College Blog 

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  • Shout, Shout – Let it All Out!!!

    Dec 11, 2015

    You Talk. We Listen. 

    By now you know we’ve been working hard to consult about the potential for clinic regulation in Ontario. The one and only thing about the consultations that has disappointed me is the suspicion I’ve encountered about the consultation process itself.

    It appears that many people seem to think that our working group has already made a final decision.

    That is not true.

    We actually do listen to you and the more thoughtful and well-researched the information you provide, the more useful it is in shaping the final product.

    The clinic regulation consultation has been and is intense – there’s an opportunity for input through a dedicated website, ontarioclinicregulation.com by email, phone calls, commenting through the blog, in-person at town halls or in writing. You are welcome to reach out to me or any of the other 12 Colleges involved in the project.

    What I am about to say applies equally to the smaller consultations we hold, like when we ask your opinion about a Standard or when we invite you to take part in a website survey.

    The response you provide helps to create whatever we are working on. When we get responses that tell us that something won’t work (our definition of clinic is too broad or we shouldn’t include sole practitioners for example), we are likely to change it so it makes better sense. The more specific you are in your feedback, the more helpful it is to us in identifying the weaknesses.

    Sometimes your feedback might tell us the item we are consulting about is confusing or ambiguous— if this happens, we head back to the drawing board and try to make it clearer.

    If the response to a consultation was overwhelmingly negative, with lots of information about how we had made a mistake, this would drive us to do further research.

    Public consultations are not popularity contests.

    Frankly, it’s easier to scare up negative feedback than thoughtful input, so sometimes a high number of negative responses does not persuade Council not to move forward with a decision.

    It is the quality of your input that matters the most.

    Consultations are not just with the profession. We ask other regulators how they approach things. Sometimes we ask special interest groups for their input —like employers or physiotherapist assistants.  And, whenever we can, we try to get the opinions of patients and their caregivers too. Help us by telling your friends, family and even your patients to check out our website and get involved.

    I promise you that what you tell us does impact the decisions made.

    And that’s how the profession really makes rules for the profession.

    It’s a little wee thing, but maybe you could add it to your list of New Years’ Resolutions? “In 2016, I will participate in self-regulation!”

    You Talk. We Listen.  By now you know we’ve been working hard to consult about the potential for clinic regulation in Ontario. The one and only thing about the consultations that has disappointed me is the suspicion I’ve encountered about the consultation process itself. It appears that many people seem to think that our working […]
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    • College of Physiotherapists of Ontario
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    • Consent
    • consultation
    • CPO
    • health care
    • Patients
    • physical therapists
    • physiotherapy clinics
    • protect the public
    • Registrar
    • Shenda Tanchak
    • Shenda's Blog
  • Shhh! The Registrar’s TOP SECRET FORMULA for Avoiding Complaints!

    Oct 21, 2015
    Amanda is a young woman in pain. Mr. McBean is an experienced physiotherapist who achieves excellent clinical outcomes. So how come she’s complained about him? Because he reached his arm across her chest, coming into contact with her breast Because it really hurt when he moved her arm through the full range of motion Because […]
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  • Regulating Clinics – Your Turn to Talk!

    Oct 14, 2015
    We know physiotherapists are sometimes compelled by their employers to provide services in a way that does not meet the profession’s clinical or ethical expectations. And sometimes business operators engage in behaviour that physiotherapists aren’t even aware of, but can still get the PT in trouble: they use the physio’s name for bad advertising or billing practices, […]
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    • Policy
  • Friend not Foe: A PT Student Experience

    Aug 31, 2015
    When I learned that I would be completing my clinical placement at the College of Physiotherapists of Ontario, I was apprehensive. In the world of PT students, I have found that the College is often misunderstood and sometimes negatively perceived. From creating standards to performing practice assessments, aka “audits,” to discipline hearings, my impression was […]
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  • Sitting in My Castle, Making Up the Rules…

    Aug 10, 2015
    Judging by some of the comments to some of my blogs, some of you must think I sit in my office, scheming to write rules that make the lives and jobs of physiotherapists harder than they need to be. When I wrote the blog “My support person hurt someone. Am I in trouble?” one person […]
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  • Patients or Friends—Does it Have to Be One or the Other?

    Jul 08, 2015
    Your patient asks you to play on her softball team. There’s nothing romantic and you have lots of common interests and a couple of common friends. Should you join the team? I’ve written in my blog about boundaries before—we are pretty clear that dating patients is a problem and that sexual relationships are forbidden. But […]
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  • Records, Consent and How to Stay out of Trouble

    Jun 08, 2015
    I’ve blogged about consent before (What do you call uninformed consent? Punchline: No consent at all). In that post, I reminded you that your job in getting consent is to make sure that the patient fully understands his or her options and makes his or her own decision about how to proceed. Too often, the […]
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  • Perspective is Everything

    May 20, 2015
              Shenda’s Peter’s Blog If the saying “perspective is everything“ holds true, then I got my fair share of ‘everything’ earlier this month at World Confederation for Physical Therapy (WCPT) in Singapore. It was an excellent conference with more than 3,500 PTs from around the world coming together for three days […]
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  • The Best Thing About Being A Professional…

    Apr 20, 2015
    Might be the worst thing too—you are accountable for all elements of your professional life. When things go right you should feel great—you helped a patient through a tricky problem, you contributed your time to a charity event, you had a successful business year. Well done! But you are also responsible for anything to do […]
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  • Let’s talk about S*X

    Mar 02, 2015
    Sharon’s young. Ali’s great looking. She’s treating the rotator cuff he tore playing ultimate Frisbee. They both like House of Cards. The next thing you know, Ali is offering to meet Sharon at a local pub and teach her how to play pool. She finds him attractive, can she say yes? Joan is recovering from […]
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  • Is It Health Care Or Is It A Business?

    Feb 04, 2015
    Does it have to be this way? I think that the difference between a health care profession and a business is simple: it’s in your motive. If you do this for a living to take care of patients, you are a professional. If your top priority is profit, you are a business person. Before you […]
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  • My support person hurt someone. Am I in trouble?

    Jan 05, 2015
    Scene 1: You assessed your patient and made a plan that included having her walk with a walker. But one day, in your absence, your support person independently decides that the patient is ready to use a cane instead. This was really bad judgement. Now the patient has fallen and broken her hip. Are you […]
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    • Policy
  • Bad Start to a New Career

    Nov 13, 2014
    I’m not kidding you, this was a conversation that one of my colleagues overheard recently on a train. Student 1 (let’s call him Jason): I’m going to start my own business. Student 2 (let’s call him Mateo): Me too—I’m never going to work for someone else. Jason: I know, right? And here’s what I’m going […]
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  • Physiotherapy Ethical Issues: Transparency to Patients and the Public

    Oct 16, 2014
    How much information about their health care providers should patients and other members of the public be able to see? Where’s the line between the public’s right to know and the professional’s right to privacy? All of the health care professions in Ontario have Public Registers on their websites. These Registers all have some information […]
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  • Joke: What Do You Call Uninformed Consent? Punchline: No Consent at All!

    Sep 11, 2014
    OK. I know, that was a lame joke. I hope you aren’t coming to this blog for humour. Let me tell you about something that happened to me a few years ago, before I was Registrar of the College of Physiotherapists of Ontario. I called a sports rehab clinic where I’d been before, to see […]
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  • What if Your Colleague Made a Mistake But You Got Punished?

    Jul 09, 2014
    A few years ago the British Parliament was considering how they could improve patient safety after a series of crushing hospital incidents. And here is what the members of parliament said, “Doctors could risk losing their licence if they fail to report fitness to practise concerns about their colleagues.”[1] Do you think about that for […]
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  • Why is the College such a lousy advocate for PTs?

    Jun 10, 2014
    Hi Everyone—the headline is a trick question. We aren’t advocates for physiotherapy or physiotherapists at all. We aren’t even allowed to be. The legislation that creates the College of Physiotherapists (and all the other health colleges in Ontario) gives us our power but also limits our power. It creates the College for the purpose of […]
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    • Shenda Tanchak
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  • Clinic Regulation: Now What?

    May 20, 2014
    Two posts ago, I asked you whether you thought that the College ought to regulate clinics in addition to the physiotherapists who work in them. The overwhelming majority of comments favoured this idea. You told us that College regulation would mean higher quality care in the clinics and that it would make them safer places […]
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  • Should the College Regulate Physiotherapy Clinics? Thanks for the Feedback!

    Apr 03, 2014
    Thank you for all your input on the issue of whether the College ought to regulate clinics. We left the blog post up for longer than usual because new comments kept coming in. The College will be exploring the potential for clinic regulation over the next few years. Watch Perspectives or the website for updates […]
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  • Should the College Regulate Physiotherapy Clinics?

    Jan 31, 2014
    I have been thinking about fraudulent billing practices a lot lately. Not such a cheerful way to begin the New Year, I know. This won’t come as much of a surprise to you if you have been following the College’s activities over the past 18 months: one of our strategic goals is to improve the […]
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