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Fieldwork

Level I Fieldwork Goals, Objectives, and Competencies

Goals and Objectives for Level I Fieldwork are designed with the opportunity for students to begin to develop skills in: professional behavior and communication; thinking and problem-solving through structured observation and participation; and basic interviewing, assessment and screening of clients.

While specific assignments for Fieldwork I may be developed by instructors, Occupational Therapy Program Goals and Objectives for Fieldwork I include:

Demonstrate professional behaviors and work skills:

a.   Student adheres to facility dress code

b.   Student demonstrates use of time management strategies in preparation, maintaining schedule, and completing assignments on time.

c.   Student takes initiative for learning and assumes responsibility for learning

d.   Student accepts and responds appropriately to feedback and supervision.

Demonstrate effective communication within the clinical setting:

a.  Student establishes rapport with co-workers, clients/families, and interdisciplinary team members

b.  Student demonstrates effective therapeutic use of self, including appropriate limit setting

c.  Student demonstrates the ability to produce documentation with correct professional terminology and clearly written notes/reports

d.  Student demonstrates ability to collaborate/consult with client/family regarding treatment plan and/or goals

Demonstrate the ability to perform introductory client interaction and assessment skills:

a.  Student demonstrates administration of client interview

b.  Student demonstrates administration of screening and/or assessment tools

c.  Student presents one client case study consisting of interview/observation and assessment data, treatment objectives, treatment plan, treatment documentation, and discharge summary as specified by instructor and/or 


Fieldwork I supervisor

Observe and describe the characteristics of various occupational dysfunctions and various theoretical frames of reference and/or treatment techniques for working with these clients:

a.  Student produces narrative summary of Fieldwork I Report and Fieldwork I Assessment

b.  Student demonstrates the ability to communicate with clients/families regarding the perspective and value of Occupational Therapy

c.  Student becomes familiar with appropriate selection and application of a variety of therapy evaluations, and therapeutic activities commonly used with clients of varying occupational dysfunctions, learning needs, and age groups


Level II Fieldwork Education (Internship) Overview

All students enrolled in the professional phase of the Occupational Therapy major must complete  an equivalent of two 12-week, full time clinical internships


Progression through Level II Fieldwork and Relationship to Graduation Requirements

Students must complete each Fieldwork II internship with a passing grade before progressing to the next fieldwork II experience.  Twenty-four weeks of Fieldwork Level II are mandated for accreditation.  The student must pass both Fieldwork II internships to graduate from Lenoir-Rhyne College.  It should be noted that most employers require graduation from an accredited school, including Level II fieldwork, and in most cases completion of the NBCOT certification examination prior to permanently hiring a newly graduated occupational therapist.  Many states will issue a provisional license to practice as long as the student has applied to take the NBCOT exam.  (See later sections on Credentialing for further details.)


Level II Fieldwork:  General Student Guidelines

Fieldwork II experiences are more structured than Fieldwork I experiences.  However, specific assignments and duties are given by the clinical supervisor rather than the Lenoir-Rhyne College Occupational Therapy Faculty.  In addition to the Program Educational goals, and Level II Fieldwork goals, the AOTA Fieldwork Performance Evaluation for Occupational Therapy Students (completed by clinical instructor) is also used as a guideline for establishing goals, objectives, and competencies for Fieldwork II experiences. 


Level II Fieldwork Goals, Objectives, and Competencies

Fieldwork II is intended to provide students with an in-depth experience in the delivery of occupational therapy services to clients and to assist students in fully integrating academic knowledge with clinical practice.  It is also intended to result in the full integration of the curriculum domains of Service, Problem-Solving, and Practice.  During this process, students gradually assume responsibility for the delivery of occupational therapy services, and develop competence as entry-level principle-centered practitioners.

In addition to mastery of the Lenoir-Rhyne College Occupational Therapy Program Educational Goals, and attaining competencies as specified on the AOTA Fieldwork Performance Evaluation for the OT student form, general goals and objectives for Level II Fieldwork include:

Leadership and service for Health:

1. Demonstrate collaboration with the client, family, COTA, and other interdisciplinary team members

2. Communicate client status, concerns, current progress, future needs, and discharge plans in written and verbal form in a professional and coherent manner

3. Behave in a manner congruent with values, standard and ethics of the profession

4. Understand and demonstrate adherence to facility policies and procedures

5. Demonstrate a sense of personal responsibility by: accepting feedback, assuming responsibility for own learning, and taking opportunities to teach others 

Dimensions of Human Learning and Experience:

1. Synthesize: analysis of tasks, activities, and occupational roles of clients in order to effectively implement treatment plans

2. Analyze the environment and make appropriate adaptations for clients/families

3. Determine sequence, frequency and duration of occupational therapy services

4. Evaluate the effectiveness of services through re-evaluation of clients and participation in the quality improvement process

OT Domain and Process:

1. Apply occupational therapy theory and frames of reference in the choice of treatment activities for clients

2. Develop achievable client goals, objectives and treatment activities based on: assessment, realistic expectations, collaboration with others, and the client/family needs

3. Demonstrate commitment to lifelong learning through independent research efforts and willingness to present to occupational therapy peers

4. Use current research findings and other resources as a basis for assessment and intervention decisions

5. Maintain work area, equipment and supplies according to facility policies and safety standards

 

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