Wilson Sheila
a Rehabilitation Services, Magee Rehabilitation , Philadelphia , PA.
Occup Ther Health Care. 2017 Oct;31(4):365-373. doi: 10.1080/07380577.2017.1381895. Epub 2017 Oct 17.
Although there are standards for occupational therapy education, there are no universal standards for the affiliated fieldwork settings, only guidelines from the educational institutions. As a result, a student learning experience often varies dramatically from facility to facility. Several factors that may affect the clinical experience include the preparedness of a student, the willingness of a clinic to work through potential student challenges, and the theoretical foundation a clinic has built for disseminating occupational therapy practice skills. This article highlights the journey of one clinic through a redesign of the occupational therapy fieldwork program and outlines the steps taken to transform student experiences and improve program success. Starting with a self-directed review of the fieldwork process, and through a combination of program redesign, application of a theoretical foundation, and refocus toward a competency-based program, the student success rate at this acute rehabilitation hospital drastically improved and achieved positive feedback from all involved.
尽管职业治疗教育有相关标准，但附属的实习场所却没有通用标准，只有教育机构提供的指导方针。因此，学生的学习体验在不同机构之间往往差异巨大。可能影响临床体验的几个因素包括学生的准备情况、诊所应对学生潜在挑战的意愿，以及诊所为传播职业治疗实践技能所建立的理论基础。本文重点介绍了一家诊所重新设计职业治疗实习项目的历程，并概述了为改变学生体验和提高项目成功率所采取的步骤。从对实习过程进行自我指导审查开始，通过项目重新设计、理论基础的应用以及向基于能力的项目重新聚焦相结合，这家急性康复医院的学生成功率大幅提高，并获得了所有相关方的积极反馈。
