Panola College Occupational Therapy Assistant Program OTHA 2266 and 2267 Practicum I and II Level II Fieldwork Summer and Fall 2014 Fieldwork Educator Manual - 2014 1 Table of Contents 1. AOTA’s recommended content for a facility’s student manual - page 3 Please visit www.aota.org for much more helpful information. 2. Fieldwork Academic Appeals Process- page 4 Hopefully we never reach this point…but if there is a problem, please begin this process ASAP. 3. Grading Procedures -page 5 AOTA’s grading form will be used to assess the student’s performance. The student will provide the AOTA Performance Evaluation at the end of the rotation. 4. Student Attendance – page 6 5. Collaboration between the AFWC and Fieldwork Educator – page 6 6. Student Supervision – page 6 7. Weekly Performance Update forms (optional)- pages 7 and 8 Weekly update forms designed for you and the student are included. Please use these forms or a similar method to document weekly meetings with your student to address areas that need improvement. This form can be used proactively to facilitate student development throughout the rotation. The students also have this form to use in assisting them to ask for your input on certain topics or areas of improvement. 8. Student Evaluation of Fieldwork Instruction- pages 9 and 10 The student will use this form to provide feedback to the FWE about the fieldwork experience. 9. Midterm Overall Performance Report Form – page 11 The student will ask you to complete this form at midterm to clarity their current progress, strengths, areas of growth and upcoming expectations. 2 Recommended Content for a Student Fieldwork Manual 1. 2. 3. 4. 5. 6. 7. 8. Orientation Outline Assignments Safety Procedures/Codes Site Specific Fieldwork Objectives (objectives beyond those established in the AOTA grading form) Week-by-Week Schedule of Responsibilities Patient Confidentiality Information (Patient Rights) Guidelines for Documentation: o Completed samples of all forms o Acceptable medical abbreviations o Discharge plan o Billing o Dictation Directions, if applicable The Occupational Therapy Practice Framework: Domain and Process Additional information that can gradually be added to the student manual 1. Organizational Chart of the Fieldwork Setting 2. History of the Fieldwork Setting 3. Department Information o Policy and procedures o Mission statement o Organizational chart o Essential job functions o Dress code 4. Regularly Scheduled Meetings: o Dates\times o Purpose of meeting 5. Special Client Related Groups\Programs o Purpose o Referral system o Operation o Transport 6. Patient Confidentiality Information (Patient Rights) 7. Responsibilities of: o Fieldwork educator o Student o Fieldwork coordinator (if position exists) 8. Performance Evaluation Procedure and guidelines used in the evaluation of o Student o Fieldwork Educator o Overall Fieldwork Experience 3 Fieldwork performance concerns may be identified at any point by the FWE, course instructor, student, and/or the AFWC. Students may contact the AFWC at any time if he or she has a concern. To foster clinical reasoning, the student will be encouraged to resolve issues as independently and professionally as possible. If unresolved concerns remain, the FWE, AFWC, student and course instructor will discuss problem areas and strategies for success. In such cases, the AFWC will remain in weekly contact with the FWE, the course instructor and/or the student until the issues are resolved. The OTA Program Director may be asked to participate in meetings or discussions at any time during the process. All conference minutes and information related to student performance are maintained in a secured file in the OTA department. A student may file an appeal through the academic appeals process described below. Fieldwork Academic Appeal Process The following steps should be followed by as student wishing to file an appeal regarding fieldwork education: Step 1: Resolution with Fieldwork Educator (FWE) The student who believes he/she has a legitimate appeal should first discuss the concern with the Fieldwork Educator. The Fieldwork Educator is responsible for: 1. 2. 3. 4. 5. Seeking the underlying causes of the problem or concern. Rendering a fair and impartial decision based on the facts relevant to the issues involved. Consulting, with the course instructor and/or the AFWC for a solution to the problem. Documenting all efforts to settle the issue. Notifying the Academic Fieldwork Coordinator promptly if a complaint has not been resolved. If the student stills feels the problem has not been resolved, he or she, can proceed to step 2 and file a formal academic appeal. A formal appeal must be submitted in writing to the OTA Program Director and must include a description of the problem, the history of efforts to resolve the problem and the requested remedy. Step II: Formal Appeal When the program director receives the written notification of grievance by the student the following will occur: 1. The fieldwork course instructor and the academic fieldwork coordinator will collaboratively form an action plan. 2. Action plans may include but are not limited to: Contacting the student for gathering of data, counseling and/or advisement. Contacting the FWE for clarifying information. Resolution may be possible at this point with resources, advising, etc. Review of current OTA program and fieldwork site policies. Arranging for a site visit to meet with the student and FWE to clarify areas where misunderstanding may exist due to a failure by either party to property clarify their intentions. The program director may attend this meeting. Providing the FWE and/or student with resources for solving the grievance and for optimizing the learning experience. 4 3. Assigned OTA faculty/staff will document the details of the situation and place into the appropriate student file and send copy to program director. Step III: Final Resolution The Program Director will be responsible for: 1. 2. Reviewing documentation and recommendations from the AFWC, course instructor and FWE. Collaborating with the AFWC, course instructor and FWE to determine a course of action. Fair and impartial decisions/actions will be made based on the facts relevant to the issues involved. If the student is not satisfied with the disposition of the matter then he or she may continue with the academic appeals process as described in the Student Pathfinder. If a decision was made to withdraw a student from the fieldwork site, the student will not be assigned to a different site until the appeal is fully resolved. Grading Procedures Students will be graded according to the “Fieldwork Performance Evaluation for the Occupational Therapy Assistant Student” (FWPE*). There are 100 possible points divided up over 6 main areas: Fundamentals of Practice, Basic Tenets of OT, Evaluation/Screening, Intervention, Communication, and Professional Behaviors. Each section has 3 to 6 questions pertinent to its content. In order to pass this course, a student must earn a minimum point score of 70. However, the assignment of final grades is the responsibility of the course instructor with input from the fieldwork educator(s). The student’s grade on the FWPE will be a number from 0-100. However, the OTA Program records the final grade for this practicum as PASS OR FAIL, i.e. the numerical grade will not affect the student’s overall GPA. *For items that are not relevant or do not fit the specific fieldwork site, an individualized objective should be written to replace the standard version. For example, under communication, if your documentation system is electronic, you may add specific objectives that the student must master. One such objective might be that the student will complete electronic documentation of daily and weekly OT interventions. Examples of many specific objectives can be found on the OTA Program website. A midterm evaluation of the student’s performance is required by the end of the 5th week of the rotation. Student Attendance The student must complete 320 hours of fieldwork education in order to pass this rotation. If a student is tardy (arrives late or departs early) or is absent on the assigned days of fieldwork, he/she MUST notify the course instructor AND the FWE by telephone prior to the assigned reporting time. Each failure to follow this policy will result in point reduction from the student’s grade and will result in disciplinary actions as described in the Student Policy Manual. If the student fails to follow this procedure a third time, he/she will be withdrawn from the OTA 5 Program. All absences from clinical experience must be made up at a time convenient to the FWE and agreed upon by the course instructor. Collaboration between the AFWC and Fieldwork Educator The AFWC collaborates with the site FWE to establish an education plan prior to the beginning of each rotation. Correspondence may be via e-mail, USPS, fax, phone or face to face. At midterm, the AFWC contacts the FWE again to check on the student’s progress. The FWE may contact the AFWC at any time for support, educational resources or to discuss student progress. Student Supervision Initially, when the student is participating with clients, the FWE or other assigned professional should maintain direct supervision. Direct supervision is considered to be within visual distance. As the student progresses in skill level, supervision may decrease to less direct as is appropriate for the setting and client condition. The level of student supervision is to be determined by the FWE on a case by case basis. 6 Panola College OTA Program OTHA 2266 & 2267 Practicum I &II Suggested Weekly Discussion Questions - for FW Educator 1. What strengths have you identified in the student this week? In which areas have you noticed improvement? 2. Weaknesses? Areas to improve? 3. What interventions are planned to help the student improve in these areas? 4. What goals were not met this week? 5. What is the plan to accomplish these goals? Comments: Fieldwork Educator Student Date 7 OTHA 2266 & 2267 Practicum I & II Suggested Weekly Discussion Questions – for OTA student 1. I am still having problems with 2. I see myself getting better with 3. So far, the area I feel most competent in is 4. Right now, I am still afraid to 5. What I appreciate most about my FWE is 6. I think I might learn better if my FWE would 7. I would like to have more practice with _________________________ Fieldwork Educator _________________________ Student ____________ Date 8 Panola College OTA Program Student Evaluation of Fieldwork Instruction Student Name: ______________________________Course: __________________ Facility Name: __________________________________________ This evaluation tool should be completed (typed) by the student and discussed with the fieldwork educator (FWE) at both midterm and by the last week of the fieldwork rotation. A copy should be left with the FWE and the final original returned to the course instructor by the published due date. Complete the questions below thoughtfully and accurately. Provide constructive feedback with examples for your score in each area. 1. Clinical Site The clinical site provides a student-friendly environment that supports the learning process. 1 Strongly Disagree Comments: 2 Disagree 3 Agree 4 Strongly Agree 2. Professionalism The fieldwork educator (FWE) demonstrates professional behaviors consistent with those instilled by the Panola College OTA program. (ie. initiation, dependability, respectfulness, organization, communication skills, cooperation, and adherence to safety requirements) 1 Strongly Disagree 2 Disagree 3 Agree 4 Strongly Agree Comments: 3. Therapeutic Use of Self The fieldwork educator cultivates a therapeutic relationship (planned use of personality as a part of the intervention process) and demonstrates the ability to connect interpersonally with their clients. 1 2 3 4 Strongly Disagree Agree Strongly Agree Disagree Comments: 9 4. Clinical Reasoning The fieldwork educator demonstrates and discusses clinical reasoning for selection of evidence based treatment intervention types. (FWE explains why the intervention is the best choice) 1 Strongly Disagree 2 Disagree 3 Agree 4 Strongly Agree Comments: 5. Practice Skills The fieldwork educator demonstrates the ability to implement effective occupation based, client centered interventions (meaningful to client and goal directed). 1 Strongly Disagree 2 Disagree 3 Agree 4 Strongly Agree Comments: 6. Suggestions A. The best part about being at this facility was…. B. Something you might think about adding to this experience is….. We have mutually shared and clarified the information above. Date: ____________________ Fieldwork Educator: __________________________ ________________________ (printed name) (signature) Student: __________________________ _________________________ (printed name) (signature) (Signature) 10 OTHA 2266/2267 Midterm Performance Rating Student: ________________________ Date: ___________ AOTA Fieldwork Performance Evaluation (FWPE) midterm total score: ____________ Please circle one of the following ratings that best reflect the student’s overall midterm performance standing: Rating Criteria Actions for FWE The student’s performance is far below Call the course expectations. Failure is imminent unless the instructor The student’s student’s performance significantly Send a copy of the FWPE to the performance is improves. A plan of action has been created significantly below and discussed with the student. The student instructor Establish a clear standards. is aware that in order to pass this rotation, action plan for progress must be seen weekly per the established action plan. improvement The student is progressing but lacks skills in Call the course specific areas that must be improved in order instructor The student could be to pass this rotation. A plan of action has Send a copy of the at risk of failing the been discussed with the student and FWPE to the rotation. documented. The student is aware that in instructor order to pass this rotation, progress must be Establish a clear seen weekly per the established action plan. action plan for improvement The student is performing at a “just right” Continue to monitor level at this time and should pass the rotation progress and ensure The student is if performance continues at the present pace. that the student has meeting most of the opportunity to performance improve low scores standards. The student is exceeding in most of the standards The student is performing at a skilled level and is expected to pass this rotation if performance continues at the present pace. _____________________________ FW Educator Signature _____________________________ OTAS Signature ** The student must fax this form and action plan (if applicable) to the Panola College OTA office by the fifth week of each rotation. Fax #: 903-694-4010 11