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 Team Donna Barker Fieldwork Coordinator donna.barker@utoronto.ca 416-946-8782 Rachel Stack Fieldwork Coordinator rachel.stack@utoronto.ca 416-978-2679 Deb Cameron International Fieldwork Coordinator deb.cameron@utoronto.ca (416) 946-8568 Nella Rupp Administrative Assistant ot.clined@utoronto.ca 416-978-8234

3. Department of Occupational Science and Occupational Therapy Agenda for this Session Fieldwork Resources Information specifically related to ‘Introduction to Fieldwork’ Placement Placement of ‘Introduction to Fieldwork’ within Program Objectives Student Evaluation / Facilitation of Student Learning Day One of Placement Submission of Documentation to the Department

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

5. Department of Occupational Science and Occupational Therapy Fieldwork Resource Manual Refer to Fieldwork Resource Manual for Philosophy of fieldwork and professional standards Health policies and forms Policies and procedures around illness, accidents, absences Fieldwork selection and assignment processes Pre-placement communication Fieldwork objectives Evaluation processes Much more!!! Link: http://www.ot.utoronto.ca/cs/fieldwork/fieldwork_manual/in dex.asp http://www.ot.utoronto.ca/cs/fieldwork/fieldwork_manual/in dex.asp

6. Department of Occupational Science and Occupational Therapy Overview of MScOT 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

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 Day One of Placement Students need to be oriented to the facility, e.g. layout, emergency procedures, relevant policies and procedures, etc. Please take the time on day one to review objectives of the placement and your expectations of the student. You may want to ask the student to state their expectations of you as a preceptor! Make decisions about formal and informal feedback sessions.

13. 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 the short timeframe and the level of the students. Students should not do any of the ‘Flexible IPE Activities’ on this placement.

14. 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.

15. 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

16. 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

17. 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

18. 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

19. 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

20. 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

21. Department of Occupational Science and Occupational Therapy

22. 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

23. 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

24. Department of Occupational Science and Occupational Therapy Student Absences With the exception of illness related absences, all student absences should be approved prior to the absence by the University Fieldwork Coordinator. Please ensure that you record all student absences and additional hours on the first page of the CBFE-OT evaluation.

25. 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 (original hard copy including all required signatures) Student Report on Fieldwork Placement (hard copy with all required signatures) Student will not receive a grade for fieldwork until all necessary documentation is returned to the university.

26. 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.

27. Department of Occupational Science and Occupational Therapy Returning Completed Fieldwork Forms Deadline for return of completed and signed CBFE- OT evaluation and completed and signed Student Report on Fieldwork Placement, is approximately 2 weeks after the completion of the placement. 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: Fieldwork Administrative Assistant Department of Occupational Science and Occupational Therapy Rehabilitation Science Building 160 – 500 University Ave Toronto, Ontario M5G 1V7

28. 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.

29. 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!