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VOLUME 11

1934

NUMBER 232

Nl TED

Washington, Thursday, November 28, 1946
Regulations TITLE 5ADMINISTRATIVE
PERSONNEL
Chapter ICivil Service Commission P art 25 F ormal E ducation R equire MENTS FOR APPOINTMENT TO CERTAIN
S cientific , T echnical and P rofes
sional P ositions OCCUPATIONAL THERAPIST AND PHYSICAL
THERAPIST

For the reasons set forth in the ac companying justifications the following positions are added to the list of posi tions in 25.1 a for which formal edu cational requirements have been pre scribed:
25.1 Positions for which formal education requirements p r e s c r i b e d .
a 111
OCCUPATIONAL THERAPIST, P - 1 AND ABOVE

Educational requirem ent.
Applicants m ust show graduation from schools of oc cupational therapy approved by the Amer ican Médical Association.
Duties.
Occupational therapists work under medical supervision administering occupational therapy treatm ents to patients in Government hospitals involving programs in functional treatm ent for physical dis abilities such as orthopedic conditions, frac tures, lacerations, amputations, nerve in
juries, plastic surgery and neuro-psychosis disabilities; keeping daily records of treat ments, work and progress of each patient under treatment, planning and executing projects in trades, industries, agriculture, crafts, habit training, etc. In the higher grades, occupational therapists, in addition to administering occupational therapy, direct the work of occupational therapists of lower grades. The duties performed and the re sponsibilities assumed vary w ith and are proportionate to the grade of the position.
Knowledge and training requisite for per formance of duties. The field of occupa tional therapy has developed to such an ex tent that the scope which it now encompasses Is very dissimilar to that after World War I.
Occupational Therapy has progressed to such au extent that detailed study is necessary to learn the application of artsand crafts and trades and industries in the treatm ent of in
jured and disabled patients. These occupa tions are utilized n ot to amuse th e patients or to give recreation, but are to be used as a means of treatment. As directed by the Medical Officer, the occupational therapist in
structs the patient in occupations in order to
regain, for example, flexion of the fingers, or to loosen adhesions in a stiff Joint such as th e knee Joint.
Occupational Therapists m ust learn anat omy, kinesiology, physiology, normal and ab normal psychology, and basic arts and crafts.
They m ust be instructed how to apply the occupations in th e treatm ent of patients.
They m ust learn thoroughly what treatm ents may be given and how to give them; they m ust learn what they m ust not do. They m ust fully understand the indications and contra-indications for occupational therapy treatm ent to a particular patient. The Occu pational Therapists m ust be trained to rec ognize symptoms of over-exercise or fatigue or certain functional difficulties which may be developed in a patient under treatm ent.
This knowledge can only be obtained in properly equipped schools w ith capable in
structors.
The teaching of arts and crafts and trades and industries under occupation therapy programs differs from the manner in which such things are taught to enable persons to learn a trade. The emphasis on the type of work done for th is and the type of work assigned to a particular individual is differ ent, that is, the objective is fundam entally therapy for the patient.
M ethod of obtaining basic knowledge and training. The Administrator of Veterans Af fairs, acting under authority vested in him by Public Law 293, 79th Congress, 2d session has prescribed the above educational require m ents for occupational therapists in the Vet erans, Administration. The desirability of having uniform requirements for occupa tional therapist positions for all Government agencies plus "the fact that the technical knowledge required for the performance of the duties listed above can be obtained only bjattending and completing a full course in an approved school of occupational therapy justify the prescribed educational require ments.
PHYSICAL THERAPIST, P - 1

AND ABOVE

Educational requirem ent. A p p l i c a n t s m ust show graduation from schools of phys ical therapy approved by th e American Medical Association, or, if graduation was prior to 1936, graduation from schools of physical therapy approved by th e American Physical Therapy Association.
D uties. . Physical therapists administer under medical supervision physical therapy in its special branches including massage, electrotherapy, actinotherapy, hydrotherapy, and remedial exercise; keep a daily work record erf the progress of the patients under treatm ent.
As examples of work performed as Phys ical Therapists: Give general and local mas sage; give or supervise active, passive, or resistive exercise;adm inister ultraviolet ray Continued on p. 13905

CONTENTS
REGULATIONS AND NOTICES
Agriculture D epartment:
Page Fruits and vegetables, canned, standards for grades of canned sweetpotatoes; proproposed rules-;____ 13905,13921
Alien Property, Office of:
Vesting orders, etc.:
Amana, Frank, et al_______ 13920
Asami, T. et al________ ___ 13919
Bachman, Elsie_____________ 13913
Bankhaus Pferdmenges & Co_ 13918
Bergmann, Mary Anna_____ 13914
Fuwa, Shimayo H_________ 13920
Harada, Chosuke____________ 13916
Hausstiftung, Kurhessische, and Dorothea von Bonin. 13917
Hellerich, Joseph__________ 13914
Herlfbltz, Leonie___________ 13916
Hoffman, Maria B_________ 13920
Keller, Ferdinand, Sr________ 13914
Mull, William______________ 13915
Nehlsen, Harald___________ 13917
Paul, John G__ ___
13918
Rodenhausen, Leonhard____ 13915
Werner, Paul A____________ 13918
Wiesner, Marie____________ 13915
Yamamoto, Tsueno________ 13913
Child Labor and Y outh Employ ment B ranch:
Procedures and substantive rules Corr.____________ 13911
Civil Aeronautics B oard:
Hearings, etc.:
Cincinnati case____________ 13923
Pan American Airways, Inc.
and Pan American-Grace Airways, Inc__________ 13923
C ivil S ervice C o m m issio n :

Appointment to scientific, technical and professional posi tions, formal education re quirements; occupational therapist________________ 13906
C oast G uard :

General organization and juris diction; districts and offices. 13912
D efense T ransportation , O ffice o f:

Traffic movement, direction;
freight shipments to or within port areas..____ __13913
F ederal
C ommunications m is s io n :

C om

Frequency service-allocations to non-government serv ices; extension of time for filing briefs______________ 13923
13903