TY  - CHAP
M1  - Book, Section
TI  - Professional Self-Regulation
A1  - Kirsch, Nancy R.
PY  - 2018
T2  - Ethics in Physical Therapy: A Case-Based Approach
AB  - Professionals  are  granted  the  privilege  of  monitoring  themselves.  This  is  in  exchange  for  the  safe  and  effective  administering  of  the  duties  and  responsibilities  that  are  inherent  in  the  care  of  patients.  Self-monitoring  is  not  just  the  responsibility  of  the  regulatory  authority;  it  is  a  duty  every  licensee  has.  Most  physical  therapy  practice  acts  have  within  them  a  “duty  to  report.”  Our  code  of  ethics  also  addresses  this  requirement  to  self-regulate  Stating  in  principles  5D  and  5E  the  requirement  to  assist  colleagues  with  any  type  of  impairment  that  impacts  patient  care  and  if  necessary  contact  authorities.  So  why  is  this  particular  responsibility  so  difficult  for  licensees  to  actually  “do”?  As  a  close  knit  professional  community  it  is  hard  to  report  a  colleague.  Many  of  us  are  raised  “not  to  tattle,”  but  the  stakes  in  those  childhood  encounters  are  significantly  less  than  the  stakes  we  now  encounter  with  the  central  focus  on  the  well-being  of  the  patient.  The  way  to  report  is  not  restricted  to  just  one  specific  manner.  The  act  that  is  of  concern  must  be  evaluated  to  determine  the  root  cause  so  those  observing  the  behaviors  can  determine  the  best  way  to  address  the  problem.  A  physical  therapist  (PT)  or  physical  therapist  assistant  (PTA)  with  substandard  skills  raises  different  concerns  than  the  clinician  who  has  a  substance  abuse  problem  or  some  cognition  issues.  There  are  several  reasons  why  self-regulation  is  so  important.  The  origin  of  the  concept  is  based  on  trust.  Our  actions  based  on  the  foundational  ethical  principles  demonstrate  respect  for  the  patient  (autonomy),  we  promise  to  use  our  knowledge  and  skills  to  “do  good”  for  the  patient  (beneficience)  and  we  promise  not  harm  our  patients  (non  maleficence),  we  ensure  patients  they  can  rely  on  us,  we  are  honest  (veracity)  and  finally  we  treat  all  entrusted  to  our  care  fairly  (Justice).  We  further  promise  not  to  harm  a  patient  (non-maleficence)  and  we  ensure  patients  that  we  are  honest  (veracity)  and  will  treat  all  entrusted  to  our  care  fairly  (justice).  This  relationship  is  built  and  sustained  on  trust.  The  trust  given  to  us  to  “keep  our  own  house  in  order”  is  what  we  have  to  keep  in  mind  when  confronted  with  practitioners  who  have  negated  this  trust  in  some  way.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessphysiotherapy.mhmedical.com/content.aspx?aid=1151751307
ER  -