Speak Out December 2017

Draft definitions for advanced and extended practice have been developed following a review of national and international sources...

Advanced and extended practice project The journey so far In 2016 Speech Pathology Australia initiated a project in response to member and consumer feedback around a Credentialing

advanced and extended scope role implementations, workforce redesign and data analysis. She has recently completed her PhD titled Aged care services: Model of care redesign . A steering committee has been formed to provide expertise and oversight of the project with representatives from private practice, health organisations, university academics, disability and educational services. Draft working definitions Draft definitions for advanced and extended practice have been developed following a review of national and international sources across a number of health professions and consultation with the project steering committee (refer Table 1 and Table 2 for commonalities identified).

Framework for speech pathologists (refer to October 2016 edition of Speak Out ). In the February 2017 edition of Speak Out, an update outlined the complexity of this journey and outcomes to date. One of the recommendations was to review the definitions of “advanced” and “extended” practice and to develop a framework to aid identification/classification of advanced and extended skills, roles and practice contexts. What now Dr Robyn Saxon has been appointed to lead the project in the review of the definitions and develop the framework. Dr Saxon has experience and interest in allied health models of care,

Table 1. Advanced Practice Elements – Definition statement commonalities from key source documents (n=16)

Considered to be within scope of practice Depth of knowledge/skills/attitudes Breadth of knowledge/skills/attitudes Significant experience required post-graduation

15 11

6

16

Training required post-graduation (clinical, technical) Includes synthesis of complexity, critical thinking, autonomy

14 13 11 12

Evidence required to be provided

Includes elements of research, education, training, leadership, influence

Table 2. Extended Scope Practice Elements – Commonalities in definitions from key source documents (n=19)

Considered to be beyond recognised scope of practice

17 10 10 11

Innovative, non-traditional context and or task

Experience post-graduation required

Training in specific task and or context required

Enhancement by breadth or depth Evidence required to be provided

9

11

20

December 2017 www.speechpathologyaustralia.org.au

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