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CIR Reply: Central and South America ReportTo: Editor
The O&P EDGE From: Hector Casanova
Director International Programs
Center for International Rehabilitation
Chicago, Illinois USA Date: September 03, 2002 Re: Central and South America Report -
Distance Learning in the Latin American Region
By Rosie Jovane and Carolina Schiappacasse
Since a recent article on the oandp.com site appears to make
reference to our program in the Latin American region, we would
like to take a moment to clarify some misperceptions concerning our
program that may arise from statements in the article.
- The name of our organization is Center for International
Rehabilitation (CIR) not Physicians Against Land Mines (PALM).
- We offer a continuing education course via distance learning.
It is available only to professionals employed by established
prosthetic/orthotic clinics. This program, the first distance
learning course of its kind, was developed in collaboration with
the Pan American Health Organization in response to demand from
clinics in Latin America whose "prosthetic practitioners" have had
little or no access to continuing professional education. These
professionals are already seeing patients and badly need access to
continuing education. The program has never been promoted or
designed as an alternative to degree programs.
- Moves to duplicate the effort and to expand it by creating
distance learning degree programs are welcome and currently
underway at the CIR, Don Bosco University (UDB) and elsewhere.
- Mr. Sepp Heim, President of the International Society of
Prosthetics and Orthotics (ISPO), has endorsed the program by
agreeing to Chair the CIR's Education Panel and provide advice in
the area of program development and educational content.
- A detailed description of our program was presented at the
February 2002 ISPO "Prosthetics and Orthotics Training Institutes
Non-Industrial Countries" Workshop, at UDB in El Salvador. Neither
Ms. Jovane nor Carolina Schiappacasse was in attendance, but the
presentation was well received by the participants.
- A paper detailing the program has been accepted for
presentation at the ISPO regional meeting to be held in Dubrovnik,
Croatia in next month.
I would like to end with a cautionary note. It is fine to work
on setting better educational standards with local governments but
all of us working on such issues must strive not to spread
misinformation, engage in petty politics or knock current efforts
to educate professional staff in the process. We will need all the
collaboration and support we can muster in order to raise standards
of care around the world. 
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