Program in Occupational Therapy
FIELDWORK EDUCATION MANUAL
Gretchen Reeks, MA, LOTR, C/NDT
Academic Fieldwork Coordinator (AFWC)
Assistant Professor
greeks@lsuhsc.edu
Office: (318) 813-2953
Fax: (318) 813-2957
LSU Health – Shreveport
School of Allied Health Professions
Department of Occupational Therapy
1450 Claiborne Avenue
Shreveport, LA 71103
Please visit:
Website: http://www.medcom.lsuhscshreveport.edu/ah/page.php?id=13
Fieldwork wiki site: http://motfieldwork.pbworks.com/w/page/15468986/FrontPage
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* The material contained herein is subject to change from time to time. The Occupational Therapy
Program reserves the right to alter or amend the terms, conditions and requirements as
necessary.
TABLE OF CONTENTS
Policies
Student Verification of OT Program Policies
Student Verification of Understanding ……………………………………………..……………………………… _3
Student Acknowledgement of Ethical Practice ………………………………..………………………………… 4
Academic Fieldwork Coordinator……………...…………………………………..………………………………....... 5
Level II Fieldwork Syllabus…………………………………..…………………………..…………………….……….… 6
Level II Fieldwork Independent Study Syllabus………………………………………………………………… 14
Philosophy of Fieldwork Education………………………………………………………………………………...... 16
Student Responsibility Agreement …………………………………………………………………………….…….. 18
Fieldwork Professional Behaviors …………………………………………………………………….…………...... 19
Academic Fieldwork Site Selection…………………………………………………………………………………… 20
Student Site Selection………………………………………………………………………………………….…………… 21
Sample: Fieldwork Performance Evaluation (FWPE)………………………………………….……………… 24
Resources
ACOTE: www.aota.org/Educate/Accredit.aspx
(Accreditation Council for OT Education: FW education standards)
AOTA: www.aota.org
(American Occupational Therapy Association: membership, FW dates, official
documents, etc)
CAOT: www.caot.ca
(Canadian Association of Occupational Therapy)
LOTA: www.lota.org
(Louisiana Occupational Therapy Association: membership, continuing education)
LSBME: www.lsbme.la.gov
(Louisiana State Board of Medical Examiners: licensure)
LSU HEALTH-Shreveport: www.sh.lsuhsc.edu
LSU Office of Legal Affairs:
http://www.lsuhscshreveport.edu/ImmigrationContracts/ImmigrationAffiliationSAHP.aspx
(SAHP Affiliation Agreements)
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NBCOT: http://www.nbcot.org/index.html
(National Board for Certification in Occupational Therapy)
Occupational Therapy Program
Fieldwork Syllabus and Policy
REVISED 10/2/13
By my signature below, I attest that I have received a copy of the Occupational Therapy program
policies and guidelines. I understand that I must have knowledge and familiarity of said policies and
agree to abide by the regulations as stated while I am on or off campus. I understand that this policy
supersedes any policy that an externship site might give to me. I understand I am bound by the policies
and procedures provided in the FW syllabus, current school catalog, OT program student policy, SAHP
student policy, and LSU Health institution policies. I also understand this is a dynamic document and is
subject to review and revision as indicated by the changing needs of the Occupational Therapy program
Signature
Date
Printed Name
3
Student Verification of Understanding
All Master of Occupational Therapy students (MOTS) are expected to read and abide by the policies
contained in this manual. The person listed for emergencies will be contacted upon discretion of the
AFWC and Program Director. A successful FW experience is dependent on the application of course
work, intentional learning and initiated communication with the FW educator.
Upon completion of reading this manual and acceptance of these policies, please sign and date this page.
The signed copy is placed in the AFWC’s mailbox and retained in your student file.
This manual is a guide for fieldwork. The Academic Fieldwork Coordinator is available to clarify any
information.
MOTS Contact Information
Printed Name: _____________________________________________________________________
Cell Phone (include area code) ________________________________________________________
LSU email: ________________________________ other email: ____________________________
Emergency Contact
Name:____________________________________________________________________________
Relationship: ______________________________ Phone: _________________________________
Name: ___________________________________________________________________________
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Relationship: _______________________________ Phone: ________________________________
MOTS Professional Acceptance
I, _________________________________, have read and understand the policies in this manual and
agree to take responsibility for my actions as outlined in the Fieldwork Manual. I acknowledge that I have
downloaded a copy of the FW Manual.
Signature: ___________________________________________
Date: _____________________
Printed Name: ________________________________________
ACKNOWLEDGEMENT OF ETHICAL PRACTICE
I, ______________________, Master of Occupational Therapy Student in the Program of
Occupational Therapy, have read and understand the American Occupational Therapy
Association Code of Ethics.
I also agree to transmit the values and beliefs that enable ethical practice, and to develop
professionalism and competence in occupational therapy as identified by the Accreditation
Council for Occupational Therapy Education (ACOTE).
I am aware that it is my duty to read and comprehend the terms of these documents.
_________________________________________________________
Printed Name
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________________________________________________________
Signature
_______________________________________________
Date
Note
In addition to the required items listed in the sections of HEALTH SCIENCES CENTER FEES AND
TUITION and ADDITIONAL EXPENSES of the School, other expenses may be incurred by students while
enrolled in FW II in off campus health care and community facilities. Each student is required to purchase
individual malpractice insurance during this time period. These expenses are the responsibility of the
individual student and should be anticipated.
LSU HEALTH ACADEMIC FIELDWORK COORDINATOR
(AFWC)
Fieldwork (FW) students should seek to develop open lines of communication with their
immediate Fieldwork Educator (FE) and concerns should be addressed directly to this person.
If students have concerns in which the FE(s) are unable to adequately address, or which go beyond
the scope of the FW site, the student should contact the LSU AFWC.
Professor Gretchen Reeks Email: greeks@lsuhsc.edu
I check my email throughout the day. Be sure to indicate if an immediate email reply or
telephone call is required. Also indicate if the call should be made to your home, cell phone or to
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the fieldwork site. Be sure to include the phone numbers in your email. You may also text me.
Office phone: 318-813-2953
If unavailable, leave a message. Be sure to indicate if you need an immediate email reply or
telephone call.
Emergency Contact
Cell phone: 318-453-4448
Home Phone: 318.797.4140
I will attempt to return all calls in a timely manner. If you leave a voice mail message, please
indicate if an immediate return call is required, of if the call can be made during the next business
day.
An additional resource for students is the AOTA Fieldwork Information Line for Students:
1-800-729-2682, press 5.
Level II Fieldwork
Academic Fieldwork Coordinator (AFWC)
Professor Gretchen Reeks, MA, LOTR, C/NDT
Email: greeks@lsuhsc.edu
Work: 318-813-2953 Fax: 318-813-2957 Emergency: 318-453-4448
Wiki: http://motfieldwork.pbworks.com/FrontPage
educator and the MOT student.
Wiki has all necessary FW documents for the fieldwork
Course Pre-requisites
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Prior to Fieldwork (FW) II placement, each student must receive a passing score on the Professional
Development Assessment (PDA). Students’ who do not receive a score that is passing will not progress to
FW II. The Fieldwork II courses are only available to students who have passed the PDA.
Students may not enroll in the FW II courses until all FW I course prerequisites are completed
successfully.
Students may not participate in the FW II courses until all prerequisite course work has been completed
successfully.
Course Descriptions
Spring Semester OCCT 6911 (9 credit hours)
Fieldwork II: An in-depth experience in delivering occupational therapy services to clients. Students are
supervised in a clinical setting full-time (40 hrs per week) for 1-4 months.
Summer Semester OCCT 6913 (6 credit hours)
Fieldwork II: An in-depth experience in delivering occupational therapy services to clients. Students are
supervised in a clinical setting full-time (40 hrs per week) for 1-4 months.
Outcome Objectives
The MOT student will:
1. consistently adhere to the American Occupational Therapy Association (AOTA) Code of Ethics,
safety regulations and use sound judgment in safety
2. effectively communicate verbally and in writing the values and beliefs of the OT profession, and
the role of the OT to clients, families, significant others, colleagues, service providers, and the
public.
3. develop occupationally-based intervention plans and strategies, and demonstrate the ability to
apply them to client situations.
4. demonstrate the screening and evaluation tools used in OT practice, including assessments of
occupational functioning, client factors, context, and determination of an occupational profile.
5. communicate the role of the occupational therapist and occupational therapy assistants
6. apply principles of management and systems in the provision of OT services including timeliness,
correct and complete documentation, adherence to policy and procedure, collaboration, delegation,
program evaluation and supervision.
7. utilize current research and professional literature to make informed evidence-based practice
decisions.
8. consider and integrate psychosocial factors influencing engagement in occupation to ensure clientcentered outcomes.
9. participate in the supervisory process; utilizing available resources, communicating assertively and
respectfully, and responding appropriately to constructive feedback
10. assume a full client caseload, as defined by the fieldwork site, by the end of the experience.
11. follow all policies and procedures in fieldwork as directed by the fieldwork site and LSU
12. submit correct and complete documentation in a timely manner.
13. develop competent, entry-level, generalist competencies upon completion of the FW II experience.
Student Performance
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The student is responsible for following the line of authority in the FW setting. Discussions should first be
conducted with the FW educator (FE). If resolution is not achieved with the FE, the student should
resolve the issue with the FE and her/his supervisor. The AFWC is available to assist the student in
planning how to approach the FE and/or supervisor. If problems or issues are not resolved at this level, the
student may contact the Director of the Occupational Therapy (O.T.) Program.
If the students’ midterm performance score on the AOTA Fieldwork Performance Evaluation (FWPE) for
the Occupational Therapy Student is an 89 or below the AFWC must be notified immediately. Any
concerns, at any point during the FW experience must immediately be brought to the attention of the
AFWC. A written plan will be developed jointly by the FE, AFWC and student. The plan includes a
description of the problem, suggested learning strategies, outcomes measures, timelines and consequences
of success or failure to meet timelines. The FE monitors the progress and provides written feedback for
the student at daily/weekly meetings. AOTA’s Fieldwork Experience Assessment Tool (FEAT) may also
be used to structure and promote FE/student communication on the learning experience. This tool enables
the FW educator and student to reflect and create a plan. The student outcome is to develop clinical skills
and appropriate professional behaviors.
If the AFWC receives notification from the FE/Supervisor that student is demonstrating unprofessional
behaviors, is not competent to perform assigned tasks, and/or is a safety risk to self, patients and/or staff,
the FE and AFWC will counsel the student on corrective actions. A learning contract is established to
attempt to remediate/correct the identified issues. The learning contract will include, but is not limited to:
a description of the problem; suggested learning strategies; outcome measures; time lines; and
consequences of success or failure to meet requirements set forth in the plan. The FE monitors the
student’s progress and provides formal (written) and informal feedback to the student and AFWC at
intervals established in the learning contract.
If the student does not meet the site or academic expectations of the FW II, the student will be terminated
and receive the grade of “F” for this FW II course. Students who receive a failing grade in one FW II will
be scheduled, at the convenience of the AFWC, to repeat this FW II course. If the student fails again, they
will not be scheduled for additional FW II experiences.
If the student wishes to pursue additional discussion and/or a formal complaint, he/she will be directed to
speak with the appropriate supervisor at the fieldwork site. The AFWC will keep the OT Program director
informed of this situation. If the AFWC, the student and the program director determine that another
setting is in the best educational interests of the student, then a different fieldwork placement will be
arranged for the student.
Students must notify the AFWC prior to withdrawing from FW II. Any abandonment of one’s
professional responsibilities to the patient and facility is considered a serious violation of professional
ethics. The student will receive a failing grade if they leave a FW site without notifying AFWC.
Course Requirements and Course Grade
The student must complete a total of 12 weeks full time FW II for each fieldwork course. This will take
place at 2 separate FW sites. This can be either one FW in state and one FW out of state, or both FW’s out
of state.
Level II fieldwork experiences are scheduled to assure that the MOT student is exposed to a variety of
settings and to a variety of service recipients across the life span.
A student who does not complete or does not earn a passing score in the AOTA FWPE for the two
required FW II experiences: Occupational Therapy OCCT 6911 and OCCT 6913 will be ineligible to take
the National Board for Certification in Occupational Therapy (NBCOT) certification exam.
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All assignments requested by the FW II site and the AFWC must be completed in order to receive a
passing grade on the AOTA FWPE score of 122 or above. The AFWC will determine the course grade.
A course, including those designated fieldwork, may be repeated one time only. Students who repeat a
course but earn an unacceptable grade will be dismissed from the School.
Personal Data Sheet
Students will complete the Personal Data Sheet for each of the two FW II experience’s, and then mail or
email this to FW site contact person 6 weeks prior to the start date of each FW II.
Evaluation
1. At week 3 and midterm the AFWC will contact the FE to discuss the FW learning opportunities and
MOT student performance.
2. At week 3 and midterm the AFWC will contact the MOT student to discuss the FW learning
opportunities and student performance. One day prior to this collaboration, each student must
complete and email to the AFWC the written assignments for week 3 and midterm. These forms are
posted
on
the
LSU
HEALTH
FW
WIKI
page:
http://motfieldwork.pbworks.com/w/page/15468986/FrontPage
4. As requested by the AFWC, the MOTS will assist the site FW educator with updating the AOTA
DATA Form and Staff Profile.
5. The MOTS will be evaluated by the Fieldwork Educator using the AOTA Fieldwork Performance
Evaluation for the Occupational Therapy Student (FWPE). The Fieldwork Educator completes the
FWPE at midterm and at the completion of the FW II. The original final FWPE is written in ink and
mailed to the AFWC by the FW Educator.
6. Requirements for Pass on FWPE are: Rating of 3 or above for all Ethics and Safety items and an
Overall Final Score of 122. Failure to achieve a score of 3 or 4 will be recorded as a failed FW II
experience. Students who obtain a score of 122 or more, but do not have a 3 or 4 on the FWPE
Fundamentals of Practice will receive a failed FW II experience
7. Failure may occur prior to midterm. Immediate removal from the site and/or a failing grade may be
given for any fieldwork placement for the following:
- violation of patients’ rights, violation of the rights of others, violation of the AOTA Code of Ethics.
- unprofessional behavior, unsafe practice, substance abuse, failure to complete any requirements
- continued unsatisfactory performance, insubordination, excessive tardiness, risks to patient care
- a final score below a “3” on items 1 – 3 of Section 1 of the FWPE (Fundamentals of Practice)
- Students need to refer to the School’s Policies and Procedures for Academic Misconduct, Dismissal,
and Appeals for further information, however in the event a student is dismissed from the School for
misconduct, he or she is ineligible for readmission to the School.
8. Each FW II experience is evaluated by the student, using the Student Evaluation for Fieldwork
Experience (SEFWE) form. Students review this with the FE and return the original to the AFWC.
This form is reviewed by the AFWC and a summary given to the academic faculty. The form is then
placed in the site file, located in the AFWC office. Pre-FW students have access to this document
when choosing a FW II placement.
9. Both forms should be mailed no later than one week after the student has completed the experience.
10. If the student does not meet the expectations of the Level II fieldwork placement, they will earn a
grade of “F”. Students who receive a failing grade or withdraw from a fieldwork placement (per
student, AFWC, or FE request) in one Level II experience may be given permission to take the course
for a second time. Students failing more than one fieldwork placement will be terminated from the
program. All fieldwork experiences must be completed within 24 weeks of fulfillment of didactic
coursework.
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Withdrawal Procedures
If either the student makes the decision to withdraw or the AFWC/FE requests termination, the student
may be given permission to take the course for a second time. The withdrawal process is:
1. The student and FE will meet to determine the professional requirements that must be fulfilled prior to
final exit.
2. If the student requests withdrawal he/she will write a letter to the FE with a copy to the AFWC
indicating reasons for withdrawal and the commitment to fulfill final requirements as determined by
the facility.
3. If the FE requests the student to be withdrawn from FW, a letter is written to the AFWC.
4. The FE and student will schedule an exit interview. The FE will contact the AFWC after the exit
interview.
5. The student will schedule an appointment with the AFWC after completing the withdrawal FW process.
6. Student must contact the Registrar’s Office to complete the required paperwork before leaving the
Health Sciences Center. Failure to complete the withdrawal process will result in a block on the
student’s academic record.
FW II Objectives: ACOTE Standards
The 42 performance items listed on the AOTA FWPE are used as objectives to be met by all students
during their FW II experiences. Sites are encouraged to collaborate with the AFWC in supplementing
these with site specific objectives, site requirements and assignments. Available site specific objectives are
filed in the FW files. (Sections C.1.1 -1.7 and C.1.11-1.19).
Required Teaching and Learning Experiences
Fieldwork II is a practicum clinical experience. Students are strongly advised not to maintain outside
employment during this last critical phase of their professional preparation.
Justification
Accreditation Standards for a Master’s-Degree-Level Educational Program for the Occupational
Therapist: Effective July 31, 2013, by The Accreditation Council for Occupational Therapy Education
(ACOTE) of the American Occupational Therapy Association (AOTA).
Relationship to the Curriculum Design
Fieldwork II provides students with in depth experiences in integrating theory, practice and developing
skill in the delivery of occupational therapy services. Students have the opportunity to begin acting as
change agents and exploring roles in research, administration and management of occupational therapy
services.
Cost of Fieldwork
Students financially assume the costs that accompany all fieldwork experiences. In addition to full tuition
and fees, expenses may include: transportation, travel, parking, housing and meals, as well as incidental
costs such as materials for projects, uniforms, etc.
Professional Appearance
Students are required to dress as designated by the assigned fieldwork facility. In the absence of a facility
dress code, the LSU OT dress code is in effect at all times that the student is in the fieldwork facility. In
all instances the student must wear a name badge. Facial piercings must be removed. Excellent personal
hygiene is expected including hair, facial hair and nails. Hair must be pulled back and out of face and
eyes. Chewing gum or tobacco is strictly prohibited.
Social Networking
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Many potential employers go to social networking sites to see what you have posted and often determine
if therapy are interested in having you as an employee. It is important that you avoid posts or photos on
Facebook, Twitter, etc. about your FW experiences. Here are some specifics:
1. Do not ask any of your FW educators to “friend” you. This puts everyone in an awkward situation.
If you mutually decide to do this after the FW, that is a personal choice.
2. Do not list names of supervisors, comments or criticism about sites.
3. It is a HIPAA violation if you mention a client with enough information that the person might be
identified. The consequences for violations, as you know, are severe.
For more information: http://www.aota.org/Educate/EdRes/Fieldwork/Supervisor/HIPPA/39884.aspx
Computer Use
Computers are to be used for professional work/school. Checking personal email is strictly prohibited.
Electronic Communication
Electronic communications devices (cellular phones, beepers, hand-held computers, blackberry’s, I-pods,
pagers, etc.) must be silenced and not used (including text messaging) during all fieldwork experiences.
Phones and pagers are considered distractions to the learning environment. They should be turned off and
out of site during all learning experiences. Appropriate accommodations will be considered if the student
notifies the AFWC and FW educator of any extenuating circumstances.
Fieldwork Cancellation
A FW site may need to cancel a confirmed placement. If a cancellation occurs, the AFWC will notify the
student. The AFWC and student will discuss alternative options and reschedule the FW experience.
Attendance and Absences
The Standards for an Accredited Educational Program for the Occupational Therapist require a total of 24
weeks of Level II fieldwork. Students are required to be in attendance during the hours that their FE
works. Actual days of the week and exact number of hours of work per week will vary, depending on the
schedule of the FE to whom the student is assigned. Students should plan on each rotation including a 40
hour work week, with several hours each evening devoted to reflection, research, and preparation for the
next day. The Monday – Friday 8 hour work day is mandatory and any modification of this time must be
approved by the AFWC.
Absences or loss of time beyond two sick days during each 12 week/470 hour fieldwork must be made up
for successful completion of the FW experience. Absences cannot exceed 2 days without make-up. School
districts or state and federal agencies may have additional holidays which, along with illness, count toward
two days of absence.
Pregnancy
If a student is or becomes pregnant while enrolled in the MOT program, she must notify the AFWC
immediately. This is necessary so the student can plan for and make decisions for course completion. Any
student who is pregnant will be required to have a letter from her physician stating she is capable of
assuming the normal clinical duties of an MOT student.
American with Disabilities Act (ADA)
The School of Allied Health Professions seeks to comply with Section 504 of the Rehabilitation Act of
1973 and the Americans with Disabilities Act by providing reasonable accommodations to students with
documented disabilities. Students must register with the Office of Student Affairs to request disabilityrelated accommodations, and are responsible for providing documentation of a disability. Costs associated
with documentation of a disability are the responsibility of the student. For further information, contact the
Office of Student Affairs.
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Students with identified disabilities are strongly encouraged to initiate a discussion with the AFWC during
the second semester of the program to discuss their needs for accommodations within the fieldwork
settings. This should allow sufficient time for the student to become well informed of his/her rights and to
determine if and what information s/he wishes to disclose to the Fieldwork Educator (Wells & Hanebrink,
2004).
If a student would like to request ADA accommodations for FW, the appropriate documents must be
submitted. This document may be found:
http://www.lsuhscshreveport.edu/AlliedHealth/AlliedHealthProspective.aspx
Students may not ask for accommodations once the FW placement has begun. The FW courses will not
provide accommodations without prior knowledge. Students who choose not to disclose such information
may be on jeopardy of failing.
Accident Reports
In the event of an accident, personal injury or injury to a client while on fieldwork the student is required
to report the accident or injury to her/his immediate supervisor at the site and complete the necessary
paperwork for that organization. In addition, the student will notify the LSU AFWC immediately.
Vacation days during Level II Fieldwork are not permitted
The LSU Health academic holidays do not apply to fieldwork students. Do not plan family trips, weddings
or other scheduled holidays to interrupt a fieldwork placement or to closely coincide with the expected
completion date of the final Level II fieldwork course.
Documentation
Students are required to provide proof of each of the following to the Department of Occupational
Therapy at the beginning of the first semester of the program. Students will not be permitted to begin
Level II fieldwork if current proof of each is not on file. Failure to start Level II fieldwork on the
designated date may result in the student being withdrawn from that placement, the loss of that specific
placement opportunity, and delay in graduation. Copies of this documentation are also required at the start
of each Level II, and when applying for licensure. NEVER give out original copies of these records.
Medical Insurance
Students are required to carry their own medical insurance with coverage of $1,000,000/$3,000,000., in
the event of an injury while on fieldwork. The cost of emergency and medical care is the responsibility of
the student or the student insurance provider. The cost of emergency and medical care is always the
responsibility of the student (or the student’s insurance provider).
Liability Insurance
Malpractice insurance also referred to as professional liability insurance, with minimum limits of
$1,000,000/$3,000,000. In order to meet the requirement of the FW site, please purchase from:
- Type in the address box: www.proliability.com (do not use search engine)
- Open Healthcare professional, open students, open get a quote and pay online: Visa or Mastercard.
- Type in the year of your graduation
- Choose the 3 year plan. You will need your AOTA number.
- If you have any questions M-F during the hours of 8:15-5:00, call 1-800-503-9230
- Purchase the liability insurance and give the AFWC a copy for the school file.
Incident Reports
An on-site incident must comply with sites written policies and the student must immediately notify the
AFWC. Your personal medical insurance is the primary policy for any injury you incur.
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CPR Certification: Required for infant, child and adult.
Prior to any type of FW, students are required to provide proof of current CPR for Health Care Providers
certification. CPR certification must be current though the completion of FW II. LSU HEALTH OT
Program will offer this within the curriculum. If you are unable to attend this, you will need to schedule
your own training and pay the fee from the American Heart Association, the Red Cross, and most local
hospitals.
Vital Signs and Universal Precautions
Prior to any FW experience, students are instructed in assessing vital signs and also proper procedures for
universal precautions.
Health Information
It is the student’s responsibility to insure that the appropriate and up to date health information is
completed. Students are responsible for keeping copies of the documentation. All students are required to
have some sort of health and hospitalization insurance. The insurance must be applicable for FW II.
Immunizations and/or screening tests include:
1. Positive Rubella (German Measles) Titer Test or Immunization and Positive Rubeola (Measles) Titer
Test or Immunization.
2. Positive Varicella (Chicken Pox, Herpes Zoster) Titer Test or Immunization or validation of having
Chicken Pox.
3. Current Tetanus booster (within 10 years).
4. Mantoux TB screening test within 1 year of application and yearly thereafter. A positive Mantoux test
result must be followed up with a chest x-ray and verification of inactive status.
5. Yearly evidence of TB mask fit/check.
6. Evidence of Hepatitis B Vaccine series completed or initiated, positive titer or a student signed waiver.
Hepatitis B (HB) Vaccine is given as a series of 3 immunizations, with the final 2 given 1 and 6
months following the initial immunization. If these do not convert, a second series will drawn, per
CDC recommendations. This redraw of the second series will be completed by the LSU Occupational
Health RN.
A student who does not wish to take or who is unable to take the immunization is required to sign a
waiver for the Hepatitis B Vaccine series.
Drug screen
Students are required to complete the drug screen upon admission to LSU HEALTH. The Please go to the
FW WIKI page or LSU HEALTH web page
http://myhsc.lsuhscshreveport.edu/HResources/HRForms.aspx
and complete the form requesting a copy of your drug screen. They will call or email you when your form
ready. Turn in a copy of this to the AFWC and keep a copy for your files. A copy of this original
document must be made and given to the AFWC prior to any FW placement.
Back-up plan: contact Longhorn Drug Testing-- Chad Davis at 318-415-9899 (you pay for this)
Criminal Background Check
Students are required to complete a background check prior to admission to the LSUHSC-S OT program.
LSU Health Shreveport requires all incoming students to complete a criminal background check through
our approved third-generation applicant screening company. Students have lifetime access to their
criminal background check through the secure website of the applicant screening company. The cost of
the check, which may range from $50 to $100 depending on the number of cities, parishes, counties or
states you lived in, is the responsibility of the student.
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Any student whose background check yields negative information will be required to meet and review the
processes for prescreening through NBCOT and the LA OT Licensure Board to determine if the identified
offense(s) will prevent the student from sitting for the NBCOT exam or from obtaining a license to
practice.
LSU Health Shreveport requests that you use the Application Station - Student Edition to complete
necessary screening services through Certiphi Screening, Inc. Please follow the instructions below:
1. Click the link below or paste it into your browser: http://www.applicationstation.com
2. Enter the Code: LSUHEALTH in the Application Station Code field.
3. If you have not already created an account for yourself, click the "SIGN UP NOW" button to do so. Otherwise,
just click the "SIGN BACK IN" button to login using your Username and Password.
4. Follow the instructions on the Application Station web site.
5. If you have technical issues, please contact Application Station Support at: 888-291-1369 X2006.
Students may not participate in any fieldwork or community activity until these are completed. A copy
must be given to the AFWC one month prior to start date.
Any student whose background check yields negative information will be required to meet and review the
processes for prescreening through NBCOT and the LA OT Licensure Board to determine if the identified
offense(s) will prevent the student from sitting for the NBCOT exam/ obtaining a license to practice.
Uphold the University’s and AOTA’s Ethical Standards
Students are responsible for learning about and upholding the ethical standards of the University
pertaining to research, as well as the ethical standards of the American Occupational Therapy Association
(AOTA) encompassed in the AOTA Code of Ethics. It is imperative that students take these
responsibilities seriously as evidence of a serious breach in research ethics or in the AOTA Code of
Ethics may precipitate immediate dismissal of a student from the program. Students are also directed
to the AOTA Code of Ethics. This code includes occupational therapy students in its definition of
personnel and is based on seven principles, each of which bears implications for student conduct
(http://www.aota.org/Practitioners/Ethics/Docs/Standards/38527.aspx?FT=.pdf).
LSU HEALTH E-Mail
A large portion of communication with students happens through the LSU, NOT personal e-mail accounts.
Students are expected to check their LSU e-mail regularly, and to keep their mailboxes “clean” so that
efficient communication between students and AFWC can take place. If e-mail cannot be delivered to a
student due to a full e-mail box, the AFWC is not responsible for attempts to deliver the communication
Inclement Weather
Students are responsible to plan ahead for travel needs during inclement weather. Unless the assigned
fieldwork placement is closed due to inclement weather, the student is expected to report to their FW site.
If the assigned FW site is closed due to inclement weather, the student is required to make up these missed
days. (weekends or extend FW dates). The LSUHSC-S AFWC must be notified with number of missed
days and the plan of action to make-up the missed days. Closure of LSUHSC-S due to inclement weather
does not relieve the student of the responsibility to report for duty.
The Family Educational Rights and Privacy Act (FERPA)
FERPA affords students certain rights with respect to the educational records. The LSUHSC-SAHP
Student Handbook, (page 8) further defines this policy and procedure.
Your First Position as an Occupational Therapist
The Dept of OT at LSU-Shreveport is interested in where its graduates begin their professional
careers. As you begin your new career as an occupational therapist, keep us in mind and send an email
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to Dr. Cindy Murray(lmurra@lsuhsc.edu), letting us know where you took your first job and how it is
going. We look forward to seeing you at future OT events and at professional conferences.
Independent Study Level II Fieldwork Experience
Academic Fieldwork Coordinator
Professor Gretchen Reeks, MA, LOTR, C/NDT
email: greeks@lsuhsc.edu
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Work: 318-813-2953 Fax: 318-813-2957 Emergency: 318-453-4448
Wiki: http://motfieldwork.pbworks.com/FrontPage
Wiki has all necessary FW documents.
Course Pre-requisites
This course requires consent from the OT Program Director, AFWC and earned a passing grade on the
LSU Professional Development Assessment (PDA).The Independent Study Student Contract and Student
Learning Objectives must be completed prior to AFWC contacting FW site.
 ALL policies and procedures outlined in the FW II syllabus apply.
Course Description
Summer Semester OCCT 6413 (3 credit hours)
Independent Study: The course credit, content, written objectives, and evaluation criteria will be jointly
established by the student, AFWC and fieldwork educator. Independent Study course allows students the
opportunity for in-depth student in an occupational therapy specialized practice area.. This course requires
consent form the OT Program Director and AFWC. (40 hours per week) for 6-7 weeks.
Students are strongly encouraged to complete this Independent Study FW experience. This is an
opportunity for students to gain experience in an area of particular interest, such as orthopedics, spinal
cord injury, pediatrics, work hardening, etc.
Outcome Objectives
The MOT student will:
1. consistently adhere to the AOTA Code of Ethics, safety regulations and use sound judgment in safety.
2. effectively communicate verbally and in writing the values and beliefs of the OT profession, and the
role of the OT to clients, families, significant others, colleagues, service providers, and the public.
3. develop occupationally-based intervention plans and strategies, and demonstrate the ability to apply
them to client situations.
4. demonstrate the screening and evaluation tools used in OT practice, including assessments of
occupational functioning, client factors, context, and determination of an occupational profile.
5. communicate the role of the occupational therapist and occupational therapy assistants
6. apply principles of management and systems in the provision of OT services including timeliness,
correct and complete documentation, adherence to policy and procedure, collaboration, delegation,
program evaluation and supervision.
7. utilize current research and professional literature to make informed evidence-based practice
decisions.
8. consider and integrate psychosocial factors influencing engagement in occupation to ensure clientcentered outcomes.
9. participate in the supervisory process; utilizing available resources, communicating assertively and
respectfully, and responding appropriately to constructive feedback
10. assume a full client caseload, as defined by the FW site, by the end of the experience.
11. follow all policies and procedures in fieldwork as directed by the fieldwork site and LSU
12. submit correct and complete documentation in a timely manner.
13. develop competent, entry-level, generalist competencies upon completion of the FW II experience.
Personal Data Sheet
Students will complete the Personal Data Sheet for this fieldwork placements, and mail or email it to the
Fieldwork Educator 6 weeks before the start date. The form can be downloaded from the LSU wiki site.
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Evaluation
1. The AFWC will contact the student and FW educator at week 3 and midterm to discuss the learning
opportunities and student performance. The student assignments are on the LSU FW WIKI site. Each
student must complete and email to the AFWC prior to the collaborative call.
2. The MOTS will assist the site FW educator with updating the AOTA DATA Form and Staff Profile as
requested by the AFWC.
3. MOTS performance will be evaluated by the FE using the AOTA Fieldwork Performance Evaluation
for the Occupational Therapy Student (FWPE). The Fieldwork Educator completes the FWPE at
midterm and at the completion of the FW. The original final FWPE is mailed to the AFWC by the FW
Educator.
4. Requirements for Pass on FWPE are: Rating of 3 or above for all Ethics and Safety items and an
Overall Final Score of 122. Failure to achieve a score of 3 or 4 will be recorded as a failed FW II
experience. Students who obtain a score of 122 or more, but do not have a 3 or 4 on the FWPE
Fundamentals of Practice will receive a failed FW II experience
5. Failure may occur prior to midterm. Immediate removal from the site and/or a failing grade may be
given for any fieldwork placement for the following:
- violation of patients’ rights, violation of the rights of others, violation of the AOTA Code of Ethics.
- unprofessional behavior, unsafe practice, substance abuse, failure to complete any requirements
- continued unsatisfactory performance, insubordination, excessive tardiness, risks to patient care
- a final score below a “3” on items 1 – 3 of Section 1 of the FWPE (Fundamentals of Practice)
6. Each FW II experience is evaluated by the student, using the AOTA Student Evaluation for Fieldwork
Experience (SEFWE) form. Students review this with the FW educator and return the original to the
AFWC. This form is reviewed by the AFWC and a summary given to the academic faculty. The form
is then placed in the site file, located in the AFWC office. Pre-FW students have access to this
document when choosing a FW II placement.
7. Both forms should be mailed no later than one week after the student has completed the experience
Attendance and Absences
Students are required to be in attendance during the hours that their Fieldwork Educator works. Actual
days of the week and exact number of hours of work per week will vary, depending on the schedule of the
Fieldwork Educator to whom the student is assigned. Students should plan on each rotation including a 40
hour work week, with several hours each evening devoted to reflection, research, and preparation for the
next day.
There are no allowed absences during this 6 week rotation. Any missed days must be made-up at the
convenience of the FW educator.
Correspondence with ACOTE Standards
Section C.1.1 -1.7 and C.1.11-1.19
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Fieldwork Philosophy and Link to the Curriculum
LSU Health OT program complies with the FW educational Standards for a Master’s Degree Level
Educational Program, established ACOTE and AOTA. FW sites are sufficient in number and types to
meet the curriculum intent and design. Web page is listed below for complete sites offerings:
http://www.lsuhscshreveport.edu/ImmigrationContracts/ImmigrationAffiliationSAHP.aspx
FW experiences are designed to provide students with multiple and varied opportunities to apply the
knowledge and skills gained through didactic interactions and experiential learning experiences. Under the
supervision of FW Educators, students identify clients' occupational performance issues and select
appropriate theoretical frames of reference to screen and assess the clients. Students develop action plans
with measurable goals and objectives that are matched to client-therapist agreed upon targeted outcomes,
carry out interventions and plan for discontinuation of occupational therapy services and/or transition to
other services. Within the fieldwork practice settings, students further develop the professional skills
necessary for the establishment of effective client-therapist relationships and for successful collaboration
with other members of the client's service delivery team.
LSU academic coursework divides fieldwork education into two components, identified as Level I and
Level II. ACOTE provides general guidelines regarding fieldwork education, but the specific nature and
structure is determined by the academic faculty in collaboration with the FW educator.
Fieldwork I placements are made by the academic course instructor to meet the course learning
objectives. The AFWC places students at sites that meet these objectives and also have FW educators that
agree with plan. Occupation Based Practice II FW I experiences focus on psychological and social factors
that influence engagement in occupation.
Fieldwork II placements are assigned to provide students with experiences in a variety of occupational
therapy practice settings serving clients experiencing a variety of physical and psychosocial occupational
performance issues across the life span.
Fieldwork II Independent Study placements allows students the opportunity for in-depth study in
specialty practice areas. Written objectives are established with the AFWC, student and FW educator.
Registration for this course is done with approval of the Program Director and AFWC.
LSUHSC-S occupational therapy students are responsible for reading and knowing information in this
manual. Fieldwork seminars are held during the academic semesters for planning and discussing FW
procedures. These seminars are mandatory for all students to participate in fieldwork.
Students with disabilities should schedule a meeting with the AFWC if there is a need for reasonable
accommodations during FW. Every student has completed HIPPA training and is to comply with the
HIPPA polices of the organization and LSU.
LSU OT Mission Statement
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The OT Department at LSU subscribes to a three-fold mission. First, to educate students to become
reflective and empathetic practioners who provide excellent quality care while maintaining high ethical
standards. These practioners will be able to collaborate with clients, family members and other healthcare
providers. Second, to foster scholarly development through a spirit of inquiry that will result in intellectual
growth and lifelong learning. Scholarly development will promote research in order to enrich and validate
the knowledge base of occupational therapy. Third, to provide service through varied delivery models to
people in Louisiana, the nation and the world to enhance occupational performance.
AOTA’s Centennial Vision
We envision that occupational therapy is a powerful, widely recognized, science-driven, and evidencebased profession with a globally connected and diverse workforce meeting society’s occupational needs.
Philosophy of Fieldwork Education
Fieldwork education is designed to provide students with multiple and varied opportunities to apply the
knowledge and skills gained through didactic interactions and experiential learning experiences. Under the
supervision of Fieldwork Educators (FE), students identify clients' occupational performance issues and
select appropriate theoretical frames of reference to screen and assess the clients. Students develop action
plans with measurable goals and objectives that are matched to client-therapist agreed upon targeted
outcomes, carry out interventions and plan for discontinuation of occupational therapy services and/or
transition to other services. Within the fieldwork practice settings, students further develop the
professional skills necessary for the establishment of effective client-therapist relationships and for
successful collaboration with other members of the client's service delivery team.
Level I Fieldwork: FW I may not be substituted for any part of FW II.
The ACOTE Standards for FW I explain that the goal is to “introduce students to the FW experience, to
apply knowledge to practice, and to develop understanding of the needs of clients.” This experience offers
students the opportunity to translate theory into practice and enrich the didactic coursework. OT services
in a variety of settings with a variety of populations are offered. The concepts of occupation-based
practice, client-centered practice, evidence-based practice and adaptation across the lifespan are supported
by the fieldwork experience.
LSU FW I experiences are designed in a developmental learning continuum. Each course builds on the
previous, moving from simple to complex with the learning activities. FW I educators are either OTR’s or
OTA’s.
FW I experiences are selected each semester based on the course objectives and sites ability to carry out
the specific academic and clinical requirements. At a minimum, student’s will complete 20 hours in a
mental health setting, 20 hours in a pediatric setting and 40 hours in an adult setting.
The course instructor will facilitate discussions and design class assignments to support the course
objectives, listed on the syllabi. The FW educator will evaluate the student in the areas of clinical
application of knowledge, professional behavior, observation skills and performance skills. The final
grade from this experience, assignments and classroom participation will be given by the course
instructor.
Level II Fieldwork
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LSU follows AOTA’s suggested Level II Fieldwork Experience dates: aota.org. International FW
experiences are not available at this time, per the policy of the LSU Legal Affairs Department. The AFWC
ensures that the student is supervised by a currently licensed occupational therapist who has a minimum of
1 year full-time of practice experience subsequent to the initial certification and who is adequately
prepared to serve as a FW educator.
The ACOTE Standards for FW II explain that the goal is to, “develop competent, entry-level, generalist
occupational therapists. Level II FW must be integral to the program’s curriculum design and must
include an in-depth experience in delivering occupational therapy services to clients, focusing on the
application of purposeful and meaningful occupation and research, administration, and management of
occupational therapy services. It is recommended that the students be exposed to a variety of clients across
the lifespan and to a variety of settings.”
The AFWC conducts pre-fieldwork on-campus seminars each semester to transition the student into FW II
procedures and expectations. Level II placements are discussed with each student individually to best
match student learning with site. The request to the FW educator /FW site is made only by the AFWC.
The AFWC monitors student progress by contacting both the student and FW educator at week 3 and
midterm. Students are required to complete a written discussion form prior to the phone conversation with
the AFWC. The FW educator evaluates the student at mid-term and completion of the rotation using
AOTA’s FWPE.
Level II fieldwork follows the completion of all academic course work. During the Level II fieldwork
courses, the MOT students transition into the role of student occupational therapists. Students actively
participate in all aspects of the delivery of occupational therapy services, from referral and screening
through intervention and discontinuation of services. Emphasis is placed on the use of occupation that is
purposeful and meaningful to clients and is based on evidence. Clinical reasoning and reflective practice
skills are developed, as well as the values and beliefs that guide ethical practice and the development of
professionalism. Students are also exposed to various aspects of administration and management of
occupational therapy services. Student learning outcomes are generalized outcomes guide the fieldwork
experience, and are complemented by the specific objectives and activities that reflect the uniqueness of
each fieldwork placement.
Enrollment in the two Level II fieldwork courses (OCCT 6911 and OCCT 6913) follows successful
completion of all other academic requirements of the occupational therapy curriculum. Each rotation is a
full-time, 12-week placement, for a total of 24 weeks of Level II experience. Actual days of the week and
exact number of hours of work per week will vary, depending on the schedule of the Fieldwork Educator
to whom the student is assigned. Students should plan on each fieldwork course including a 40 hour work
week, which may include weekend days and holidays, with several hours devoted to reflection, research,
and preparation each evening. Students are strongly advised to NOT maintain outside employment during
this last critical phase of their professional preparation.
An Independent Study for FW II is available for all students, (OCCT 6413). This course requires the
consent of the OT Program Director and AFWC. The course written objectives will be jointly established
by the FW educator, student and AFWC.
All FW II courses are graded by the FW educator using the AOTA’s Fieldwork Performance Evaluation,
(FWPE). All items in the, Fundamentals of Practice, section must be scored #3 or above on the final
evaluation to pass fieldwork. A pass/fail grade is assigned by the AFWC.
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Upon the successful completion of the final Level II rotation, the student is eligible to sit for the national
certification examination and to apply for licensure to practice as an occupational therapist. At this point,
students have transitioned through the roles of occupational therapy student to student occupational
therapist to entry-level occupational therapist.
Student Responsibility Agreement
1. The department only guarantees fieldwork placements that meet the AOTA standards and the
department requirements. Students may request a specific placement, but the final decision is
determined by availability of sites and will be made by the AFWC.
2. The LSU Occupational Therapy Program requires successful completion of six (6) months of
Fieldwork Experience Level II, prior to graduation.
3. Students may not participate in clinical or fieldwork courses until all prerequisite course work has
been completed successfully. See Provisions for Academic Progression in general section of School
of Allied Health Professions catalog.
4. Students have the opportunity for an additional FW II experience through an Independent Study. This
must approved by the OT Program Director and AFWC. The course credit, content, written objectives,
and evaluation criteria are jointly established by the student and AFWC.
5. A student who receives a grade of “Failure” in any FW Level II once will be dismissed from the
program regardless of the student’s cumulative grade point average. This requirement may be waived
upon recommendation of the Department Head and approval of the Dean.
6. LSU requires that all FW II be completed within 24 months following completion of didactic course
work.
7. One FW II placement will be scheduled outside of Louisiana. Students may complete both FW
experiences out of state.
8. Students assume their own financial responsibility for travel, living accommodations, etc., for each
fieldwork placement. Very few facilities offer stipends, housing or meals.
9. After the paperwork has been completed and the fieldwork site has been confirmed by the facility,
there will be no changes in the placement. If there is an emergency or dire circumstance, the student
may request a change in writing to the AFWC indicating the reason for the change request. The
request will be reviewed and the student will be notified in writing of the decision.
10. A site may change areas of experience (e.g., from rehab to acute). This is not a reason for a student to
request withdrawal from the placement contract.
11. The student assumes the responsibility to:
A. Review FW files and consider all contingencies prior to selecting a FW site.
B. Meet the pre-requisites of each facility.
C. Submit Personal Data Sheet, letter of intent and any required information to fieldwork educator 60
days prior to schedule starting date.
D. Submit copies of liability insurance, health insurance, CPR, etc information to department and
fieldwork site prior to starting dates and any other forms required by the site.
E. Complete the SEFWE after each FW. Mail the original to the AFWC and leave one copy with your
FW educator.
F. Upon completion of fieldwork, please write a letter of appreciation to the OT FW Educator.
12. Only the AFWC will contact FW sites for the purpose of setting up FW placements. All negotiating
of FW II experiences will be done by the AFWC. No student may contact a site for the purpose of
assessing the availability of a student placement or to secure a site for themselves or others.
13. The student is responsible to contact the school when problems arise during fieldwork.
FW Professional Behaviors
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The OT program values each fieldwork experience as an opportunity for the students to demonstrate
intentional learning under the supervision of an occupational therapist. Evaluation of student performance
during FW experiences is an ongoing process. This occurs during supervisory sessions, both formal and
informal, as well as during the processing of FW in the academic course work.
The occupational therapy program utilizes an adaptation of the Professional Development Assessment ©
(PDA) developed by Kasar, Clark, Watson, & Pfister (1996) to assess students’ professional behaviors.
The OT faculty collaborates and assesses each student’s professional behaviors at the end of each
semester. Each student is provided with written and verbal direct feedback regarding their professional
behaviors in the classroom and in course related activities in various community settings. Students who
do not receive ratings by faculty of a 3 or 4 in each area will work with their faculty advisor to determine
strategies for achieving these expected ratings during the current semester. These strategies, expressed as
personal objectives with timelines for achievement, will be documented. The form will be entered into the
student’s file, with a copy provided to the student. Achievement of the objectives will be discussed at
follow-up meetings between the student and his/her advisor. Failure to correct identified unprofessional
behaviors will result in dismissal from the program and the student will not progress to FW II.
During the Level I experience, students’ professional behaviors are assessed by the fieldwork educators
using a form designed by the course instructor to best meet the course objectives. Students who do not
receive ratings on the PDA of a 3 or 4 will meet with the AFWC and/or course coordinator to discuss
strategies for achieving these ratings. These strategies will be documented and a collaborative plan will be
developed and signed by both the student and faculty.
During Level II rotations, several aspects of professional behaviors are evaluated on the FWPE (The
American Occupational Therapy Association, Inc., 2002). Failure to correct or modify behaviors
identified in the academic or fieldwork settings and described in a formal plan, could result in a failure of
the FW rotation.
Failure to correct or modify behaviors identified in the academic or fieldwork settings and described in a
formal plan, will result in disciplinary process
FW Site Criteria
The AFWC confirms that there is a current written contract is in place between LSU and the site
throughout the time that the student is on FW. The LSU Legal Affairs department initiates all contracts to
each site, per the AFWC’s request. All contracts are kept in the LSU Legal Affairs Office with copies in
the Allied Health’s Dean’s office. The Legal Affairs web page lists the current contracts with the contract
expiration date. The AFWC reviews this site at the beginning of the fiscal year and requests contract
renewals if needed. Contracts are reviewed at least every 5 years.
The faculty and AFWC work closely to discuss and select FW sites that best support occupation-based
practice and the curriculum design. Sites that meet the faculty site selection criteria are used to support
the didactic teachings. Students will not be placed at FW sites that do not support the LSU curriculum.
FW site or educators that are under review for unethical practice will be eliminated from the site selection.
The AFWC also collaborates with the site FW coordinator to update or complete forms electronically,
site-visit or on the phone. The AOTA Data Form is completed by the FW educator and provides
comprehensive knowledge of the sites FW philosophy. FW experiences are, “a crucial part of professional
preparation” (ACOTE), and sites are selected based on occupational therapy practice that best integrates
the LSU curriculum design. Two levels of fieldwork experiences, Level I FW and Level II FW, provide
students with the opportunity to integrate academic knowledge with the application of skills across the
lifespan and in a variety of practice settings.
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Site AOTA Data Forms are reviewed by AFWC prior to student placement. If this form is not current, the
AFWC notifies the site and requests an update either electronically or verbally. This form reveals current
FW site current participation in a review process, (i.e.: Joint Commission on Accreditation of Health Care
Organizations), and also the philosophy of OT service delivery. The narrative section allows the FW
educator to write about the OT department philosophy and services. This includes integrating clientcentered practice, clinical reasoning and reflective practice as taught in the OT curriculum. Meaningful
occupations should be a site recurring theme.
Faculty/student evaluations may be informal: classroom discussion, graduation seminar or formal: Student
Evaluation of Fieldwork Experience (SEFWE). Student feedback regarding FW sites is an important
means of assisting students to develop the ability to critically analyze situations in a professional manner.
It also provides the site and academic program with information on the program, clients, supervision and
ability to integrate classroom knowledge into practical application.
The AFWC conference calls are also incorporated into the site selection process. At the forefront of this
selection, is the FW educator’s support of role modeling and commitment to student learning. The AFWC
consults with the FW educators regarding compliance with ACOTE standards and understanding of the
academic curriculum design.
The AFWC encourages all FW educators to advance their clinical teaching skills by attending the AOTA
Fieldwork Certificate Program.
Student FW II Site Selection Process
1. Review the list of sites: LSUHSC-Shreveport; Office of Legal Affairs /Affiliation Agreements
http://www.lsuhscshreveport.edu/ImmigrationContracts/ImmigrationAffiliationSAHP.aspx
2. FW criteria:
a. One in state FW and one out of state. You may do both out of state.
b. Rotations must be across the lifespan and in a variety of settings
3. Analyze the fieldwork files in the FW office
a. AOTA Fieldwork Data Form
b. Student Evaluation of Fieldwork (SEFWE)
c. Facility brochures
4. Develop a list of questions and then make an appointment with the AFWC. Together, the AFWC
and student will review the requested sites.
5. To request a FW placement the MOT student will submit the form: Request for Fieldwork
Experience, Level II to the AFWC.
6. The AFWC will request a placement for you and once there is confirmation from the site, you will
receive a confirmation email.
7. When you have been confirmed for FW II placement, you will complete and turn in the Level II
Fieldwork Assignment Agreement form to the AFWC.
8. The AFWC will notify you of any changes or problems that may arise regarding fieldwork
placement.
Participants in the Fieldwork Education Experience
Academic Fieldwork Coordinator (AFWC)
The AFWC is the faculty member responsible for the program’s compliance with ACOTE’s fieldwork
education requirements (C.1.0).
Fieldwork Educator
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FW educators provide learning opportunities to encourage students to apply classroom knowledge into the
skills needed for entry-level practioners. The FW educator is considered an important member of the
education process. The AFWC offers seminars, resources and information to support best practice. FW
educator’s whose clinical practice skills include competent/ ethical behavior; good communication skills
and an understanding of the generational differences are key factors in site selection.
LSU encourages FW educator participation in national and state OT associations. Involvement with the
OT program is done through on-site visits, telephone calls, email, etc. The AFWC initiates collaboration
between the academic faculty and FW educators. This is accomplished through seminars, course
laboratory experiences,
lecture and discussion which review the academic curriculum and curriculum design and the FW site
focus and scope of practice. Current practice trends, LSUHSC-S philosophy, mission and curriculum
design is reviewed. Occupation-based practice, current trends and strategies for student learning are
presented. Resources are provided to support best practice in FW.
LSU FW II students are supervised by FW educators that are occupational therapists with a minimum of 1
year of practice experience, subsequent to initial certification by NBCOT as an occupational therapist. The
FW educator must meet state regulations governing practice and referrals from qualified physicians and
form others seeking service in the medical, educational and broader human services community. The
supervision ratio is either a 1:1 or 1:2 between FW educator and student. The FW educator provides
ongoing graded supervision, weekly meetings and formal valuations at midterm and at the conclusion of
the Level II FW experience. The AOTA Fieldwork Performance Evaluation (FWPE) is the tool used at the
completion of each FW II experience.
The AFWC communicates with FW educators throughout each student FW II rotation via telephone,
electronically and/or FW site visits to ensure entry-level performance is achieved. At week 3 and midterm
the AFWC contacts the student and FW educator to discuss Along with this, the AFWC provides
resources to FW educators to support the developments of supervisory skills, articles, resources, inservices. For example, decreasing supervision as the student demonstrates increased competence and
performance.
The FW educator is the professional responsible for student training in settings outside of the classroom.
The FE responsible for the day-to-day student supervision must have been initially certified by the
American Occupational Therapy Certification Board (AOTCB) or the National Board for Certification in
Occupational Therapy, Inc. (NBCOT), have a minimum of 1 year of practice experience, subsequent to
initial certification by NBCOT as an occupational therapist, and meet state regulations governing
occupational therapy practice. The administrative responsibilities of the fieldwork program may or may
not be assigned to the FE. Day-to-day student supervision may be delegated to more than one FE.
The day-to-day supervisory responsibilities include, but are not limited to:
 Orientation of the student to pertinent departmental and organizational policies and procedures.
 Direct instruction and guidance, as needed, in the screening, evaluation and intervention procedures
used within the fieldwork site.
 Assignment of clients to the student.
 Assessment of the skill and knowledge levels of the student.
 Supervision of the student's delivery of occupational therapy services, including documentation in all
forms.
 Conducting regular supervisory meetings, mid-term evaluation and final evaluation using the FWPE
(AOTA, 2002).
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Communication of student progress and evaluation results to AFWC, at mid-term and the conclusion
of the fieldwork experience, and at any time that concerns regarding the student’s performance may
arise.
MOT Student
The student collaborates with their FE and the AFWC to ensure that the requirements of the fieldwork
experiences are met. The student's responsibilities include, but are not limited to:
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Reviewing and abiding by the contents of this manual.
Develop Professional Behaviors and refine these foundational skills from feedback given by faculty
and, AFWC and FW educator
Regularly check LSUHSC-S email account
Adhere to AOTA ethics
Determine the client’s occupational profile
Utilize evidence with interventions
Implement client-centered interventions that are occupation-based.
Respond constructively to feedback
Demonstrate effective time management
Respect diversity
Contacting the Level II FE to confirm the fieldwork experience starting date, time, and location of first
meeting and send the Personal Data Sheet to the FE six weeks in advance of the placement.
Provide the FE proof of liability insurance, CPR certification, and immunizations, as well as any other
documentation required by the placement.
Complying with all policies/procedures of the fieldwork site, unless specifically exempted.
Complying with all aspects of the Academic Code of Conduct.
Promptly notifying the FE of an absence. The student will work all scheduled FW days, except in the
case of unavoidable absences due to illness or death in the family. Absences must be made up in a
manner that is mutually agreeable to the FE, the student, and the AFWC.
Conducting her/himself in a professional manner, at all times.
Working the same hours as the FE, including weekends and holidays.
Fulfilling all duties and assignments given by the FE and the AFWC, within the specified time frame.
Actively and appropriately participating in the supervisory process; receiving and reflecting on
constructive feedback from the FE(s) and modifying one’s actions accordingly.
Providing a completed Student Evaluation of Fieldwork Experience (SEFWE) to the AFWC.
Following the line of authority in the fieldwork setting for discussing any problems or issues that may
arise. Discussions should first be conducted with the FE. If resolution is not achieved with the FE, the
student should attempt to resolve the issue with the FE and her/his supervisor. The AFWC is available
to assist the student in planning how to approach the FE and/or supervisor, and how to express her/his
concerns or issues. If problems or issues are not resolved at this level, the student may contact the
Director of the O.T. Program.
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Criminal Background
Check
Results or Re-Check
Criminal Background Check
(Request a copy of Pre-Registration results)
 This is the original background check requested during the pre-registration time period.
 Important  Provides results only until day one of the program.
 Previously paid for by all incoming students prior to beginning their program.
 All students were previously asked to store their User ID and PIN number in a safe place.
Question: How do I obtain a copy of my original criminal background check?
1. No results, User ID’s or PINS are retained in the Office of Student Affairs.
2. Students have unlimited, 24-hour online access to their check up to one year from the time
the report was completed at www.applicationstation.com.
3. After one year from date of check, students must contact the Certiphi Request Line at 1-(800)
2601680 to request a hard copy to be mailed to them.
Re-Check / Criminal Background Check
(Request and pay for a Re-Check)
 This is a new criminal background check.
 Important  Provides results only from day one of the program until now.
 Students assume responsibility for the cost of this service (approximately $30) paid at the time
of their request to Application Station.
 Formally request a re-check by completing the bottom portion of this form.
 Submit form directly to Leta Eyler at the ground floor reception desk.
 Within 48 hours students receive an email prompt from Application Station.
 Turnaround time to complete the re-check can be up to 10 days.
******
Request for a Re-Check / Criminal Background Check
(There will be a charge for this service)
PLEASE PRINT LEGIBLY
Name: (Last, First Middle)
SSN:
Program: __________________________
Email: (Student email)
Cell Phone: (
@LSUHSC.EDU
)
Signature:
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