SJBird55
Posts: 2357
Joined: May 10, 2004
From: Michigan
Status: offline
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The majority of the therapists I know and have worked with were complacent. Very complacent. They didn't strive to be better. They saw their role as a job. Do the time and leave. I honestly don't know if we are prepared for the task... if the majority are complacent then the mentors that are out there are suboptimal... so the complacency cycle persists. How competent is a complacent individual? I honestly don't know and mentally wrestle with how motivated complacent individuals are in particular situations. Referring on takes time and energy and sometimes multiple phone calls and logging those calls. Referring = additional, unplanned work in an already filled schedule. How do complacently competent individuals handle the situation? How many therapists out there actually utilize a medical systems review? I can tell you that when I was practicing in an outpatient hospital setting, it wasn't "allowed." Of course, I'm a rebel so I did what I thought was right and I created one and I used it. I got written up every time my charts were audited because I used non-approved forms. Well... administration and the other therapists were under the belief that a medical systems review falls under the physician's responsibility AND it took time for patients to complete. I was a minority. I was also practicing at a small satellite with initially no other therapists. What are the options? Go with the flow, try to implement change (I tried and it failed)... or just do what is right and accept that there will be consequences. I hear what John is saying... I actually worry that we as a profession really aren't ready for direct access - only because of the experience I have had with those in my own profession locally.
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