practice.
In reflective practice theory and practice are seen as
being reciprocally inter-related.
Professional identity / knowledge is complex and is not
merely assembled from discreet knowledge base.
Professional knowledge / identity arises from a
synthesis of natural and social sciences
39. Reflection-in-Action: as we work identifying learning
needs / opportunities
Reflection-on-Action: After the fact seeking
theoretical perspectives and integrating them into our
thinking
Reflection-for Action: Applying knowledge to
practice
Creating Personal reflective space / Organisational
Context. Thinking>Analysis>Self>Awareness
40. OCNZ needs to be realistic
Broad church
Freshen up - maintain interest in practise
Skills acquisition: Cognitive - Associative - Autonomous
- "OK" Plateau - Fitts & Posner
Honesty & Openness to change / development
41. Miller’s pyramid of competence indicates that assessment of ‘does’
reflects professional authenticity.
Whatever one ‘does’ in the assessment must reflect practice in order for
that assessment to be authentic.
The portfolio’s purpose is to guide learning and capture evidence
Portfolio was the Hoorah word of ‘90s
Evidenced Based Practice ’oos
e-Portfolio is current Hoorah!
Trial the e-Portfolio for the overseas assessment processes
Reference Group to look at applications for CPD / Recertification
Processes
42. Learning NeedsAnalysis
Personal Development Plan
Learning Outcome Reports
Case based Discussion
Critical Incident Report
Critiquing journal articles
Literature reviews
Reflective statements from training courses
43. Scope of Practice Reform 2007 - 12
Osteopathic Capabilities Framework 2007-09
Development of work-based competence assessment
2010
PebblePad PreceptorTraining Nov 2013
Unitec – Clinical Practicum 2013
Trialled for overseas assessment 2013
Overseas Assessment Process from Aug 2014
Peer GroupTraining Aug / Nov 2014
Recertification -Voluntary adoption by registrants 2015
Recertification Mandatory 2016