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 4 Kristina Glofcheski Sessional Fieldwork Instructor

2. Department of Occupational Science and Occupational Therapy Fieldwork Faculty / Staff Donna Barker, Director of Fieldwork Education Email: donna.barker@utoronto.cadonna.barker@utoronto.ca Phone: 416-946-8782 Rhona Anderson, Sessional Fieldwork Instructor (FW1 and FW2) Email: rhona.anderson@utoronto.carhona.anderson@utoronto.ca Phone: 416-978-2679 Kristina Glofcheski, Sessional Fieldwork Instructor (FW4) Email: kristina.glofcheski@utoronto.cakristina.glofcheski@utoronto.ca Phone: 416-978-2679 Deb Cameron, International Fieldwork Coordinator Email: deb.cameron@utoronto.cadeb.cameron@utoronto.ca Phone: 416-946-8568 Nella Rupp, Administrative Assistant Email: ot.clined@utoronto.caot.clined@utoronto.ca Phone: 416-978-8234

3. OS&OT Website General department and curriculum information: http://www.ot.utoronto.cahttp://www.ot.utoronto.ca Specific to fieldwork: http://ot.utoronto.ca/community/fieldwork_sup ervision/index.asp http://ot.utoronto.ca/community/fieldwork_sup ervision/index.asp Department of Occupational Science and Occupational Therapy

4. More Resources “Clinical Community” section under “Fieldwork” 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

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

6. Department of Occupational Science and Occupational Therapy Fieldwork 4 Placements Dates Fieldwork IV: July 2, 2013 – August 23, 2013 The University will be closed on Statutory Holidays, including Civic Holiday in August

7. 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 Interprofessional education Evaluation Process www.ot.utoronto.ca

8. 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

9. Department of Occupational Science and Occupational Therapy Specific FW4 Objectives See Course Outlines Specific objectives reflect the level of skill development and supervision required Fieldwork 4 http://www.ot.utoronto.ca/community/fieldwork_s upervision/documents/Fieldwork_4_outline.pdf

10. 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

11. Department of Occupational Science and Occupational Therapy 3. Consolidation: mentoring/consultation, reflection-in-action Primary 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 centered practice components: referral analysis & assessment planning & Implementation of intervention programs discharge planning & follow-up Style of Supervision: Consultative Primary role of educator / preceptor: Mentor

12. Department of Occupational Science and Occupational Therapy Providing Feedback to Level 3 Fieldwork Students Student self-reflection should be self-initiated Encourage student to identify and pursue professional learning needs Work “collegially” with the student Bossers (2009)

13. 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

14. 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

15. 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

16. Department of Occupational Science and Occupational Therapy

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

18. Department of Occupational Science and Occupational Therapy Personal Student Learning Objectives Negotiated between student and supervising OT Recommended that learning objectives be developed and discussed after the first week of placement Students do NOT need to develop a personal learning objective for each competency. 3 to 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

19. Department of Occupational Science and Occupational Therapy Student Evaluations- CBFE-OT The Competency Based Fieldwork Evaluation is available electronically from your student. Due to copyright issues, we cannot send you the electronic version directly. After the placement is over and you have printed a hard copy of the evaluation to send in to us, you will need to delete it from your computer.

20. Department of Occupational Science and Occupational Therapy Student Report on Fieldwork Placement This form is an opportunity for the student to provide formal feedback to the preceptor and the facility both at midterm of the placement and at the end of placement. Students complete this form online and discuss it with his/her preceptor. At the end of placement, these forms must be printed, signed by the student and preceptor and then sent to the university.

21. 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.

22. 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

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

24. Department of Occupational Science and Occupational Therapy Student Performance Issues Please contact me at the University 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 preceptor and student. Fieldwork coordinator will review learning objectives and CBFE- OT to provide strategies to facilitate the fieldwork preceptor-student learning experience

25. 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

26. Department of Occupational Science and Occupational Therapy Absences With the exception of illness, all absences should be approved prior to the absence by Academic Fieldwork Coordinator. Please review with the student the steps to take if they are ill and cannot come to placement (e.g. phone or email you). Please ensure that you record all absences and additional hours on the first page of the CBFE-OT in the indicated area.

27. Department of Occupational Science and Occupational Therapy Absences (cont’d) Students may be requesting additional hours to make up time for absences related to previous Religious holidays, illness, conferences or extenuating personal circumstances.

28. Department of Occupational Science and Occupational Therapy Student Incident While on Placement Please contact myself or Nella immediately if your student has an accident or incident (serious illness) while on placement. Further instructions available at http://www.ot.utoronto.ca/cs/fieldwork/fieldwor k_manual/contracts_accident.asp http://www.ot.utoronto.ca/cs/fieldwork/fieldwor k_manual/contracts_accident.asp

29. Department of Occupational Science and Occupational Therapy Completion of placement We require the following information to be returned promptly to U of T upon completion of placement Completed CBFE-OT (including signatures) Learning objectives Student Report on Placement Completed WSIB form (Section A.2. and Section E- need to be completed by the Fieldwork Site) The student will not receive a grade for this fieldwork course until a hard copy of the CBFE- OT is returned to us.

30. Department of Occupational Science and Occupational Therapy Important Deadlines: FW 4 Fieldwork 4: Deadline for return of CBFE form, student learning objectives, student fieldwork site evaluation, and WSIB form is Friday August 30, 2013. These forms can be sent to the Fieldwork office via the student if they are in a sealed envelope with your signature over the seal or they can be mailed to: Nella Rupp Department of Occupational Science and Occupational Therapy Rehabilitation Science Building 160 – 500 University Ave Toronto, Ontario M5G 1V7

31. Department of Occupational Science and Occupational Therapy Thank-you!! Thank-you for your willingness to take a student on placement. The students, myself, and the rest of the faculty appreciate your partnership in the education of our occupational therapy students!