Leonardelli C A, Caruso L A
Am J Occup Ther. 1986 Apr;40(4):258-64. doi: 10.5014/ajot.40.4.258.
Level I fieldwork in occupational therapy is coming under close scrutiny by fieldwork sites and schools as accountability in health care becomes increasingly significant. The Wisconsin Council on Education (Wiscouncil) has been examining the problems encountered in implementing Level I fieldwork at both the technical and professional levels since fall 1982. A survey of 169 occupational therapy clinicians and educators was conducted in Wisconsin to address the following: objectives, assessment, scheduling, cost-effectiveness, and areas of responsibility. Results of this survey indicated that the concerns identified within the state may exist at a broader level. Two members of Wiscouncil expanded the project to look at Level I fieldwork issues nationwide. The nationwide survey results indicate a strong concern among clinicians about the cost-effectiveness of implementing Level I fieldwork. There appear to be different beliefs about the overall objectives of Level I among clinicians, occupational therapy educators, and occupational therapy assistant educators. The majority of clinicians felt that uniform objectives and a uniform evaluation for Level I fieldwork would help facilitate the experience for them.
随着医疗保健领域的问责制变得越来越重要，职业治疗中的一级实习受到了实习机构和学校的密切关注。自1982年秋季以来，威斯康星州教育委员会（Wiscouncil）一直在研究在技术和专业层面实施一级实习时遇到的问题。在威斯康星州对169名职业治疗临床医生和教育工作者进行了一项调查，以探讨以下方面：目标、评估、安排、成本效益和职责范围。这项调查的结果表明，该州发现的问题可能在更广泛的层面上存在。Wiscouncil的两名成员将该项目扩大，以研究全国范围内的一级实习问题。全国性调查结果表明，临床医生对实施一级实习的成本效益极为关注。临床医生、职业治疗教育工作者和职业治疗助理教育工作者对一级实习的总体目标似乎存在不同的看法。大多数临床医生认为，一级实习的统一目标和统一评估将有助于他们更好地完成实习经历。
