Scope Of Practice Update: Where Things Stand
- Volume 24 - Issue 12 - December 2011
- 18996 reads
- 3 comments
Will The Profession Establish A Uniform Scope of Practice?
With four years left in the APMA’s Vision 2015 timeline, the pieces are falling into place to ensure reforms to the scope of practice will happen. The ideas of flexibility on a professional level and understanding on a personal level are slowly getting around.
“A scope of practice should represent a range of care, not a baseline of care,” according to Glenn B. Gastwirth, DPM, the Executive Director of the APMA. “Not every physician in every specialty will have the requisite education and training to deliver medical and surgical care at the highest end of their scope of practice even if it is an ‘unlimited scope.’ Can or should any thoracic surgeon be allowed to perform organ transplant surgery?”
Dr. Gastwirth believes that the podiatric scope of practice should be commensurate with the highest level of care for which a podiatrist receives training. He says the highest end of the profession’s scope must be dynamic and subject to change with the advancement in education and training.
“These few remaining restrictive state statute scope barriers will fall in due course as there is no justification in so much as the training and credentialing standards, and practices of institutions now mandate appropriate training for all surgeons practicing medicine and surgery of the foot, ankle and leg regardless of medical degree or specialty,” comments Dr. Vogler. “This is a uniform standard that all physicians and surgeons must meet.”
Rachel L. MacAulay is a freelance writer who lives in Matawan, N.J.