Student Ambassador Blog | Caroline
Oct 11, 2017, by Caroline
Whenever I give prospective students a tour of our facilities and classrooms during Information Sessions, the Pediatrics classroom tends to get a lot of “oohs” and “aahs.” Rightfully so! Half of the classroom is filled with colorful things to jump on, climb on, swing on, and crash into, which certainly looks a lot more fun than most classrooms I’ve seen! OTs who work in Pediatrics definitely try to make everything they do with their pediatric clients fun and engaging, and the same can be said for our Pediatrics professors. I spend 9 hours each week in my Pediatrics class, but it’s so much more than a lecture with my professors talking at me the whole time! The course integrates team application activities, case studies, and a lot of exploring and trying out different assessment and intervention approaches.
I’ve already told you about my Fieldwork experience in a school-based setting, but now let me give you a peek into my Pediatrics course!
I don’t have pictures for privacy reasons, but we had the opportunity to interact with children and with parents when learning about doing parent interviews and conducting standardized assessments. As a class, we got to practice interviewing a parent of a child who receives OT services, and he was able to give us feedback about how we did. Additionally, professors bring their children into the lab, so we can look at their primitive reflexes and learn about how to conduct standardized assessments. We learned that it’s a lot harder than it looks, but that it becomes easier as you get more familiar with the assessments.
When learning about different grasps (how we manipulate our fingers and hands to grab objects) our professors brought in some snacks. Grabbing yummy snacks and bringing them to our mouths was definitely an inherently motivating and fun way to review the various types of grasps. I realized that we grab a sunflower seed differently than we grab something bigger like a cheese-it, which is something I hadn’t thought about before. Next time you’re eating a snack, pay attention to how you pick up your food to eat it!
When practicing planning treatments that address different fine motor skills, our professors put random objects on the table and told us to come up with a fine motor skill treatment using those objects on the spot! My group had play-doh and Connect 4, so we decided to hide the Connect 4 pieces inside the play-doh. That way, by manipulating the play-doh, the child is building up strength in the small muscles in their hands. Then, we can address grasp when looking at how they hold the Connect 4 pieces. We also came up with ways to change the activity to make it more challenging and less challenging. It may look simple, but there’s a lot of thought behind each pediatric treatment!
When learning about visuomotor integration (how our vision and perceptual skills work with our fine motor skills to help us interact with our environment efficiently), we got to try out a lot of different games and think about how they could be used in treatment. One of my professors said something that really stuck with me: generally, the children that OTs work with may have a hard time playing a game exactly as it is designed or following the exact direction. This means that it’s the OTs job to adapt the game and make it the right challenge for each child, allowing them to work on certain skills, but feel successful and have fun at the same time. OT treatment with children can often look like play, but there is a lot of work going on at the same time!
When learning about handwriting interventions, we got to explore the Handwriting Without Tears program, which aims to do exactly what the name sounds like! For children who have a hard time learning to write or making their writing legible, working on handwriting in therapy could start to feel boring and like work, so a couple of OTs created the Handwriting Without Tears program to make handwriting intervention more dynamic and fun. Children can practice writing on an etch-a-sketch and chalkboards and can form letters with play doh and wooden blocks. This program uses a multisensory approach and has a lot of different options to make treatment fun and different. I’ve used this program used at my fieldwork site, and the kids definitely enjoy it!
Finally, last week we were learning about Sensory Integration theory and intervention, which was actually developed by A. Jean Ayres, a former OT faculty member here at USC! We learned all about our sensory systems, how they’re supposed to work, what it can look or feel like when they’re not working as they should, and what Sensory Integration can do to help. My professor reminded us that you should always try out an activity yourself before having a child do the activity in therapy, to ensure that it’s the right level of challenge and actually addresses what you want the intervention to address. So, we did exactly that! We explored the lab space and got on different swings and equipment to see what it feels like, how challenging they are, and how our bodies feels afterwards. It was such a fun day!
I’m so appreciative of all of the time and effort my professors put in when planning the course and the time spent in the classroom. I’m definitely a learn-by-doing kind of person, so I love when I get to be hands-on in the classroom. My pediatrics midterm is coming up next week, so I’m definitely starting to reflect on everything I’ve learned this first half of the semester. Wish me luck!
Sep 28, 2017, by Caroline · 1 comment
In my previous blog post I explained how Level I and Level II Fieldwork experiences work in our program at USC, and shared about my previous Fieldwork placements. As promised, this blog is devoted to my current Level I Fieldwork experience!
I am in the Pediatrics Immersion, which means that my Fieldwork is also in a pediatric OT setting. I’ve been placed in a local school district, so I get to see school-based pediatrics. I was really excited when I first got my placement, because I had observed pediatrics before, but not in a school-based setting, so this would be a new experience for me! I spend most of my time at an elementary school, but my Clinical Instructor (CI) and I also go over to a local high school to treat some students there as well.
I just had my 3rd day at my Fieldwork site, and I have already gotten to observe and assist with so many different things! Because my CI has a pretty consistent schedule, I get to see the same kids each week. This allows me to see growth and change in the clients, helps them to become more comfortable with me, and gives me the opportunity to begin planning and leading treatments with them as I become more familiar with them, their goals, and their interests.
The elementary school where I’m placed has a pretty unique setup, because my CI has an awesome OT clinic room all to himself – mats, obstacle course, swings, and all! With all of the materials and resources, there are so many possibilities for treatment and intervention, which is so exciting!
A Typical Morning at my School-Based Fieldwork Site:
8:15 – Arrive, plan for the clients that day, prepare any materials needed.
9:00-9:30 – Pull a client out of class for an individual OT session. We used play-doh to work on hand strength, bilateral coordination (using both hands at the same time in a controlled manner), and pre-writing (by using the play-doh to spell out the client’s name).
9:30-10:00 – Pull another client out of class for an individual OT session. We used a three-step obstacle course in the clinic room to work on gross motor control (coordinating the large parts of your body, like legs, arms, and trunk to move) and task sequencing (progressing smoothly through a multi-step activity).
10:00-10:30 – Time for documentation and planning.
10:30-11:30 – We run an OT and Speech group with one of the Special Ed classrooms. We led the students through a song with choreographed dance moves (jumping, running in place, spinning) and then completed a craft activity based on the song that worked on fine motor skills (activities that require the use of the smaller body parts, such as the hands and fingers) like handwriting, cutting, coloring, tearing paper, and squeezing glue.
11:30-12:00 – Time for documentation and planning.
12:00-12:30 – Lunchtime (in the teacher’s lounge! It’s definitely not as mysterious as my elementary-school aged self thought it was ).
The mornings are pretty consistent, but the afternoons have a little bit more variability. Sometimes, we have meetings with parents and the rest of the team at school (Speech Therapists, Teachers, Psychologists, etc.) to address concerns or for an annual Individualized Education Program (IEP) meeting. At these meetings, it’s really cool to see the inter-disciplinary team working together to best support the individual child in the school environment. Other afternoons, we’ll go over to the nearby high school and work with some of the clients over there. I’ve enjoyed getting to see what school-based OT looks like for elementary-school aged children compared to high school students.
I’ve only had 3 days of Fieldwork, but I’m seeing individual clinic sessions with elementary and high-school aged students, group sessions, IEP and parent meetings, and more! My CI is also very open to me jumping in, taking charge, and planning and implementing some sessions with the kids. As I continue to learn more in my pediatrics class and am exposed to more at Fieldwork, I expect I’ll get more and more comfortable taking on more responsibility at Fieldwork!
My full week of fieldwork is coming up in a couple of weeks, so I’m looking forward to seeing even more clients! If you’ve observed OT in a school-based setting or have any questions about my experience, leave a comment below!
Sep 14, 2017, by Caroline
I can hardly believe it, but this is week 4 of the fall semester, which means that all of my classmates and I are starting our Level I Fieldworks this week! In my next blog, I’ll tell you all about my first couple days of Level I Fieldwork in Pediatrics. Before I do that, I want to use this blog post to give an overview of fieldwork in general, because many prospective students have a lot of questions about it!
Fieldwork is our chance to go out into the field and see first-hand what we’re reading in our textbooks and learning about in class. In our entry-level Master’s program here at USC, we have Level I and Level II Fieldwork experiences.
Level I Fieldwork is tied in with our 3 immersion courses: Adult Physical Rehabilitation, Mental Health, and Pediatrics. Once per week, instead of going to class on campus, we report to our Fieldwork site for a full day of clinical experience. Then, in the middle of the semester, we get a week off from class and report to our fieldwork all week long. Level I Fieldwork is a great way to get exposure to a particular practice setting, make connections to what we’re learning in class, and develop some clinical and interpersonal skills!
Level II Fieldwork is a more beefed-up, immersive experience than Level I Fieldwork. While Level I Fieldwork occurs in tandem with classes during the fall and spring semesters, Level II Fieldwork is a full-time 12 week clinical experience which takes place during the second and third summers in the program. Level II Fieldwork begins with observation, but as the summer progresses, we are gradually given more responsibility, until the end of the summer, where students usually have their own caseload that they are evaluating, treating, and writing documentation about. At the end of Level II Fieldwork, the goal is to practicing at the level of an entry-level practitioner in that setting.
My first Level I Fieldwork experience last fall was during my Adult Physical Rehabilitation immersion. I was placed at St. Mary Medical Center in Long Beach. At this hospital, my Clinical Instructor (CI) and I evaluated and treated patients on the acute and ICU floors. I had never seen OT in a hospital setting, so managing IV lines, oxygen cannulas, and blood pressure monitors was totally new for me. Also new to me was working with individuals in critical conditions. I was surprised by how much I enjoyed the population and setting! I had a wonderful experience at St. Mary’s, and left feeling more comfortable working with patients in the hospital, and with a better understanding of OT’s role in an acute setting.
The following spring semester, my Level I Mental Health Fieldwork placement was at Gateways Forensic Community Treatment Program. This was an outpatient mental health setting that provided court-mandated services for individuals following release from prison or inpatient mental facilities. I had a lot of autonomy at this site: I got to lead groups and facilitate one-to-one OT sessions with my own caseload. Erika wrote a whole blog about embracing fieldwork sites without an OT as your CI, and I couldn’t agree with her more! I had a lot of responsibility, but I think this push was exactly what I needed to gain confidence in myself, my knowledge, and my therapeutic use of self. I was also totally unfamiliar with OT’s role in Mental Health prior to that semester, but I definitely saw the value of occupation and OT’s approach for the individuals I was working with.
Then came summer, where I had my first 12-week Level II Fieldwork experience. I was placed at St. Barnabas Senior Services (SBSS), a center for community-dwelling older adults. This site fell into the category of primary care and health promotion and wellness. My fellow-classmates and I were the first students to have our Level II Fieldwork at this site, so it was up to us to do a needs assessment, market our services, and establish OT’s presence at the site. While that’s hard to accomplish in the span of 12 weeks, we did establish new groups (allowing seniors to engage in new occupations), met with individual clients (that we recruited ourselves!), and led health education and literacy presentations (I provided education on fall prevention and diabetes management). A lot of things about my summer were challenging, given the nature of the site, but I definitely grew as a person and as a future OT. I enhanced my Spanish skills (75% of the time I was speaking with the older adults, it was in Spanish), learned about program development, gained familiarity with common chronic conditions commonly experienced by older adults, sharpened my clinical observation and reasoning skills, and practiced with different evaluation tools and practice models. I wasn’t sure how I felt about working with older adults at the beginning of the summer, but I could definitely see myself working with older adults in the future!
So now I have one more Level I Fieldwork placement left, this time in Pediatrics, and then one more Level II placement next summer. As I said before, my problem (albeit a “good problem”) is that I haven’t yet found a population that I didn’t enjoy working with. I love OT because it allows me to connect with a diverse range of individuals, meet them where they are, and help them work towards getting to where they want to be. In class, we talk about how to do that, and we simulate that with case applications. Fieldwork, though, is my chance to really apply that and have a hands-on learning experience. How valuable that is!
Now that you’ve heard about my prior fieldwork experiences, stay tuned for my next blog, where I’ll tell you how my Level I pediatrics fieldwork has been going so far!
Aug 30, 2017, by Caroline
I love the excitement that comes with a new school year! Growing up, I always looked forward to the annual tradition of back-to-school shopping with my mom and sister – pens, notebooks, and flashcards galore! At the start of a new year, I delight in filling my planner with color-coded assignments, due dates, and obligations…though looking at everything I have to accomplish over the semester can be slightly stress-inducing. One week at a time, Caroline, one week at a time.
These first couple weeks back at school were particularly exciting, as I got to reconnect with all of my classmates after we’ve all completed our first 12-week Level II Fieldwork experiences. It was very cool to hear about all of the different settings my classmates were working in: hospitals, pediatric clinics, schools, nursing homes, rehabilitation centers, skilled nursing facilities, community mental health sites, inpatient psychiatric sites, home health, and more! My classmates have shared about their challenges, their successes, and (my favorite) their A-ha! moments. I have noticed a newfound confidence my classmates have gained after spending 12 weeks in the field, moving towards the comfort level that an entry-level OT practitioner has.
Because some of my friends chose to do their fieldwork placements out of the area for the summer, we decided to do a potluck brunch on the first morning of school to celebrate our reunion and the beginning of another school year! One of my friends lives in Currie Hall, a student apartment on our Health Sciences Campus, so it was incredibly convenient! We also got to check out the Solar Eclipse from her balcony (though to be honest, not sure what I was looking at. Good thing I went into OT and not Astronomy). It was a fun morning catching up, reflecting on our summers, and getting excited for the upcoming school year.
I am in Cohort A, so this fall semester, I’m taking OT503 the Pediatrics immersion course, which I am really looking forward to. In addition to Pediatrics, all of the second year students and I are taking the following courses: OT 534: Health Promotion and Wellness, OT537: Occupation-Centered Programs for the Community, and OT 538: Current Issues in Practice: Adulthood & Aging. Pediatrics, aging, programming, and wellness – if that isn’t a testament to the diversity of our profession and its scope, I don’t know what is! Check out our course sequence if you’re interested in the rest of the courses in the program, and follow along this semester as I work my way through these courses and all of the assignments in my fresh new planner!
Aug 24, 2017, by Caroline
I really enjoy studying occupational therapy at USC, and am so excited to share my experiences with you this year. For my first blog post, however, I want to share a little bit about how I got here, starting with how I learned about occupational therapy (OT).
In the eighth grade, I was assigned a big, scary research project, appropriately named the “Eighth Grade Project.” I was to choose any topic, conduct research on it, and write a paper on what I learned. I chose to research Autism. While learning all about Autism, I stumbled upon occupational therapy as a profession that could help individuals with autism. My research described occupational therapy and how it could help individuals with autism with social skills, sensory processing, development, and so much more! My eighth-grade self thought that was super cool, and decided right then and there that’s what I wanted to do in the future. Believe it or not, I never changed my mind!
Through high school and college, I learned more and more about occupational therapy as a profession. In high school, I conducted my “Senior Project” (also quite appropriately named) shadowing an OT at a pediatric clinic, seeing what I had read about for so long. In college, I observed OT in a nursing home and at an outpatient clinic for adults. Throughout my observation experiences, I was amazed by both the breadth and depth of the profession, and knew that OT was for me. I also liked that it was a helping profession, would allow me to work with people, and that every day at work could look different.
I could write a novel about what I love about OT, and I hope you’ll see a lot of that come through in my blogs this year. One thing that stands out to me, though, is that after a year of studying OT, I haven’t yet learned about a practice setting, diagnosis, or subset of OT that I can’t envision myself working in or with. All of the studying, projects, and presentations don’t feel like a chore, because I genuinely enjoy what I’m learning, the professors I’m learning from, and the experiences I’m having in the program. I love learning about OT, and, in particular, I love learning about OT at USC. I’m so happy to finally become the OT that my eighth-grade self dreamed of, and I’m looking forward to sharing my experiences and my love for OT with you over the next year! Thanks for reading!