Department of Occupational Science and Occupational Therapy C r e a t i n g L e a d e r s i n O T Pre-Placement Meeting Fieldwork 4 Kristina Glofcheski.

Depart

ment

of

Occ

upati

onal Sci

ence

and O

ccupati

onal Thera

py

C r e a t i n g L e a d e r s i n O T

Pre-Placement MeetingFieldwork 4

Kristina GlofcheskiSessional Fieldwork Instructor

Department of Occupational Science and Occupational Therapy

Fieldwork Faculty / Staff

Donna Barker, Director of Fieldwork Education Email: [email protected] Phone: 416-946-8782

Rhona Anderson, Sessional Fieldwork Instructor (FW1 and FW2) Email: [email protected] Phone: 416-978-2679

Kristina Glofcheski, Sessional Fieldwork Instructor (FW4) Email: [email protected] Phone: 416-978-2679

Deb Cameron, International Fieldwork Coordinator Email: [email protected] Phone: 416-946-8568

Nella Rupp, Administrative Assistant Email: [email protected] Phone: 416-978-8234

OS&OT Website

General department and curriculum information: http://www.ot.utoronto.ca

Specific to fieldwork: http://ot.utoronto.ca/community/fieldwork_supervision/index.asp



More Resources

“Clinical Community” section under “Fieldwork” Overview of the Fieldwork Program at U of T

Overview of the MSc.OT Program at the University of Toronto Departmental vision Teaching/ learning methods

Overview of the MSc.OT Fieldwork Program Fieldwork Organization/Philosophy/Objectives Stages of Professional Competency Development Competency-Based Fieldwork Evaluation

Discuss opportunities to get involved with the University of Toronto

Status appointments


Objectives for This Meeting

Provide Information specifically related to Fieldwork 4 Dates Objectives Learning Objectives Important Forms


Fieldwork 4 Placements Dates

Fieldwork IV: July 2, 2013 – August 23, 2013 The University will be closed on Statutory Holidays,

including Civic Holiday in August


Fieldwork Placements

Refer to Fieldwork Resource Manual for Philosophy of fieldwork and professional standards Health policies Contracts and insurance Requirements and selection process Pre-placement communication Objectives Interprofessional education Evaluation Process

www.ot.utoronto.ca


FIELDWORK IVOCT1283

Students will focus on

Managing a significant portion of the supervisor’s caseload

Gaining maximal independence

Consolidating all previous academic & fieldwork learning


Specific FW4 Objectives

See Course Outlines Specific objectives reflect the level of skill

development and supervision required

Fieldwork 4

http://www.ot.utoronto.ca/community/fieldwork_supervision/documents/Fieldwork_4_outline.pdf


Stages of Professional Competency Development

Entry-Level Student

Knowledge Application

Consolidation

Transition

Entry-Level Clinician

Stage 1

Stage 2

Stage 3

Source: Competency Based Fieldwork Evaluation for Occupational TherapistsBossers, Miller, Polatajko, Hartley, 2002


3. Consolidation:mentoring/consultation, reflection-in-action

Primary emphasis on: final preparation of student to assume the role of competent, entry-level

occupational therapist Students should be encouraged to assume as much independence as

possible in professional reasoning & in linking academic theory with practice Students may require some guidance but should take responsibility for of

client centered practice components: referral analysis & assessment planning & Implementation of intervention programs discharge planning & follow-up

Style of Supervision: Consultative

Primary role of educator / preceptor: Mentor


Providing Feedback to Level 3 Fieldwork Students

Student self-reflection should be self-initiated

Encourage student to identify and pursue professional learning needs

Work “collegially” with the student

Bossers (2009)


Competencies of the CBFE-OT

Practice Knowledge Discipline- specific theory and technical knowledge.

Clinical Reasoning Analytical and conceptual thinking, judgment, decision making, and problem solving.

Facilitating Change within a Practice Process

Assessment, intervention planning, intervention delivery, and discharge planning

Professional Interactions and Responsibility

Relationship with clients and colleagues, legal and ethical standards


Competencies of CBFE (cont’d)

Communication Verbal, non-verbal, and written communication

Professional Development Commitment to profession, self-directed learning, and accountability

Performance Management Time and resource management, leadership


Stage 1 Stage 2 Stage 3

Student Performance

Knowledge Application

Transition - Reflection on Action

Consolidation – Reflection in Action

Educator Supervision Style

Direct Teaching Evaluation Feedback

Coaching Consulting Mentoring

Scoring Scores 1-3

1 = low S1

2 = rudimentary S1

3 = mastery of S1 / transition to S2

Scores 3-6

3 = transition to S2

4 = rudimentary S2

5 = intermediate S2

6 = mastery of S2 / transition to S3

Scores 6-8

6 = transition to S3

7 = rudimentary S3

8 = mastery of S3 / ready to enter clinical practice

Stages of Competency Stages of Competency DevelopmentDevelopmentSource: Competency Based Fieldwork Evaluation for

Occupational TherapistsBossers, Miller, Polatajko, Hartley, 2002


5. COMMUNICATION

Fosters open communication Listens actively Speaks clearly and appropriately Provides explanations and/or education

that is at an appropriate level for the client Writes clearly and appropriately Modifies language for the listener Uses non-verbal communication appropriately

and effectively

STAGES SCORE

1

2

3

1 - Low Stage 1 competencies2 - Rudimentary Stage 1 competencies3 - Mastery of Stage 1 competencies/ Transition to Stage 2

3 - Transition to Stage 24 - Rudimentary Stage 2 competencies5 - Intermediate Stage 2 competencies6 - Mastery of Stage 2 competencies/ Transition to Stage 3

6 - Transition to Stage 37 - Rudimentary Stage 3 competencies8 - Mastery of Stage 3 competencies/ ready to enter clinical practice

The Competency Rating Scale

Mid-term

Final

Exceptional

Entry Level Student

Entry Level Clinician

P l e a se c i rc l e t h e l e v e l o f p e r fo rm a n c e .

Unacceptable Developing

U 1 2 3 4 5 6 7 8 E

U 1 2 3 4 5 6 7 8 E


The Learning Objective Rating Scale

Mid-term

Final

Doesn’t Meet Objectives

Meets AllObjectivesVery Well

P l e a se p la c e a v e r t i c a l b a r i n t e rs e c t in g t h e fi n e l in e i n th e sh a d e d a re a

Student’s Learning Objective(s) - Communication

Objective(s) Resource(s) Required to Meet the Objective(s)

Evidence Validation


Personal Student Learning Objectives Negotiated between student and supervising OT Recommended that learning objectives be developed

and discussed after the first week of placement Students do NOT need to develop a personal

learning objective for each competency. 3 to 4 objectives overall is adequate

There cannot be more than one objective for each competency

Objectives can be completed on CBFE or on a separate sheet however must be included with evaluation when returned to U of T

SMART objectives


Student Evaluations- CBFE-OT

The Competency Based Fieldwork Evaluation is available electronically from your student. Due to copyright issues, we cannot send you the electronic version directly.

After the placement is over and you have printed a hard copy of the evaluation to send in to us, you will need to delete it from your computer.


Student Report on Fieldwork Placement

This form is an opportunity for the student to provide formal feedback to the preceptor and the facility both at midterm of the placement and at the end of placement.

Students complete this form online and discuss it with his/her preceptor.

At the end of placement, these forms must be printed, signed by the student and preceptor and then sent to the university.


IPE Requirements

IPE Placement Offerings http://www.ot.utoronto.ca/cs/fieldwork/fieldwork_manual/

ipe_index.asp Required to complete 1 structured IPE placement or three

flexible IPE activities.

Structured IPE They have four primary elements:

A group of interprofessional students are placed on a common unit,

Students participate in one or two introductory tutorials, Students participate in a series of weekly patient-themed

tutorials, and Students prepare and share the delivery of a joint presentation

or project.


IPE requirements

Flexible IPE Activities: Activity 1 – Participation in a team educational

session Activity 2 – Interview and shadow 2 team members Activity 2 – Participation in team meetings

Reflection papers are submitted through the Department of OS&OT website and are tracked within the Mentorship Course. http://www.ot.utoronto.ca/cs/fieldwork/

fieldwork_manual/documents/appendix_e_IPE_Flexible_Activities.pdf


Student Presentation / Project

Expectation that each fieldwork student complete a student presentation/project

Topic should be negotiated between fieldwork supervisor and the student


Student Performance Issues

Please contact me at the University as soon as you have any concerns regarding a student passing the placement.

Expectation: U of T Fieldwork Coordinator and student will be notified at or prior to midterm if there is a concern that student may not pass the fieldwork placement.

U of T fieldwork coordinator will conduct a site visit to speak with preceptor and student. Fieldwork coordinator will review learning objectives and CBFE-OT to provide strategies to facilitate the fieldwork preceptor-student learning experience


Process for Student Issue

Process for Student Issue


Supervisor notices a minor student problem

(Inappropriate, skills, punctuality …)

Supervisor discusses concernwith student and

together develop strategiesand opportunity for reassessment

Behaviour/concernimproves

Behaviour/concerndoes not improve

Discuss with site FW CoordinatorSupervisor, site FW Coordinator and student strategiseInform Academic (U of T) FW Coordinator of troubles

Reassess progress

Improvement noticedContinue and monitor

No improvement

Call U of T FW Coord.ASAP – by midterm

Document

Document

Monitor

Adapted from original developed by:Brenda Mori, Director of Clinical Education & Community AffairsDepartment of Physical TherapyFaculty of Medicine, University of Toronto


Absences

With the exception of illness, all absences should be approved prior to the absence by Academic Fieldwork Coordinator.

Please review with the student the steps to take if they are ill and cannot come to placement (e.g. phone or email you).

Please ensure that you record all absences and additional hours on the first page of the CBFE-OT in the indicated area.


Absences (cont’d)

Students may be requesting additional hours to make up time for absences related to previous Religious holidays, illness, conferences or extenuating personal circumstances.


Student Incident While on Placement

Please contact myself or Nella immediately if your student has an accident or incident (serious illness) while on placement.

Further instructions available at http://www.ot.utoronto.ca/cs/fieldwork/fieldwork_manual/contracts_accident.asp


Completion of placement

We require the following information to be returned promptly to U of T upon completion of placement

Completed CBFE-OT (including signatures) Learning objectives Student Report on Placement Completed WSIB form (Section A.2. and Section E- need

to be completed by the Fieldwork Site)

The student will not receive a grade for this fieldwork course until a hard copy of the CBFE-OT is returned to us.


Important Deadlines:FW 4 Fieldwork 4: Deadline for return of CBFE form, student learning objectives,

student fieldwork site evaluation, and WSIB form is Friday August 30, 2013.

These forms can be sent to the Fieldwork office via the student if they are in a sealed envelope with your signature over the seal or they can be mailed to:

Nella RuppDepartment of Occupational Science and Occupational TherapyRehabilitation Science Building160 – 500 University AveToronto, OntarioM5G 1V7


Thank-you!!

Thank-you for your willingness to take a student on placement. The students, myself, and the rest of the faculty appreciate your partnership in the education of our occupational therapy students!

Department of Occupational Science and Occupational Therapy C r e a t i n g L e a d e r s i n O T Pre-Placement Meeting Fieldwork 4 Kristina Glofcheski.

Documents

fieldwork overview

philosophy of fieldwork

occupational therapy

fieldwork resource manual

placements dates fieldwork

mentor slide

professional interactions

professional reasoning