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Speak Out

December 2017

www.speechpathologyaustralia.org.au

Table 1. Advanced Practice Elements – Definition statement commonalities from key source

documents (n=16)

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

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,

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).

Considered to be within scope of practice

15

Depth of knowledge/skills/attitudes

11

Breadth of knowledge/skills/attitudes

6

Significant experience required post-graduation

16

Training required post-graduation (clinical, technical)

14

Includes synthesis of complexity, critical thinking, autonomy

13

Evidence required to be provided

11

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

12

Considered to be beyond recognised scope of practice

17

Innovative, non-traditional context and or task

10

Experience post-graduation required

10

Training in specific task and or context required

11

Enhancement by breadth or depth

9

Evidence required to be provided

11

Table 2. Extended Scope Practice Elements – Commonalities in definitions from key

source documents (n=19)

Draft definitions for advanced

and extended practice have

been developed following

a review of national and

international sources...