OBJECTIVE. A national study explored the use of simulated learning experiences in U.S. occupational therapy and occupational therapy assistant entry-level academic programs. METHOD. Program faculty at 245 of 310 occupational therapy assistant and occupational therapy entry-level programs completed a self-reported 23-question online survey on the use of simulation and its challenges and benefits. Data were analyzed using frequency, percentage, and thematic coding. RESULTS. Of 245 programs, 175 (71%) reported using simulation, with the most common teaching methods incorporating human actors and students and video cases. Simulated scenarios were primarily presented in intervention courses (90%). Faculty provided feedback that benefits of the simulated experience were increased critical reasoning, problem solving and decision making, and communication among students. Challenges were time, cost, and scheduling. CONCLUSION. Findings were similar to those in the literature in terms of simulated learning's uses, benefits, and challenges. Further research on student learning outcomes and pedagogy in occupational therapy is recommended.
Assuming the role of teacher and mentor to a fieldwork student, while simultaneously managing one's caseload, adds to this potential stress. In entering this collaborative and didactic relationship, occupational therapy practitioners are called upon to offer mindful, compassionate care and their full empathic engagement in every patient or student interaction, drawing from a source of wellness, strength, resilience,
The purpose of fieldwork education is to propel each generation of occupational therapy practitioners from the role of student to that of practitioner. Through the fieldwork experience, future practitioners achieve competence in applying the occupational therapy process and using evidence-based interventions to meet the occupational needs of a diverse client population. Fieldwork assignments may occur in a variety of practice settings, including medical, educational, and community-based programs. Moreover, fieldwork placements also present the opportunity to introduce occupational therapy services to new and emerging practice environments. Fieldwork assignments constitute an integral part of the occupational therapy and occupational therapy assistant education curricula. Through fieldwork, students learn to apply theoretical and scientific principles learned from their academic programs to address actual client needs within the context of authentic practice environments. While on fieldwork, each student develops competency to ascertain client occupational performance needs to identify supports or barriers affecting health and participation and document interventions provided. Fieldwork also provides opportunities for the student to develop advocacy, leadership, and managerial skills in a variety of practice settings. Finally, the student develops a professional identity as an occupational therapy practitioner, aligning his or her professional judgments and decisions with the American Occupational Therapy Association (AOTA) Standards of Practice (AOTA, 2005b) and the Occupational Therapy Code of Ethics (AOTA, 2005a).
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