{"id":449,"date":"2024-05-02T11:22:20","date_gmt":"2024-05-02T15:22:20","guid":{"rendered":"https:\/\/physioisforeveryone.ca\/?page_id=449"},"modified":"2024-05-28T11:47:09","modified_gmt":"2024-05-28T15:47:09","slug":"scope-of-practice","status":"publish","type":"page","link":"https:\/\/physioisforeveryone.ca\/fr\/scope-of-practice\/","title":{"rendered":"Champ de pratique"},"content":{"rendered":"\t\t
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Physiotherapy Scope of Practice <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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Optimizing Care<\/span> <\/br> for People in Canada<\/h2><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\u201cA profession\u2019s scope of practice encompasses the services its practitioners are educated, <\/span><\/i> competent, and authorized to provide. The overall scope of practice for the profession sets the <\/span><\/i> outer limits of practice for all practitioners. The actual scope of practice of individual practitioners <\/span><\/i> is influenced by their continuing professional education, the settings in which they practice, the requirements of the workplace, and the needs of their patients.”<\/span><\/i> [1]<\/a>, [2] <\/a><\/sup><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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[1]<\/span><\/a> National Physiotherapy Advisory Group. (2009). Essential Competency Profile for Physiotherapists in Canada. Retrieved online <\/span>http:\/\/npag.ca\/PDFs\/Joint%20Initiatives\/PT%20profile%202009%20English.pdf<\/span><\/a>\u00a0<\/span><\/p>

[2]<\/span><\/a> Downie S, Walsh J, Kirk-Brown A, Haines TP. (2023) How can scope of practice be described and conceptualised in medical and health professions? A systematic review for scoping and content analysis. Int J Health Plann Mgmt. 2023; 38(5): 1184-1211. <\/span>https:\/\/doi.org\/10.1002\/hpm.3678<\/span><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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This Scope of Practice definition applies to the profession of physiotherapy<\/span> practiced by those licensed to use the protected titles of \u201cphysiotherapist\u201d<\/span>, \u201cphysical therapist\u201d<\/span> and \"physioth\u00e9rapeute\u201d<\/span> and all abbreviations as listed in legislation across Canada. <\/h2>
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Physiotherapy Scope of Practice<\/span> across Canada<\/h2><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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For an optimized experience, please view the skillset chart using a desktop browser<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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LEGEND<\/strong><\/th>\n<\/tr>\n<\/thead>\n
<\/span><\/td>Within scope of practice and not a controlled or restricted act within the province\/territory. <\/td>\n<\/tr>\n
*<\/strong><\/span><\/td>Within scope of practice as a restricted or reserved or controlled act assigned to select regulated professions including physiotherapy through legislation in the public interest. Successful completion of an approved education program may be required to perform activity in some jurisdictions.<\/td>\n<\/tr>\n
<\/span><\/td>In process for implementation pending completion of regulatory changes. Will be reserved\/restricted\/controlled once completed (*).<\/td>\n<\/tr>\n
D <\/strong><\/span><\/td>Only under delegation by another healthcare professional and\/or medical directives in a health organization.<\/td>\n<\/tr>\n
OTHER <\/strong><\/span><\/td>Legislation, regulation or policies outside of the regulated health profession regulatory system is a barrier to practice.<\/td>\n<\/tr>\n
<\/span><\/td>Not implemented in jurisdiction<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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APPENDIX B: PHYSIOTHERAPY SCOPE OF PRACTICE ACROSS CANADA - Summary of activities, interventions, and treatments | Jurisdiction comparison across Canada<\/strong><\/td>\n<\/tr>\n
The chart depicting physiotherapy scope of practice across Canada was informed by scans of current legislation including regulated health profession acts (RHPAs), provincial\/territorial physiotherapy acts, and through consultation with regulators. The information is current as of April 2024. This information will be updated as new information is obtained and as standards of practice, legislation, regulation and policy evolves. <\/td>\n<\/tr>\n
<\/td><\/td><\/td><\/td><\/td><\/td><\/td><\/td><\/td><\/td><\/td><\/td><\/td><\/td><\/td>\n<\/tr>\n
Category<\/td>Physiotherapy skill\/activity<\/td>BC1<\/sup> <\/span><\/td>AB<\/td>SK<\/td>MB<\/td>ON<\/td>QC<\/td>NB<\/td>NS<\/td>PEI<\/td>NL<\/td>YT<\/td>NU2<\/sup><\/td>NWT3<\/sup><\/td>\n<\/tr>\n
Diagnosis<\/strong><\/td>\n<\/tr>\n
Communicating a diagnosis <\/strong><\/td>Communicating a diagnosis, identifying a physical dysfunction, disease or disorder as the cause of a person\u2019s symptoms.<\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td>\n<\/tr>\n
Ordering diagnostic tests, imaging and laboratory tests<\/strong><\/td>\n<\/tr>\n
Ordering diagnostic imaging<\/strong><\/td>X-rays <\/td> <\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> D <\/strong><\/span><\/td> D 4 <\/sup> <\/strong><\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> *<\/strong>5<\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td>\n<\/tr>\n
Magnetic Resonance Imaging (MRI)<\/td> <\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td> D 6<\/sup><\/strong><\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td>\n<\/tr>\n
Ultrasound <\/td> <\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> D <\/strong><\/span><\/td> D 7 <\/sup><\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td>\n<\/tr>\n
Ordering laboratory tests<\/strong><\/td>Collecting samples and\/or ordering laboratory tests within scope including for inflammatory markers related to arthritis, nutritional markers for wound care and others.<\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> D <\/strong><\/span><\/td> D 8 <\/sup><\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td>\n<\/tr>\n
Ordering electrodiagnostic testing<\/strong><\/td>Electromyography (EMG) and nerve conduction studies<\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> D <\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td>\n<\/tr>\n
Treatment<\/strong><\/td>\n<\/tr>\n
Cardiorespiratory <\/strong><\/td>Tracheal suctioning (endotracheal and nasopharyngeal)<\/td> <\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td>\n<\/tr>\n
Introduce an instrument past the pharynx or nasal passages<\/td> <\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td>\n<\/tr>\n
Administering a substance by inhalation, a drug or substance, including oxygen, as prescribed by an authorized health professional<\/td> <\/span><\/td> *<\/strong><\/span><\/td> 1<\/strong> <\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> D <\/strong><\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td>\n<\/tr>\n
Wound Care<\/strong><\/td>Taking a swab of a wound below the dermis for testing <\/td> <\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> *<\/strong><\/span><\/td> D <\/strong><\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td>\n<\/tr>\n
Treating a wound below the dermis including modalities, cleansing, soaking, irrigating, probing, debriding, packing and dressing.<\/td> <\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td>\n<\/tr>\n
Pelvic health <\/strong><\/td>Inserting an instrument, hand or finger beyond the labia majora or anal verge for pelvic health assessment and treatment of pelvic pain, disorders and incontinence<\/td> <\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td>\n<\/tr>\n
Administration of real-time imaging ultrasound for the assessment <\/span>and treatment of incontinence<\/td> <\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> D <\/strong><\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td>\n<\/tr>\n
Needling<\/strong><\/td>Acupuncture<\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td>\n<\/tr>\n
Dry needling\/Intramuscular stimulation<\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td>\n<\/tr>\n
Spinal Manipulation<\/strong><\/td>Moving the joints of the spine beyond the individual\u2019s usual physiological range of motion using a fast, low amplitude thrust<\/td> <\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td>\n<\/tr>\n
Manual therapy<\/strong><\/td>Soft tissue and manual therapy techniques including massage and proprioceptive neuromuscular facilitation (PNF), mobilization of joints<\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td>\n<\/tr>\n
Exercise <\/strong><\/td>Therapeutic exercise and exercise prescription<\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td>\n<\/tr>\n
Ergonomics<\/strong><\/td>Ergonomic assessment, modifications, education <\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td>\n<\/tr>\n
Use of energy<\/strong><\/td>Hydrotherapy, electrotherapy and use of mechanical, radiant and thermal energy<\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td>\n<\/tr>\n
Mobility aids and supports<\/strong><\/td>Prescription, manufacture, modification and application of orthotics, pessaries, braces, splints, taping, mobility aids (such as walkers, crutches, canes, wheelchairs) and seating devices or equipment<\/td> <\/span><\/td> <\/span><\/td> 2<\/strong> <\/span><\/td> <\/span><\/td> <\/span><\/td> 9<\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> *<\/strong><\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td>\n<\/tr>\n
Casting<\/strong><\/td>Setting or casting a fracture<\/td> <\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> *<\/strong><\/span><\/td> D <\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td>\n<\/tr>\n
Serial casting for range of motion <\/td> <\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> *<\/strong><\/span><\/td> D <\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td>\n<\/tr>\n
Reducing a dislocation of a joint<\/strong><\/td>Reduction of a joint dislocation such as dislocations of the shoulder, kneecap or finger joints<\/td> <\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> *<\/strong><\/span><\/td> D <\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td>\n<\/tr>\n
Psychosocial and Lifestyle<\/strong><\/td>Provide support for the psychosocial aspect of care and guidance on lifestyle choices impacting mobility and health<\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td>\n<\/tr>\n
Pharmaceuticals\/Medication<\/strong><\/td>\n<\/tr>\n
Administering of medication as prescribed by a physician or other authorized profession or as prescribed by a physiotherapist <\/strong><\/td>Oral and injection <\/td> <\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> *<\/strong><\/span><\/td> D <\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> *<\/strong>10<\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td>\n<\/tr>\n
Topical medications<\/td> <\/span><\/td> *<\/strong><\/span><\/td> <\/strong><\/span><\/td> *<\/strong><\/span><\/td> D <\/strong><\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> *<\/strong>11<\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td>\n<\/tr>\n
Cortisone\/steroid and intramuscular injections<\/td> <\/span><\/td> *<\/strong><\/span><\/td> <\/span><\/td> *<\/strong><\/span><\/td> D <\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> *<\/strong>12<\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td>\n<\/tr>\n
Prescribing medication<\/strong><\/td>Prescribing over the counter and limited prescription medications related to a physiotherapy treatment plan<\/td> <\/span><\/td> D <\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td> D <\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td> <\/span><\/td>\n<\/tr>\n
System Navigation<\/strong><\/td>\n<\/tr>\n
Referring<\/strong><\/td>Referring to other health professionals including referring to physician specialists <\/td> <\/span><\/td> <\/span><\/td> OTHER <\/strong><\/span><\/td> OTHER <\/strong><\/span><\/td> OTHER <\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td> OTHER <\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td> OTHER <\/strong><\/span><\/td> <\/span><\/td> <\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tFootnotes<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Physiotherapy Scope of Practice Optimizing Care for People in Canada \u201cA profession\u2019s scope of practice encompasses the services its practitioners are educated, competent, and authorized to provide. The overall scope of practice for the profession sets the outer limits of practice for all practitioners. The actual scope of practice of individual practitioners is influenced by […]<\/p>\n","protected":false},"author":3,"featured_media":462,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-449","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"\nScope of Practice - Canadian Physiotherapy Association<\/title>\n<meta name=\"description\" content=\"Optimizing Care for People in Canada\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/physioisforeveryone.ca\/fr\/scope-of-practice\/\" \/>\n<meta property=\"og:locale\" content=\"fr_CA\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Scope of Practice - Canadian Physiotherapy Association\" \/>\n<meta property=\"og:description\" content=\"Optimizing Care for People in Canada\" \/>\n<meta property=\"og:url\" content=\"https:\/\/physioisforeveryone.ca\/fr\/scope-of-practice\/\" \/>\n<meta property=\"og:site_name\" content=\"Canadian Physiotherapy Association\" \/>\n<meta property=\"article:modified_time\" content=\"2024-05-28T15:47:09+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/physioisforeveryone.ca\/wp-content\/uploads\/2024\/05\/BP3I8994-scaled-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2560\" \/>\n\t<meta property=\"og:image:height\" content=\"1707\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Estimation du temps de lecture\" \/>\n\t<meta name=\"twitter:data1\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/physioisforeveryone.ca\\\/scope-of-practice\\\/\",\"url\":\"https:\\\/\\\/physioisforeveryone.ca\\\/scope-of-practice\\\/\",\"name\":\"Scope of Practice - 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