13. ISPO Weltkongress Congress Lecture [3405] Abstract [580] | Topic: Open Topics (Appropriate Technologies, Developing Countries, Materials Research, Measurement Techniques, etc.)

Author Uchida, Mitsuhiko (Sanda JP) College of Medical Welfare - Course of P&O

Title A Historical Review of P&O and allied P&O profession in ; the Kobe Model

Coauthors Kazuhiko Sasaki, Masanori Shimamura Tadasuke Onishi

Summary The education of the P&O is spreading to all over the world to all over Japan. But there aren’t enough discussions about allied P&O professions such like an orthopedic shoe technologist and a technical aid technologist. Kobe College has developed a P&O course in1997, and then a curse for orthopedic

Introduction Prosthetics and Orthotics education in Japan was begun as 3 year course at National Rehabilitation Center for the Disabled in 1982.All of other after P&O schools were directed in establishments by the graduates, it contributed to the popularization and the standardization of the P&O education. In 1987, the prosthetist and orthotist law was established and the P&O became the medical care type state qualification of the Ministry of Health and Welfare. As of 2009, there are 9 schools in various parts of Japan. On the other hand, the education of theP&O is spreading to all over the world and being more clinical and going to upgrade to obtain higher degree/diploma by each country. But there are not enough discussions about allied P&O professions such like an orthopedic shoe technologist and a technical aid technologist. Kobe College of Medical Welfare has been established in 1997 as a P&O 3 year’s course. Following this, a 2 year’s course for orthopedic shoe technologists in 1999 and a upgr

Methods The orthopedic footwear course has started by installing German orthopedic footwear system looking at a curriculum of German OSM school. It is 2 years course and has 40 student yearly. As of 2009, the No. of graduates is 237. A half of them got a employment opportunities in

P&O companies and 20# is in “Comfort shoes shop”, and 20 is in shoes manufacturers. In

Page 1 of 3 13. ISPO Weltkongress Congress Lecture [3405] Abstract [580] | Topic: Open Topics (Appropriate Technologies, Developing Countries, Materials Research, Measurement Techniques, etc.)

2003,Kobe College has established upgrade course to upgrade our student into Bachelor of

P&O of La Trobe University. Students undertake one year full time study at LaTrobe University. The curriculum is consist complementary of the subject which has not operated or been weak in Japanese schools, such like Research Method, Patient Evaluation, Fracture Management, Advanced prostheses and advanced orthoses. As a course progress in this 5 years,11 students completed course.5 working in , and Jakarta,6 have returned to Japan.8 currently enrolled will graduate on June 2010. Students not only from Kobe,from other P&O

Results In 2004, The Ministry of health made a change of the regulation for P&O schools. It came from The significant amendment of education laws in 1991.This was undertaken in order to make existing systems more flexible, thereby enabling each schools to develop its distinctiveness under its missions and objectives Kobe has established additional a new 4 year’s course in 2008.The graduate will obtain the advance diploma. It’s equivalent with Bachelor degree. Now Kobe has 2 P&O classes of total 60 students yearly. Receiving it, in 2004-2007, Kobe College innovated the own curriculum in collaborated with La Trobe University. We install “Patient Evaluation” using Web CT delivery. Guest Lecture programs from La Trobe to cover the advanced P&O. While this process we have learnt the advanced teaching skills such like Tutorial lesson, Problem based Learning, Web CT In 2005-2008,a rush of the P&O school establishment happened. New 4 school,5 courses came in. Three 4 years course is included.

Conclusion Kobe has established additional a new 4 year’s course in 2008.The graduate will obtain the advance diploma It# equivalent with Bachelor degree. Now Kobe has 2 P&O classes of total 60 students yearly.4 years curriculum has additional subject in the fields of R&D, Orthopedic footwear technique, Assistive devices, and more clinical practices. There are no ISPO recognized school in Japan. When we discuss why ISPO Cat1 is needed for Japanese P&O schools? There are negative cements that “.It is difficult because of

Language barrier”,” we already have the national exam”,” cost for accreditation procedures".

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Otherwise There are positive comments that “Yes! It is necessary for us because our student want international activities”, ”It would be a guideline for development 4 years course”,” Developing the international network of schools”,” Getting international accreditation.”. Kobe college take a forward-looking stance to applying ISPO Cat 1 accreditation.

References 1) Arthur F.T.Mak,Educating prosthetists and orthotists for the 21 st century:The Hong Kong Model,An Asian Prosthetics and Orthotics Workshop 98 in Japan. 2) Eiji Tazawa,Prosthetics and orthotics in Japan, An Asian Prosthetics and Orthotics Workshop 98 in Japan 3) Sepp Helm,The Role of education and educational institutions in the development of prosthetic/orthotic services, An Asian Prosthetics and Orthotics Workshop 98 in Japan

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