KNPE 400

Kinesiologist Core Competencies

1. Foundational Knowledge

2. Professional Practice: Assessment

3. Professional Practice: Intervention

4. Professionalism and Ethical Conduct

5. Communication and Collaboration

6. Ongoing Professional Development

What does professionalism encompass?

• Respect the rights and dignity of all individuals who seek my services or with whom I work.

• Act in a compassionate and trustworthy manner in all aspects of my services.

• Exercise sound professional judgment while abiding by legal and ethical requirements.

• Demonstrate integrity during interactions with colleagues, other health care providers, students, faculty, researchers, the public, and payers for the enhancement of patient care and the advancement of the profession.

• Enhance my practice through lifelong acquisition and application of knowledge, skills, and professional behaviour.

• Participate in efforts to meet needs of local, national, and global communities.

Therapeutic Alliance

• The working relationship between the patient and therapist

• Established by collaboration, communication, therapist empathy and mutual respect

• A strong therapeutic alliance positively influences treatment outcomes such as improvement in symptoms, health status, and patient satisfaction with care

Effective clinician-patient communications can:

• Support better history-taking, diagnoses and clinical decisions

• Increase a patient's adherence to recommendations and follow-ups

• Help patients to self-manage a chronic condition

• Influence patients to adopt preventive health behaviours

• Improve patient satisfaction and experience of care

What is regulation?

• Professional regulation is the framework under which health professions are regulated.

• Supported by the laws that give or limit rights and assign responsibilities to the people that are subject to.

• Defines the philosophical framework for professional regulation in a jurisdiction

• Sets out the roles, rights and responsibilities of the government, regulatory agencies (colleges), registrants of the agencies and the public.

What makes a profession unregulated?

• The profession is not listed in the RHPA.

• Does not have a college that protects the public from the members of that profession.

• An individual does not have to be a member of a regulatory college to call themselves a member of that profession.

• Examples include:

  • Personal support workers

  • Physician assistants

  • Physiotherapy assistants

  • Athletic therapists

Regulated Health Professions Act (RHPA), 1991

Legislative framework for regulating the scope of practice of health care professions in Ontario.

The RHPA framework is intended to:

• Better protect and serve the public interest

• Be an accountable system of self-governance

• Provide modern framework for the work of health professionals

• Provide consumers with freedom of choice

• Provide mechanisms to improve quality of

Practical rules for colleges set out by the Health Professions Procedural Code (HPPC)

• registering members

• handling complaints

• conducting investigations

• carrying out discipline hearings

• handling fitness to practise hearings

• quality assurance program

• patient relations program

• mandatory reporting

• funding for victims of sexual abuse by members

• appeal processes regarding registration and complaint decisions

Profession-specific acts

• Establish each health profession’s college and its governing council.

• Defines the scope of practice of the profession they govern.

• Lists the controlled acts that professions are authorized to perform (if it can perform controlled acts).

• Has the Health Professions Procedural Code deemed to be part of them.
  

Kinesiology Act, 2007

• Under the RHPA each professions has its own act

• Scope of practice

  • The practice of kinesiology is the assessment of human movement and performance and its rehabilitation and management to maintain, rehabilitate or enhance movement and performance

• Define the restricted titles

  • No person other than a member shall use the title "kinesiologist", a variation or abbreviation or an equivalent in another language"

• Controlled Acts

  • Procedures or activities which may pose a risk to the public if not performed by a qualified professional

• Representations of qualification

  • No person other than a member shall hold himself or herself out as a person who is qualified to practise in Ontario as a kinesiologist or in a specialty of kinesiology.

Health Professions Regulatory Advisory Council

An independent body to the Minister of Health and Long-Term Care with a mandate to advise the Minister of a number of items related to the regulation of health professions

Health Professions Appeal and Review Board

Independent third party with a mandate to review registration and complaints decisions of the health regulatory College

Concept of scope of practice

• What members of a profession are competent at doing, and legally permitted to do, in a given jurisdiction

• A member of the profession may have a personal scope of practice that is of large breadth with respect to the whole profession's scope.

  • May be relatively narrow with respect to the whole profession's scope.

  • May include acts outside of usual legal scope for the profession.

Kin scope of practice

The assessment of human movement and performance and its rehabilitation and management to maintain, rehabilitate or enhance movement and performance

Why do we need scopes of pratice?

• Each regulated health profession has a statement that describes in a general way what the profession does and the methods that it uses.

• Protects the public to ensure that care provided by a practitioner is not beyond the practitioner's skills and knowledge.

• Does not prevent others from performing the same activities.