Fla. Admin. Code Ann. R. 64B14-4.100 - Requirements for Prosthetic or Orthotic Residency or Internship
(1) To meet the
requirements for licensure as an orthotist or prosthetist, the applicant must
document an internship that meets the requirements of this rule, or must
complete a residency program accredited by NCOPE. An applicant for combined
licensure as a prosthetist/orthotist must document a discrete internship or
residency in each field.
(2) An
internship must consist of orthotic or prosthetic clinical experience
practicing under the general supervision of a licensed or ABC-certified
orthotist or prosthetist, respectively. The internship must consist of a
minimum of 1,900 hours.
(3)
Internships must be completed at facilities engaged in providing orthotic and
prosthetic patient care. Interns must provide direct patient care, but only
under the supervision of a qualified orthotist or prosthetist; the educational
mission must not be compromised by an excessive reliance on residents to
fulfill facility service obligations. Interns should progress from observing to
actually providing direct patient care. Sufficient amounts of lab and technical
experience must accompany the clinical training.
(4) The internship must require the intern to
meet the following objectives:
(a) Clinical
Assessment. Determine the orthotic or prosthetic needs of the patient by
integrating the information obtained from history, examination, measurement and
observation; develop a treatment protocol for the patient through review of
patient data in order to formulate an orthotic or prosthetic recommendation and
treatment plan.
(b) Patient
Management. Apply a properly fitting prosthetic/orthotic device by using
accepted prosthetic/orthotic techniques to achieve optimum outcomes; inform the
patient of the various procedures to be performed by using appropriate
communication skills; provide continuing patient care and periodic evaluation
to ensure proper fit and function of the prosthetic/orthotic device.
(c) Professional Responsibility. Selecting
the most appropriate course of action when faced with patient-related problems
while adhering to the laws and rules applicable to practice in Florida and the
standards of care of the profession.
(d) Practice Management. Demonstrate proper
documentation of a patient's history and financial records by using established
record-keeping techniques and demonstrate an understanding of the facility's
financial and safety policies and procedures.
(e) Technical Implementation. Interpret
patient data and modify a patient model to ensure optimal fit and function;
demonstrate the ability to fabricate or repair a prescribed device, selecting
appropriate materials and components based on patient criteria to ensure
optimum strength, durability and function.
(5) The objectives must include experience in
the acute, rehabilitative and chronic phases of the care of pediatric, adult
and geriatric populations, and shall include experience in lower and upper
extremity and spinal orthoses or lower and upper extremity
prostheses.
(6) Each intern shall
keep a daily patient log, subject to review by the Board. Each intern shall be
evaluated by his/her supervising practitioner on a quarterly basis and at the
conclusion of the internship.
(7)
Clinical experience in prosthetics and orthotics, to satisfy the requirements
of internship or to satisfy the experience requirements of Section
468.803(4),
F.S., may not be achieved concurrently.
(8) If a change in supervisor is required,
the applicant must submit a completed Registration Supervisor Update Form, form
number DH-MQA 1133, 7/2020, incorporated herein by reference, which is
available from the Board office or the Board's website
http://www.doh.state.fl.us/mqa/OrthPros/index.html, or
http://www.flrules.org/Gateway/reference.asp?No=Ref-12664.
Notes
Rulemaking Authority 468.802, 468.803 FS. Law Implemented 468.803 FS.
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