University of Southern California
University of Southern California
Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy
Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy
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Amanda

Clinical Coursework

, by Amanda

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The path to becoming a clinician…

To continue delivering a picture of my experiences in studying occupational science and therapy at USC, I will introduce the clinical coursework. To pursue occupational therapy at some point we all decided that this was a career choice that fits our interests, academically and professionally. Before entering the program, I wondered, ‘how do you know what to do?’ When faced with a client with any number of strengths and limitations in occupational functioning, what is the first step?  Furthermore, occupational therapists work with people on a whole continuum of diagnosis and conditions. How does occupational therapy school prepare the practitioner to work with both an individual referred for mental health services and an individual referred for a traumatic brain injury? As I previously explained in a blog post, the summer coursework lays the foundation for analyzing occupation. The first year is to start building your clinical skills. To be prepared to work in the physical disabilities, mental health, pediatrics, and geriatrics setting, there is clinical coursework for each practice area.

In my first year, the structure of the program was you had Fall and Spring courses in physical disabilities. The content covered in this course sequence is evaluation, goal-setting, and intervention planning in relation to various conditions that a practitioner would see in a hospital or clinic setting. Students learn how to identify occupational strengths and deficits as well as the evaluation of underlying skills, such as strength and range of motion. There is also lab based work weekly that involves exploring such varying topics as the uses of adaptive equipment as well as splinting. Also in lab, there is a functional kitchen, bedroom, and bathroom where you practice various techniques learned in therapy such as functional transfers and preparing for occupation-based interventions. You also have the opportunity for an off-campus visit to a national rehabilitation hospital to see occupational therapy in practice.

Mental health also followed Fall and Spring course sequences. Our first semester introduced us to many topics concerning the experience of occupation in relation to such concepts as interests, temporality, habits and the environment. We learned about occupational narrative and its therapeutic use as well as a series of evaluations that are valuable when assessing occupational function. What I loved about this course was its applicability to the other occupational therapy practice areas. For example, it really affirmed my belief that occupational therapists seek to influence not just the condition of having a physical disability but also the person that is experiencing it! The Spring course in mental health continued to explore occupation but to a greater extent its practice in mental health. You really gain an understanding of the efficacy of occupational therapy interventions for those experiencing occupational dysfunction.

Preparation for pediatric therapy comes in a two course sequence as well. In the Fall semester, we studied development. This course covered what you would guess: the development of the child in relation to occupational performance. A series of lectures ranging from reflexes to vestibular to visual development are presented in relation to a child’s age and condition. Students are also introduced to various assessments used in pediatrics. In the Spring, the student’s knowledge in pediatric practice is expanded through the exploration of the various practice areas, such as school-based versus early intervention clinics, and introductions to different intervention strategies, like sensory integration. Students have a few labs off-campus where we were able to observe therapists in the various pediatric settings. 

A practice area where demand for occupational therapists is on the rise is in geriatrics. Our clinical coursework in aging involves the physical, cognitive, environmental, and emotional challenges that individuals and their families face during the aging process. I loved this course for our engaging discussions, such as occupational therapists role in hospice care, and for encouraging occupational therapists to be involved in the prevention of decline and maintenance of wellness, as seen in USC’s Well-Elderly Study. As I am interested in occupational therapy practice in geriatrics and always felt very empowered that as an occupational therapist I will be able to make a difference in the lives of people through the power of engaging in meaningful occupation!

In summary, the clinical coursework you will take at USC prepares you to view an individual through an occupational lens whether he or she is a child, adolescent, adult, or older adult referred for varying reasons. You are prepared to evaluate individuals and create interventions that address the physical, social, emotional, environmental, and cognitive components of occupation. This all sounds like a lot in your first year, but there’s MORE! You also have coursework that supports your development of clinical skills…To Be Continued!

Pierre

Fall semester is done!

, by Pierre

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It truly has been a great experience here at USC. I can just remember the first summer semester like it was yesterday… and now, I have 1 more semester to go and 1 more fieldwork to experience and then almost done! Can’t say I’m looking forward to comprehensive exams at next year or studying for the NBCOT exam, but I’m happy to have gone to USC for my education. They say all education is the same- in the end you get the same degree, but with the debt is the main difference.

It’s true, that USC didn’t have the lowest tuition among the schools I was applying to last year, but I can say that all the classes, the teacher interaction, the scholarships available, the resources abounding, the OT history among our hallways, the career positioning within the city, the diverse/international fieldwork affiliations, the networks you create, the USC name behind the degree, and the overall supportive culture among the students and faculty are beyond tuition costs. It’s one thing to base an education on financial costs vs quality of education… USC puts student learning first and really seeks to prepare us for the real world of OT.

Yao

Interdisciplinary Communication

, by Yao

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The importance of interdisciplinary communcation and engagement.

This past weekend Amanda and I were a part of an interdisciplinary health fair put on by Keck medical school at one of the local high schools. It was a great opportunity to learn about the other members of a potential medical team and interact with the community. 

One fact that I found fascinating was that although a lot of the participants were medical school students, pharmacy students, physician’s assistant students and physical therapy students, many weren’t really sure of what occupational therapists did and to what extent. On the same side we weren’t aware of the full breadth at which these groups also participated in patient care, so it turned out to be an amazing learning experience on both ends.  It’s important to have more events that include the different members of a potential team.

I have to admit that Amanda and I had a hard time thinking of what to say when the other disciplines asked what exactly it was that we did as occupational therapists. It wasn’t because we weren’t sure, it was the fact that there were so many ways that occupational therapists went about treatments depending on the situation and patient. We weren’t sure how to give an in-depth understanding including all the different capacities at which and occupational therapist could work.  Finally, we decided to use the sensory integration station that we had set up to help open up discussion about the role of occupational therapists. The station consisted of two large Tupperware containers, one full of black beans and the other with lentils. Buried inside each container were little miniature animals (Polly Pocket sized) and the goal was for the participant to find as many animals as possible with their eyes closed. Skills such as touch discrimination, stereognosis, maintaining attention, and standing balance were all used in this one activity. It helped the other professions understand that occupational therapists used meaningful activities and in this example of a pediatric client, play would be their meaningful occupation as a way to work on developing skills to help them engage more successfully with the environment. It was the most popular activity at the fair and gave us an opportunity to talk about occupational therapy and for the participants to understand through hands-on experience what occupational therapy can do. I’m so glad we had the opportunity to participate and get to know about all members of a potential interdisciplinary team and I’m looking forward to future mixer events.

Pierre

Occupational Justice

, by Pierre

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What is occupational justice? Is it like social justice? Kind of. Social justice may look at making opportunity equal to all to reduce differences; occupational justice looks at the unique differences of individuals and groups and how to help them access opportunities as they relate to occupations. It’s interesting to be learning more about how occupational therapy goes beyond the clinics and pervades our society, our culture, politics, and so on. OT in Occupational Justice attempts to meet the unique needs of the individual in order to access the opportunity of health through occupation.

Do you have a passion to help others and to help them access their natural need and desire to ‘do’ activities, to live life, and to be a part of our society? Occupational therapy is a field that is present in many different areas- this is a sign of OT’s strength. Our profession pervades so many aspects and it’s due to the great importance that people need and want to do occupations-activities-life. We seek to help others improve and access a quality of life that is rightfully theirs within a diverse culture such as ours.

Yao

The Influence of Language

, by Yao

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Language is more than just what you say and it is important that we enable rather limit in our occupational therapy dealings.

I recently attended a charity event that was geared towards promoting awareness of an issue that has affected countless women across the globe, sex trafficking. Attending this event re-enforced the idea that language is a powerful form of experssion and can truly affect the way that one pervices oneself as well affect how people view and treat others. The event itself although well intentioned employed a host that seemed to be ill informed about how to properly address the issue of sex trafficking and those that have survived it and are affected by it. In my opinion, the host should have been using language that empowered the women affected and placed them in a positive light as survivors but instead used language that marginalized these women as “damaged” people that had “chosen” this life and they were not able to help themselves. The language that was used placed these survivors in a category of disempowerment as well as subordination, instead of encrougaing a new life full of opportunities the language seemed to permanently remind them of their traumatic past and permanently place them in a subordinte position to everyone else. Comments such as “I have nothing in common with these people” and “we help these people live the right way” were made. Instead of raising awareness and increasing empathy, it seemed to further differentiate and marginalize palcing those that have not expereinced the affects of sex trafficking in a more highly regarded palce in society. It seemed as if the language was solely identifying this population through a label rather than their individual characteristics- as if dehumanizing the already dehumanized. Instead of teaching acceptance and expressing “awe” in the strength and endurance of these women, the language seemed to imply that they had been a part of something that they should be ashamed of and that the organizations hosting the event could help them assimilate into mainstream society. Not once did it speak of the strength of these women, not once did it emphasize their adaptability, and not once did it promote their individuality. They were seen as a part of a group that needed help: victimized women- no more, no less.

In occupational therapy there is a concept that is used when addressing the various populations that we work with and it’s called person first language. Person first language is an important tool to be conscious of not only as an occupational therapist but as a citizen of the world as well. By definition, “... people with disabilities be identified first as individuals. ‘Person First Language’—referring, for example, to a ‘woman who is blind,’ rather than to ‘a blind woman’- is a form of political correctness designed to further the aims of the social model by removing attitudinal barriers. “(“Definition of Disabilities”, 2010) from http://www.disabled-world.com/disability/types/#ixzz14lKtzngC. It should also be recognized that some times person first language is not preferred depending on the person you’re talking to but for this event in particular I felt that person-first language would have been a more appropriate choice of language, focusing on the abilities and opportunities that these women do posses and focusing on their ability to engage in life and obtain a quality of life that is most beneficial and satisfying to them.

I in no way mean to imply that these organizations didn’t help these women. These organizations are great resources and provide many supportive services.  It was the language used by this particular host that had altered my view of this event. It only took a few words to change the mood of that night. Imagine what a few words can do to a person. As much as people play with language in politics and law, it is extremely important to consider how it can affect both patients and providers in the medical sphere.  A label, a category and a group all have certain connotations and many of those connotations can limit someone’s potential. Occupational therapists understand that our clients are constantly changing throughout treatment and therefore find it important to be cognizant of the language used to address patients and their situation. Words can either be a vehicle for positive change or a powerful tool to stop it. We should think twice about the language we use.

Citation:
Anonymous. (2010, November 8). Disabled world: Definition of Disabilities. Definition posted to http://www.disabled-world.com/disability/types/#ixzz14lKtzngC

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