Level I Fieldwork Objectives
The student will:
- Use professional terminology and respectful communication when interacting with professionals and clients in the practice setting.
- Demonstrate clear, concise, grammatically correct style in all written assignments.
- Identify frame of references used in the assigned practice setting.
- Describe the characteristics of a frame of reference that would make it appropriate for use with a particular client.
- Identify the screening and/or assessment tools used in the practice setting.
- Observe situational variables that impact accurate assessment results in the practice setting.
- Review environmental modifications and assistive technology used in the practice setting and/or by a specific client.
- Explain occupational therapy practice to a client or professional in the assigned practice setting.
- Determine the process used when referring clients to specialists in the community.
- Follow universal precautions and infection control if asked to participate in clients’ treatment.
- Critically analyze interactions between the occupational therapist, client, family members, and other professionals in the practice setting.
- Determine the role of specialists in the practice setting.
- Assess the therapist’s therapeutic use of self and grading of occupations, through observation during client treatment in the practice setting.
- Examine the use of client/family education provided by the therapist in the practice setting.
- Observe the teaching/learning techniques and strategies used by the occupational therapist when educating family members or other professionals.
- Evaluate the collaborative role between occupational therapists and occupational therapy assistants, if applicable.
- Assess relationship of stated goals, interventions and outcomes, through observation and questions asked in the practice setting.
- Determine the procedures and documentation used for termination of treatment in the practice setting.
- Review the documentation methods and procedures used in the practice setting.
Community-Based Level I Fieldwork Objectives
The student will:
- Educate community-based professionals about the role of OT and the possible benefits OT services would provide the clients in their program.
- Identify the mission and philosophy of the community setting.
- Describe the population and the population needs that are served in the setting.
- Assess the roles and responsibilities of service providers in the community setting.
- Assess the professional licensure and/or training required by the service providers.
- Appraise current trends and policies that influence the provision of health and human service in the setting.
- Identify funding/reimbursement policies and sources.
- Investigate alternative funding sources.
- Compare and contrast community service delivery models with traditional services (i.e. hospital, nursing facility).
- Identify unmet needs and establish a plan of action to assist the site in investigating various methods to meet those needs.
- Evaluate the effectiveness of strategies that can be used to advocate for new OT community programming.
- Assess the process by which OTs can create employment opportunities in nontraditional community based settings.
Level II Fieldwork Objectives
The student will:
- Integrate the ability to identify and utilize effective written, oral and nonverbal communication methods with clients, their families and caregivers, colleagues, other professionals, and the public.
- Integrate and employ logical thinking, critical analysis, problem solving and creativity in the understanding and application of occupation in practice, leadership, and research of the profession.
- Evaluate and apply knowledge of the interaction of the person, environment, and occupation with the analysis of tasks relative to occupational performance, performance, components, and performance contexts.
- Demonstrate the ability to explain the value of occupational therapy practice to clients, families, and other members of the health care team in the assigned practice setting.
- Choose appropriate theories and goals for intervention that address the need for balance among the areas of occupation, age appropriate roles, life tasks, and developmental issues across the life span from a sociocultural perspective.
- Compare and apply the knowledge of health and disability and the effect of such conditions to promote health maintenance and safety programs that are age and socioculturally appropriate to occupational performance.
- Select and use appropriate standardized and non-standardized screening, assessment, and evaluation tools, and methods based on the needs of the client, contextual factors, and psychometric properties to determine the need for occupational therapy services.
- Design, in cooperation with the occupational therapy assistant, a procedure for the collection of screening and evaluation data.
- Interpret evaluation data following test procedures and protocols with consideration of factors that might bias the results such as culture, disability status, and situational variables.
- Select, in collaboration with clients/family/significant others, colleagues, and other professionals, a theoretical base and model of practice as the basis for an occupationally based intervention plan that is consistent with the client's goals, performance area strengths, deficits, and environmental context.
- Choose and implement appropriate safety, infection control, and universal precaution protocols to ensure the safety and well-being of clients during screening, evaluation, and therapeutic intervention.
- Determine when it is necessary and make appropriate to referrals to specialists, both internal and external to the profession, for evaluation, consultation and/or intervention.
- Follow procedures for documentation of occupational therapy services to ensure accountability of service provision that meets standards of reimbursement, and communicates the need and rationale for occupational therapy services appropriate to the system in which services are delivered.
- Design and employ a therapeutic intervention plan utilizing therapeutic use of self in dyadic and group interventions, demonstrating the ability to grade and adapt occupational tasks appropriate to the needs and abilities of the client.
- Assess and implement appropriate home and community programming to support occupational performance in the client’s natural environment, educating and training the client/family/significant others/caregivers to facilitate skills in promoting health and safety.
- Select basic learning theories and principles of the teaching/learning process when educating clients/family/caregivers, the public, third party payers, and other professionals about the role of therapeutic occupation in health and disability and its value to the client.
- Choose and implement compensatory strategies and/or adapt the environment through family/caregiver training regarding technology, adaptations to the environment and involvement of humans and non-humans in the completion of occupations.
- Develop treatment plans, in collaboration with the occupational therapy assistant, and supervise the provision of therapeutic interventions.
- Compare evaluation and intervention data with stated goals and anticipated outcomes to determine the need for intervention plan modification or termination as well as the efficacy of the occupational therapy intervention.
- Plan for and terminate the intervention plan to include a summary of outcomes, recommendations, and referrals after a discussion of post discharge needs with the client/family/significant other/caregiver, colleagues, and other professionals.
- Assess the current trends and policies in health care, education, community, and social systems and their influence on occupational therapy practice.
- Assess the role and responsibility of the practitioner to address changes in service delivery policies and to effect changes in the system.
- Examine the implications and effects of federal and state regulatory and legislative agencies on government regulations, policies, and statutes that impact the provision of occupational therapy services.
- Appraise applicable national and state regulations for credentialing.
- Develop a knowledge base and act in accordance with federal, state, third party, and private payer reimbursement policies and procedures including maintenance of billing and payment records.
- Construct fundamental marketing skills to advance the profession and respond to the changing marketplace.
- Integrate management and leadership concepts that include team collaboration and supervisory skills for the most effective use of occupational therapy and non-occupational therapy personnel time and skills.
- Plan, develop, select, organize and maintain the staff, space, equipment, and supplies necessary to deliver services that meet programmatic needs.
- Evaluate the efficacy of and need for service delivery through the documentation and analysis of program services and quality of care.
- Demonstrate an awareness of the importance of professional responsibility in regards to the provision of fieldwork education and supervision.
- Judge the importance of research and scholarly activities to the development of a body of knowledge relevant to professional practice and viability through the exploration of research opportunities or research being conducted at the clinical site.