Pat writes:
I'm not sure what the answer to this mess is, for now I don't think I'll be
using my credential IBCLC (21 years), unless IBLCE immediately rescinds the
published SoP. I am very upset about this, as I am phasing out of my ped np
work and wanted to work in lactation.
Pat, and all,
I hope all these emails are being sent, or forwarded, or edited and shared
with IBLCE.
I know I fell behind over the last few days, went to the NY East LLL
conference and saw those powerful, smart, compassionate women that are so needed
and at LLL we can still speak the truth, no matter who it contradicts.
This SoP has to change. I think they know there has been a huge mistake made
here.
As for the reference to PT, here is a bit about PT at the bottom of this
post. Interesting thing, although in New York state PTs were not autonomous,
they can evaluate but could not treat without MD orders, there was never
anything about not being able to engage and contradict an MD as part of scope of
practice. If there was I would have been fired in 1984 or so for sure. (What a
memory that is, still...:) That said, the PT is a health care provider, so that
probably means an IBCLC also cannot contradict a public health nurse, an OT,
a Speech and Language Pathologist, or a PT, or...
I mean come on now...
~~~
" Scope of practice
The scope of practice of physical therapy varies from region to region,
depending on the structure of the local health-care system.
Physiotherapists in some jurisdictions, such as Canada, Australia, New
Zealand and most of the United States, enjoy professional autonomy, and have the
ability to act as primary care providers, meaning that they do not require a
referral from a physician to treat.
Physical therapists can practice in a wide variety of practice settings,
including hospitals, outpatient clinics, schools, sports facilities, and home
care. Some practice settings demand a broad knowledge of a wide variety of
conditions, while others permit a special interest approach.
,......
and...
"Physical therapists should have strong interpersonal skills to successfully
educate patients about their physical therapy treatments. They should also be
compassionate and possess a desire to help patients, and sometimes to
interact positively with the patient's family.
Physical therapists are expected to continue professional development by
participating in continuing education courses and workshops. A number of states
require continuing education to maintain licensure.
Many physical therapists pursue board certification in one of seven specialty
areas (orthopaedic, pediatric, neurologic, sports, electrophysiologic,
geriatric, and cardio-pulmonary). Board certified specialists must have
demonstrated special expertise in their clinical area."
And lastly,
"The scopes of practice for the professions of physical therapy and physical
therapist assistant are defined in the law. Does that mean that I can do
everything that falls within the legal scope of practice of my profession?
Part 29 of the Rules of the Board of Regents requires that licensees practice
within the scope defined in law and within their personal scope of
competence. If you are not competent to provide a service that you are legally allowed
to provide, then you may not provide that service. As a licensed
professional, it is your responsibility to practice within the scope of your abilities
and expertise. If you practice outside your personal scope of competence, you
can be charged with professional misconduct."
I find this interesting because it means that we as professional need to
understand our own limitations. I think it also empowers in a way, I am simply
not competent to listen silently in the face of ignorant or outdated
information from another professional and would violate my personal scope of
competence if I did not speak up tactfully and professionally...:) We need respectful
professional dialogue, or no one gets decent and improving care over time.
Peace,
Judy
Judy LeVan Fram, PT, IBCLC, LLLL
Brooklyn, NY, USA
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