Student Blog

My Class is a Nexus Point ⟩
September 29, 2021, by Marvyn

Diversity International Living in LA

A nexus is a connection of multiple links into a common point or place. In the Post-Professional Master’s program, it’s just that.

If you read about my previous blog post (OT was not my first choice . . . but I have no regrets), I mentioned that time and destiny have their unique way of bringing people together. The program I’m in is no exception to this. For the most part, it’s almost serendipitous. Can you imagine that more than 30 unique individuals, having each their own personal experiences and life stories across the globe, flew into Los Angeles to study OT? On top of that, we’re still in the middle of a global pandemic!! It sounds so crazy and thrilling to me that I have classmates from India, Taiwan, Hong Kong, South Korea, Singapore, Colombia, the Middle East, and of course my home country the Philippines. Being at class in person, it’s essentially a melting pot of unique stories and personalities: flavors from all around the world! It still baffles me that despite all the circumstances we were all dealing with individually, life just situates us to be together in a class to learn and grow from each other.

You see, experiencing LA is one amazing thing. But can you imagine exploring it with a class that’s as diverse as this? Check out this hike we did at the Eaton Canyon we did on our second week of class! Some say the trail is pretty basic, but it’s much less about the hike but more about the company you’re with. And if you’re hiking with this bunch, you will always run out of breath from having endless, great conversations (oh, and from hiking too of course).

On top of that, Dr. Danny Park along with the Global Initiatives team has been very hands-on in support of International Students at Chan, like us in our class. We had events like social mixers and support groups to emphasize togetherness in a culturally diverse environment. A chance to meet and learn from somebody else’s stories and experiences are really irreplaceable, and they are doing an amazing job at that. Fun fact: Did you know that Mooncakes symbolize togetherness and prosperity? Look at some of my classmates celebrating the Mid-Autumn (Mooncake) Festival at the CHP Patio!

In my classes so far, I have learned the importance of togetherness and community as a crucial part of a person’s optimal occupational performance. My class is the epitome of that. I thought that coming into a class full of foreign students would isolate me, but I was wrong. It is in our different backgrounds and experience that actually makes us even more together! I found an even bigger, cohesive community that is PP-MA. A home outside of home, as you may say.

So to my classmates at PP-MA, you’re all awesome. I am so honored and thrilled to be part of this class as if I haven’t made that clear in this blog post. We all come from different parts of the world, but USC Chan was the nexus point that linked us all together. How cool is that?? I am looking forward to learning more from each of you and to taking even more unforgettable adventures and experiences together this school year. Fight On!

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Hacking Houses into Homes ⟩
September 22, 2021, by Alyssa

Housing and Transportation Life Hacks Living in LA

Like a lot of people, I’ve spent most of my time over the past year and a half at home. In a series of events (some fortunate, others not so much), “home” for me has looked like a USC dorm, my childhood bedroom, and several short term apartments. Since March 2020, my living situation has been like a game of ping pong: LA → New Jersey (1 month) → Wisconsin (1 month) → New Jersey (2 months) → Connecticut (4 months) → LA (4 months) → Illinois (3 months) → LA (present).

On top of hopping between states, I was constantly changing the spaces themselves. I can get obsessive over tetris-ing my things into a new space as logically as possible. I draw out floor plans and make models on the Sims. Then, I rearrange my house when I’m stressed (it is a hazard of living with me, any roommate of mine can attest). But what all of this moving, planning, and rearranging has taught me is that there’s no right or wrong answer for a living space — the best space is whatever works for the people living in it.

We’ve learned repeatedly in class that an environment that matches a person’s needs can support their ability to participate in occupations. If you’re considering changing your current setup, moving to LA for grad school, or trying out-of-area fieldwork in a new city — let’s talk tips for making your living environment into a home.

Locations for Leisure
Especially if you are working from home, it can be easy to forget that home is also a place for leisure. Think about how you can make space for leisure activities you like. This could be leaving floor space for a yoga mat, setting up a craft corner, or establishing a comfy space to read. For me, this means having a dedicated table to do puzzles.

Match Your Mess
Nobody’s perfect and sometimes our habits/routines are messy. Instead of shaming yourself for it, consider how your environment can support you. Here are 2 examples:

1. If I don’t see something, it isn’t there. I keep my clothes easily visible stacked on bookshelves instead of hidden in drawers. In my fridge, leftovers are on the top shelf, the condiments are in the vegetable drawer, and all vegetables are in the door (this one has really saved me from wasting food).
2. Part of my daily routine is trying on no less than 4 outfits before I pick one and then I either run out of time or, honestly, don’t prioritize putting them back. This used to result in a disaster zone in my bedroom and confusion between what clothes were dirty vs clean. My solution now is to have a separate basket for clothes-to-put-back-later that I can reorganize when I have time.

While these might make no sense to you, my point is that there are no rules. Match your home to your habits/routines.

Furniture is Fluid
I’ve gotten almost all of my furniture second-hand and a lot of it is not used for its intended purpose. I’ve used an IKEA dining table as a desk. We used to keep pots/pans in the TV stand. My current fruit shelf was formerly my plant stand and is actually just a bathroom rack I found on the curb. Especially if you’re moving around and feeling like arranging furniture is like fitting a circle block into a triangle hole: everything is multi-purpose if you believe it is.

DIY Decor
Filling your space with decorations that make you feel good can seem expensive. Channel your creative energy and consider making some DIY Decor (throwback to Foundations: Creativity, Craft and Activity Analysis). It doesn’t have to be fancy - here’s some of what I’ve made:

Writing this felt a little like skipping ahead. Actually finding housing, furniture, roommates, etc. is a whole other ball game — but I’ll save that for another blog post. 😊

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How to go to OT grad school after being out of school for a long time — Step 1 ⟩
September 21, 2021, by Guy

Admissions

I’m changing careers to be an OT, help, what do I do?
So, after deciding you want to be an OT, you are daunted by the prospect of making it happen. You say to yourself, “Dude, I want to be an occupational therapist, but I have to go back to school — and it’s been sooo long.” Your brain continues with more self-doubt by saying, “Maybe it’s too late, I won’t be able to afford it? Besides, I was an art history major and studied some science, but that was in 2010 and I don’t remember any of it. I don’t have time to take all of these classes again and then graduate school!” Or you’re thinking, I’m ready, it’s time to make this happen. In either case, you just need some sort of road map of what it will take to go back to school. For me, I had no road map. I knew no occupational therapists who were recent grads, except for that one who became a regular at my bar (see my last blog) but that was after I started the process. So, I was left to internet searches and a few somewhat impersonal informational sessions at a few graduate schools (USC was not one of the ones that were impersonal — Thanks, Dr. Nxumalo and Dr. Bennett!).

If you are like I was (changing careers) and are trying to figure out how to go to OT grad school, I’ll be spending the next few blogs talking about my experience of going back to school. Hopefully reading these blogs will give you some helpful tips on what steps to take. However, please note these steps are what I did, and what worked for me. They are in no way the only way to get yourself to OT graduate school. Find what works for you.

Step 1: Taking pre-requisite classes so you can apply to graduate school

After making the decision that I wanted to be an OT and finding out about needing to go to graduate school to get a license, I went down the rabbit hole investigating what the requirements were to apply to graduate school. (Perhaps a similar search has caused you to land on this page.) Unfortunately, my liberal arts degree from the 90s was not going to be enough. One key thing I kept seeing on graduate school websites was there were a bunch of classes I needed to take, but because I had a liberal arts degree, I did not take most of those classes. Also, for the one or two classes, I did take, because I took them when I was in college more than 7 years ago, I would need to take them again . . . bummer. Most schools require the pre-requisite classes to be taken anywhere from 5 years to 10 years before attending graduate school. USCs requirement is you need to have taken your pre-requisites within 7 years of enrollment.

So, what classes do you need to take to apply to OT graduate school? Most OT grad schools but not require: Anatomy, Physiology, Abnormal Psychology, Developmental Psychology, Anthropology or Sociology, and some sort of medical terminology class and sometimes Statistics. Interestingly, one graduate school I thought about applying to, not USC, required all applicants to have taken Chemistry and Physics. Chemistry and Physics? No offense to chemists and physicists but no thank you!

Find the pre-requisites to apply to the USC Entry-Level OTD with links to possible courses.

Once I knew what pre-requisites most OT graduate schools required, I began to think about where I could take classes for the least amount of money. I just couldn’t afford to spend that much money on classes, and my wife was already a bit wary of this midlife career change and its impact on our finances and time. (How to make the change from a working adult to student and adjust your finances and time to attend graduate school will be coming up in Step 3 and 4.)

For me, the most logical way to complete my pre-requisites was going to community college. (Big shout out to LaGuardia Community College and LACC!) It was affordable, I was also able to complete all the prerequisites for approx. $50 a credit, and it offered me the most flexibility around scheduling so that I could continue to work full-time. I was able to get online classes, and weekend and evening classes. Also, because many community colleges are on a quarter system, I was able to take more classes in a shorter amount of time. In addition, it was a great way to slowly get back into going to school and not feel totally overwhelmed. For me, I hadn’t been to school in a very long time . . . scary. I was able to start slowly by taking one class per semester. I was able to complete all of my pre-requisites in less than two years. However, in the midst of that, I did eventually start working a part-time job which freed up more time to double up on classes and accelerate completion . . . more on that in my next few blogs.

One thing to remember if you decide to go to community college is to complete your pre-requisites. Make sure to register for Anatomy and Physiology classes early. They often fill up very quickly because most if not all health profession graduate schools require applicants to take these classes. They are very much in demand and can be closed on the first day of registration.

You might be saying, as I did, “Why do I have to take all of these classes. It seems like so much time and money! I’ve already got a college degree, isn’t that enough?”

Well kind of but after being in graduate school for a little more than a year now, I understand the reason and value of taking all of these pre-requisite courses. Yes, my college degree and your college degree probably gave you important skills needed to handle the academic rigor of graduate school, however, these pre-requisite courses provided me with an important base of knowledge specific to occupational therapy, and I find that this knowledge comes up almost every day I’m in graduate school. In fact, all of the classes that I have taken in graduate school have at some point referred back to things I learned in each of those pre-requisite courses. Just yesterday something from my developmental psych class came up . . . Albert Bandura and social learning theory anyone? . . . and that DCML pathway I learned about in my physiology class comes up all of the time, who knew how important that would be to so much of what OTs do on a daily basis!

So, hop on it, and get ‘em done!

Good luck with your pre-requisites and welcome back to school if you just started taking your pre-requisites or are currently taking them.

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Dancing In the Rain ⟩
September 15, 2021, by Teresa

Fieldwork What are OS/OT?

In the Vietnamese language, there is a phrase to offer your condolences to someone when a loved one passes — “chia buồn” — which roughly translates to, “I share in your sadness.” I’ve always found it poignant and have yet to find a phrase in English which can succinctly convey the same sentiment; that if the weight feels too much for one person to bear, please allow me to help you carry it.

This past summer, my grandpa passed away, peacefully and surrounded by loved ones after many years of suffering many strokes. Recounting his life, I realized I had known him as ill for more years of my life than I had not. Growing up, most of my interactions with him existed within the confines of a skilled nursing facility. This past summer, I was also completing my first Level II fieldwork experience in a skilled nursing facility.

During his celebration of life, my family went around the room sharing stories about grandpa. After my dad retired, he took upon the role as an informal caregiver to my grandpa and shared how much grandpa hated my dad’s visits to the nursing facility because he knew that meant it was time for a bath. My mind went, “OT!” but everyone took the light-hearted story for what it was and laughed, including myself. A few weeks later during fieldwork, I was notified that a family member wanted my patient to work on bathing during OT that day.

My patient did not want to work on bathing during OT that day.

They were protesting against the task, bargaining with me, and apologizing for how their disability was inconveniencing my work. I thought of my grandpa and how I would want a therapist to approach the situation if it was him. In places like skilled nursing facilities, there is so much loss of control. People have little to no control in their routine, what and when to eat, what medications they take, and how quickly (or slowly) their body is changing. So when a bright-eyed young OT student comes knocking on their door, asking if they want to take a bath, they say “no” — and you let them, because it returns just a tiny sliver of control to their life.

On several occasions, concerned family members entered the rehab gym with questions about their loved one’s progress during therapy. While others avoided eye contact so as not to get flagged down with questions, I’d approach them and provide updates as best I could. Afterwards, therapists would say to me, “You’re a student — you didn’t have to do that” to which I would reply, “I wanted to.” Just as much as I want to share in victories with patients and their families, I want to share in their sadness with them as well because it’s how I would want my own loved ones to be treated by providers.

Dr. Rafeedie often says how “occupational therapists teach people how to dance” but I’d like to add a stipulation — that sometimes, we teach people how to dance in the rain. That sometimes, in even the bleakest of places, you can teach people how to flip their outlook on life, flip the way they move and feel, and flip the way the system works because as occupational therapists, you’re well-equipped to. OTs possess the impeccable ability to take an unfortunate situation and turn it into something wonderful.

I lost my grandpa this summer yet somehow, I still saw him a lot. I saw him through my patients and the cheesy jokes they’d crack during our sessions. When they encouraged me to work hard in school and finish strong, I heard my grandpa cheering me on. On their families’ faces, I saw my own family’s faces — the looks of desperation, of encouragement, of sorrow, of hopefulness. To whoever is reading this with a heavy heart: I share in your sadness with you, whatever it may be. The rain is clearing and the sunshine is coming, I can feel it. Let’s dance.

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Externship project — The experience of spiritual participation among people with intellectual disabilities in an evangelical church in Hong Kong ⟩
September 15, 2021, by Global Initiatives Team

Diversity Externships International

By Rebecca Ka Ki Tam
Post-Professional Master’s student

This externship project was inspired by the concept of occupational justice. I worked as a pediatric occupational therapist in preschool settings in Hong Kong before studying at USC. During those days, I had little knowledge about occupational justice. My studies at USC have expanded my understanding of occupational justice and greatly inspired my belief that occupational therapists can advocate for everyone’s right to participate in everyday occupations regardless of age, ability, gender, social class, or other differences (American Occupational Therapy Association, 2020; Nilsson & Townsend, 2010, p. 58). This concept has allowed me to reflect on my experience volunteering in a church in Hong Kong that pioneered spiritual participation among people with intellectual disabilities (ID). I experienced the joy among people with intellectual disabilities in their Sunday services. I wondered, however, whether spirituality is vital to their well-being. This population is one of the most controversial populations to serve in churches since many people believe that individuals with ID cannot fully understand the concept of faith. Thus, I became curious to know more about spirituality in this population — what is their experience in this occupation? How important is faith among people with ID? As revealed in my full article, I started this externship project to explore spiritual participation among people with intellectual disabilities. I conducted interviews in a church that pioneered spiritual participation among people with intellectual disabilities in Hong Kong. I interviewed a participant with severe ID, the participant’s caregiver, a volunteer, and two pastors. I also interviewed Professor Sarah Shea, who is involved in research relating to practical theology and theologies of disabilities and who ministered to marginalized populations at Hong Kong Baptist Theological Seminary.

One memorable experience during this project was my interview with Anna (pseudonym), who has a severe ID. During the interview, she prayed for me, sang me a gospel song, and joyfully asked me to accompany her to church. Anna revealed how much she loves church life. I was very touched by her warm welcome and explicit love. Her caregiver shared with me that spiritual activities were unique in that they have helped Anna understand more about life and death, and overcome loneliness.

Anna initially was not comfortable talking to me during the interview. At first, she frequently walked away and ignored my questions. I then tried to talk in simple sentences and treated her as a friend. She gradually became more relaxed, sat down, and chatted with me. It reminded me of a pastor’s sharing that it is always important to be “present” — “Take your time, no rush. Be there with them, despite their circumstances, and treat them genuinely as true friends.”

In this project, I further reflected on how the arbitrary binary of “typical” or “atypical” classifications has inevitably become a barrier to genuine communication. Despite differences, we can always treat each other as true friends, learn from each other, and accept support and help from each other. I used to have a misconception that people with different intelligence might have different needs. Thus, it might be suitable to segregate people into various groups according to their needs. However, I realized this misconception was a barrier that had obstructed my genuine interaction and friendship with people diagnosed with intellectual disability. There should not be hierarchies in interaction, but we should celebrate our diversity. In an interview, a pastor shared that occupational justice probably does not merely focus on enabling people to participate in a particular occupation but also emphasizes the meaningful interaction among different people within that context. I envision that the concept of occupational justice will be more widespread someday, and I hope this article will motivate the public to advocate for occupational justice among people with intellectual disabilities.

References

American Occupational Therapy Association. (2020). Occupational therapy practice framework: Domain and process (4th ed.). American Journal of Occupational Therapy, 68(Suppl. 1). S1-S48.

Nilsson, I., & Townsend, E. (2010). Occupational justice — Bridging theory and practice. Scandinavian Journal of Occupational Therapy, 17, 57–63. https://doi.org/10.3109/11038120903287182

Tam, R. K. K. (2021, July 15). The experience of spiritual participation among people with intellectual disabilities in an evangelical church in Hong Kong

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