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PHYSIO  January 2004

PHYSIO January 2004

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Subject:

Development work enquiry

From:

[log in to unmask]

Reply-To:

- for physiotherapists in education and practice <[log in to unmask]>

Date:

Sat, 31 Jan 2004 22:41:55 +0600

Content-Type:

text/plain

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Parts/Attachments

text/plain (689 lines)

I am a British Physiotherapist who has recently returned from working in
Colombia. Before then I was 6 years working in Bangladesh as a trainer/mentor
in developing Physiotherapy. Now I am in the UK and am looking to continue
development work hence I am enquiring if you know of any organisation that can
help me.
Please reply to [log in to unmask]
Thankyou
David Lowen (BSc MCSP)




Quoting Automatic digest processor <[log in to unmask]>:

> There are 2 messages totalling 655 lines in this issue.
>
> Topics of the day:
>
>   1. PT and EBM (titles and reimbursement)
>   2. Doctor of Physio
>
> ----------------------------------------------------------------------
>
> Date:    Fri, 30 Jan 2004 22:08:15 +1100
> From:    Anna <[log in to unmask]>
> Subject: Re: PT and EBM (titles and reimbursement)
>
> This is a multi-part message in MIME format.
>
> ------=_NextPart_000_004A_01C3E77D.8F4CF720
> Content-Type: text/plain;
>         charset="iso-8859-1"
> Content-Transfer-Encoding: quoted-printable
>
>
> DEpends on how the title is gained one should be rewarded for higher / =
> greater expertise, not just a titel as the Chiros and dentists in oz =
> expect. Specialisation should be rewarded with extra fees e.g doctors: =
> GPs versus specialists
>
>
> Cheers,=20
>  Anna.
>
> Anna Lee
> Physiotherapist and Occupational Health Consultant
> Principal, Work Ready Industrial Athlete Centre
>
> Write to me at: [log in to unmask]
>
> Visit me at: www.workready.com.au
>
> Snail mail:
> Suite 3, 82 Enmore Road,
> Newtown  NSW  2042
> Australia
>
> Phone: (612) 9519 7436
> Fax:  (612) 9519 7439
> Mob: 0412 33 43 98
>   ----- Original Message -----=20
>   From: [log in to unmask]
>   To: [log in to unmask]
>   Sent: Thursday, January 29, 2004 12:25 AM
>   Subject: Re: PT and EBM (titles and reimbursement)
>
>
>   Dear Frank and Lori (and all);  I couldn't stop from commenting :)
>
>   First of all reimbursement should not be effected by a title.  =
> Specialization is to become an expert in an area.  Not all will do this. =
>  This is different from the current change to DPT.  DPT is here to stay. =
>  Frank, I think your suggestions, although logical, do not work in this =
> realistic world.  It would be like trying to change the side of the =
> street people drive on.  Titles do not dictate quality of care.  Even =
> though Chiros are now referred to and call themselves Doctors, everyone =
> knows that they aren't medical doctors.  Having said that, I haven't =
> heard PT's with the new title call themselves doctors.  They still =
> realize they are entry level.
>
>   Lori,  I don't think reimbursement has or will be effected by title or =
> specialization either.  Reimbursement doesn't increase when a specialist =
> (OCS) is treating vs a generalist.  The same is true between a DPT and =
> MS PT.  Also, Reimbursement is on the rise.  Medicare increased the fees =
> by 1.5 instead of decreasing 4.5 as promised.  Also the cap has been =
> lifted for another two years.  That says a lot for the value of PT right =
> now.  Now we must continue to deliver the best quality of care as =
> possible, and as always.
>
>   Patrick Zerr
>   www.apluspt.com
>   A+ PT Exam Prep Package
>   US National PT Exam Preparation
>
>
>   -----Original Message-----=20
>   From: Frank Conijn=20
>   Sent: Jan 27, 2004 8:57 PM=20
>   To: [log in to unmask]
>   Subject: Re: PT and EBM (Lori's question)=20
>
>
>   Dear Lori,
>
>   My responses in between.=20
>
>
>   ----- Oorspronkelijk bericht -----=20
>   Van: Lori Sabado=20
>   Aan: [log in to unmask]
>   Verzonden: woensdag 28 januari 2004 0:18
>   Onderwerp: Re: PT and EBM (Lori's question)
>
>
>   Frank,
>   I am not sure if there is a difference of having obtained a doctorate =
> of physical therapy, versus having obtained this level of education, and =
> being called a Doctor of Physical Therapy. I have copied an exerpt from =
> the APTA website FAQ regarding this question, but I am not sure it =
> answers your concerns.
>   What is a "DPT"?=20
>   The Doctor of Physical Therapy (DPT) is a postbaccaluareate degree =
> conferred upon successful completion of a doctoral level professional =
> (entry-level) or postprofessional education program. The specific =
> nomenclature "DPT" is not a substitute or alternative for the physical =
> therapist clinical designator "PT."
>
>     **FC: That indeed does not really answer my question, but that is =
> not your fault. Rather, I would think that the APTA has not thought =
> matters through/over enough. Let me tell you what I think should be =
> done, to make my vision clear:
>
>       a.. The PT education should a.s.a.p. be a real universitary study, =
> giving the title 'PT, MSc' (and 'PT, PhD' if one has been promoted). PTs =
> that have already left school should be given the opportunity to still =
> get that title, by means of a postacademic education. (Which may or not =
> be easy, since that will be about all the general statistics, all the =
> principles & terminology of scientific research and how that affects our =
> reputation, including the principle of the natural course of =
> complaints.) Equal to what is taught in medschool nowadays. The =
> difference would be that the PT students would neither be taught the =
> respective pharmacology (in full), nor skin-invasive techniques.=20
>       b.. We should -- at this stage -- stay away from the title 'Doctor =
> of PT (DPT)'. First, because we are not physicians, and 99% of the =
> people think that a 'doctor' is a physician, in the world of health =
> care. That would in practice cause sincere confusion, because we cannot =
> prescribe medication, for one thing. In the medical =
> scientific-literature world, readers know that if an author is called =
> "Dr. A. Jones" somewhere in the article, but the head of the article =
> states "Jones A, PT, PhD", that s/he is not physician. However, the =
> public does not know that if they see or hear "Dr." (I think we should =
> create a totally new address [pre-name] title for MScs/PhDs, counting =
> for all universitary degrees, medical or otherwise. Something like =
> 'Master' and 'Sc[ientist]', even though the latter term sounds somewhat =
> strange.) Second, like I implied, the title 'DPT' will at all not free =
> us from coming under fire if there is doubt about the efficacy of our =
> methods. See the chiropractors. =20
>       c.. In the (very) long term, the universitary study PT should =
> change to educating to 'Doctor of Orthopedic Medicine (DOM, MSc)', and =
> medschool should change to educating to "Doctor of General Medicine =
> (DGM, MSc)'. That is because I think that by far most patients are -- =
> and will always be -- able to determine themselves whether they have a =
> complaint or condition they should see a DGM with, or a DOM. In popular =
> terms: "Got problems with your intestines, skin, menstrual cycle or =
> problems that you cannot place? Then you should go see the DGM". Versus: =
> "Got problems with your back, knee or elbow? Then you should visit the =
> DOM." Yes, the education to DOM would then enable and entitle to =
> prescribe medication, deliver injections, order blood tests and imaging, =
> etc. If those two kinds of doctors would act as gatekeepers of health =
> care, I would think that would make health care much more efficient. =
> Patients would then be able to go to specialists only if they are =
> referred to them by DGMs or DOMs. (As obtaining a second opinion from =
> another DGM or DOM will always be possible, and as emergency situations =
> are obviously excepted, the rights of patients will not be infringed =
> upon with this system.)=20
>       d.. At the same time, the education "Rehabilitational & =
> Occupational Therapist (ROT)" should start. Obviously, these clinicians =
> would work in hospitals and rehabilitation clinics/practices, and =
> patients going there would need a referral from a DOM, DGM, or a =
> specialist. (Which does not mean that ROTs should not be able to =
> postacademically get their MSc or PhD title.) =20
>
>   My concerns regarding reimbursement is that if we cannot document the =
> efficacy of our services, third party payors may not cover these =
> services. I do not believe PT specialization (orthopaedic, rehab, . . . =
> ) effects reimbursement here in the US.=20
>
>   While my original post said I try to base my treatments on some =
> science, this is not a hard and fast rule for me. Patient presentation =
> and clinical experience, as well as science dictates my choice of =
> treatment options.=20
>
>     **FC: As it should be: we can and should not deny our clinical =
> experience. I would even go as far as to say that our intuition should =
> always guide us: the heart overrules the mind. If not in principle, then =
> still if one has a clear gut feeling. But unfortunately, the =
> capitalistic world has decided that the market mechanism should govern =
> the medical world, rather than a government-run and -paid, noncommercial =
> health service. That means that the income of the clinician depends on =
> the number of treatments s/he is giving. That in turn means that there =
> will always be colleagues that start or keep on treating while there are =
> much more cost-effective methods. Too bad, but that is the downside of =
> the market mechanism ruling health care.=20
>
>   Thank you for your feedback.
>
>     **FC: Anytime.=20
>
>   Lori
>
>   R.,
>   Frank
>
>
> ------=_NextPart_000_004A_01C3E77D.8F4CF720
> Content-Type: text/html;
>         charset="iso-8859-1"
> Content-Transfer-Encoding: quoted-printable
>
> <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
> <HTML><HEAD>
> <META http-equiv=3DContent-Type content=3D"text/html; =
> charset=3Diso-8859-1">
> <META content=3D"MSHTML 6.00.2734.1600" name=3DGENERATOR></HEAD>
> <BODY bgColor=3D#ffffff>
> <DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
> <DIV>DEpends on how the title is gained one should be rewarded for =
> higher /=20
> greater expertise, not just a titel as the Chiros and dentists in oz =
> expect.=20
> Specialisation should be rewarded with extra fees e.g doctors: GPs =
> versus=20
> specialists</DIV>
> <DIV>&nbsp;</DIV>
> <DIV><BR>Cheers, <BR>&nbsp;Anna.</DIV>
> <DIV>&nbsp;</DIV>
> <DIV>Anna Lee<BR>Physiotherapist and Occupational Health=20
> Consultant<BR>Principal, Work Ready Industrial Athlete Centre</DIV>
> <DIV>&nbsp;</DIV>
> <DIV>Write to me at: <A=20
> href=3D"mailto:[log in to unmask]">[log in to unmask]</A></DI=
> V>
> <DIV>&nbsp;</DIV>
> <DIV>Visit me at: <A=20
> href=3D"http://www.workready.com.au">www.workready.com.au</A></DIV>
> <DIV>&nbsp;</DIV>
> <DIV>Snail mail:<BR>Suite 3, 82 Enmore Road,<BR>Newtown&nbsp; NSW&nbsp;=20
> 2042<BR>Australia</DIV>
> <DIV>&nbsp;</DIV>
> <DIV>Phone: (612) 9519 7436<BR>Fax:&nbsp; (612) 9519 7439<BR>Mob: 0412 =
> 33 43=20
> 98</DIV>
> <BLOCKQUOTE dir=3Dltr=20
> style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
> BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
>   <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
>   <DIV=20
>   style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
> black"><B>From:</B>=20
>   <A [log in to unmask]
>   href=3D"mailto:[log in to unmask]">[log in to unmask]</A> </DIV>
>   <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A =
> [log in to unmask]
>   href=3D"mailto:[log in to unmask]">[log in to unmask]</A> </DIV>
>   <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Thursday, January 29, =
> 2004 12:25=20
>   AM</DIV>
>   <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: PT and EBM (titles =
> and=20
>   reimbursement)</DIV>
>   <DIV><BR></DIV>
>   <DIV>Dear Frank and Lori (and all);&nbsp; I couldn't stop from =
> commenting=20
>   :)</DIV>
>   <DIV>&nbsp;</DIV>
>   <DIV>First of all reimbursement should not be effected by a =
> title.&nbsp;=20
>   Specialization is to become an expert in an area.&nbsp; Not all will =
> do=20
>   this.&nbsp; This is different from the current change to DPT.&nbsp; =
> DPT is=20
>   here to stay.&nbsp; Frank, I think your suggestions, although logical, =
> do not=20
>   work in this realistic world.&nbsp; It would be like trying to change =
> the side=20
>   of the street people drive on.&nbsp; Titles do not dictate quality of=20
>   care.&nbsp; Even though Chiros are now referred to and call=20
>   themselves&nbsp;Doctors, everyone knows that they aren't medical=20
>   doctors.&nbsp; Having said that, I haven't heard PT's with the new =
> title call=20
>   themselves doctors.&nbsp; They still realize they are entry =
> level.</DIV>
>   <DIV>&nbsp;</DIV>
>   <DIV>Lori,&nbsp; I don't think reimbursement has or will be effected =
> by title=20
>   or specialization either.&nbsp; Reimbursement doesn't increase when a=20
>   specialist (OCS) is treating vs a generalist.&nbsp; The same is true =
> between a=20
>   DPT and MS PT.&nbsp; Also, Reimbursement is on the rise.&nbsp; =
> Medicare=20
>   increased the fees by 1.5 instead of decreasing 4.5 as promised.&nbsp; =
> Also=20
>   the cap has been lifted for another two years.&nbsp; That says a lot =
> for the=20
>   value of PT right now.&nbsp; Now we must continue to deliver the best =
> quality=20
>   of care as possible, and as always.</DIV>
>   <DIV>&nbsp;</DIV>
>   <DIV>Patrick Zerr</DIV>
>   <DIV><A href=3D"http://www.apluspt.com">www.apluspt.com</A></DIV>
>   <DIV>A+ PT Exam Prep Package</DIV>
>   <DIV>US National PT Exam Preparation<BR><BR><BR>-----Original =
> Message-----=20
>   <BR>From: Frank Conijn <[log in to unmask]><BR>Sent: Jan 27, 2004 8:57 =
> PM=20
>   <BR>To: [log in to unmask] <BR>Subject: Re: PT and EBM (Lori's =
> question)=20
>   <BR><BR></DIV><XHTML><XHEAD><XMETA http-equiv=3D"Content-Type"=20
>   content=3D"text/html; charset=3Diso-8859-1"><XMETA content=3D"MSHTML =
> 5.50.4922.900"=20
>   name=3D"GENERATOR">
>   <STYLE></STYLE>
>   <XBODY bgColor=3D"#ffffff">
>   <DIV>Dear Lori,</DIV>
>   <DIV>&nbsp;</DIV>
>   <DIV>My responses in between. </DIV>
>   <DIV>&nbsp;</DIV>
>   <DIV>&nbsp;</DIV>
>   <DIV style=3D"FONT: 10pt arial"><FONT size=3D3>----- Oorspronkelijk =
> bericht -----=20
>   </FONT>
>   <DIV style=3D"BACKGROUND: #e4e4e4; font-color: black"><FONT =
> size=3D3><B>Van:</B>=20
>   </FONT><A [log in to unmask]
>   href=3D"mailto:[log in to unmask]"><FONT size=3D3>Lori=20
>   Sabado</FONT></A><FONT size=3D3> </FONT></DIV>
>   <DIV><FONT size=3D3><B>Aan:</B> </FONT><A =
> [log in to unmask]
>   href=3D"mailto:[log in to unmask]"><FONT=20
>   size=3D3>[log in to unmask]</FONT></A><FONT size=3D3> </FONT></DIV>
>   <DIV><FONT size=3D3><B>Verzonden:</B> woensdag 28 januari 2004 =
> 0:18</FONT></DIV>
>   <DIV><FONT size=3D3><B>Onderwerp:</B> Re: PT and EBM (Lori's=20
>   question)</FONT></DIV></DIV>
>   <DIV><BR></DIV>
>   <H4>Frank,</H4>
>   <DIV><FONT face=3DArial>I am not sure&nbsp;if there is =
> a&nbsp;difference of=20
>   having obtained a&nbsp;doctorate of physical therapy, versus having=20
>   obtained&nbsp;this level of education, and being called a Doctor of =
> Physical=20
>   Therapy.&nbsp;I have copied an exerpt from the APTA website&nbsp;FAQ =
> regarding=20
>   this question, but I am not sure it answers your =
> concerns.</FONT></DIV>
>   <H4>What is a "DPT"?&nbsp;</H4>
>   <P>The Doctor of Physical Therapy (DPT) is a postbaccaluareate degree=20
>   conferred upon successful completion of a doctoral level professional=20
>   (entry-level) or postprofessional education program. The specific =
> nomenclature=20
>   "DPT" is not a substitute or alternative for the physical therapist =
> clinical=20
>   designator "PT."</P>
>   <BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
>     <P>**FC: That indeed does not really answer my question, but =
> that&nbsp;is=20
>     not your fault. Rather, I would think that the APTA has =
> not&nbsp;thought=20
>     matters&nbsp;through/over enough. Let me tell you what I think =
> should be=20
>     done, to make my vision clear:</P>
>     <UL>
>       <LI>The PT education should a.s.a.p. be a real universitary study, =
> giving=20
>       the title 'PT, MSc' (and 'PT, PhD' if one has been promoted). PTs =
> that=20
>       have already left school should be given the opportunity to still =
> get that=20
>       title, by means of a postacademic education. (Which may or not be =
> easy,=20
>       since that will be about&nbsp;<EM>all</EM> the&nbsp;general =
> statistics,=20
>       all the principles&nbsp;&amp; terminology of scientific research =
> and how=20
>       that affects our reputation, including the principle of&nbsp;the =
> natural=20
>       course of complaints.) Equal to what is taught in medschool =
> nowadays. The=20
>       difference would be that the PT students would neither be taught =
> the=20
>       respective pharmacology (in full), nor&nbsp;skin-invasive =
> techniques.=20
>       <LI>We should -- at this stage -- stay away from the title 'Doctor =
> of PT=20
>       (DPT)'. First, because we are not physicians, and 99% of the =
> people think=20
>       that a 'doctor' is a physician, in the world of health care. That =
> would in=20
>       practice cause sincere confusion, because we cannot prescribe =
> medication,=20
>       for one thing. In the medical scientific-literature world, readers =
> know=20
>       that if an author is called "Dr. A. Jones" somewhere in the =
> article, but=20
>       the head of the article states "Jones A, PT, PhD", that s/he is =
> not=20
>       physician. However, the public does not know that if they see or =
> hear=20
>       "Dr." (I think we should create a totally new address=20
>       [pre-name]&nbsp;title for MScs/PhDs, counting for all universitary =
>
>       degrees, medical or otherwise. Something like=20
>       'Master'&nbsp;and&nbsp;'Sc[ientist]', even though the latter term =
> sounds=20
>       somewhat strange.) Second, like I implied, the title 'DPT' will at =
> all=20
>       not&nbsp;free us from coming under fire if there is doubt about =
> the=20
>       efficacy of our methods. See the chiropractors.&nbsp;=20
>       <LI>In the (very) long term, the universitary study PT should =
> change to=20
>       educating to 'Doctor of&nbsp;Orthopedic Medicine&nbsp;(DOM, MSc)', =
>
>       and&nbsp;medschool should change to educating to "Doctor of =
> General=20
>       Medicine (DGM, MSc)'.&nbsp;That is because I think that by far =
> most=20
>       patients are -- and will always be -- able to determine themselves =
> whether=20
>       they have a complaint or condition they should see a =
> DGM&nbsp;with, or a=20
>       DOM. In popular terms: "Got problems with your intestines, skin, =
> menstrual=20
>       cycle or problems that you cannot place?&nbsp;Then you should =
> go&nbsp;see=20
>       the DGM". Versus: "Got problems with your back, knee or elbow? =
> Then you=20
>       should&nbsp;visit the DOM." Yes, the education to DOM would then =
> enable=20
>       and entitle&nbsp;to prescribe medication, deliver injections, =
> order blood=20
>       tests and imaging, etc.&nbsp;If those two kinds of doctors would =
> act as=20
>       gatekeepers of health care, I would think that would make health =
> care much=20
>       more efficient. Patients would then be able to go to specialists=20
>       <EM>only</EM> if they are referred to them by DGMs or DOMs. (As =
> obtaining=20
>       a second opinion from another DGM or DOM will always be possible, =
> and as=20
>       emergency situations are obviously excepted, the rights of =
> patients will=20
>       not be infringed upon with this system.)=20
>       <LI>At the same time, the education "Rehabilitational &amp;=20
>       Occupational&nbsp;Therapist (ROT)" should=20
>       start.&nbsp;Obviously,&nbsp;these clinicians would work in =
> hospitals and=20
>       rehabilitation clinics/practices, and patients going there would =
> need a=20
>       referral from a DOM, DGM,&nbsp;or a specialist.&nbsp;(Which does =
> not mean=20
>       that&nbsp;ROTs should not be able to postacademically get their=20
>       MSc&nbsp;or PhD title.) &nbsp;</LI></UL></BLOCKQUOTE>
>   <DIV dir=3Dltr>&nbsp;</DIV>
>   <P><FONT face=3DArial>My concerns regarding reimbursement is that if =
> we cannot=20
>   document the efficacy of our services, third party payors may not =
> cover these=20
>   services. I do not believe&nbsp;PT specialization (orthopaedic, rehab, =
> . .=20
>   .&nbsp;)&nbsp;effects reimbursement here in the US.&nbsp;</FONT></P>
>   <P><FONT face=3DArial>While my original post said I try to base my =
> treatments on=20
>   some science, this is not a hard and fast rule for me. Patient =
> presentation=20
>   and clinical experience, as well as science dictates my choice of =
> treatment=20
>   options. </FONT></P>
>   <BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
>     <P>**FC: As it should be: we can and should not deny our clinical=20
>     experience. I would even go as far as to say that our intuition =
> should=20
>     always guide us: the heart overrules the mind. If not in principle,=20
>     then&nbsp;still if one has a clear gut feeling. But unfortunately, =
> the=20
>     capitalistic world has decided that the market mechanism should =
> govern the=20
>     medical world, rather than a government-run and -paid, noncommercial =
> health=20
>     service. That means that the income of the clinician&nbsp;depends on =
> the=20
>     number&nbsp;of treatments&nbsp;s/he is giving. That in turn means =
> that there=20
>     will always be colleagues that start or keep on treating while there =
> are=20
>     much more cost-effective methods. Too bad, but that is the downside =
> of the=20
>     market mechanism ruling health care.&nbsp;</P></BLOCKQUOTE>
>   <P dir=3Dltr><FONT face=3DArial>Thank you for your =
> feedback.</FONT></P>
>   <BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
>     <P dir=3Dltr>**FC: Anytime. </P></BLOCKQUOTE>
>   <P><FONT face=3DArial>Lori</FONT></P>
>   <P>R.,<BR>Frank</P></BLOCKQUOTE></BODY></HTML>
>
> ------=_NextPart_000_004A_01C3E77D.8F4CF720--
>
> ------------------------------
>
> Date:    Fri, 30 Jan 2004 12:57:53 -0500
> From:    "Douglas M. White" <[log in to unmask]>
> Subject: Re: Doctor of Physio
>
> This is a multi-part message in MIME format.
>
> ------=_NextPart_000_001E_01C3E730.ACA421B0
> Content-Type: text/plain;
>         charset="iso-8859-1"
> Content-Transfer-Encoding: quoted-printable
>
> Mary:
>
> There two ways of looking at this issue. 1. The title doctor is used as =
> a regulatory/legal title. 2. the title doctor corresponds with an =
> academic degree. The two can go hand-in-hand as well.=20
>
> In the US the use of the title, doctor, by someone who does not have a =
> doctoral graduate degree beyond the BS/BA degree would not be considered =
> appropriate. Academic institutions would not recognize such a =
> distinction.=20
>
> A government body may permit someone to use the title doctor without the =
> requisite degree. However, I have never heard of this being done here.
>
> To pursue the tile doctor by BPT trained physical therapists would =
> likely have a negative international impact on the reputation of those =
> doing so.
>
> *******************************************************
> Douglas M. White, DPT, OCS
> 191 Blue Hills Parkway
> Milton, MA USA 02186
> P: 617.696.1974
> www.DouglasWhite.org
>
>
>
>
>
>   Interesting that this should come up. The Nepal Physiotherapy =
> Association is in the midst of a debate about the use of the title =
> "doctor" for Nepali physios who have studied and received their BPT in =
> India. In India physios who have their bachelor's degree in physio =
> traditionally have called themselves doctor (since an IAP decision in =
> 1983 I believe). Most Nepali physios have only a diploma level of =
> training, and so the degree grads want to differentiate their training =
> for the information of the general public. I am not keen on this idea, =
> but am trying to be open to it. These degree grads say they will not use =
> the title doctor except in Nepal and India. At present we have no physio =
> bachelor level training available in Nepal.
>
>   I am a Canadian physio and have been living and working in Nepal for 4 =
> years now.
>
>   what are your thoughts?
>
>   Mary
>
>
>   ---
>   Outgoing mail is certified Virus Free.
>   Checked by AVG anti-virus system (http://www.grisoft.com).
>   Version: 6.0.404 / Virus Database: 228 - Release Date: 10/15/02
>
>
> ------=_NextPart_000_001E_01C3E730.ACA421B0
> Content-Type: text/html;
>         charset="iso-8859-1"
> Content-Transfer-Encoding: quoted-printable
>
> <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
> <HTML><HEAD>
> <META http-equiv=3DContent-Type content=3D"text/html; =
> charset=3Diso-8859-1">
> <META content=3D"MSHTML 6.00.2800.1276" name=3DGENERATOR>
> <STYLE></STYLE>
> </HEAD>
> <BODY bgColor=3D#ffffff>
> <DIV>Mary:</DIV>
> <DIV>&nbsp;</DIV>
> <DIV>There two ways of looking at this issue. 1. The title doctor is =
> used as a=20
> regulatory/legal title. 2. the title doctor corresponds with an academic =
> degree.=20
> The two can go hand-in-hand as well. </DIV>
> <DIV>&nbsp;</DIV>
> <DIV>In the US the use of the title, doctor, by someone who does not =
> have a=20
> doctoral graduate degree beyond the BS/BA degree would not be considered =
>
> appropriate. Academic institutions would not recognize such a =
> distinction.=20
> </DIV>
> <DIV>&nbsp;</DIV>
> <DIV>A government body may permit someone to use the title doctor =
> without the=20
> requisite degree. However, I have never heard of this being done =
> here.</DIV>
> <DIV>&nbsp;</DIV>
> <DIV>To pursue the tile doctor by BPT trained physical therapists would =
> likely=20
> have a negative international impact on the reputation of those doing =
> so.</DIV>
> <DIV>&nbsp;</DIV>
> <DIV>*******************************************************<BR>Douglas =
> M.=20
> White, DPT, OCS<BR>191 Blue Hills Parkway<BR>Milton, MA USA 02186<BR>P:=20
> 617.696.1974<BR><A=20
> href=3D"http://www.DouglasWhite.org">www.DouglasWhite.org</A></DIV>
> <DIV>&nbsp;</DIV>
> <DIV>&nbsp;</DIV>
> <DIV>&nbsp;</DIV>
> <DIV><BR>&nbsp;</DIV>
> <BLOCKQUOTE dir=3Dltr=20
> style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
> BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
>   <DIV><FONT face=3DArial color=3D#0000ff size=3D2><SPAN=20
>   class=3D550021208-29012004>Interesting that this should come up. The =
> Nepal=20
>   Physiotherapy Association is in the midst of a debate about the use of =
> the=20
>   title "doctor" for Nepali physios who have studied and received their =
> BPT in=20
>   India. In India physios who have their bachelor's degree in physio=20
>   traditionally have called themselves doctor (since an IAP decision in =
> 1983 I=20
>   believe). Most Nepali physios have only a diploma level of training, =
> and so=20
>   the degree grads want to differentiate their training for the =
> information of=20
>   the general public. I am not keen on this idea, but am trying to be =
> open to=20
>   it. These degree grads say they will not use the title doctor except =
> in Nepal=20
>   and India. At present we have no physio bachelor level training =
> available in=20
>   Nepal.</SPAN></FONT></DIV>
>   <DIV><FONT face=3DArial color=3D#0000ff size=3D2><SPAN=20
>   class=3D550021208-29012004></SPAN></FONT>&nbsp;</DIV>
>   <DIV><FONT face=3DArial color=3D#0000ff size=3D2><SPAN =
> class=3D550021208-29012004>I am=20
>   a Canadian physio and have been living and working in Nepal for 4 =
> years=20
>   now.</SPAN></FONT></DIV>
>   <DIV><FONT face=3DArial color=3D#0000ff size=3D2><SPAN=20
>   class=3D550021208-29012004></SPAN></FONT>&nbsp;</DIV>
>   <DIV><FONT face=3DArial color=3D#0000ff size=3D2><SPAN =
> class=3D550021208-29012004>what=20
>   are your thoughts?</SPAN></FONT></DIV>
>   <DIV><FONT face=3DArial color=3D#0000ff size=3D2><SPAN=20
>   class=3D550021208-29012004></SPAN></FONT>&nbsp;</DIV>
>   <DIV><FONT face=3DArial color=3D#0000ff size=3D2><SPAN=20
>   class=3D550021208-29012004>Mary</SPAN></FONT></DIV><BR>
>   <P><FONT size=3D2>---<BR>Outgoing mail is certified Virus =
> Free.<BR>Checked by=20
>   AVG anti-virus system (http://www.grisoft.com).<BR>Version: 6.0.404 / =
> Virus=20
>   Database: 228 - Release Date: =
> 10/15/02<BR></FONT></P></BLOCKQUOTE></BODY></HTML>
>
> ------=_NextPart_000_001E_01C3E730.ACA421B0--
>
> ------------------------------
>
> End of PHYSIO Digest - 29 Jan 2004 to 30 Jan 2004 (#2004-25)
> ************************************************************
>
> --
> This message has been scanned for viruses and
> dangerous content by MailScanner, and is
> believed to be clean.
>




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