http://otconnections.aota.org/search/?o=DateDescending&tag=backpack+day,warm+mouse+pad,UE,politics&orTags=0Search resultsen-US7.x Productionhttp://otconnections.aota.org/Public_Forums/f/79/p/9285/122508.aspx#122508Wed, 19 Jun 2013 16:10:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122508cjalterio/Public_Forums/f/79/p/9285/122508.aspx#122508 I am glad that you got a response.  Tomorrow will be 4 weeks since I sent in my query regarding the nature of the investigation that was reportedly completed where it was determined that panelists conducted themselves appropriately and professionally both during and after the presentation (related to the comments that were allegedly made to Kathy Grace at the AOTA conference).  It did not seem to be a complicated question that depends on anyone's opinion and the response is a matter of fact so I am a little confused why it is taking so long to answer the question. If you believe it is appropriate, I would rather appreciate being able to know your query as well as the specifics of their response when you have the opportunity. I am interested in their opinions and as they are the Ethics Commission for our professional association their opinions carry some weight and importance. Christopher J. Alterio, Dr.OT, OTR http://otconnections.aota.org/Public_Forums/f/79/p/9285/122507.aspx#122507Wed, 19 Jun 2013 15:10:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122507alejandroduran/Public_Forums/f/79/p/9285/122507.aspx#122507 Strike Three           I received a response from the Ethics Commission regarding Dr. Reed’s statements that “ If social justice is removed from the Code of Ethics it will also HAVE TO BE removed from the Occupational Therapy Practice Framework II ”  (emphasis added)(see otconnections.aota.org/.../65160.aspx ,   accessed May 20, 2012 Motion2 Ethics Revision-Social Justice).            Despite many words, the Ethics Commission did not point me to any rule or address the question. They said Dr. Reed doesn’t work there anymore. This is irrelevant since my question asked for the existence of a rule regarding the matter. The only reasonable interpretation of all this is that the answer is no, there is no such rule. Dr. Reed’s statement, then, is a statement of preference for whatever reasons she may have for that preference, but it is not a statement referring to a rule that requires removal. It is therefore a false and misleading statement.              The result is that her only post on the subject of the social justice requirement contains three major errors. This is a problem because she only made three arguments for keeping the social justice requirement. One was the personal attack and logical fallacy that being against the requirement was a position for those who didn’t care about disabled children. The second was the argument taken up in Chapter Seven of Beware the Googlers dealing with Dr. Reed’s citation to a source that contradicted the point she was trying to make. And the third was that removal from the Code of Ethics REQUIRES removal from the Practice Framework II.               It cannot be emphasized enough that this was posted by Dr. Hemphill, who, as the chair of the Ethics Commission at the time, should have had the judgment to recognize how wrong and rude were the statements by Dr. Reed and should have had the curiosity as chair to ask for verification of the rule. These errors are just as much an indictment on Dr. Hemphill as they are on Dr. Reed.           I will have to comment on the content of the reply at a later time, though for now I can say that Dr. Reed has struck out.           I know some of the supporters of the requirement in this forum like to accuse me of being stuck in 2011, the year this discussion forum began. I think the better question for evidenced-based thinkers and those who wish to engage in principles-based leadership is why are you running away from 2011. I think the answer lies in the quality of the participation evidenced by Dr. Reed and others in the leadership Alex http://otconnections.aota.org/Public_Forums/f/99/p/14109/122506.aspx#122506Wed, 19 Jun 2013 02:54:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122506andiesthename/Public_Forums/f/99/p/14109/122506.aspx#122506 Can you attach a link to the page? Thanks! http://otconnections.aota.org/Public_Forums/f/79/p/16549/122505.aspx#122505Wed, 19 Jun 2013 01:52:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122505maryp223/Public_Forums/f/79/p/16549/122505.aspx#122505 Practice makes perfect. I like to think I have a type A personality and don't like conflict....do struggle with self doubt, but I try to keep the mindset that I'm human and am going to make mistakes (but do no harm). I'm not a know it all. If I don't know of or have an answer, I try to find someone who does or locate one. I've been in the field for 13 yrs (COTA/L for 4yrs and OTR/L 9yrs in school based, home health and acute hospital) and I consider myself a lifelong student. http://otconnections.aota.org/Public_Forums/f/79/p/16615/122504.aspx#122504Wed, 19 Jun 2013 01:41:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122504maryp223/Public_Forums/f/79/p/16615/122504.aspx#122504 I've worked in my setting for the past 3 yrs (31 bed LTACH). I personally never had to go home early due to sharing a COTA/L between two bldgs. There was/is always enough to keep us busy (do more with less), but I will say I'm glad we don't have productivity standards because some days I do more non-billable stuff than billable (i.e. attend IDT mtgs, chart reviews, paperwork, case management/family meetings). I now have a full time COTA/L working with me (after begging and pleading) and if census were to go down a lot (as if historically does during the summer months), we may be asked to help out at another site, but honestly I don't foresee that happening. Lately, I feel as though all I do are evaluations and attend meetings and the COTA/L does majority of the treatments. Thank god I have her! We make a good team. :) http://otconnections.aota.org/Public_Forums/f/79/p/16631/122503.aspx#122503Wed, 19 Jun 2013 01:32:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122503maryp223/Public_Forums/f/79/p/16631/122503.aspx#122503 Try www.occupationaltherapy.com - unlimited CEUs for $99/yr (online/web based). If you are a new grad, I believe your recent education counts towards CEUs..,when is your license due for renewal? Remember some of your work related trainings may apply such as CPR/BLS. Also, I think you can do the NBCOT professional development tool to earn some CEUs. http://otconnections.aota.org/Public_Forums/f/79/p/16611/122502.aspx#122502Wed, 19 Jun 2013 01:18:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122502maryp223/Public_Forums/f/79/p/16611/122502.aspx#122502 Thank you very much for your thoughtful insight and support. I really do appreciate these boards to process. I took the AOTA organizational ethics course over the weekend for clarification of common issues and support. Tomorrow our dept (which consists of OTR, COTA, SLP, PT and PTA) scheduled a meeting with our rehab director (from a different bldg) to discuss our collective concerns further. The big issue I've had recently is overall lack of support or respect for our clinical judgment. It's been very stressful, so much so that Im considering a change in employment. :(   On a different note, the pt is still admitted at our hospital, so issues continue, but the attention has swayed away from my direction (onto another repeat VE tomorrow to assess swallow function). The pt has a private CG/sitter, so I've attempted to provide education/support. Meds have been adjusted, which have impacted the pt's engagement a bit in a positive manner (initiating tasks, more self awareness, less aggression). There is always something.... http://otconnections.aota.org/Public_Forums/f/101/p/16643/122501.aspx#122501Wed, 19 Jun 2013 00:47:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122501damini/Public_Forums/f/101/p/16643/122501.aspx#122501 Since level I FW does not require an OTR to supervise an OTS --even another discipline can (ACOTE Standards),  an OTA can provide supervision. This is different for level II of course. If your facility or state has a different rule for some reason, that would be the rule to follow... -----Original Message----- From: Lindsey bounce-lcraig1@aota.org To: otainfo otainfo@aota.org Sent: Tue, Jun 18, 2013 7:33 pm Subject: [otainfo] Can a COTA supervise a level I OTR student? Can a COTA with over a year of experience supervise a level I OTR student?  I think the answer is yes but I can't seem to find the answer written clearly anywhere.   http://otconnections.aota.org/Public_Forums/f/101/t/16643.aspxTue, 18 Jun 2013 23:32:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:16643lcraig1/Public_Forums/f/101/t/16643.aspx1 Can a COTA with over a year of experience supervise a level I OTR student?  I think the answer is yes but I can't seem to find the answer written clearly anywhere.   http://otconnections.aota.org/more_groups/advocacy_and_leadership/research_news_and_resources/f/7203/p/16599/122500.aspx#122500Tue, 18 Jun 2013 18:46:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122500Dudgeon/more_groups/advocacy_and_leadership/research_news_and_resources/f/7203/p/16599/122500.aspx#122500 Grant Reviewer on Sections/Boards for Research Grants: 2013 (April)       MAB-Mackay Rehabilitation Center Salary Award Scientific Review Process, Visual Impairment and Communication Disorders Program, Montreal, Quebec, Canada 2006 (Aug)        National Institute on Disability and Rehabilitation Ad Hoc Reviewer, Mobility and Wayfinding Technology for Individuals with Blindness and Low Vision Beth Barstow PhD, OTR/L, SCLV Assistant Professor Department of Occupational Therapy The University of Alabama at Birmingham 1720 2nd Avenue South, SHPB 348 Birmingham AL 35294 (205)934-7321 http://otconnections.aota.org/Public_Forums/f/79/p/16641/122499.aspx#122499Tue, 18 Jun 2013 16:01:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122499damini/Public_Forums/f/79/p/16641/122499.aspx#122499 Hi , Kinesiotape in not a PAM (by definition), however it is a preparatory method as described by the Framework. Although the PAMs paper does not apply exactly, I would say that many of the points of that document do apply (and are found throughout AOTA documents)--for example, you should never do something that you are not competent administering and should always have the patient's safey as the top priority. -----Original Message----- From: hopecaracci bounce-hopecaracci@aota.org To: general general@aota.org Sent: Tue, Jun 18, 2013 9:01 am Subject: [general] PAM Position Statement Good day, Is Kinesiotape considered a Physical Agent Modality?  Would the PAM AOTA position statement apply to the use of K-tape in OT practice? http://otconnections.aota.org/Public_Forums/f/79/p/9285/122498.aspx#122498Tue, 18 Jun 2013 15:57:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122498cjalterio/Public_Forums/f/79/p/9285/122498.aspx#122498 I am not going to bang this drum all day - I promise - but this is precisely the debate I am wanting to have.  I have already received my first email asking me if I had pre-knowledge of Dr. Iwama's topic - and I will state publicly that I did not. I am just a guy who owns a clinic in Buffalo, NY who has a computer and reads and thinks about his profession.  I am concerned about this because it directly impacts the work I do in my clinic every day.  I have no other agenda or interest other than this reality. Again, I am not against public health initiatives - I think they are all important and I think they impact us all in very direct ways.  I just don't think that OT should attempt to re-define itself as a public health profession and I feel very uncomfortable when people start talking about our 'preoccupation' with the individual. It is my hypothesis that some people are so separated from everyday practice that they no longer know what happens in health care settings and what the vast majority of practicing clinicians actually do.  We are not a profession of advocates.  Sure - advocacy is important - but it has never defined our role. This kind of thinking directly informs this thread about how social justice got inserted into our Code of Ethics and also supports the hypothesis that there are academic forces in our profession that are looking toward re-defining the very essence of what we do every day. Christopher J. Alterio, Dr.OT, OTR http://otconnections.aota.org/Public_Forums/f/79/p/9285/122497.aspx#122497Tue, 18 Jun 2013 14:08:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122497cjalterio/Public_Forums/f/79/p/9285/122497.aspx#122497 Almost on cue, we have this to consider from our colleagues who have just kicked off the British Association of Occupational Therapists conference.  This is currently being discussed, apparently just introduced in their plenary session - by Michael Iwama.  If you are interested, follow the Twitter stream at #cot2013 I am seeing some interesting Tweets as I type this - "We need to go beyond the preoccupation with the individual" and "OTs should get more involved in public health." If this does not support my assertion then I am not sure what does. Christopher J. Alterio, Dr.OT, OTR http://otconnections.aota.org/Public_Forums/f/79/p/9285/122496.aspx#122496Tue, 18 Jun 2013 13:10:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122496claudot/Public_Forums/f/79/p/9285/122496.aspx#122496 Yes, I can see some benefit to addressing the expanding participation of OT practitioners who work in academia vs. clinical practice within leadership roles in AOTA, and the potential for divergence between the general membership and the leadership because of this...but as this topic is also one that has been proposed to have influenced the development and inclusion of Principle 4 into the Code of Ethics, the dialog is also pertinent here as well.   Can we/should we dialog on both topics separately, recognizing that the conversations are mutually linked?    Also remembering that I sometimes have trouble chewing gum and walking at the same time, I am willing to give it a try.   Claudette       From:  Brent Howard Braveman, PhD, OTR/L, FAOTA Sent:  ‎June‎ ‎18‎, ‎2013 ‎8‎:‎14‎ ‎AM To:  general@aota.org Subject:  RE: [general] Motion 2 Ethics Revision- Social Justice   Claudette and Chris, I am very interested in the topics raised about the influence of academia on our professional association and of what constitutes "practice" and various ways practice can be conceptualized and described. Would it be reasonable to pull those topics out of this discussion thread and pursue the topics separately? Brent   http://otconnections.aota.org/Public_Forums/f/79/p/9285/122495.aspx#122495Tue, 18 Jun 2013 13:05:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122495cjalterio/Public_Forums/f/79/p/9285/122495.aspx#122495 Sure, Brent - but my own interest in those topics relates to the matters at hand.  I think one of my primary interests in the 'practice' issue relates to wishing to provide a context for my opinions in this thread.  Still, I don't mind having the conversation on top of another pixel somewhere.   As to the academics issue, I also think that it informs the conversation here - and as Claudette expressed so clearly (her economy with words exceeds mine, I think) it also points to the hypothesis of whether or not the social justice issue would have been raised if we did not have academic interest as strong as it is. Still conversation is conversation; that is my primary value even if it makes some of our social justice thread mildly discontinuous.  I am not anticipating that this social justice thread and conversation will be disappearing anytime soon, even if we engage ancillary topics elsewhere, so that is fine with me! Christopher J. Alterio, Dr.OT, OTR http://otconnections.aota.org/Public_Forums/f/79/t/16641.aspxTue, 18 Jun 2013 13:01:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:16641hopecaracci/Public_Forums/f/79/t/16641.aspx1 Good day, Is Kinesiotape considered a Physical Agent Modality?  Would the PAM AOTA position statement apply to the use of K-tape in OT practice? http://otconnections.aota.org/Public_Forums/f/79/p/9285/122494.aspx#122494Tue, 18 Jun 2013 12:14:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122494brentbraveman/Public_Forums/f/79/p/9285/122494.aspx#122494 Claudette and Chris, I am very interested in the topics raised about the influence of academia on our professional association and of what constitutes "practice" and various ways practice can be conceptualized and described. Would it be reasonable to pull those topics out of this discussion thread and pursue the topics separately? Brent http://otconnections.aota.org/Public_Forums/f/79/p/9285/122493.aspx#122493Tue, 18 Jun 2013 12:07:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122493brentbraveman/Public_Forums/f/79/p/9285/122493.aspx#122493 Alex, I do not wish to address the topic of the student membership circles because I do not feel as I have anything substantive to contribute beyond personal impressions and opinion. Brent http://otconnections.aota.org/Public_Forums/f/7813/p/16507/122491.aspx#122491Tue, 18 Jun 2013 04:10:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122491Jkirschke/Public_Forums/f/7813/p/16507/122491.aspx#122491 Hey Matthew,     Here is my typical day at a SNF: Show up between 6:30-9:30 (different for each facility), get my schedule, see who could be a co-tx. I try to plan out who I'm going to be seen when. I usually start with my eval pt's or those with appointments later in the day. Then I just go do it. I usually save the last hour for documentation. Everyone is different though.  I understand the dilemma of starting in a practice area that you weren't originally interested in. I never thought I would enjoy SNF's, but as a traveler which has most of their placements at SNF's, I have found something unique and enjoyable in it. Like I said earlier, each place is unique. Not all places have as many MedA pt's as you would like, but it really gives you a chance to fine tune your skills with MedB's. That's just my opinion. Give SNF's a chance and go into it with an open mind. Nothing is forever. Look at it as an enriching experience only furthering your skills and knowledge base as a practitioner.  Oh and there are so many types of pt's you will see. Stroke, TBI, COPD exacerbation, amputees, ortho (hips/knees), dementia... a diverse population. Basically individuals who can't tolerate 3 hours or have given their best shot at inpt and need less intense therapy.  Hope this helps! http://otconnections.aota.org/Public_Forums/f/79/p/9285/122490.aspx#122490Tue, 18 Jun 2013 03:15:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122490alejandroduran/Public_Forums/f/79/p/9285/122490.aspx#122490 Caustic or True :                 Since you called my email caustic, I’m wondering if you have the consideration to acknowledge some of the truth of my examples in the post about evading facts and questions. One of these was that I asked Dr. Toto why she voted against the motion and got no answer. The second example was regarding Helen Kirkpatrick’s suggestion that social justice was not an issue for other boards. She not only failed to respond to Dr. Alterio’s research on the matter, she failed to answer my own question regarding whether she had done any research on the matter before she made the suggestion. Don’t these examples substantiate my claim about the social justice supporters evading facts and questions?                The third example had to do with Kathy’s experience with an Ethics Commission member at the conference. Here you have accurately contradicted the Ethics Commission member who accused Dr. Alterio of being a trouble-maker and engaging in vicious attacks on OTConnections. You know very well that he such descriptions cannot be applied to him. But what I want to ask you is if you think the Ethics Commission violated Principle 7 of the Code of Ethics when in response to a letter from Dr. Alterio the Ethics Commission investigated itself and found itself to have acted in a professional manner. Recall that Principle 7 forbids acts that create even the perception of a conflict of interest. I don’t think being a member of the Board of Directors should be a reason for evading this question. I think principled leadership requires leaders to publicly stand for principles.  The should do this even when one of their own has erred.           I would also like to know whether you think that my experience with Dr. Theresa Smith of Towson University substantiates my claim that occupational therapy has a defective culture as it regards philosophical diversity. Recall that I merely sent her an invitation to my table where I was promoting a reading project. Her response was that I should find another profession. The invitation is the same as the one I posted in this forum except that I stated I was a student. Isn’t Dr. Smith an instantiation of what I have been claiming all along?           Also, what do you think about Dr. Reed’s post to these forums? Would you defend her three arguments for keeping the social justice requirement in the Code of Ethics ? Or do they represent limited and flawed knowledge on the matters she was overseeing as chair?           Finally, what do you think of Dr. Hemphill’s ghost-like tenure as chair of the Ethics Commission? Did Dr. Hemphill act responsibly by posting Dr. Reed’s statements? Has she acted like a principled leader now by washing her hands of her posting of Dr. Reed's message?           Perhaps it is caustic to state that the last two chairs of the Ethics Commission demonstrated limited and flawed knowledge of social justice as well as poor judgment in the exercise of their duties, but is it true?