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[Dysphagia] Cross training



There are now a number of OTs in California who have
specialty certification in dysphagia - the only people
in the world who do. 
Irene.
--- "v.cooper" <v.cooper@sbcglobal.net> wrote:

> With regards to this: In California, the board of OT
> specifically states
> that OTs can practice dysphagia under the
> supervision of an SLP while
> obtaining their hours (240 direct tx and 45 ed
> hours). Interesting that this
> was written in conjunction w/the ST licensing board.
> Clearly the STs on our
> state board did not feel that it was a violation of
> the code of ethics. I am
> currently supervising a highly competant OT who
> quite frankly has more
> education and knowledge of dysphagia than almost any
> of my 16 CFYs ever had
> when starting. I do not feel that I am violating any
> code of ethics. What do
> others think?
> ----- Original Message -----
> From: "Irene Campbell-Taylor" <eripley@yahoo.com>
> To: <Dysphagia@b9.com>
> Sent: Thursday, October 07, 2004 8:09 AM
> Subject: [Dysphagia] Cross training
> 
> 
> >
> > Something has come to my attention that is really
> > unacceptable and it is this:
> > With respect to presentations for continuing
> education
> > etc. :
> >
> > "ASHA would like the instructors to be aware that
> > training individuals other than SLPs may be in
> > violation of the ASHA Code of Ethics."
> > Can someone explain to me, please, which ethical
> code
> > this would be violating?
> > It goes on:
> > "Please note that ASHA has approved a position
> > statement regarding speech-language pathologists
> > training and supervising other professionals in
> the
> > delivery of services to individuals with 
> swallowing
> > and feeding disorders.  Instructors who are ASHA
> > members and/or hold ASHA's Certificate of Clinical
> > Competence may be in violation of ASHA's Code of
> > Ethics if they train professionals other than
> > speech-language pathologists in this area ......do
> not
> > support cross-training of clinical skills at a
> > professional level because the welfare of
> individuals
> > served may be compromised when SLPs cross-train
> other
> > professionals to provide these services."
> >
> > Were I an ASHA member involved in such activities
> or
> > teaching at a university that allows any and all
> > academically qualified individuals to attend any
> class
> > of their choosing, I would be deeply insulted at
> the
> > implication that my teaching say, a dietitian,  or
> an
> > OT who wanted to take my class would "compromise"
> > their patients.
> >
> > "Speech-language pathologists (SLPs) are primary
> > providers of evaluation and treatment for
> swallowing
> > and feeding disorders"
> > According to whom? ASHA? When there is not yet any
> > type of specialization, certificate or clear
> > qualification in the field? Just because someone
> > claims something doesn't make it so. And the
> American
> > Gastroenterological Association has a position
> > statement saying that they are the primary
> providers
> > of care and management. I would say the same thing
> to
> > them - just because you claim it.. The thought of
> > having gastroenterologists doing clinical evals
> plus
> > VFSS plus therapeutic intervention would be
> laughable
> > if they weren't serious about it.
> > "The unique foundation acquired by SLPs in their
> > professional education and training provides the
> basis
> > for the integration of the highly specialized
> > knowledge and skills necessary for this role;"
> >
> > Following on the heels of public statements by
> ASHA
> > officials about the numbers of SLPs who receive no
> > formal training, are given false or outdated
> > information in courses etc. etc. this statement is
> > verging on the ludicrous as well as being arrogant
> > almost beyond belief.
> >
> > "this foundation is not transferable to members of
> > other professions."
> >
> > Why not, if it exists? And, as a member of another
> > profession, who has taught SLPs, dietitians, OTs,
> > physicians, nurses and others for many years,
> > published in leading medical journals, produced
> > teaching materials, and performed research, I am
> > stupefied and offended.
> >
> > And then: "This position statement does not apply
> to
> > sharing information with other professionals for
> > purposes such as teaching another professional how
> to
> > screen for potential dysphagia so that a referral
> can
> > be made to the speechlanguage pathologist;
> advancing
> > the scientific knowledge base across
> > professions;......
> >
> > How is advancing this knowledge base any different
> > from training?
> > Can anyone defend this document and, if not, why
> does
> > it exist?
> >
> >
> >
> > =====
> > Dr I Campbell-Taylor
> > Clinical Neuroscientist
> > Exclusive Distributor:
> > www.interactivetherapy.com
> > _______________________________________________
> > Dysphagia mailing list
> > Dysphagia@b9.com
> > http://lists.b9.com/mailman/listinfo/dysphagia
> 
> 


=====
Dr I Campbell-Taylor
Clinical Neuroscientist
Exclusive Distributor:
www.interactivetherapy.com


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