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INPTRA Webdiffusion: La télé réadaptation dans un monde en évolution

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Conférenciers et Sujets

M. Pelletier est physiothérapeute et est détenteur d'une maitrise en sciences.

Il a enseigné au Cégep de Sherbrooke et à l'Université de Sherbrooke. Il pratique comme physiothérapeute depuis 1991. Il est diplômé de Physiothérapie sportive du Canada (1999). Il s'est impliqué sur le CA de l'OPPQ pendant 6 années, dont 2 à titre de vice-président.

Il est président de l'OPPQ depuis 2014 en plus d'être vice-président de l’Alliance canadienne des organismes de règlementation de la physiothérapie (2018) et membre du comité exécutif du Conseil interprofessionnel du Québec (2018).

Sujet de Discussion
Diverses implications règlementaires sont rencontrées lorsque l’on pratique la téléréadaptation.

Dans un souci de protection du public, les organismes règlementaires doivent tenir compte du lieu de pratique du physiothérapeute, du lieu où le patient recevra les soins, des activités autorisées aux cliniciens et de la responsabilité professionnelle si une intervention s’avérait problématique pour le patient. L’ensemble de ces éléments doivent être considéré par l’organisme de règlementation dont la mission première est la protection du public.


Graziella Lippolis est actuellement conseillère technique en réadaptation pour l’ONG Humanity&Inclusion/Handicap International (HI). Elle apporte un soutien technique aux projets de réadaptation physique et fonctionnelle ainsi qu'aux projets de RBC, principalement dans les régions d'Amérique latine et d'Afrique des Grands Lacs.

Titulaire d'une Licence en éducation physique (1997) et en kinésithérapie (1999) de l'Université de Louvain-la-Neuve, Graziella a complété sa qualification académique par un diplôme en santé publique (2008).

Elle a commencé à travailler comme thérapeute dans le secteur privé en 1999, puis comme formatrice en kinésithérapie et responsable de centres de réadaptation au sein de différentes organisations internationales, principalement au Yémen et en Angola. Depuis 2005, elle est basée au bureau de HI en Belgique où elle est chargée du soutien technique, du suivi et de l'évaluation des projets ainsi que de l'élaboration des lignes directrices en matière de politique et de méthodologie d’intervention. En parallèle elle a été chargé de cours à l’université de Louvain la Neuve concernant le certificat « Réadaptation dans les pays du sud ».

Son travail actuel se concentre sur le soutien des projets sur des aspects tels que l'utilisation des nouvelles technologies en réadaptation, les initiatives de formation professionnelle, la gestion de la qualité en réadaptation ainsi que la fourniture d'un soutien technique plus global pour renforcer les politiques et les plans d'action de réadaptation dans les pays à faibles et moyens revenus.

Sujets de Discussion
L’usage de le télé réadaptation, dans les pays à faibles et moyens revenus, est utilisée depuis quelques années afin d’améliorer l’accès aux services de rééducation et d’appareillages orthopédiques pour les populations rurales, périurbaines ou les populations qui vivent en zone de conflit.

Cependant, selon le contexte d’intervention, la nature et le type de service presté peut être très variable. Cette session présentera divers cas d’étude qui illustreront les possibilités mais aussi les limites d’utilisation de la téléréadaptation dans des pays tels que la Syrie, Haiti ou la Bolivie


Pr Michel Tousignant, Ph.D. est physiothérapeute depuis 1979 et professeur titulaire à l’École de réadaptation de la Faculté de médecine et des sciences de la santé de l’Université de Sherbrooke. Il est chercheur au Centre de recherche sur le vieillissement. Depuis 17 ans, il mène une programmation de recherche sur la téléréadaptation qui a été soutenue par une chaire de recherche. Il a étudié la faisabilité et l’efficacité de la téléréadaptation sur diverses clientèles et son équipe a développé une plateforme conviviale libre d’accès (Tera +). Actuellement, sa programmation de recherche se concentre sur l’implantation de la téléréadaptation dans divers milieux publics et privés au Québec et en France.

Sujets de Discussion
Une des questions que se pose le clinicien est « Quelles sont les clientèles pertinentes pour les télétraitements de réadaptation ? » Cette présentation illustrera la réalisation de plan de traitements significatifs par téléréadaptation à diverses clientèles orthopédiques, neurologiques, pneumologiques et oncologiques. L’objectif est de démontrer que la téléréadaptation est une intervention efficace tout en abordant les défis cliniques et technologiques.

Professeur Dahlia Kairy est physiothérapeute de formation, professeure agrégée au programme de physiothérapie à l’Université de Montréal (Québec, Canada) et chercheur au Centre de recherche interdisciplinaire en réadaptation du Montréal métropolitain. Chercheure-boursière du Fonds de recherche Québec-Santé, elle s’intéresse particulièrement au développement, à l’évaluation et à l’implantation des nouvelles technologies en réadaptation, en particulier la téléréadaptation ainsi qu’au transfert de connaissances pour soutenir les meilleures pratiques en réadaptation.

Sujets de Discussion
Depuis que les mesures de confinement et de distanciation physique ont commencé, de plus en plus de cliniciens privilégient la téléréadaptation afin de pouvoir continuer à offrir des services de réadaptation aux patients. Étant donné que la téléréadaptation modifie de façon significative l’organisation et l’offre de services, cette présentation offrira une réflexion sur les enjeux éthiques que cela soulève, tant du point de vue du patient, du clinicien et des organisations de santé.

Past Webcasts


INPTRA holds several webcasts a year on topics and issues facing physiotherapy regulators around the world.

Webcasts are held at different times of the day and rebroadcast a second time to encourage greater participation. They are open to all at no cost to the participant.

Be sure to sign up for the INPTRA Newsletter to ensure you receive notices about the INPTRA webcasts.

We hope you enjoy these recordings and find them beneficial. Please share them with your colleagues and over social media!


Oportunidades y Desafíos Regulatorios Durante el COVID-19 (En español)- May 28, 2020

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Presenters

  • Fiorella Bernabé
  • Edgar Hernandez Alvarez
  • Ana Leticia Mulero-Portela
  • Eugenia Pollini

La pandemia COVID-19 ha creado oportunidades y desafíos únicos en la regulación de la fisioterapia. Los presentadores de Argentina, Colombia, Perú y Puerto Rico compartirán cómo COVID-19 está interrumpiendo la provisión de fisioterapia e identificarán las oportunidades regulatorias únicas que han surgido de la pandemia actual.

COVID-19 Regulatory Challenges - May 26, 2020

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Presenters

  • Edgar Hernandez Alvarez
  • Rodrigo Jesús Palza Linares
  • Ana Leticia Mulero-Portela
  • Eugenia Pollini

The COVID-19 pandemic has created unique opportunities and challenges in the regulation of physiotherapy. Speakers from Argentina, Colombia, Peru, and Puerto Rico share how COVID-19 is disrupting physiotherapy and identify the unique regulatory opportunities that have arisen from the current pandemic.

El reto de Latinoamérica frente a la Telerehabilitación - May 8, 2020

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Presenters

  • Edgar Hernandez (Colombia)
  • Oscar Gallardo (US)
  • Heidi Kosakowski (US)
  • Viviana Perez (Costa Rica)

la region latinoamericana busca avanzar y facilitar el acceso de la rehabilitación en momentos tan complejos como la pandemia de COVID -19 , la Telerehabilitacion es una gran herramienta. Estamos preparados cuales son las experiencias.

Telehealth Clinical Education Considerations - May 7, 2020

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Presenters

  • Angie Quesnell
  • Robin Roots
  • Trevor Russel

In light of COVID-19, physiotherapy practice and the training of physiotherapy students have changed significantly. As tele-rehabilitation becomes more prominent, physiotherapy accrediting bodies and universities must account for the role tele-rehabilitation in clinical education. The speakers and attendees will discuss elements of quality physiotherapy clinical education, including tele-rehabilitation; expand on inter-professional practices within tele-supervision; and be a resource for regulators, educators, and students.

Performance Measurement of Regulatory Bodies: The Ontario Experience - April 15, 2020

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Presenters

  • Daniel Faulkner

How do we know health profession regulators are doing a good job? Regulators around the world are increasingly challenged to show proof of their effectiveness to the public and government. Meaningful, quantitative key performance indicators are often just out of reach for many of the complex realities of regulation. In Ontario, Canada, a performance measurement system has been developed with active engagement by the 26 health regulatory Colleges. This presentation will explore critical success factors in developing a provincial system, the performance measurement framework content, and early methods for implementation.

Dialogue Summary: Modernizing the Oversight of the Health Workforce in Ontario September 21, 2017

Rapid Synthesis: Examining the Efficiency and Effectiveness of Ontario’s Health Workforce Regulatory System March 29, 2019

Using Claims Data to Identify Risks in PT Practice-January 22, 2020

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Presenters

  • Natalie Beswetherick
  • Jennifer Flynn

Physical therapy regulators should have a heightened interest in risks and supports for practitioners. Health insurance malpractice information is a rich source of information to identify risks to safe and effective practice. Join us to learn how to use this valuable data to protect the public.

PT Regulation and Practice in China - October 1, 2019

See the PDF of the Webcast Slides

Presenters

  • Miaowei (Helen) Wang
  • Betsy J. Becker
  • Ka-Chun (Joseph) Siu

In this presentation speakers from the United States and China will delve into the current training and regulation of physical therapists in China. The speakers will share case examples from experiences in building collaborations between countries to train future physical therapists and physical therapist educators in the United States who then return to China.

Global Trends - July 24, 2019

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Presenter: Richard Steinecke (Canada)

Canadian regulators and policy makers are looking at regulatory trends around the world as they consider fundamental changes to the current system. Richard examines ten global initiatives and approaches that appear most promising relating to governance of regulators, their oversight and enhanced transparency about individual practitioners. Combining regulatory theory with practical examples, and few hidden gems plucked out of social media, results in a structured presentation mixed with idiosyncratic and eclectic insights.

Road Map to Regulation–Speakers from Nigeria and Poland - July 2, 2019

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Presenters

  • Emmanuel John (Nigeria)
  • Habeeb Ololade (Nigeria)
  • Dalia Woznica (Poland)

This webcast will trace the history of the physiotherapy profession in Nigeria and Poland. Emmanuel John and Habeeb Ololade will speak about the preceding three decades of relentless advocacy leading up to the Nigerian government's approval of a regulatory body. Using the Nigerian experience, we will explore what physiotherapy professional associations can do while waiting for successful outcomes of their advocacy for a regulatory body. Dalia Woźnica will discuss how the Polish Chamber of Physiotherapists initiated the National Rehabilitation Reform, what barriers and opportunities occurred along the way, and future goals.

Physical Therapist Assistants: To Regulate or Not To Regulate, That is the Question—Plus, Lessons Learned from Quebec’s Regulation of Physiotherapy Technologists- April 4, 2019

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 Presenters

  • Fiona McKinnon (Australia), Allied Health and Community Services;
  • Barbara Behrens (USA), Mercer County Community College;
  • Kathy Davidson (Canada), Physiotherapy Education Accreditation Canada;
  • Denis Pelletier (Canada), Ordre Professionnel de la Physiotherapie de Quebec

This webcast will focus on learning about the strengths/weaknesses that are associated with both regulating and not regulating PTAs. We will discuss the "future state" of PTA practice in Canada, and about the lessons that we can learn from Quebec's regulation of physiotherapy technologists; the driving forces for creating this regulation, and the hurdles and challenges that Quebec faced along the way.

Regulation of Assistive Personnel Around the Globe - December 12, 2018

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Presenters

  • Sandra Lamb, Physiotherapist Assistant (Canada)
  • Nathalie Yerak, Sr. Assessment Research Associate, FSBPT (USA)

Regulation and education requirements of physiotherapist support personnel differs greatly across countries. Therefore, INPTRA teamed up with two presenters to create an environmental scan of the physiotherapist support personnel role around the world. This webcast will serve as a base for understanding regulation, or the lack thereof, for support personnel in different countries. This session shared the “behind the scenes” regarding the Support Personnel Survey that was sent out, including why and how these questions were chosen. Then, we go deeper into the methodology, limitations, and results of the survey.

Accreditation and Global Mobility – What can we learn from physiotherapy and other professions about accreditation, regulation and global mobility? - June 5, 2018

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Presenters

  • Sandra Wise, Sr. Director, Commission on Accreditation in Physical Therapy Education (USA)
  • Uriel Pierre, Deputy Registrar for Admissions of the Order of Physiotherapy of Quebec (Canada)
  • Margot Skinner, Vice President, WCPT (New Zealand)

INPTRA and WCPT jointly hosted this webinar on accreditation and global mobility. In part 1 of this joint webinar series, we explored the differences between accreditation around the globe and recognized that many countries do not have any accreditation of their educational programs. In this webinar, we explore the implications that variation in accreditation has on global mobility. The session looks at the challenges of accrediting international programs when practice is different. It looks into a mutual recognition model that acknowledges educational differences and provides a potential solution, and finally we explore WCPT’s accrediting program and potential opportunities for uniform standards and mobility.

Sanctions, Discipline, or Remediation - Does your board use a hammer or give a hand ? - December 5, 2017

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Presenters

  • Nancy R. Kirsch, PT, DPT, PhD, Board of Directors, Federation of State Boards of Physical Therapy (USA)
  • Dr. Charles Flynn, Chair, Physiotherapy Board of Australia

Regulators are charged with upholding the laws and regulations that govern their professions requirements to practice. What are the possible responses for a regulatory authority to violations of those requirements? What are the objectives of the response? Remediation, punishment, prevention or something else? Is it possible for regulators to approach situations and circumstances differently but still maintain consistency in approach?

This session explores two different models, one from Australia and one from the United States. The presenters also explore the strengths and limitations of their respective approach and possible considerations for best practices in upholding the standards and requirements for practice.

The Harm Reduction Journey – How ESA exceeded safety goals by adopting and implementing a harms reduction approach – October 5, 2017

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Presenter: David J. Collie, FCPA, FCMA, MBA, C. Dir., President and CEO, The Electrical Safety Authority of Ontario

How effective is your regulatory agency? Are you focusing on the right things? This webinar will cover how to use a “harms reduction” approach in regulation to increase effectiveness. David Collie will share his experience in implementing this approach with The Electrical Safety Authority (ESA) in Ontario, Canada. Hear how David and his colleagues took an aggressive approach to protecting the public and electrical workers. David’s presentation will outline the approach ESA has taken to implement a Harms Reduction approach, derived from Harvard University’s Dr. Malcolm Sparrow. The same principles can be used in the regulation of Physiotherapy.

Engaging registrants in the self-monitoring of risks, supports, and knowledge as a contributor to maintaining competence - February 7, 2017

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Presenter: Chris Smerdon, BScPT, MSc, Manager of the Quality Assurance Program, The College of Physical Therapists of British Columbia

The College of Physical Therapists of British Columbia (Canada) has been administering an Annual Self Report (ASR) with all registrants since 2010. The ASR is a short, online, confidential tool that consists of 3 main parts: questions the registrant answers about themselves and their practice in order to identify potential risks and supports to competence; a self-quiz that requires the registrant to apply their knowledge of regulation to practice scenarios; and finally an individualized report that contains additional information about the registrant’s potential risks and supports. In this webinar we will look at the ASR in more detail and how its engagement of registrants fits the purpose of the College’s Quality Assurance Program: to monitor and support the continuing competence of physical therapists in British Columbia. We will also spend some time looking at what we have learned from seven years of administering the ASR and how we have improved it.

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