1. Department of Occupational Science and Occupational Therapy C r e a t i n g L e a d e r s i n O T Pre-Placement Meeting Fieldwork 1 and Fieldwork 3 Donna Barker Iris Greenspoon Fieldwork Coordinators

2. Department of Occupational Science and Occupational Therapy Fieldwork Faculty / Staff Donna Barker Fieldwork Coordinator (Intro, FW1, and FW2) donna.barker@utoronto.ca 416-946-8782 Iris Greenspoon Fieldwork Coordinator (FW 3 and FW 4) iris.greenspoon@utoronto.caris.greenspoon@utoronto.ca 416-978-2679 Nella Rupp Administrative Assistant ot.clined@utoronto.ca 416-978-8234

3. Department of Occupational Science and Occupational Therapy Objectives for This Meeting Provide Background Info to put Fieldwork in context Overview of the MSc.OT Program at the University of Toronto Departmental vision Teaching/ learning methods Overview of the MSc.OT Fieldwork Program Fieldwork Organization/Philosophy/Objectives Stages of Professional Competency Development Competency-Based Fieldwork Evaluation Provide information specifically related to Fieldwork 1 Objectives, Dates, Evaluation, etc. Discuss opportunities to get involved with the University of Toronto Status appointments

4. Department of Occupational Science and Occupational Therapy Departmental Vision: To Achieve International Leadership in Research and Education Department of Occupational Science and Occupational Therapy

5. Department of Occupational Science and Occupational Therapy Teaching / Learning Methods Interactive Classes Skills Labs Divergent case method (DCM) Fieldwork Self-study

6. Department of Occupational Science and Occupational Therapy Structure, Flow & Content Curriculum Outline Year 1 Term 1 Foundation Introduction to Fieldwork Term 2 Enabling the Occupational Human Fieldwork 1 Term 3 Skill Enhancement Year 2 Term 4 Enabling the Occupational Human in context I Fieldwork 2 Term 5 Enabling the Occupational Human in context II Fieldwork 3 Term 6 Advanced Application and Skill Enhancement Fieldwork 4

7. Department of Occupational Science and Occupational Therapy Graduate Fieldwork Program Core Fieldwork Expectations Variety of settings/populations Psychosocial Health Physical Health

8. Department of Occupational Science and Occupational Therapy Fieldwork Placements Act as a bridge from classroom to service delivery settings Give students an opportunity to demonstrate and apply the knowledge they have learned in class/courses Provide students with a place where they can learn core skills and techniques essential to OT, and personal skills that can help students improve professional behaviours Help students develop problem-solving abilities, evolve clinical reasoning skills, and reflect on their practice (Bonello, 2001)

9. Department of Occupational Science and Occupational Therapy Fieldwork Placements – Schedule 2007-2008 Fieldwork I: May 5, 2008 - June 13, 2008 Fieldwork III: April 21, 2008 - June 6, 2008

10. Department of Occupational Science and Occupational Therapy Fieldwork Placements Refer to Fieldwork Resource Manual for Philosophy of fieldwork and professional standards Health policies Contracts and insurance Requirements and selection process Pre-placement communication Objectives Evaluation Process www.ot.utoronto.ca

11. Department of Occupational Science and Occupational Therapy FIELDWORK I OCT1183 Students will focus on Refining generic assessment skills Developing documentation skills Beginning to apply theoretical knowledge to the clinical setting

12. Department of Occupational Science and Occupational Therapy FIELDWORK II OCT1281 Students will focus on Developing skill in advanced assessments Consolidating academic learning with clinical learning Increasing independence in working with clients

13. Department of Occupational Science and Occupational Therapy FIELDWORK III OCT1282 Students will focus on Gaining independence in administering & interpreting assessments, treatment planning, programming & evaluation

14. Department of Occupational Science and Occupational Therapy FIELDWORK IV OCT1283 Students will focus on Managing a significant portion of the supervisor’s caseload Gaining maximal independence Consolidating all previous academic & fieldwork learning

15. Department of Occupational Science and Occupational Therapy Specific FW1 and FW3 Objectives See Course Outlines Specific objectives reflect the level of skill development and supervision required

16. Department of Occupational Science and Occupational Therapy Stages of Professional Competency Development Entry-Level Student Knowledge Application Consolidation Transition Entry-Level Clinician Stage 1 Stage 2 Stage 3 Source : Competency Based Fieldwork Evaluation for Occupational Therapists Bossers, Miller, Polatajko, Hartley, 2002

17. Department of Occupational Science and Occupational Therapy 1. Knowledge Application - educating Emphasis on development of interaction skills with clients, family, and other health care personnel Students endeavour to apply their current academic knowledge base to actual practice Supervision should be consistent/readily available Students require opportunities to observe and practise professional behaviours and skills that may include assessment and intervention techniques communication with family members / other health care personnel clinical/professional reasoning specific to client centred occupational therapy practice

18. Department of Occupational Science and Occupational Therapy 2. Transition - coaching Emphasis on practice and experience in clinical problem-solving, assessment, and intervention Students should begin to share and assume responsibility for all components of client centred practice, such as referral analysis and assessment planning and implementation of intervention programs discharge planning and follow-up Students should be encouraged to try to develop their own ideas/insights and should be able to engage in discussion of several solutions to occupational performance problems and viable courses of action

19. Department of Occupational Science and Occupational Therapy 3. Consolidation - mentoring Emphasis on final preparation of student to assume the role of competent, entry-level occupational therapist Students should be encouraged to assume as much independence as possible in professional reasoning & in linking academic theory with practice Students may require some guidance but should take responsibility for of client centred practice components: referral analysis & assessment planning & Implementation of intervention programs discharge planning & follow-up

20. Department of Occupational Science and Occupational Therapy Stage 1Stage 2Stage 3 Student Performance Knowledge Application Transition - Reflection on Action Consolidation – Reflection in Action Educator Supervision Style Direct Teaching Evaluation Feedback CoachingConsulting Mentoring Scoring Scores 1-3 1 = low S1 2 = rudimentary S1 3 = mastery of S1 / transition to S2 Scores 3-6 3 = transition to S2 4 = rudimentary S2 5 = intermediate S2 6 = mastery of S2 / transition to S3 Scores 6-8 6 = transition to S3 7 = rudimentary S3 8 = mastery of S3 / ready to enter clinical practice Stages of Competency Development Source: Competency Based Fieldwork Evaluation for Occupational Therapists Bossers, Miller, Polatajko, Hartley, 2002

21. Department of Occupational Science and Occupational Therapy Competencies of the CBFE Practice KnowledgeDiscipline- specific theory and technical knowledge. Clinical ReasoningAnalytical and conceptual thinking, judgment, decision making, and problem solving. Facilitating Change within a practice Process Assessment, intervention planning, intervention delivery, and discharge planning Professional Interactions and Responsibility Relationship with clients and colleagues, legal and ethical standards

22. Department of Occupational Science and Occupational Therapy Competencies of CBFE (cont’d) CommunicationVerbal, non-verbal, and written communication Professional DevelopmentCommitment to profession, self- directed learning, and accountability Performance ManagementTime and resource management, leadership

23. Department of Occupational Science and Occupational Therapy

24. Objective(s) Resource(s) Required to Meet the Objective(s) EvidenceValidation

25. Department of Occupational Science and Occupational Therapy Learning Objectives Negotiated between student and supervising OT Recommended that learning objectives developed after first week of placement There should not be a learning objective for each competency. 3-4 objectives overall is adequate There can not be more than one objective for each competency Objectives can be completed on CBFE or on a separate sheet however must be included with evaluation when returned to U of T SMART objectives

26. Department of Occupational Science and Occupational Therapy Student Evaluations- CBFE Please contact fieldwork coordinator as soon as you have any concerns regarding a student passing the placement. Expectation- U of T Fieldwork Coordinator and student will be notified at or prior to midterm if there is a concern that student may not pass the fieldwork placement. U of T fieldwork coordinator will conduct a site visit to speak with supervising therapist and student. Fieldwork coordinator will review learning objectives and CBFE to provide strategies to facilitate the fieldwork supervisor-student learning experience

27. Department of Occupational Science and Occupational Therapy Student Presentation / Project Expectation that each fieldwork student complete student presentation / project Topic should be negotiated between fieldwork supervisor and student

28. Department of Occupational Science and Occupational Therapy Completion of placement Student require the following information to be returned to U of T upon completion of placement Completed CBFE (including signatures) Learning objectives Student Fieldwork Site Evaluation Completed WSIB form (Section A.2. and Section E- need to be completed by the Fieldwork Site) Student will not receive a grade for fieldwork until hard copy of CBFE returned to facility including all necessary signatures on CBFE form.

29. Department of Occupational Science and Occupational Therapy Important Deadlines: FW 1 and FW3 Fieldwork 1: Deadline for return of CBFE form, student learning objectives, student fieldwork site evaluation, and WSIB form is Friday June 27, 2008 Fieldwork 3: Deadline for return of CBFE form, student learning objectives, student fieldwork site evaluation, and WSIB form is Friday June 20, 2008

30. Department of Occupational Science and Occupational Therapy Opportunities to get Involved http://www.rehab.utoronto.ca/Guidelines/index.htm Along with a complete overview of a Status-Only Appointment, the Guidelines will also provide you with: Status-only appointment documentation and process Information on the 5 status-only appointment ranks The criteria for initial appointment, reappointment and promotion Your privileges, responsibilities and expectations

31. Department of Occupational Science and Occupational Therapy Your status-only appointment brings you: Privileges The right to apply for grants that require that you hold a University appointment U of T library privileges and e-mail Reduced fee for metro pass Free or reduced rates on various U of T Continuing Education An opportunity for personal and professional growth Responsibilities Stimulate, challenge and develop the clinical capacity of students Contribute to the development of the discipline by contributing to the body of knowledge or by advancing the quality, efficiency and effectiveness of practice Acknowledge your affiliation with the department on all publications and scholarly works

32. Department of Occupational Science and Occupational Therapy Thank-you!! Any questions?