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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)
OPC Membership Survey
• November 2015• Top issues membership felt needed to be
addressed:• Awareness of profession by government• Awareness of the profession by third party payers• Competition from outside the profession• Government regulations of the profession
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En-croach-ment
• enˈkrōCHmənt/noun• noun: encroachment; plural noun: encroachments1) intrusion on a person's territory, rights, etc. "minor encroachments on our individual liberties"
101 Total Responses
Total Membership 558
Resp
onse
rate18%
Cont
act I
nfo37
% Apat
hetic70
%379
151
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% 5017.8% 1819.8% 208.9% 92.0% 22.0% 2
Q2: In which province or territory do you work?
• Answered: 99 Skipped: 2Response Percent
Response Count
14.9% 1523.8% 249.9% 102.0% 21.0% 11.0% 140.6% 411.0% 13.0% 33.0% 30.0% 0
Manitoba
Prince Edward Island
Answer Options
Newfoundland and Labrador
Saskatchewan
British Columbia
Ontario
New Brunswick
Quebec
Alberta
Nova Scotia
Northwest Territories, Nunavut and/or Yukon
Q3: Have you experienced clinical or technical encroachment?
• Answered: 96 Skipped: 5
Q4: Which statement defines best your definition of “encroachment”.
Please choose one of the following?
• Answered: 97 Skipped: 4Other:
All the above 4%
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
Q5: Broken down…
• Major reason for encroachment
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
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
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.
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
Strengths and Impact of encroachment (Questions 11 and 12)
A
Strengths of encroachment
Impact of encroachment
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
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
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…”
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….
