UNIVERSITY OF WISCONSIN-MADISON
Department of Kinesiology
Occupational Therapy Program
Instructor: Debbie Bebeau
Medical Sciences Center 2165
(608)262-0093
Office Hours: By Appointment
SECOND LEVEL-I FIELDWORK: ADOLESCENTS AND YOUNG ADULTS
Occupational Therapy 626
1 credit
Course Description:
This course provides occupational therapy students with a clinical experience involving occupational therapy practice with adolescents and young adults. In this Level-I experience, students are expected to apply appropriate theory and principles to assessment and the planning and carrying out of occupational therapy interventions with adolescents and young adults with disabilities. Students will conduct standardized assessments and observations according to appropriate guidelines, collaborate and consult with stakeholders, design and implement therapeutic interventions, and gather data for the purpose of evaluating and documenting the effectiveness of interventions provided. Students will learn and apply interpersonal and professional skills appropriate to the setting and the clients to which they are assigned, including therapeutic use of self, managing client behaviors, motivating adolescents and young adults to participate in therapy, and the principles of group dynamics. Students are expected to demonstrate intermediate-level professional behaviors and conduct and attend to safety precautions. Students will also be expected to collaborate with occupational therapy assistants when this is possible.
Course Objectives:
The Level 1 Fieldwork experience provides the student with exposure to clinical practice through observation, selected progressive experience with evaluation and treatment procedures, data collection and organization, communication with clients and other professionals. With this opportunity the student is expected to:
1.
2.
Demonstrate reliable work habits.
Establish therapeutic relationships with clients (B.5.16).
3.
4.
5.
Establish positive working relationships with individual in other disciplines.
Demonstrate mature judgment in seeking assistance and responding to feedback in an ethical, safe and courteous manner with both clients and professionals (B.2.8).
Demonstrate concise and professional verbal and written skills, as demonstrated by mastery of the Abilities
6.
Based Assessment at the Intermediate level.
Prepare and administer appropriate evaluations and occupation-based treatment as able using appropriate safety regulations and provide appropriate documentation (progress note, evaluation, etc.) according to specific facility standards( B.2.8,B.2.9, B.5.3, B.5.16, B.5.25, B.5.27,B.5.28).
7.
8.
Assist in the therapeutic activity process, if and when possible.
Develop an increased awareness of the interdisciplinary role of occupational therapy.
Accommodations for Full Inclusion: It is the policy of this instructor and the University of Wisconsin-Madison to provide an accessible, accommodating and supportive teaching and learning environment for all students. Students requiring special accommodation related to a disability should contact McBurney Disability Resource Center, 905
University Avenue (263-2741) for information about services and campus related disability policies. Please notify the instructor, in writing, the first week of class of any requirements for special accommodation.
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LEARNING EXPERIENCE AND ASSIGNMENTS
1. Journal:
You are required to keep a journal of your experiences at your fieldwork site. You may keep any style of journal that you choose. You must include documentation of your involvement during all of your relevant experiences and observations of clients, therapists and other professionals. For each of your entries you will need to provide an interpretation of what you observed, affective reactions to what you saw, and clinical judgments about what took place. Please respect confidentiality of the client and do not provide identifying information. The journal should be legible. The last page should include a reflection of your evaluation (see #2).
2. Fieldwork Supervisor’s Evaluation:
You and your fieldwork supervisor will complete an Abilities Based Assessment of your performance at the fieldwork site individually. Be familiar with the assessment, and read the requirements for the
Intermediate level before you go to your fieldwork site. Prior to your supervisor rating you on the
Abilities Based Assessment, you need to self-rate using the same form. Bring your self-ratings to your final conference with you supervisor. After your supervisor has reviewed his or her ratings with you, compare and contrast your ratings with his or her ratings. Reflect on this experience in the last page of your journal. This assessment is required and becomes part of your permanent record.
3. Student Feedback of the Fieldwork Site:
You are required to complete a fieldwork feedback form. This feedback will be used as information for future students and may be shared with your fieldwork supervisor. It is not graded and it is not included in your student records. It is utilized solely as a source of information for academic instructors and future students.
4. Case Study:
See attached "Case Study Assignment"
5. Evaluation/ Re-Evaluation/ Discharge Summary/ Progress Note:
The student is to complete one written document on a patient/ client observed or treated during the fieldwork experience. The format of the documentation assignment is the accepted format for the facility.
When possible, use the actual forms of the facility to complete the assignment. The note must be comprehensive such as an initial evaluation, re-evaluation, discharge summary or if no evaluation occurs, daily note with appropriate goals.
6. Learn@UWDiscussion
The student is to participate in discussion questions on Learn@UW. This will commence during the fall semester even if you had your fieldwork in the summer.
Course Assessment:
Generic Abilities Assessment
Student Assessment of Facility
Successful Completion of 40 hours
Required
Required
Required
Learn@UW discussion
Journal
10 points
40 points
Progress Note/ Evaluation 50 points
Case Study 100 points
Total………………………………………...200 points
**Please note that all assignments are due within 2 weeks following the end of level I fieldwork.
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GRADING SYSTEM
93 – 100% = A
88 – 92% = AB
80 – 87% = B
77 – 79% = BC
70 – 76% = C
60 – 69% = D
< 70% = F
Level I Case Study
Assignment and Grading Guidelines
Purpose:
To develop clinical reasoning, documentation and resource skills by investigating a "classical" diagnostic condition description and comparing it to a client's "clinical picture".
Procedure:
1. On first day of Level I Fieldwork, inform supervisor of assignment. Request access to one client's chart and the opportunity to observe that client's treatment activities and/ or evaluation.
2. Use any "down" time to gather pertinent data (listed below) from client's chart and other resources (medical dictionaries, diagnostic texts, medication references, etc.). You will not have access to client's information after placement has ended so use your time wisely. Follow HIPAA rules for confidentiality.
3. Identify the "primary diagnosis" and "major secondary diagnosis", if applicable. Consider and compare the client's clinical picture with the classical description of the primary and, if indicated, secondary diagnoses. (Ex. Classical description of schizophrenia compared to specific clinical picture of a 19 y/o male client with schizophrenia.)
4. Record your findings in written report per guidelines below.
Report Guidelines & Grading:
1. Format (15 points):

Cover page, typed, double-spaced, 12 point font, maximum 3 pages in length, use outline format and headings as identified in "content".

Correct spelling grammar, and punctuation. References at the end of report using
APA format.
2. Content (85 points):
I. Demographic Information - age, gender, marital status, living situation, employment status roles, etc.
II. Diagnosis (primary and secondary if applicable)
A. "Classical" description of primary diagnosis - use references (DSM-
IV, Taber's Medical Dictionary, Merck Manual, Physician's Desk
Reference, etc.)
1. Etiology
2. Symptoms
3. Prognosis
4. Medications
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5. Usual occupational performance deficits, challenges, barriers
B. Clinical Picture: as documented in client's record/ chart. Describe client's:
1. Etiology
2. Symptoms
3. Describe key findings (relevant for OT practice) from:
OT assessment/ evaluations, treatment/ intervention plan and documented treatment activities/ programs. Include client's status, main goals, strengths/ weaknesses and prognosis. If OT services are not available, use assessments and treatment plan from primary disciplines that relate to occupational functioning (nursing, etc.)
4. Medications
C. Clinical Picture: observations of client performances in setting… refer to OT Practice Framework, describe quality of occupational performance in key areas:
1. BADL
2. IADL
3. Education
4. Work
5. Play or leisure
6. Social participation
D. Correlation: Compare the client's clinical picture (as documented in
"B" and "C" above) with the classical description of this diagnosis
(similarities, differences, etc.)as far as:
1. Etiology
2. Symptoms
3. Deficits in occupational performance
4. Prognosis
III. How did this assignment advance your clinical reasoning skills?
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