FORUM 3
Theresa Mhanna
What is my role in primary care in
my state?
The State of Ohio in” Chapter 4762: Acupuncturist and
Oriental Medicine Practitioners” Ohio Revised Code 4762.10
“Supervisory Period; treatment instructions for Herbal Therapy” states that “a Physician or a Chiropractor will
supervise for one year from the initial date of certification a Practitioner of
Oriental Medicine or Acupuncturist. During this time the Practitioner of Oriental
Medicine or Acupuncturist will only treat patients if there is a prescription
or referral from a Chiropractor or Physician. In section (c)(1) there is to be
a signed form by the patient confirming the patient has had a diagnostic
examination in the past six months by a
physician or chiropractor acting within
their scope of practice of the condition being
treated. Section (c) (2) states that if there is not this signed form
that the Acupuncturist or Practitioner of Oriental Medicine will provide to the
patient a written recommendation to the patient to get the diagnostic
examination. Section (D)(1) states that the patients need to be informed that
Acupuncture or Oriental medicine is not a
replacement for conventional medical treatment or diagnosis. (d)(3)
prevents diagnosis during the supervisory
period.” (Ohio Revised Code, 2007)
In the Ohio Revised Code 4762.08
“Authorized titles, initials, and abbreviations or equivalent” section (a) and
(b) states “specific abbreviations, titles, and initials that can be used by
Practitioners of Oriental Medicine and Acupuncturist. It makes it clear that
the title “doctor” or other titles, abbreviations, and initials will not the be
used. The Acupuncturist or Practitioner of Oriental Medicine will
provide reports to the Chiropractor or Physician during this first year in
regards to the condition and progress in the treatment
of the patients and will only do what the referral or prescription is written”. (Ohio Revised Code, 2007)
Summary of this is that we as a profession are not primary care providers
in my State of Ohio. This makes me sad.
The medical board is set up to govern medicine.
The importance of not letting all medical
professions (dentist, gynecologist, urologist, etc.) become primary care
physicians is because a wide range of qualifications
is needed to maintain good health status. Sometimes
it takes years to evolve into the better of the good. It is a safety precaution
to prevent harm to the whole. An excellent example of not applying this
safety precaution would be the opioid crisis that we are now facing. This could easily
happen in Eastern Medicine.
Becoming a primary care provider will be an
uphill battle because there is so much money in pharmaceuticals that the
doctors will never allow it to be given up. In defense of eastern medicine, I
think educating the public about how natural medicine benefits them by giving
them the quality of life will create a knowledge-based community that wants my
profession to be primary care providers.
How do we as a
profession increase accountability as a primary care provider?
Accountability is associated with expectations as a legal, moral duty to provide a justification
and to be held responsible for its actions by another interested party to benefit
society without causing harm. (Health Knowledge, n.d.)
Several things can increase accountability as
primary care providers. What is most important is
difficult to pinpoint. A list of ideas is as follows;
Providing quality and safety of service and education to the
clients that I see.
This will include
obeying federal, state and local laws.
Educating the public about the benefits of
oriental medicine brings knowledge.
Measuring performance by engaging in the Ohio Association or
Acupuncture and Oriental Medicine to help expand our laws in Ohio to put our profession in a position to be a primary care provider. Laws can be changed. Keeping
colleagues and associates united by communication. Communication will be an
open path to new ideas and power.
Casual information will include lectures at libraries, gyms, and
other places the community gathers to create a solid
base.
Educating myself to understand Eastern Medicine
better to expand my mind and being more effective which will lead to being a
leader in my community in my field of expertise.
Resources
Ohio Revised Code, 8/22/2007, Chapter
4762: Acupuncturists and oriental
medicine practitioners; Title [47] XLVII
Occupations-Professions, LAWriter Ohio Laws and Rules Retrieved from http://codes.ohio.gov/orc/4762
Health
Knowledge, n.d., Professional
accountability – clinical governance, performance and appraisal, Health
Knowledge Education, CPD and Revalidation from the phast, Retrieved from https://www.healthknowledge.org.uk/public-health-textbook/organisation-management/5a-understanding-itd/accountabililty
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