Update newsletter Spring 2015 • Volume 17 • Issue 1 In this Issue: Updated College Bylaws.................1 Registrant Competence Examination......................................1 Notice of AGM & Forum .............. 2 A Message from the Board Chair...................................... 3 Important Notice Regarding Practice Standard No. 9................. 3 Quality Assurance Program Update.......................... 4-5 Committee Reports (FAQs)...... 6-8 Nominations Committee............... 8 Incorporation Report..................... 9 Registration Report: Renewals Report...................... 10-11 Clinical Placements Notice........ 12 Inquiry Summaries.................. 13-14 Comings and Goings.................... 15 015 Brings Important Regulatory 2 Changes That Will Impact You Directly UPDATED COLLEGE BYLAWS – effective 2015 The College is currently working with the Professional Regulation and Oversight Branch of the Ministry of Health to update the College Bylaws. ◆ T he January ‘grace’ period for renewing your registration will no longer exist. You will need to complete your registration renewal process NO LATER than DECEMBER 31, 2015. ◆ T he use of the title “specialist” will be available to those physical therapists who meet the College criteria. New Edition of Where's the Line? Booklet........... 15 Registrant Competence Examination Save the Date! 2015 Annual General Meeting & Physiotherapy Practice Forum Saturday, April 25, 2015 See inside for details. Notice of Registrant Competence Assessment 2015!! All full and limited registrants should have received a letter from the College by the first week in March, advising them that they were randomly selected to complete the Registrant Competence Assessment either in November 2015 or in October 2018. If you have not received this notification, please contact the College immediately. Please check the website regularly for new information about the RCA at www.cptbc.org Notice of Annual General Meeting & Physiotherapy Practice Forum Co-hosted by The College of Physical Therapists of BC The Physiotherapy Association of BC The Department of Physical Therapy, Faculty of Medicine, UBC Saturday, April 25, 2015 Marriott Pinnacle Hotel 1128 West Hastings Street Vancouver, BC Overview of Events 7:30 a.m. Registration, Coffee, Trade Show 8:30 a.m. Deb Treloar: Practice Insights into Gait Rehab 9:15 a.m. PABC Annual General Meeting 10:00 a.m. Coffee Break, Trade Show & Showcase Lounge 10:30 a.m. CPTBC Annual General Meeting Chris Smerdon: Quality Assurance Program Brenda Hudson, Registrar: Bylaw update, restricted activities, use of the titles ‘specialist’ and ‘doctor’ 11:45 a.m. Lunch, Trade Show, & UBC Showcase Lounge 1:00 p.m. Erl Pettman: Practice Pearls 1:45 p.m. Dave Troughton, Linda Li, Alison Hoens: The Art and Science of Helping Patients Change Behaviour 2:30 p.m. Cookie Break, Trade Show, Showcase Lounge, Prizes Awarded 3:00 p.m. LJ Lee & May Nolan: Complex Case Conundrums 3:45 p.m. 4:00 p.m. Awards Presentation Physiotherapy Association of BC (PABC) College of Physical Therapists of BC (CPTBC) Department of Physical Therapy, University of British Columbia (UBC) Reception • The Annual General Meeting is open to everyone (no charge). • The Forum will be live-streamed. • There is a $20.00 Administrative Fee to attend the Forum. • Attendance for UBC MPT Students is $10.00. • T here is a $15.00 refund for cancellations requested BEFORE April 5, 2015. There is no refund for cancellations requested from April 5, 2015 to April 25, 2015. • Y ou can register for the Forum at https://physioforum2015.eventbrite.ca between March 4, 2015 and April 4, 2015. 2 College of Physical Therapists of BC • inspiring public confidence A Message from the Board Chair Dear Fellow Registrants, By the time you read this we will be well into 2015. The days will be getting longer, and hopefully warmer, and we will all be firmly established in our regular routines. Every year at the College is a busy year, however, this year is going to be an especially busy one for those of us involved in the various committees and programs. The coming year will see a lot of change being ushered in. You may recall that recently the Professional Regulation and Oversight Branch of the Ministry of Health restructured its department. As a result, the Bylaws that have been waiting for approval for the last few years will be approved in the near future. One very important detail that you need to be aware of is that in the new Bylaws the grace period for failing to pay registration fees will no longer exist. This means that if you wish to continue practising physiotherapy in January 2016, you will have to ensure that you register before December 31, 2015. We will be sending out notifications to update and remind you of the changes as they occur. Another project that will be particularly active is the Quality Assurance Program. The Quality Assurance Committee (QAC) members are working on the continued development of the program and its three phases: the Annual Self Report, which we are all familiar with; the Registrant Competence Assessment, which the finishing touches are being added to currently; and the Registrant Practice Support phase, which will be completed prior to the implementation of the RCA in November 2015. The QAC communication team will be sending out regular updates over the course of the year, so be sure to read them as they will contain important information about the program and what is required of you. The College has an important role in protecting the public. One of the committees that is vital to this function is the Registration Committee. This committee acts as the gatekeeper of the profession, a role not to be taken lightly. Recently, changes were recommended to the Board by the Registration Committee to improve the efficiency of the registration process. This is great news for those looking to hire new graduates and new registrants as the standard up to two-weeklong process will now be shortened. As you can see there are many changes occurring within the College that will impact us all. We will endeavor to keep you abreast of all these changes with regular updates throughout the year. In closing, I would like to thank you all for the dedication and enthusiasm you express for our chosen profession. It is this dedication to the patients and clients we serve that continues to inspire the public's confidence in physical therapy. Sincerely, Philip Sweeney Board Chair, CPTBC Important Notice RESCINDED: Practice Standard No. 9 – Complementary and Alternative Therapies; effective June 28, 2014 Upon review of the Practice Standard content, the Standards of Practice Subcommittee determined that the relevant content is already captured in other College regulations such as the Code of Ethics (Bylaw 55), and Minimum Treatment Standards (Bylaw 56), as well as the provincial regulation of the Health Care Consent and Care Facility Admissions Act. Please remove Practice Standard No. 9 from your Reference Guide. Spring 2015 • Volume 17 Issue 1 3 Quality Assurance Program Update M any thanks to all of the physical therapists who participated in the RCA pilot test. Through their participation, the pilot test helped us make several decisions about how to conduct the RCA in the future. One of the most significant decisions is that registrants will be asked to choose one of the four practice contexts in which to complete the RCA. This recommendation was made by the Board of Examiners in order to achieve the best possible statistical reliability for the RCA. This will allow for greater confidence in RCA scores and in the pass/fail decisions that will be made based on those scores. For the pilot test, registrants were invited to choose to complete the RCA in either one or two of the four practice contexts. Some important concerns due to this approach surfaced in the pilot test results. First, projections based on the pilot test results revealed that reliability for RCA exam forms containing two practice contexts may be too low to assign scores or make pass/fail decisions about either of the two practice contexts with the degree of statistical confidence recommended 4 for this type of examination. According to established standards for test development, exams containing two different practice contexts should be thought of as two separate exams – one for each practice context. Therefore, scores and reliability should be calculated and reported for each of the two contexts separately. The pilot test results also provided a strong indication, that in order to keep the total testing time within a desirable time limit, it is not possible to include enough cases and questions in each of two contexts to reach the degree of reliability necessary for each of them. In addition, the number of registrants who chose to complete the pilot test in two practice contexts was low. Projections based on these numbers (see Table 1) indicated that there would not likely be enough registrants completing the RCA in two contexts, at each sitting, to allow for a large enough sample size to complete essential statistical analyses dependent on that sample size. In order to maximize reliability, keep the RCA within a reasonable time limit so as not to overburden registrants, and ensure large enough sample sizes for proper statistical analyses of each exam, the Board of Examiners recommended that each RCA examination consist of a single practice context. The Quality Assurance Committee and the Board of Directors agreed with this recommendation. The College aims to develop the RCA while adhering to accepted standards for test development. The decisions made as a result of the pilot test support that goal. College of Physical Therapists of BC • Feedback From the Pilot Test What registrants and their proctors told us: Out of the 169 registrants who completed the pilot test in November 2014, 111 provided feedback. Of the 155 proctors, 47 provided feedback. Regarding communication and online navigation: 76% agreed/ completely agreed that the booking process was easy to follow. 84% agreed/ completely agreed that navigating through the cases and questions went smoothly. 83% agreed/ completely agreed that the emails from the College were useful. Suggestions: • Improve the instructions and navigation at the beginning of the RCA. • Send reminder emails to registrants and proctors a couple of days before the RCA. • Provide better instructions on logging in, navigation and code of conduct before the RCA. Regarding the RCA content: 29% agreed/ completely agreed, 25% disagreed/ completely disagreed that they were satisfied with the practice context(s) they chose. inspiring public confidence 51% disagreed/ completely disagreed, 36% agreed/ completely agreed, 13% were neutral regarding whether the pilot test content reflected day-today practice in the practice context(s) they chose. • Provide more sample cases. 16% didn’t study, 40% studied less than 4 hours, 19% for 4-8 hours, 25% for more than 8 hours. Regarding proctoring: • C onsider how to refine the cases included in the adult and older adult musculoskeletal and the child and youth practice contexts. 54% of registrants agreed/ completely agreed, 29% disagreed/ completely disagreed, 17% were neutral regarding the statement that finding a proctor was manageable. Suggestions: • I mprove the information available about each practice context. 66% of proctors agreed/ completely agreed, 2% disagreed/ completely disagreed, 23% were neutral that asking someone to be a proctor is a reasonable request. 62% of proctors agreed/ completely agreed, 28% were neutral that they would act as a proctor again. Suggestions: • C larify the difference between the PIN and the proctor key. • Make it easier to get the proctor key. Table 1 Number of registrants per practice context in the pilot and projected for the first administration Projections for 1st administration (50% of full and limited registrants) Pilot Test Practice context(s) Option 1 Option 2 Total Total Adult and Older Adult Cardiorespiratory 14 140 70 70 185 93 92 Adult and Older Adult Musculoskeletal 98 980 490 490 1060 530 530 Adult and Older Adult Neuromuscular 21 210 105 105 320 160 160 Child and Youth 15 150 75 75 175 88 87 Adult and Older Adult Cardiorespiratory AND Adult and Older Adult Musculoskeletal 1 10 5 5 Adult and Older Adult Cardiorespiratory AND Adult and Older Adult Neuromuscular 7 70 35 35 Adult and Older Adult Cardiorespiratory AND Child and Youth 0 10 5 5 Adult and Older Adult Musculoskeletal AND Adult and Older Adult Neuromuscular 13 130 65 65 Adult and Older Adult Musculoskeletal AND Child and Youth 2 20 10 10 Adult and Older Adult Neuromuscular AND Child and Youth 2 20 10 10 173 1740 Grand Total Spring 2015 • Session 1 Session 2 Volume 17 Issue 1 Total Session 1 Session 2 1740 5 Committee Reports includes respecting his/her right to choose where they want to receive physical therapy treatment and who they want to provide that treatment. Frequently Asked Questions If you leave a physical therapy private practice, are patients informed, and do you have an agreement for enduring access to clinical records? Over the past year, the College has received an increase in calls from physical therapists in private practice, or private practice owners, who are looking for information on protocols for what to tell patients and how to manage clinical records when a physical therapist leaves a clinic. When the employment relationship is being severed, it can be a difficult time to negotiate these details. Start by consulting your employment contract to determine if there is an agreement on what procedure to follow when you leave the practice. If not, it may be helpful to come to an agreement on these details – before the situation arises. A lawyer may be of assistance in outlining acceptable business practices from a legal perspective. While the College does not have jurisdiction over business agreements from a public interest perspective, there are a few things to consider if you are leaving a private practice. In College Bylaws, as part of the Code of Ethics - responsibilities to the client, it states: Physical therapists shall consider the well-being of the client as their primary concern by respecting the client’s legal rights, dignity, needs, wishes and values. Presumably, respecting a client’s needs and wishes 6 In keeping with the Code of Ethics, where possible, patients should be advised in advance that his/ her physical therapist is leaving the clinic. Ideally, from a patient perspective, the patient should be given the option to choose whether to continue at the current clinic with a new physical therapist or to seek treatment elsewhere. One option is to notify the patient that there will be a new physical therapist available to continue treatment, and if the patient declines that option and asks about the departing physical therapist’s new location, to provide the patient with the College contact information. The patient could be advised to call the College, or use the online database, to find the previous physical therapist’s new workplace details. Be sure to update workplace information in the College database if your workplace details change. Keep in mind the power differential that exists between a physical therapist and the patient. If recommendations are made to follow the physical therapist to a new clinic, the patient may feel compelled to do so, even if he/she would rather continue to receive treatment at the current clinic location. Encouraging patients to move to the physical therapist’s new place of employment, during a patient’s treatment time, could be perceived by the patient as the physical therapist placing his/her financial interests ahead of the patient’s interests. The option of providing College contact information respects the patient’s College of Physical Therapists of BC • right to choose, and keeps the focus on providing patient care during the appointment. When a physical therapist leaves a clinic, there is often a question of whether the clinical records stay at the facility or clinic or whether they move with the physical therapist who compiled the records. Again, the business contract should be consulted, as it may have information that clarifies the ownership rights to clinical records. From a public interest perspective, the patient may need to access the clinical record in future, and would likely return to the facility or clinic where it was compiled to request a copy of the record. If the clinical records will be moving with the departing physical therapist, patients, as well as the College, should be advised where the records will be stored. Keep in mind that privacy legislation in BC prevents using personal information for a purpose other than for the purpose it was originally collected for. This means that patient information, provided for the purpose of receiving physical therapy services at Clinic X, cannot be used for the purpose of soliciting business for Clinic Y, according to the Personal Information Protection Act. In order to make copies of a patient record to take to a new location, written consent from the patient is required. With regard to clinical records, it’s especially important when a physical therapist works at a clinic owned by a non-physical therapist to ensure the employment contract sets out an agreement for enduring access to clinical records for the physical therapist and the patient, should the inspiring public confidence need for access arise in the future. The physical therapist is responsible for retaining clinical records for 16 years from the date of last entry, or to the age of majority plus 16 years; and should be sure an agreement (preferably in writing) has been reached to guarantee enduring access for the physical therapist or patient for the duration of the retention period. Most physical therapists will change clinics at some point in their career, which makes these important topics to address with employers. Ideally, these details will be addressed at the point of hire when the contract is negotiated, and when it could be reviewed by a lawyer to ensure that professional and contractual obligations don’t conflict. If you already have a signed employment contract, take a look at the details of the contract to determine if there is a gap regarding procedures when you leave the clinic. If so, now might be the time to work towards an agreement on how patients will be notified, and ensuring enduring access to clinical records for you and your patients. In the end, the patient deserves the right to choose who they want to see for physical therapy services, and where they want to access services. Some patients will choose to stay at the current clinic, while others will prefer to follow the departing physical therapist to the new location. From the patient’s perspective, both options should be available. Sending patient information via email - What are the risks? It seems it is becoming more common to communicate with patients or other health care professionals via email. While there are benefits such as avoiding postage costs, and communicating without the time delay of regular mail, there are also privacy risks associated with sending patient information by email. Section 30 of the Freedom of Information and Protection of Privacy Act, and section 34 of the Personal Information Protection Act require that we protect personal information by “making reasonable security arrangements” to prevent unauthorized access, collection, use, disclosure, copying, or similar risks. Physical therapists have an obligation to maintain the confidentiality of patient information by adopting reasonable security measures to protect a patient’s personal information. Keep in mind that the privacy and security of an email message can’t be guaranteed. What are reasonable security measures? Reasonable security measures will vary according to the sensitivity of what is being sent. For example, sending a confirmation notice for an appointment has a different degree of sensitivity than a comprehensive report about a patient’s injury that may include a personal health number, complete history, assessment findings, and return-to-work recommendations. The more sensitive the information is, the more layers of security you will want to employ. Consider: •If there is a privacy breach, how much personal information will be disclosed? How can the risks associated with sending patient information via email be mitigated? •Obtain patient consent – consider using an ‘email consent form’ to document patient consent for email communication and its associated risks. •Reply to a patient’s email – to minimize the chance of entering an incorrect email address. •Limit what content is sent via email; in some cases, you may determine that the sensitivity of the information dictates that email is not the best medium for communication. •Where possible, remove identifying information such as last name, PHN, or Care Card number. •At a minimum, password protect documents sent via email. Encryption is best, but requires that the sender and recipient are equipped with encryption software. Some software that ‘zips’ files also has the ability to encrypt the content. •Be aware that web-based email services may lack security features, and could make them more vulnerable. •As part of your privacy policy, develop a policy on email communication – outlining measures consistently employed to provide reasonable security to personal information. Continued on next page... •If it were my information, would I be satisfied that reasonable security measures were taken? Spring 2015 • Volume 17 Issue 1 7 Committee Reports: FAQs – continued Below is an example of an email signature used by a physical therapist to help communicate the risks and limits of email communication. To My Patients: By choosing to use email to communicate with me, you understand and agree to the following: (1) The use of email poses risks to the confidentiality of your health information. You accept the risks taken when communicating over an open network which provides no inherent protection for confidential information. (2) There will be times that I will not have access to my email. Time sensitive and/or important issues should be communicated either in person or via telephone. (3) There may be a time lag in my response to email. I do not check my email when with patients in the clinic. • Check signatures and tag lines; ensure they are professional in nature. What else should be considered when communicating patient information via email? •Keep a copy of email communication in the patient’s clinical record if it contains relevant patient care information. •Maintain a professional communication style. •In situations of conflict, email communication is best avoided. Nominations Committee A reminder that NOMINATIONS for three BOARD positions ARE OPEN. The deadline for nominations is 4:00 p.m. Thursday, March 26, 2015. For further information about this opportunity, contact the College Nominations Committee c/o the Registrar at [email protected] or 604 730 9193. Nomination forms can be obtained from the College office by contacting Richenda Grafton at 604 730 9193 or emailing Richenda at [email protected] 8 College of Physical Therapists of BC • inspiring public confidence Incorporation Report NEW: Corporation Policies in not later than March 31st each year in order to carry on business of providing effect as of January 31, 2015 physiotherapy service to the public. If A physical therapist may incorporate her or his practice as a health profession corporation under Part 4 of the Health Professions Act and Part 7 of the College Bylaws. Corporation permits are valid from April 1st to March 31st and must be renewed annually. At its January 31, 2015 meeting, the Board approved two policies with regards to corporation permits: 1. Policy 9.3 - Failure to Renew a Corporation Permit A Physical Therapist Corporation must renew its permit when notified, but the permit renewal form along with the annual fee has not been received by March 31st, the Board may revoke the corporation permit. If the Board proposes revocation based on failure to renew a permit, it will give a notice setting out the date when the revocation will take effect and the grounds for revocation. The Registrar of Companies will be notified if a professional corporation failed to renew its permit with the College. A Physical Therapist Corporation whose permit was revoked due to failure to renew its annual permit may re-apply for the permit and pay the application fee. 2. Policy 9.4 - ‘Grandfathering’ a Corporation A physical therapist who fails to apply for a permit with the College when establishing his or her Physical Therapist Corporation under the BC Business Corporation Act may be allowed to do so, if his or her corporation permit is backdated to the date of its actual incorporation. In addition to the current fee, the annual fee must be paid for all years that the corporation has been in existence. Important Notice to Corporation Owners In reviewing our records, the College staff have noticed that some registrants have received a name approval from the College for their prospective corporations, but have never applied for a permit. Please be advised that a health profession corporation must hold a valid permit with the College in order to carry on business of providing physical therapy service to the public as stated in Part 4 of the Health Professions Act and the College Bylaws Section 62. For more information on how to apply for a permit visit http://cptbc.org/physical-therapists/corporations/ or contact the Registration Coordinator at [email protected] Corporation Permits Renewal NOTICE to physical therapists who are corporation owners: Your current corporation permit expires on March 31st. You will receive a renewal notice in the mail soon. Please complete and return the renewal form, and payment, to the College no later than March 31, 2015. Spring 2015 • Volume 17 Issue 1 9 Registration Report – Renewals Report 2014 Full Registrants Cancelled for Non-Payment of Dues – 2014 Name Reg. No. Bernard, David........................04820 Cowan, Julia............................07323 De La Houssaye, Saskia.........02732 Dolnik, Denise.........................00155 Evans, Jessie............................05258 Francis, Lisa.............................07839 Gartner, Eric............................07794 Name Reg. No. Hay, Heidi.................................04190 Huang, Yan Hua......................07702 Lee, Carmen.............................07315 Mayson, Tania.........................04805 McLaughlin, Laurie...............01055 Nadon, Michelle......................03965 Ronhovde, Dag........................04293 Name Reg. No. Taylor, Barbara........................01368 Wiebe, Jody..............................06323 Walters, Matthew...................07257 Burton, William......................03711 Heisterman, Nicole................04103 Inactive Registrants Cancelled for Non-Payment of Dues – 2014 Name Reg. No. Atherton, Nicola..........................03271 Beaton, Becky .............................01283 Faltas, Eriny . ...............................06433 Jadidi, Saeed . ..............................07556 Name Reg. No. Neill, Andrew . ............................05194 O’Connor, Nicola .......................02842 Shearman, Katherine ...............04325 Sheldon, Theresa .......................02343 Name Reg. No. Strim, Natasha ............................04352 Wakeley, Susan ...........................06978 Zwolak, Michelle .......................01235 Full Registrants Reinstated – 2014 Name Reg. No. Bernard, David........................ 04820 Burton, William ..................... 03711 Cowan, Julia............................ 07323 De La Houssaye, Saskia.........02732 Evans, Jessie............................05258 10 10 Effective February 3, 2015 February 3, 2015 February 3, 2015 February 3, 2015 February 3, 2015 Name Reg. No. Gartner, Eric............................07794 Heinsterman, Nicole..............04103 Nadon, Michelle......................03965 Ronhovde, Dag........................04293 College of Physical Therapists of BC • inspiring public confidence Effective February 3, 2015 February 3, 2015 February 3, 2015 February 20, 2015 Registrants Cancelled in Good Standing – 2014 Name Reg. No. Stinson, Adrienne................... 08018 Bourassa, Shannon................. 04747 Brown, Jenna . ........................ 07629 Chapman, Kelsey.................... 07877 Chocholik, Joanne.................. 00103 Connolly, Stephanie .............. 07453 Courtemanche, Diane .......... 07133 Darling, Catherine.................. 07821 Daudji, Anisa........................... 08052 Dhaliwal, Aman...................... 05241 Egan, Mary .............................. 03755 Ekman, Karolina..................... 07989 Erickson, Natashia................. 07399 Fegan, Brian............................. 03856 Folkens, Doris.......................... 06324 Franks, Naomi......................... 04117 Fraser, Monica......................... 03863 Grant, Gillian........................... 07852 Hansen, Carmen..................... 08489 Hartman, Barbara................... 02126 Name Reg. No. Name Reg. No. Heckerott, Doris..................... 03723 Heinz, Lisa............................... 08194 Hepditch, Kathryn................. 07825 Hurst, Gillian........................... 08017 Josling, Kate............................ 08082 Kelly, Ian................................... 08080 Kipnes, Mara........................... 06760 Koblbauer, Ian......................... 07003 Krug, Shannon ....................... 08046 La Cock, Reyno....................... 06528 Ladha, Hanifa.......................... 02996 Lee, Cherie .............................. 08079 Li, Rebecca............................... 07718 Lo, Janice . ............................... 06997 Mamaril, Joanne . .................. 08361 Marra, Nicole ......................... 07964 Masand, Kanchan................... 08064 Massong, Erika........................ 07670 Mayer, Jill . .............................. 05138 McPhedran, Francesca.......... 06568 Monette, Patricia.................... 06458 Neifer, Valerie.......................... 04250 Nelson, Myrian....................... 07454 Reid, Darlene........................... 01141 Richardson, Kate.................... 06848 Saddiqui, Rana........................ 04512 Schlender, Tyla........................ 03673 Sheppard, Phillip.................... 08100 Shore, Sheldon........................ 01031 Slevin, Denise.......................... 06245 Stevens, Robin......................... 06782 Tennant, Jodi........................... 08226 Topp, Fiona ............................. 00823 Wiefelspuett, Silas.................. 06521 Williams, Brenda ................... 02257 Yamabayashi, Cristiane ........ 08202 Name Name Inactive Wagner, Belinda . ................... 07123 Wong, Sarah . .......................... 08058 Retired Name Reg. No. Struyk, Lorraine...................... 00598 Adamson, Beverly . ................ 00004 Arnold, Hazel ......................... 00822 Bassett, Sally ........................... 02193 Bosdet, Christine.................... 00898 Brooks, Lesley......................... 00064 Bunton, Barbara . ................... 08007 Cain, Linda............................... 00084 Carpay, Elizabeth................... 00091 Cole-Morgan, Janey L........... 01295 Cuttiford, Joanne................... 04562 Daly, Sharon............................. 02466 Deas-Dawlish, Lee................. 02602 Donaldson, Bonnie................. 00716 Douglas, Lorraine................... 04095 Evans, Lynda............................ 01304 Ferguson, Margaret................ 00087 Gerring, Sarah ........................ 00207 Reg. No. Haddock, Maureen................ 00710 Handerson, Patricia............... 00250 Hartman, Barbara................... 02126 Hughes, Diana......................... 01322 Hutchins, Judith..................... 00280 Johnston, Sally........................ 01111 Kemp, Mary............................. 00309 Koffski, Leah............................ 01466 Lee, Tzen.................................. 00347 Leitch, Janette......................... 05024 Mahan, Carol........................... 04661 McBride, Joan......................... 00687 McCreath, Graeme................. 01341 McDonald, Bruce................... 01343 Mutimer, Carol........................ 00414 Nielsen, Deborah.................... 00845 Nihls, Martha.......................... 01476 Orzech, Gail............................. 01397 Spring 2015 • Volume 17 Issue 1 Reg. No. Okihiro, Masumi..................... 00470 Picton, Barbara........................ 01352 Purnell, Darlene...................... 01146 Read, Jillian............................. 00727 Richter, Linda.......................... 00528 Samson, Helen........................ 00148 Sayer, Jennifer......................... 01499 Schluter, Russell..................... 01359 Schreck, Anne......................... 00554 Stokes, Gordon........................ 01356 Symington, Jill ....................... 02669 Thompson, Katherine........... 01420 Thornton, Rhona.................... 02514 Vince, Susan............................. 01259 Wade, Dianne.......................... 01127 Wilson, Julie............................ 00678 11 Clinical Placements Notice completed, forwarded to the College and approved by the College before the clinical placement may begin. Without College registration, the student is practicing illegally. Private Practitioners: Have You Been Approached By Out-Of-Province or International Students? 3.All academic programs in Canada organize out-of-province requests in the same fashion, although not all provinces require College registration for students. While we recognize that you are willing to provide an educational experience for an international or out-of-province (OOP) student, please forward all requests to the University of British Columbia and we will deal with the organizational processes. Facts to be aware of: 4.It is the responsibility of all practitioners to ensure that out-ofprovince students are registered with the College prior to the placement. Registration should be checked on the first morning of the student placement. Why is this process in place? 1.To protect the available placements for UBC students first. UBC students have the right to expect that quality fieldwork opportunities within the province will be available to them first. Placements not used by UBC students are offered to students from other Canadian programs first, and then to international students, in order to support the training and education of Canadian PT students (there is a shortage of available placements for Canadian students across the country). 2.To ensure the student is practicing legally in BC, has the required liability insurance and is attending a WCPT-recognized University program. 3.To ensure that all students are placed in facilities where they have full time supervision by a physiotherapist with the appropriate skills. If you are interested in being involved in Clinical Fieldwork Education, please contact the Associate Head for Clinical Education at UBC: Sue Murphy at 604 822 7413 or by email: [email protected] 1.All requests for placements received by any facility or private practice must first be forwarded to the PT Clinical Placement Officer at UBC ([email protected]). These requests will be considered only after all UBC students have been placed. Please note, clinics which do not currently have a site placement agreement with UBC, i.e. who do not currently accommodate UBC students, are unlikely to be considered for OOP or international students. 2.All students must then register with the College: Once the placement is approved, the Clinical Placement Officer will provide the student with a College student application package which must be 12 College of Physical Therapists of BC • inspiring public confidence Inquiry Summaries Professional Misconduct The College received a written complaint against a physical therapist alleging that the physical therapist was “abrasive” towards her; and that he documented false information in her physical therapy record. The complainant was a patient of the physical therapist in a WorkSafeBC OR1 program. Following an investigation the Inquiry Committee determined that there was cause to take action against the physical therapist under section 36 of the Act for breaching College Bylaws section 55(1.1) - Standards of Practice Responsibilities to the Client - Physical therapists shall consider the wellbeing of the client as their primary concern by respecting the client's legal rights, dignity, needs, wishes and values. The Committee determined to act under section 33(6)(c) of the Health Professions Act and requested under section 36(1)(d) that the physical therapist undertake to submit a paper, to the satisfaction of the Committee in which: 1.he reflects on his role as a service provider to a patient when there is a third party payer; and, 2.he reflects on where his role as an independent practitioner begins and ends, with reference to this particular case and informed by the Bylaws of the College; and 3.he advises the Committee of any changes he will make in regards to his practice in relation to his treatment of patients. Incompetence – Exacerbation of Injuries The College received a written complaint against a physical therapist alleging that the physical therapist exacerbated her pain and that the physical therapist ignored her request when she declined certain treatment technique and modalities. Following an investigation the Inquiry Committee determined there was cause to take action against the physical therapist under section 36 of the Act for breaching College Bylaws section 55(1.1) – Standards of Practice – Responsibilities to the Client - Physical therapists shall consider the well-being of the client as their primary concern by respecting the client's legal rights, dignity, needs, wishes and values, and section 55(1.4) Standards of Practice - Responsibilities to the Client - Physical therapists must give clients the opportunity to consent or decline treatment or alterations to the treatment regime. The Committee determined to act under section 33(6) (c) of the Health Professions Act and requested under section 36(1)(d) that the physical therapist undertake and consent to write and submit a report to the satisfaction of the Committee, outlining the importance of the College of Physical Therapists’ Practice Standard No. 1 – Clinical Records in the circumstances of this complaint, and how a practitioner would incorporate and comply with this Standard in his or her practice. Professional Misconduct The College received a written complaint against a physical therapist alleging that the physical therapist continued to treat her while being Spring 2015 • Volume 17 Issue 1 involved in an alleged unrevealed and inappropriate relationship with a person, who was the complainant’s partner and the physical therapist’s patient at the time. Following an investigation the Inquiry Committee determined to act under section 33(6)(a) of the Health Professions Act to take no further action as, on the face of the information before it, was satisfied that the physical therapist was not in breach of Bylaw Section 55(1) (f ) - Professional Misconduct contravening a standard of practice, clinical practice statement of the profession, or the code of ethics and College Practice Standard 8 – Conflict of Interest. The file is closed. Professional Misconduct The College received a written complaint against a physical therapist alleging that the physical therapist did not refund her for a pre-paid treatment session which she cancelled, and that the physical therapist did not provide her with a receipt for her payments as requested. Given that the complainant has later withdrawn her complaint, there was no reason for the Committee to take action against the physical therapist under the Health Professions Act. The file is closed. Professional Misconduct The College received a written complaint against a physical therapist alleging that the physical therapist made a disrespectful comment to her, specifically he said "you can talk to your lawyer" after she voiced her complaint regarding her care. 13 Inquiry Summaries – continued Following an investigation the Inquiry Committee determined to act under section 33(6)(a) of the Health Professions Act to take no further action as, on the face of the information before it, there were no grounds for the Committee to justify taking further action against the physical therapist for breaching College Bylaws Section 55(1.1) of the College Bylaws, Standards of Practice - Responsibilities to the Client - Physical therapists shall consider the well-being of the client as their primary concern by respecting the client's legal rights, dignity, needs, wishes and values. The file was closed. Professional Misconduct The College received a written complaint against a physical therapist alleging that the physical therapist did not report her injuries to WorkSafe BC accurately and in their entirety. Following an investigation the Inquiry Committee determined to act under section 33(6)(a) of the Health Professions Act to take no further action as, on the face of the information before it, there were no grounds to justify taking further action on this matter against the physical therapist for breaching College Bylaws Section 55(1.8) - Standards of Practice Responsibilities to the Client - Physical therapists must maintain records in accordance with professional standards. These records should include a relevant history, assessment and treatment plan; and Clinical Practice Statement #1 – Clinical Records. The file was closed. information before it, there were no grounds to justify taking further action on this matter against the physical therapist for breaching College Bylaws Section 55(1.1) – Standards of PracticeResponsibilities to the Client - Physical therapists shall consider the well-being of the client as their primary concern by respecting the client's legal rights, dignity, needs, wishes and values. The file was closed. Professional Misconduct The College received a written complaint against a physical therapist alleging that during her initial physical therapy appointment, she experienced inappropriate behavior during an ankle manipulation. Following an investigation the Inquiry Committee determined to act under Section 33(6)(a) of the Health Professions Act to take no further action as, on the face of the Remembering Brenda Tillotson December 6, 2014 White Rock, BC Advertising Rates The rates below are for black & white or two colour (blue and black) ads. Please contact the College for quotes on full colour ads and artwork submission deadlines. Sizes Dimension Advertising Rate 7.75” wide x 9.5” tall $800.00 5” wide x 9.5” tall $600.00 page (horizontal format) 7.75” wide x 4.75” tall $400.00 page (vertical format) 2.45” wide x 9.5” tall $300.00 page (square format) 5” wide x 4.75” tall $200.00 (black & white, black & blue, blue only) Full Page 2/ 3 1/ 2 1/ 3 1/ 4 page (vertical format) 14 College of Physical Therapists of BC • inspiring public confidence Comings and Goings GOOD-BYES Susan Fawcett – Administrative Assistant It was with deep regret that the College accepted Sue Fawcett’s resignation from her position as administrative assistant with the College in early December 2014. After many years in the workforce, Sue has decided to retire and take life at a more leisurely pace. She joined the College staff in 2007 shortly after ‘retiring’ from her position at Vancouver Coastal Health Authority. During her tenure with the College Sue worked with both the Inquiry and Discipline Committees. Her support to the Committees and knowledge of the processes, as well as her always cheerful disposition, will be greatly missed. Ann Lo – Deputy Registrar No, Ann is not gone for good. She is merely taking a leave of absence in 2015. Ann will be back in 2016. Please note that during Ann’s absence Susan Paul will be responsible for the Inquiry and Discipline Committees. WELCOMES Richenda Grafton – Administrative Assistant The College is pleased to announce that Richenda Grafton joined the College staff on February 2, 2015. Richenda brings with her a wealth of experience in administration and client relations. Originally from Vancouver, Richenda has spent the last few years in Mount Currie. Fortunately for the College, Richenda recently relocated to Vancouver again and accepted the College’s offer of the position of Administrative Assistant. Arlana Taylor – Acting/Practice Advisor The College is pleased to announce that Arlana Taylor has accepted this position with the College. Arlana is a graduate from the University of British Columbia (UBC) and currently practices in Vernon. In addition to her physical therapy degree Arlana holds a Master’s of Science, also from UBC. Arlana’s interest in practice issues will serve her well in her new role. NEW Edition: Where’s the Line? Professional Boundaries in a Therapeutic Relationship The College is pleased to present an updated edition of the Where’s the Line? booklet, featuring new content on how to maintain boundaries in challenging scenarios. Enclosed with this newsletter is a hard copy of the new booklet, with specific information on the following topics: accepting gifts; rural practitioners; treating family, friends, and co-workers; social media; touch in a therapeutic relationship; and personal and professional vulnerabilities. A special thank you to the members of the College Patient Relations Committee who drafted the new content for the booklet and did an exceptional job with the update! Spring 2015 • Volume 17 Issue 1 15 Who to Contact at the College Brenda Hudson, Registrar Corporate Programs (Legislative, Finance & Board) Email: [email protected] Olga Nesic, Registration Coordinator Registration Program Corporation Program Email: [email protected] If you are moving, changing your name or status, please be sure to notify the College. Susan Paul, Complaints/Discipline Coordinator Complaints Email: [email protected] Richenda Grafton, Administrative Assistant Email: [email protected] College of Physical Therapists of BC Suite 1420, 1200 West 73rd Avenue Vancouver, BC V6P 6G5 Chris Smerdon, Quality Assurance Program Manager Quality Assurance Program Email: [email protected] Alexandra Nemes, Administrative Assistant Email: [email protected] Aidan Dennis, Administrative Assistant Email: [email protected] Arlana Taylor, Practice Advisor Professional Practice Programs & Practice Questions Email: [email protected] Update is a publication of the College of Physical Therapists of British Columbia and is intended to keep registrants informed about current professional issues. It is published three times a year – spring, summer and fall. Please address all newsletter items and queries to the Newsletter Editor. Phone: 604 730 9193 Toll Free (Canada): 1 877 576 6744 Fax: 604 730 9273 Email: [email protected]
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