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 ‘Introduction to Fieldwork’ Placement Information for Preceptors

2. Department of Occupational Science and Occupational Therapy Fieldwork Faculty and Staff Donna Barker Fieldwork Coordinator (Intro, FW1) donna.barker@utoronto.ca 416-946-8782 Rachel Stack Fieldwork Coordinator (FW2, FW 3,FW 4) rachel.stack@utoronto.ca 416-978-2679 Nella Rupp Administrative Assistant, Community and Faculty Affairs ot.clined@utoronto.ca 416-978-8234

3. Department of Occupational Science and Occupational Therapy Overview of MSc(OT) Curriculum and General Information about Fieldwork Preceptors are directed to our Department of OS&OT Fieldwork website for the link to a 38 minute video recording of the Fieldwork Program here at U of T. http://www.ot.utoronto.ca/community/fieldwork_supervis ion/index.asp

4. Department of Occupational Science and Occupational Therapy Other Fieldwork Information Fieldwork Website: http://www.ot.utoronto.ca/community/fieldwork_supervisi on/index.asp http://www.ot.utoronto.ca/community/fieldwork_supervisi on/index.asp 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 The online FW manual is found at: http://www.ot.utoronto.ca/cs/fieldwork/fieldwork_manual/in dex.asp http://www.ot.utoronto.ca/cs/fieldwork/fieldwork_manual/in dex.asp

5. Department of Occupational Science and Occupational Therapy Resources for Preceptor Skill Development At http://www.ot.utoronto.ca/community/fieldwork_supervision/index.asphttp://www.ot.utoronto.ca/community/fieldwork_supervision/index.asp We encourage preceptors to make use of two excellent on-line resources. The Preceptor Education Program was developed by an interprofessional research group at the University of Western Ontario and Fanshawe College and funded by the Ministry of Health and Long Term Care. The resulting inter-professional web-based, on-line education program is intended to provide practical support to both preceptors and and students. We invite you to make use of this very helpful resource. It is found at: http://www.preceptor.cahttp://www.preceptor.ca The Practice Education site was developed by an interprofessional group at the University of British Columbia. It is an excellent inter- active inter-professional web-based, on-line education program for preceptors. It can be found at: www.practiceeducation.cawww.practiceeducation.ca

6. Department of Occupational Science and Occupational Therapy Agenda for this Session Information specifically related to ‘Introduction to Fieldwork’ Placement Placement of ‘Introduction to Fieldwork’ within Program Objectives Related Assignments Expectations of Students Student Evaluation / Facilitation of Student Learning Responsibilities of Preceptor Day One of Placement Submission of Documentation to the Department

7. Department of Occupational Science and Occupational Therapy Structure, Flow & Content Curriculum Outline Year 1 Term 1: Foundation Occupational Science, Research, OT Practice (includes Intro to FW), Assessment, Neuromotor/Neurocognitive, Mentorship Term 2: Enabling the Occupational Human Research Methods, OT Practice 2, MSK Structure and Function, Psychosocial perspectives, Neuromotor/Neurocognitive, Mentorship, Skills and Technology course Term 3: Skill Enhancement Research, OT Practice 3, FW1, Mentorship

8. Department of Occupational Science and Occupational Therapy Structure, Flow & Content Curriculum Outline Year 2 Term 4: Enabling the Occupational Human in context I Mentorship, Research Project, Enabling Occupation with Children, Adults, Older Adults, FW2 Term 5: Enabling the Occupational Human in context II Mentorship, Research Project, Enabling Occupation with Children, Adults, Older Adults Term 6: Advanced Application and Skill Enhancement Mentorship, Research project,,FW3, FW4

9. Department of Occupational Science and Occupational Therapy Objectives for Introduction to Fieldwork Generally: Identify client issues Observe OT interventions Practice generic assessment skills

10. Department of Occupational Science and Occupational Therapy Objectives for Introduction to Fieldwork During this fieldwork experience, students will: Gain an understanding of the role of OT within the setting. Begin to develop rapport with clients and understand the stages of a professional therapeutic relationship. Apply a variety of interviewing techniques. Demonstrate professional behavior.

11. Department of Occupational Science and Occupational Therapy Objectives for Introduction to Fieldwork (cont’d) Begin to develop observation skills. Utilize appropriate communication skills with clients and supervising therapist(s). Be exposed to different types of documentation. Begin to understand the role of other health care professionals.

12. Department of Occupational Science and Occupational Therapy No IPE Assignments on This Placement Formal Interprofessional Education activities are not emphasized on this placement due to timeframe and level of student. Students should not do any of the ‘Flexible IPE Activities’ on this placement.

13. Department of Occupational Science and Occupational Therapy Course Assignments Based on ‘Intro to Fieldwork’ Placement Students should not be spending fieldwork hours working on these assignments. Preceptors do not need to take time answering questions about these assignments. They are intended to be done independently by the student on non- fieldwork time.

14. Department of Occupational Science and Occupational Therapy Course Assignments Based on ‘Intro to Fieldwork’ Placement Assignment #1: Assessment Course Critique of Assessments Used for OPI Identification (Enabling Occupation) Assignment #2: Mentorship Course Reflection Paper on OT Roles and Occupation (Enabling Occupation): Reflect on your observations regarding the OT roles portrayed, the focus of OT assessment and intervention or your perceptions about the role of OT by other team members.

15. Department of Occupational Science and Occupational Therapy Expectations of Students While on Placement Professional Behaviour Follow CAOT and COTO Codes of Ethics Privacy and Confidentiality Attendance Dress Code Comply with dress code of facility University guidelines Student OT Name tags

16. Department of Occupational Science and Occupational Therapy Student Evaluation Students will be evaluated using a modified Competency Based Fieldwork Evaluation for OT’s (CBFE-OT) A final score only. No mid-term evaluation Evaluated on the following areas only: Practice Knowledge Facilitating Change Professional Interactions Communication Overall Rating of Student’s Performance

17. Department of Occupational Science and Occupational Therapy Competencies of the CBFE-OT 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

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

19. 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

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 1. Knowledge Application - educating Emphasis on development of interaction skills with clients, family, & 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 & practise professional behaviours & skills that may include assessment & intervention techniques communication with family members / other health care personnel clinical/professional reasoning specific to client centred occupational therapy practice

22. Department of Occupational Science and Occupational Therapy

23. Scoring of CBFE-OT Use whole numbers only Comments are important If 2 preceptors, please come to a consensus on student’s marks on each competency

24. Department of Occupational Science and Occupational Therapy Objective(s) Resource(s) Required to Meet the Objective(s) EvidenceValidation Learning Objectives Not Required For Intro to Fieldwork

25. Department of Occupational Science and Occupational Therapy Responsibilities of Preceptor The Canadian Guidelines for Fieldwork Education in Occupational Therapy outlines Principles and Responsibilities of Students, Preceptors, and the University Fieldwork Coordinator. Preceptors are encouraged to review this document. http://www.ot.utoronto.ca/cs/fieldwork/fieldwork _manual/philosophy_principles.asp

26. Department of Occupational Science and Occupational Therapy Day One of Placement On the first day of placement, students have been instructed to bring the modified CBFE evaluation, their CBFE-OT manual, in addition to their Health Form, Maskfit info, and First Aid/CPR certificate. Please take the time on day one to review objectives of the placement, your expectations of the student and allow the student to state their expectations of you! Discuss things like learning/teaching styles and feedback.

27. Department of Occupational Science and Occupational Therapy Submission of Documents Student require the following information to be returned promptly to U of T upon completion of placement Completed CBFE-OT (including all required signatures) Student Report on Fieldwork Placement Student will not receive a grade for fieldwork until all necessary documentation is returned to the university.

28. Department of Occupational Science and Occupational Therapy Fieldwork Documents You must obtain the student’s permission to keep a copy of the CBFE-OT student evaluation or the completed ‘Student Report on Fieldwork Placement’ at your facility. If permission is obtained, please keep the documents in a secure area.

29. Department of Occupational Science and Occupational Therapy Thank-you! Thank-you so much for your willingness to take a student for this Introduction to Fieldwork placement! “Education is not the filling of a pail, but the lighting of a fire.” William Butler Yeats

30. Department of Occupational Science and Occupational Therapy Questions? Please contact Donna Barker at: donna.barker@utoronto.ca donna.barker@utoronto.ca or (416) 946-8782 with any questions.