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The Pew Health Commission Taskforce on Health Care Workforce Regulation emphasised that a nearly exclusive scope of practice leads to unreasonable barriers to high quality and affordable care ( Finocchio et al., 1995). The Federation recognises that different healthcare professionals’ scopes of practice may overlap and that different disciplines can collaborate based upon shared competencies. According to the Federation, ‘the concept of collaboration acknowledges that scopes of practice often overlap within the health care delivery system’, which ‘can be an effective means for providing safe and competent health care’ ( Federation of State Medical Boards of the United States, 2005).
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The Federation of State Medical Boards of the United States defines scope of practice as ‘those health care services a physician or other health care practitioner is authorised to perform by virtue of professional license, registration, or certification’ ( Federation of State Medical Boards of the United States, 2005). Overlap in scope of practice is recognised by many healthcare disciplines, ranging from medical radiation technologists ( QSE Consulting, 2005) and nursing ( Committee on Health Professions Education Summit, 2003 Association of Social Work Boards et al., 2009) to physical therapy, social work, occupational therapy ( Association of Social Work Boards et al., 2009 Adrian, 2010 APTA Practice Department and APTA State Government Affairs, 2011), and medicine ( Federation of State Medical Boards of the United States, 2005 Association of Social Work Boards et al., 2009). Scope of practice is generally defined as the activities that an individual healthcare provider performs in the delivery of patient care.
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Dry Needling Across Different Disciplines