“Writing-in-the-Major” Proposal Date: January 19, 1999 Department: Occupational Therapy Program; Clinical Sciences Department Major: Occupational Therapy Date Program will take effect: Immediately 1. What are the forms or genres of formal writing students will be expected to learn in the major? Students are expected to learn the processes involved in writing scholarly papers and professional works. Assignments representative of these forms of writing will occur throughout the curriculum. Students are expected to complete a minimum of one scholarly research report. This research report will be the culmination of a research project that is expected to be worked upon during three semesters of their junior and senior years. Professional writing is most emphasized within the curriculum. Professional writing expected to be learned by students in the major was formulated by identifying entry-level formal writing tasks expected of newly graduated occupational therapists. The OT faculty defining entry-level writing tasks have a combined practice experience totaling more than thirty five years. Examples of this writing form are listed below. 2. Evaluation reports for medical charts, families, and third party payers Treatment plans Progress notes Home programs Reassessment documents Memos to co-workers Presentation announcements Persuasion letters advocating therapy for third party payment Program development writing Mission statements Goals/ objectives Program descriptions and plans What is the program’s definition of formal writing competence? Include an explanation of the learning outcomes and standards for formal writing in the major. Formal writing competence is defined by the OT program as the professional writing expected of the entrylevel practitioner. Formal writing processes will meet the conventions of form, style, structure, and documentation appropriate for occupational therapy practice. Students will be expected to write at the entry-level expectations in all areas identified in Attachment 1. 3. Describe how the program is structured to promote the development of formal writing competence. Include an explanation of the sequence or set of courses in which formal writing will be developed, and discuss how students will be taught effective, efficient writing processes. For example, what are the ways that instructors and students will use feedback, revision, models of good writing, and clear goals and standards for formal writing? Important to the development of writing skill is the longitudinal development of writing as the students progress throughout the seven semesters of the major. The OT Program would like to develop a system of 1 monitoring student progress in the progression of beginning, developing, and entry-level writing skills. Beginning level skills would be those typically demonstrated by students at the beginning of the professional program. Developing level skills would be expected of students no later than the end of semester five (classroom preparation). Entry-level writing skill would be expected following two semesters of clinical fieldwork and prior to graduation. The program plans to develop more focused criteria for each of these levels as described in the draft Generic Writing Abilities Assessment in Attachment 1. To best identify level of student skill the OT program plans to collect models of student writing as this first class of students progress through the program. Collectively, the OT faculty reviewed the planned curriculum to identify appropriate courses, course learning activities, and general program activities to best foster the development of writing skill. Formal writing processes and writing-to-learn experiences were identified as intrinsic throughout the OT curriculum. Specific courses with writing assignments and general writing tasks expected of the student as a part of the academic mileu were identified. Problem-Based Learning experiences are a consistent part of the occupational therapy curriculum. These small group sessions greatly assist in the integration of writing-to-learn activities across the program. For example, students are required to list ideas, categories ideas and share notes from personal information gathering activities. These tasks are summarized in Table 1. Table 1 Formal Writing Curriculum Development Formal Writing Course(s) Course Learning Activities Evaluation report for medical chart OT 405;OT 413; OT 464; OT 465 Level I fieldwork throughout program—one evaluation note per fieldwork experience Evaluation report for patient/family OT 405;OT 413; OT 464; OT 465 PBL’s—one problem per semester Level I fieldwork throughout program—one fieldwork experience evaluation note per Evaluation report for third party payors OT 405;OT 413; OT 464; OT 465 PBL’s—one problem per semester Level I fieldwork throughout program—one fieldwork experience evaluation note per Progress notes OT 405;OT 413; OT 464; OT 465 PBL’s—one problem per semester Level I fieldwork throughout program—increasing number of required progress notes as students progress through sequential curriculum. Home programs OT 406; OT 412; OT 462; OT 463; OT 480 (repeatable for credit) OT 405;OT 413; OT 464; OT 465 Reassessment report Class assignment Minimum one home program per Level II Fieldwork experience Level I fieldwork throughout program—one evaluation or reassessment note per Level I Fieldwork experience PBL’s—one problem per semester Memo to co-worker Flyers and conference brochures Presentation announcements Persuasion letter advocating therapy for third party payment Program development tasks: writing mission statement Program development: writing a brochure or program description OT 471 Student developed research symposium brochure OT 443 Class assignment OT 443 Class assignment OT 443 Class assignment 2 Students will be introduced to the Writing-in-the-Major concept through their initial orientation to the occupational therapy program. Descriptions and definitions will be available to students in their Student Handbook. A copy of the proposed descriptions is presented in Attachment 2. Formal writing assignments will be clearly stated in the individual course syllabus. All formal writing processes will have at least 20% of the assignment grade allocated to writing skill. Specific assignment objectives will be defined and will indicate the expected audience and style conventions. As available, models will be used to assist students in interpreting writing expectations. Models of actual entry-level technical writing will be used whenever possible. Students will receive feedback through the use of an expected rough draft or acceptance of a revised final copy prior to grading. Research papers or formal writing assignments of ten or more pages will always receive rough draft feedback prior to the completion of the paper. Technical writing assignments that will be repeated throughout the professional program will be monitored using the generic writing skill assessment. The OT faculty hopes to further develop this assessment tool as collaborative agreements on campus permit. Samples of formal writing assignments are located in attachments 3 and 4. 4. Describe the shared criteria faculty will use to evaluate student writing in the major. Please attach a copy of the version that students will receive. Faculty jointly agreed upon evaluation criteria for formal writing processes and writing-to-learn activities. Criteria is based upon sample criteria obtained during training sessions for writing emphasis instructor approval. A copy of the criteria is in attachment 5. All faculty will use the shared criteria for assessing the quality of student work. As stated previously, the program would like to work on the development of a generic writing assessment (Attachment 1) to use within the professional advising relationship to monitor curricular longitudinal writing development. 5. How will writing-to-learn assignments, activities, and strategies be used to improve student learning and understanding of subject matter and intellectual skills in the major? Attach some examples of writing-to-learn assignments and activities. Faculty initially identified informal writing tasks that are required of an entry-level occupational therapy practitioner. These tasks are identified as follows: Personal observation notes during a treatment session Team meeting notes Email to colleagues Listing of treatment options. As a result of this list, it was determined that those writing-to-learn activities that enhance organization of thought will be emphasized. Writing strategies intended to help students develop clinical thinking skills will be incorporated into various courses and clinical fieldwork experiences through general program activities. These are summarized in Table 3. Criteria for Writing-to-Learn activities is in Attachment 6. Specific informal writing tasks linked to an assignment will be specified within the assignment. Students will not be formally evaluated when engaged in writing-to-learn activities. The informal writing will help students clarify thoughts in preparation for assignment completion. Examples of writing-to-learn activities are located in Attachments 7 and 8. All faculty will be encouraged to utilize writing-to-learn techniques as a part of general course instruction. To ensure faculty knowledge of writing-to learn concepts, all faculty will attend workshops on writing emphasis as available through the University. Continuing competency in Writing-in-the-major systems needs further development. 3 Table 3 Writing-to-Learn Development Informal Writing Activity Course(s) Course Learning Activity Personal observation notes General Program Learning Activity Listing during brainstorming activities Personal observation notes during case analyses Personal notes during treatment sessions Family/ patient/ therapist written dialogue Business letters OT 471 Data collection during research project OT 480 Student generated letters to clinic supervisors to verify Level II Fieldwork placements Student generated verification letters for outside speakers Thank you letters for outside speakers Team meeting notes or minutes OT 405; OT 413; OT 464; OT 465 PBL’s—assigned secretary for taking minutes of meetings. Rotate secretary at each change of problem (case) OT Club minutes—rotating assignment vs. elected secretary Journaling with instructor feedback Email advisor correspondence Personal notes at professional meeting Email to colleagues Listing tx options 6. Class notes OT 405; OT 413; OT 464; OT 465 PBL’s—Listing learning activities; Categorizing learning activities Class assignments delivered to instructor via email attachment Supported advising via email OT Club minutes disseminated via email to class Listing during brainstorming activities Describe how you will assess the writing-in-the-major program goals and outcomes. What is the process faculty will use to analyze and improve the quality of the program? Student portfolios are being used to monitor student progress throughout the occupational therapy program. Example of formal writing processes will be individually maintained within a student’s portfolio. This process enables longitudinal monitoring of student writing progress via the advisor/advisee relationship. Additionally, all students are required to pass basic competencies during full-time clinical fieldwork experienced at the end of the academic professional curriculum. Following each fieldwork experience students are evaluated by a supervising clinician within the practice environment. Students are evaluated in relation to performance, judgement, and attitude in completing technical written work. Specific evaluation items relating to writing skill include: #8. Reports the results of the assessment and reassessment accurately #11 Documents and reports the treatment plan #12 Documents and reports treatment #20 Develops and documents discharge and follow-up programs As a part of the general outcome plan for the occupational therapy program, surveys will be completed by each student fieldwork supervisor as they exit the program. The purpose of the survey is to receive clinician feedback regarding academic preparation of the students for the clinic environment. Questions about student writing ability will be included in the general survey. 4 The program’s curriculum committee will review all writing-in-the-major activities at the committee’s biannual meeting. This will ensure ongoing review of the use of these learning techniques. 7. As the new writing-in-the-major program takes effect, how will the department ensure that students already in the major can meet the current writing emphasis requirement? Students currently in the major will meet the writing emphasis requirement as described above. Since faculty have worked since last summer to develop this writing emphasis plan, current courses already include the various components of a writing-in-the-major emphasis. Course development has occurred concurrently with development of the writing emphasis. At this time, current majors have five remaining semesters to complete their baccalaureate degree. Faculty believe that this is sufficient time to refine the writing-in-the-major plan and ensure completion of the writing emphasis requirement. 5 Attachment 1 Generic Writing Skill Assessment B---Beginning Level D---Developing Level E---Entry Level Technical Writing Skill: 1. Evaluation reports for varied audiences Comments: B D E 2. Progress notes Narrative SOAP Comments: B B D D E E B D E Professional Writing Tasks: 4. Memos to co-workers Comments: B D E 5. Business letter Comments: B D E 6. Persuasion letter (advocacy) Comments: B D E 7. Program development writing (mission statements, objectives, descriptions, etc.) Comments: B D E 3. Home programs Comments: 6 Attachment 2 Student Handbook Addition Writing-in-the-Major The occupational therapy program is in the process of application as a writing-in-the-major program. This means that students graduating from the occupational program would meet general education writing emphasis criteria for graduations. As a writing-in-the-major student you will be doing a significant amount of writing in achieving course and program objectives. Throughout the program you will be asked to do two different types of writing--- writing-to-learn and formal writing processes. Writing-to-learn or informal writing is used as a tool of thinking and learning, while formal writing is a tool to communicate with others. Formal writing and writing-to-learn assignments will be identified within individual courses. From Beck and Schrag Informal Writing (Writing-to-Learn) Purpose: To help you learn the content of the program. Audience: Yourself (and, possibly, others very familiar with your subject and purpose, such as your classmates and instructor) Examples: Journals, logs, lecture notes, field notes, to-do lists, outlines, informal messages and letters, early drafts of formal writing. Correctness: Only what is necessary for understanding. Evaluation: Informal writing is not meant to be judged as a well written display of knowledge; it is effective if Everyone who needs to read it can understand it; It helps you explore and develop your thoughts and feelings It helps you recognize what you know; It reveals what you don’t know or are confused about; It stimulates further reflection and dialogue Formal Writing Purpose: To communicate your knowledge and to display your skill in applying concepts. Audience: Your professor and/or other readers, such as peers in the profession or general readers. Examples: Academic and scientific papers, business letters and memos, reports, review, informational articles, brochures, etc. Correctness: The writing must follow the conventions your audience expects and is familiar with: conventional spelling and punctuation and grammar, proper format and style. Evaluation: Formal writing is meant to be evaluated by the audience, who will usually look for such elements as Clear organization, Adequate development of ideas Clear reasoning, Effective engagement and guidance, Efficient and conventional use of language, Informed use of disciplinary conventions (such as documentation style, tables and figures, etc.). 7 Attachment 3 OT 401 Introduction to Occupational Therapy OT 401 is the first course encountered by the professional students upon entrance into the occupational therapy program. This paper is their first written assignment. Occupational Performance Self-Evaluation Paper (30% class grade) (Portfolio Assignment): Students will analyze one occupation in a performance area (self-care, productivity, leisure). Using supporting data from self-assessments encountered during the course and a review of Uniform Terminology, students will analyze their performance components leading to occupational performance. Describe any environmental contexts affecting personal occupational performance. Limit the paper to 4 typed double spaced pages not including self-assessment data. Self-Assessment Measures to complete during the course from your Rosenfeld text: Life-Style Inventory Purpose in Life Test Internal vs. External Control Interest Checklist Activities Configuration Your paper will be graded based on the following criteria. Content (40 points) ______ Identifies an occupation (1 point) ______ Identifies at least three performance components in this occupation (Sensorimotor, Cognitive, and Psychosocial) (3 points) ______ Presents supporting data in each performance component area including: _____ Activties Configuration (3 points) _____ Interest Checklist (3 points) _____ Life-Style Inventory (3 points) _____ Internal vs. External Control (3 points) _____ Uniform Terminology; supporting data from each performance component area (6 points) ______ Identifies a minimum of two performance contexts (Temporal, Environment) (2 points) ______ Analyzes effects of two performance contexts on occupational performance (6 points) ______ Draws conclusions regarding satisfaction of occupational performance in the occupation (3 points) ______ Identifies potential methodologies for change to improve satisfaction of performance area (4 points) Writing Skill (10 points) ______ Consistent sense of audience and context (2 point) ______ Clear overall structure (2 point) ______ Mindful use of audience-specific tone (2 point) ______ Coherent at sentence and idea movement level (2 point) ______ Correct spelling, punctuation and grammar (2 points) 8 Attachment 4 Formal Writing Process Assignment OT 405 OT Theory System Paper The objective of this paper is for the OT student to identify and understand the operational system where they are completing their fieldwork. A "system" is defined as an agency, clinic or hospital where the OT student is participating in a Level One Fieldwork experience. The justification for this paper is the need for the OT student to understand the complexities of their future work sites and to continue to integrate systems thinking into their OT practice. This paper will be used as a portfolio assignment for the Fall semester. In addition, the paper will be copied and placed in the Fieldwork Data files to provide OT students additional information regarding Fieldwork sites. Therefore, the audience of this assignment is Occupational Therapy personnel. The assignment will be handed out on October 23, 1998 and rough draft will be collected on November 6, 1998. The papers will be returned to the students on November 9, 1998. The final paper will be due November 20, 1998. Grading Content (80 points) The paper will include: name of system and what larger system it may/may not be included in (5 points) the organizational structure of the system (10 points) how the system is funded and laws which support/hinder this (15 points) who the system employees (10 points) who the system serves (10 points) what external events affect the system (15 points). the Occupational Therapist or supervisor's role within the system (15 points) (If there is not an OTR in this setting, you are asked to explore what an OTR could add to the setting. This will be facilitated by the instructor in a small group setting with other OT students in similar settings.) Writing Skills (20 points) Consistent sense of the audience and context ( 4 points) Clear overall structure ( 4 points) Appropriate and specific secondary sources; cited (4 points) Coherent at the sentence level with appropriate transitions (4 points) Correct spelling ( 4 points) 9 Attachment 5 Dev: 5-27—98/ pmm Rev: 6.14.98/pmm Formal Writing Processes Evaluation Criteria 1. Audience Appropriateness ____ ____ ____ ____ ____ 2. Organization _____ _____ 3. Precise, effective diction Efficient Mindful use of audience-specific tone Coherent at the sentence level Coherent at the idea movement level Mechanics/ Format _____ _____ _____ _____ _____ 6. Quality of main points Adequate support for each main point Quality of reasoning Appropriate & specific secondary sources Prose _____ _____ _____ _____ _____ 5. Clear overall structure Clearly identified audience-appropriate main points Idea Development _____ _____ _____ _____ 4. Consistent sense of audience and context Clearly defined, appropriate purpose Clear audience guidance Appropriate overall design Purpose(s) accomplished Legible Correct spelling Correct punctuation Correct grammar Citation of sources appropriate for audience Process & Effort _____ _____ _____ _____ _____ _____ _____ Collection of material/evidence/information Depth of analysis Planning Revision and development Editing Getting feedback Proof reading Adapted from Beck Transactional Writing Evaluation Sheet 10 Attachment 6 Writing-to-Learn Criteria _____ Understandable _____ Demonstrates exploration of thought _____ Assists in creative thought, brainstorming options _____ Helps recognition of what one knows _____ Helps reveal what one doesn’t know 11 Attachment 7 Writing-to-Learn Activity Problem-Based Learning Students participate in a small group problem-based learning experience throughout four semesters of the professional curriculum. Primary objectives of this experience are to learn the clinical thinking mechanisms utilized in occupational therapy practice. Specific processes to be utilized are procedural, interactive, narrative, and conditional reasoning (Neistadt, 1996). Procedural reasoning has been defined as the type of reasoning utilized by an occupational therapist when identifying problems and implementing treatment strategies via systematic gathering and interpreting of client data. Interactive reasoning is utilized by the occupational therapist when dealing with how the disability or disease affects the client as a person. Narrative reasoning is employed when the therapist focuses on the process of change needed to reach a future within a client’s story. Conditional reasoning is the method utilized when refining treatment to match context’s surrounding a client. For example, conditional reasoning is utilized when considering payment options and health care system guiding the occupational therapy intervention (Neistadt, 1996). Through the use of ill-structured problems, students are guided in the development of these different types of reasoning utilized in occupational therapy practice. Learning is student-driven within the context of small-group learning. Each group of eight students is assigned an occupational therapy faculty member as a facilitator. Problems are presented as realistic cases encountered in practice. Students identify their own learning issues and the processes required for the group to reach a sense of resolution of the problem. Writing-to-Learn Processes 1. Students assign a group secretary to take group notes during each session. This role is rotated to a different student each session. Notes are later copied and disseminated to other group members for use in future sessions. In this way, discussion notes are reviewed by both the facilitator and peer student group members. 2. Students also assign a recorder at the blackboard to document pertinent pieces of the group discussion. This role is also rotated each session. Students guide each other in listing options when brainstorming and later categorizing ideas for later identification of learning issues. Students are thus guided in the use of informal writing to organize thinking. 12 Attachment 8 Writing-to-Learn Activity OT 441 Applied Communication in the Allied Health Professions The intent of this course is to provide students a series of learning experiences related to interpersonal and communication skills. The course is offered during the second of five academic semesters in the professional program. Students will be asked to periodically write what they see and hear in an interaction between varied people. The following communication transactions will be documented: Body language Listening behaviors Use of “assertive/aggressive” behavior Use of “I” messages Listing observed behaviors will assist students in organizing and categorizing their observations. Observation notes may be handwritten. These will be handed in weekly to the instructor for comment. The following expectations will be held of the observation notes: The student documents all identified transactions Writing is understandable Writing demonstrates exploration of thought 13