20
Speak Out
December 2017
www.speechpathologyaustralia.org.auTable 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...