OxINMAHR, and Movement Science Group, Faculty of Health and Life Sciences, Oxford Brookes University, Oxford, UK.
Clin Rehabil. 2020 Aug;34(8):995-1003. doi: 10.1177/0269215520925869. Epub 2020 May 28.
Many services and professionals refer to themselves as providing rehabilitation. There is no agreed method for determining whether someone has specific expertise in rehabilitation. This makes it difficult for patients and payers to know whether professionals who claim to provide rehabilitation are specifically expert in rehabilitation.
Doctors have a medical speciality of rehabilitation. The medical training curriculum gives attributes that differentiate a rehabilitation specialist from other doctors. Until recently, these attributes were competencies to undertake activities associated with specialization. Apart from nurses, who have at least one, unofficial, curriculum identifying specific competencies, other professions involved in rehabilitation do not have any way to show specialization in rehabilitation.
The U.K. General Medical Council accredits specialist medical training. It has moved from specifying multiple practical clinical competencies to specifying fewer high-level 'Capabilities in Practice'. Six are generic to all doctors, eight identify the trained doctor as having specialist rehabilitation skills. This article adopts this approach to put forward seven generic and seven specialist capabilities to identify any professional as having special expertise in rehabilitation. The seven specialist capabilities centre on the biopsychosocial model of illness and multidisciplinary teamwork. Four of them could be used to define a specialist rehabilitation team.
Seven capabilities identifying specialization in rehabilitation are put forward for discussion. They could form the basis of a formal recognition that any professional has additional expertise in rehabilitation. A validating authority would be needed to provide oversight and governance.
许多服务和专业人员都自称提供康复服务。目前还没有一种公认的方法来确定某人是否在康复方面具有特定的专业知识。这使得患者和支付方难以了解那些声称提供康复服务的专业人员是否在康复方面具有专门的专长。
医生有康复医学专业。医学培训课程赋予了康复专家区别于其他医生的属性。直到最近，这些属性还是开展与专业化相关活动的能力。除了至少有一个非官方课程确定特定能力的护士外，其他参与康复的专业人员没有任何方法来展示他们在康复方面的专长。
英国医学总会（General Medical Council）认可专科医学培训。它已经从指定多项实际临床能力转变为指定较少的高级“实践能力”。其中有六项是所有医生都具备的通用能力，八项则确定了接受过专门康复培训的医生具有康复技能。本文采用这种方法提出了七项通用能力和七项专门能力，以确定任何专业人员在康复方面具有特殊专长。这七项专门能力以疾病的生物心理社会模式和多学科团队工作为核心。其中有四项可用于定义专门的康复团队。
本文提出了七种识别康复专业知识的能力以供讨论。它们可以作为任何专业人员在康复方面具有额外专长的正式认可的基础。需要一个有效的监督机构来提供监督和管理。
