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Discussion on Scope of Practice Expansion Comtinues

  • 20 Jul 2018 12:46 PM
    Message # 6390396

    Dr Nadal began the discussion with the following:


    After reading these letters, I am concerned that if they have advanced practice chiropodists, why would they need podiatrists?

    This sounds great for the chiropodists but not for us.

    In my humble opinion, I think we have to convince them that this is the wrong way to go.

    Sheldon

  • 20 Jul 2018 12:52 PM
    Reply # 6390404 on 6390396

    Sheldon: The concern you raise is understandable, but let me explain why the OPMA is supporting the College in going in this direction:

    • ·         Any authorities granted to extended practice chiropodists, will also be granted to members of the podiatrist class.
    • ·         We believe that, based on the PES report, etc., the extended practice chiropodists will be limited to DPMs who are now practising as chiropodists in Ontario. There may be some non-DPMs, but we suspect not many, who will satisfy the competency requirements for membership.
    • ·         It's a good strategy we think, in fact vital, to keep discussions going with the Ministry and not close the door on anything the Ministry offers. We are hoping that by staying at the table and keeping the discussions going we can convince the Ministry to move further and further with the scope of practice expansion.
    • ·         Maintaining the terminology extended practice chiropodist, protects the integrity of the podiatrist title and retains some leverage for podiatrists over future title changes. It's noteworthy that the Ministry doesn't think it appropriate to call chiropodists podiatrists i.e. they appear to understand the difference
    • ·         Our ultimate goal is still to convert to a full scope, North American-style podiatry model. Scope of practice changes by regulation first and by statutory change as soon as possible in the future.
  • 21 Jul 2018 7:52 AM
    Reply # 6391418 on 6390396

    As I understand it, "advanced practice chiropodists" are the DPMs currently registered as chiropodists. The Ministry "gets it" that the desirable end goal for a practitioner in Ontario is the DPM or DPM equivalent.  DPM-Chiropodists, nor anyone else in the province, cannot be called a podiatrist, unless legislative changes are enacted - namely removing the Cap by replacing the Chiropody Act with a new Podiatry Act. Ultimately, this is what we seek, but right now they aren't willing to make that significant legislative leap. They prefer this step-wise approach, which they are more comfortable with because they proceeded in this fashion with other professions (nursing, physiotherapy).  In her first letter, Deputy Minister Cole refers to "broader legislative changes" as the ultimate goal. This is of course what the DChs want too, because only this way will they ever potentially have access to the title Podiatrist. Keeping the MOH engaged with the College and the profession is absolutely key to moving forward. There are (chiropodist) forces within the College Council that argue that the College should abandon this opportunity of a pathway by the MOH  arguing that "it is too expensive" , etc.  (which it is not) when in actual fact, they want it dropped because 1.there is no assurance the DChs will get the Podiatrist title without some form of educational upgrade - unpalatable to many of them. 2. "Just let natural attrition get rid of the Podiatrists then we can petition government to try and get it then" - College legal counsel has literally stated this openly, 3. (Strong but hidden - "slow-walking", "stalling", "misinforming" - how does what you read in the MOH letters differ from the very sombre perspective promoted by College April communique on this stuff? ) Resistance by Council administration because it will require much greater scrutiny of the day to day functioning of the College offices with a high probability the current staff "can't handle it". Allying/colluding with Council minions, who have their own separate agenda (see above), to try to tank the effort. 

    We can't let that happen. Must continue to support OPMA efforts in working together with OSC to push the College to continue to meet with MOH to move this forward. The OPMAs meetings with MOH on this have been very encouraging. They do want to fix this mess in Ontario.

  • 04 Oct 2018 2:10 PM
    Reply # 6707445 on 6390396

    I think this is the ideal forum to communicate and explore our problems or concerns with the current direction of the OPMA as well as offer your opinion on how to solve them.

    I remain optimistic that we can get everything we have always wished for and more.  I know that many of you feel that you have heard this before but we are literally on the doorstep.  

    We have had breakthrough meetings with the Ministry and our College.  The OPMA is in a really good position.  I think that we have earned the respect of the decision-makers in government by proving that what we are asking for is entirely in the best interests of the citizens of Ontario.

    We have engaged the OSC in a meaningful way and it looks like we may be able to pursue common goals and still remain on the path towards removing the "cap".

    I am listening if you think we need a different direction.   


    If you have any connections in your area that can assist us please share them so that we can make the best use of all of our resources.  Now is the time to cash in those chips.


    I wish we could engage more of our members on this website.  It has a ton to offer.


    J Hill, DPM FACFAS

    PRESIDENT, OPMA




                                               

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