Hi,
just wanted to make a more generalised comment in regards to autonomy of Physiotherapists.
The way Physios and Physicians are educated and work depends on the health system and legislation of the country of practice. I have heard that in several European countries you receive a live-long registration. As people might know, in NZ we have to apply for re-certification every year. This is a work intensive system, requiring lots of professional development and good documentation, but ensures quality of work and safety for the general population.
So, if you would like to change Physios and Physicians attitudes, responsibilities and training, you have to start changing the system. Good luck.
@ quorthon: Where you think that you do independent practice, you (apparently) have not been formally educated to do so - so please be careful as to what you say. There is a huge difference between a three year Physio diploma in countries like Greece, Germany, Spain, etc. and the 4 year Auzzie, Scottish, Irish and NZ degree (.. and the three year British one -as far as I'm concerned; ... I do not know much about others). There is also a reason behind the length and depth of training, so you cannot just switch from one to the other.
I have met many European Physios with "just a diploma" and all of them do individualised treatment plans, evaluate their treatment and alter approaches if indicated. Their treatment effects are just as good as anyone elses and they have all started using an evidence-based approach. This is certainly an analytical way of working and is based on their training, but does not neccessarily mean they can practice autonomously, as it is common here in NZ.
I also find your comment about the finincial motivation to become a better clinician rather interesting, as in my experience, this causes exactly the opposite result.
Regards,
Fyzzio