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 2 Rachel Stack Fieldwork Coordinator

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

3. Department of Occupational Science and Occupational Therapy Information found on Web http://www.ot.utoronto.ca/community/fieldwork_supervision/index.asp http://www.ot.utoronto.ca/community/fieldwork_supervision/index.asp “Clinical Community” section under “Fieldwork” 38 minutes in length Overview of the Fieldwork Program at U of T 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 Discuss opportunities to get involved with the University of Toronto Status appointments

4. Department of Occupational Science and Occupational Therapy Objectives for This Meeting Provide Information specifically related to Fieldwork 2 Dates Objectives Learning Objectives / Projects/ Presentation Important Forms

5. Department of Occupational Science and Occupational Therapy Fieldwork 2 Placements Dates Fieldwork II: http://www.ot.utoronto.ca/community/fieldwork_supervision/index.asp http://www.ot.utoronto.ca/community/fieldwork_supervision/index.asp Seven weeks (full-time placement) 37.5 hours / week

6. 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 http://www.ot.utoronto.ca/cs/fieldwork/fieldwork_ma nual/index.asp

7. Department of Occupational Science and Occupational Therapy FIELDWORK II OCT1281Y Students will focus on: General Objectives: Students will focus on: refining generic assessment skills, developing documentation skills, and beginning to apply theoretical knowledge to the clinical setting. Specific Objectives: For each CBFE-OT Competency – please refer to Course Outline

8. 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

9. Department of Occupational Science and Occupational Therapy 3. Transition - coaching Primary emphasis is: 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 Style of supervision: Collaborative 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 Primary role of Educator / Preceptor: Coach

10. Department of Occupational Science and Occupational Therapy Providing Feedback to Level 2 Fieldwork Students Promote student self-reflection Prompt with appropriate questions Engage in discussion of several solutions to occupational performance problems and encourage student to begin to make decisions about the most viable course of action Bossers (2009)

11. 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

12. 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 cannot 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

13. Department of Occupational Science and Occupational Therapy IPE Requirements IPE Placement Offerings http://www.ot.utoronto.ca/cs/fieldwork/fieldwork_manual/ipe_ index.asp http://www.ot.utoronto.ca/cs/fieldwork/fieldwork_manual/ipe_ index.asp Required to complete 1 structured IPE placement or three flexible IPE activities. Structured IPE They have four primary elements: A group of interprofessional students are placed on a common unit, Students participate in one or two introductory tutorials, Students participate in a series of weekly patient-themed tutorials, and Students prepare and share the delivery of a joint presentation or project.

14. Department of Occupational Science and Occupational Therapy IPE requirements Flexible IPE Activities: Activity 1 – Participation in a team educational session Activity 2 – Interview and shadow 2 team members Activity 2 – Participation in team meetings Reflection papers are submitted through the Department of OS&OT website and are tracked within the Mentorship Course. http://www.ot.utoronto.ca/cs/fieldwork/fieldwork_manua l/documents/appendix_e_IPE_Flexible_Activities.pdf http://www.ot.utoronto.ca/cs/fieldwork/fieldwork_manua l/documents/appendix_e_IPE_Flexible_Activities.pdf

15. 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

16. Department of Occupational Science and Occupational Therapy Process for Student Issue Department of Occupational Science and Occupational Therapy Supervisor notices a minor student problem (Inappropriate, skills, punctuality …) Supervisor discusses concern with student and together develop strategies and opportunity for reassessment Behaviour/concern improves Monitor Behaviour/concern does not improve Discuss with site FW Coordinator Supervisor, site FW Coordinator and student strategise Inform Academic (U of T) FW Coordinator of troubles Reassess progress Improvement noticed Continue and monitor No improvement Call U of T FW Coord. ASAP – by midterm Document Adapted from original developed by: Brenda Mori, Director of Clinical Education & Community Affairs Department of Physical Therapy Faculty of Medicine, University of Toronto

17. 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

18. Department of Occupational Science and Occupational Therapy Absences All absences should be approved prior to the absence by Academic Fieldwork Coordinator, with the exception of illness related absences Students may be requesting additional hours to make up time for absences related to previous Religious holidays, illness, conferences or extenuating personal circumstances. Please ensure that you record all absences and additional hours on evaluation.

19. 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 Student will not receive a grade for fieldwork until hard copy of CBFE returned to facility including all necessary signatures on CBFE form.

20. Department of Occupational Science and Occupational Therapy Important Deadlines: FW 2 Fieldwork 2: Deadline for return of CBFE form, student learning objectives, student fieldwork site evaluation, and WSIB form is three weeks after the end of placement.

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