Student Blog

11 out of 12 Instrumental Activities of Daily Living ⟩
December 17, 2021, by Guy

Life Hacks

With 11 days until the New Year, I have chosen to write about 11 of the 12 Instrumental Activities of Daily Living that have influenced my life. In the Occupational Therapy Practice Framework: Domain and Process (4th ed.; AOTA, 2020), Instrumental Activities of Daily Living are defined as activities to support daily life within the home and community that often require more complex interactions than those used in ADLs. While those of us interested in occupational therapy often focus on ADLs, I have come to realize how essential the following 11 Instrumental Activities of Daily Living are to me. These activities not only help to give my life meaning, but they give me an interesting way to look at some of the things I have accomplished this past year and what I want or need to do in the upcoming year.

1. Care of others: Caring for others helps me to gain a realistic perspective on my own life, gets me out of my head, and gives me some humility. This past year I have spent a lot of time helping my 98-year-old father. This past week I have been helping him to move. While stressful, I am getting to spend more time with him which I recognize is such a precious thing. I am grateful for his love and have been reminded how lucky I am to have him in my life. Hopefully I can continue to care for him in the same way he has always cared for me.

How have you cared for others this past year? How can you be of service in 2022?

2. Care of pets: Every other month this past year one of my dogs was sick. Last week my dog Jack refused to eat and had some sort of doggie norovirus. Yuck! My other dog Sharon seems to have some sort of problem with her paws every other month. It’s all good because they provide me with so much love and attention. Although they are not official emotional support animals, they take care of me more than I care for them.

Do you have a pet? If you haven’t but have always wanted one, maybe 2022 is the year!

3. Communications management: With Covid, keeping connected with others has been so important to maintaining my emotional health. I have even resorted to writing letters this past year. While I don’t do the holiday card thing, this time of year reminds me to reach out to my friends and family to let them know how much they mean to me, and to tell them how honored I am to have them in my life.

Is there someone you have wanted to speak to for a long time but just haven’t got around to it? Trust me, get in touch while you can!

4. Driving and community mobility: New York City has great public transportation, so you don’t really need a car. LA, the public transportation can be challenging. I feel lucky that my wife and I, having lived in NYC for so long, have no problems navigating the city using public transportation or by walking. But I am also extremely fortunate to have a car. Especially when we need to get out of the city to see nature. I hope that this upcoming year I can see more of California like Yosemite, Death Valley, and maybe the Redwoods.

Where have you gone? Where are you going?

5. Financial management: With one semester left to go before graduation, I know many of my classmates have been talking about paying back loans, potential benefits and salaries, and other money matters. While daunting, it has opened my eyes to how helpful it is to talk to others who share my worries about money. So many of us try to figure all this money stuff out on our own. We don’t need to suffer in silence.

Do you have someone you can talk to about your finances? Is there someone you know and trust that can support you with money matters as you get ready to start graduate school or graduate?

6. Health management and maintenance: This past year I got back into running. I’m now up to running 4 days a week in the morning. Next year I want to run a half marathon. It isn’t always easy to get up and run. Some days I just don’t want to do it even though I know I always feel better when I run. On days when I don’t want to run, I remind myself of a phrase I learned in my pediatric immersion class, “When in doubt prope (proprioception) it out”.

Do you have any health maintenance routines? What will you do to support your health and wellness in 2022?

7. Home establishment and management: Recently my wife and I have been going back and forth about getting a new bed. After putting a lot of effort into creating a nice place to live, this is the one thing in our house that still needs to be addressed. However, the cost of a new mattress/bed is expensive! We both know we need to be comfortable sleeping – Am I right?

How have you made your home comfortable? Are there any changes that you would like to do to make it better?

8. Meal preparation and cleanup: Food, glorious food. I sure have been cooking a lot. One major change this year was unforeseen. My wife decided to become gluten free, so I also became gluten free. This has added a whole new dimension to preparing meals and dining out. I became that Guy who knows all about gluten free pizza and cookies. The benefit of this change is I have healthier eating habits and am much more mindful of what is going into my body. I also have been thinking about what it could be like to cut out meat or at least limit my consumption of meat.

What types of new foods have you discovered? What types of food or meals to you think you might want to prepare in 2022?

9. Religious and spiritual activities and expression: I feel like I have neglected this aspect of my life and as a result can tell a difference in my day-to-day outlook. I lost someone very close to me this past year which awakened this otherwise dormant part of me. So many questions after experiencing the death of a loved one . . . so many questions.

10. Safety and emergency maintenance: There was one earthquake this last year that was rockin’. Yuck. I forgot about how earthquakes felt while living in New York. We had hurricanes and snowstorms, but they didn’t compare to the feeling I had with this earthquake. I thought what if the “big one” comes? As a result, we put together an emergency kit and started getting together some nonperishables just in case the big one happens or if there happens to be a Zombie apocalypse.

All kidding aside, how can you keep up your safety and emergency maintenance?

11. Shopping: Shopping has been a challenge as this year. Especially as a student with a limited income. However, I have mastered the art of making food shopping lists that are always within budget. Also, as an OT student I fortunately am not needing to keep up with wearing the latest fashion . . . but I do like me some clothes so maybe next year I’ll try to set aside some money for some new threads . . .

Have you noticed inflation? How are you dealing with rising costs going into 2022?

And about that 12th IADL — Child Rearing . . . Well, I don’t have any children right now, but maybe in 2022? We will see?!

As you reflect on your 11 or maybe 12 IADLs, I hope they are as enlightening to you as they have been for me. Have a Happy New Year.

⋯

12 Weeks of Fieldwork ⟩
December 16, 2021, by Alyssa

Fieldwork

Welcome to a special edition of student blogs! For the next 12 days, we will be sharing a blog every day. To kick us off, I’m excited to tell you about my 12 weeks of fieldwork.

Level II fieldwork is a full-time 12-week clinical experience in any occupational therapy setting. As part of the Entry-Level MA, you do two of these in the 2nd and 3rd summer. I felt set on doing one of my Level IIs in a pediatric hospital, but many of those want someone who has already done a Level II in an adult hospital setting. So here was my criteria for searching for my first Level II: (1) Adult hospital setting (2) In a new and interesting place.

That was it really. I had little sense of what I wanted to get out of working with adults. In fact, I was terrified of working with adults. I had only ever worked with children and knew I loved it, so it never crossed my mind to pursue something else.

We can request fieldwork sites anywhere in the country, so I browsed the map of sites and picked Marianjoy Rehabilitation Hospital as my top choice. No one from USC had done their fieldwork there before, but it hit both of my criteria. It is a hospital with inpatient, outpatient, and day rehab programs in Wheaton, IL, a suburb of Chicago. And luckily - I got placed there! So after a lot of scrambling to find housing in Illinois, a state I had never been to, I packed up all my stuff and moved for the summer of 2021.

Here’s what my 12 weeks looked like.

Week 1: Observation, Loneliness, Exhaustion
To start out, I experienced a combination of excitement, overwhelm, and imposter syndrome constantly for the whole week. I was thankful that my site had weekly objectives for their fieldwork students, and week 1 was mostly observation. Even so, it was hard not to freak out knowing I would be actually doing what I was watching in a few short weeks.

It was tough adjusting both to a new role as a fieldwork student and to a new city at the same time. I only knew two people in the area, all the grocery stores were different, and I felt like a foreigner. I was subletting an apartment in Chicago and commuting 45-90min to and from the hospital. My hours were 6:30am - 3pm, but I tried to get there by 6. By the time I got home around 4:30/5, I’d eat dinner and immediately get ready for bed so there was no time to socialize. In all senses, I was exhausted.

Week 2: Leaning on Other People
By week 2 I was starting to feel more comfortable with the other people at the hospital. The OT schools in the Midwest had a different schedule, so the other fieldwork students were already halfway done when I came in. The conversations I had with them were the reassurance I needed that I was going to be fine.

The other therapists, nurses, and hospital staff were incredibly welcoming. I somehow picked a random site off a map and ended up at the nicest hospital in the country. It put me at ease knowing they were used to having students around and weren’t judging me for asking questions.

Above all, my fieldwork educator could not have been a better match for my learning style. He was great at giving constructive feedback in a way that was encouraging and he boosted my confidence when I was clearly very anxious.

Week 3: Sweaty
Each floor of the hospital was sectioned into different clusters of patients. I was placed in the inpatient brain injury rehab unit, where each therapist has about 7 patients on their caseload that they see mostly every day. At this point, I was expected to take on a couple of my fieldwork educator’s patients onto my own caseload. There was a lot of sweat, but I was really enjoying getting to connect more closely with the patients.

Week 4: Getting Into the Groove
As I gradually built up my own caseload each week, I started to feel more competent in my own skills and useful as a teammate to my fieldwork educator. Plus, after 4 weeks, I had finally adjusted to my new normal of being asleep by 9pm and waking up at 5.

Week 5: Emotional Support Ice Cream
Weeks 5 and 6 looked a lot like week 4. I added about 1 new patient to my caseload each week and spent more time planning/documenting/reviewing with my fieldwork educator. Objectively, the workload was increasing, but it was a comfortable pace and I was feeling good.

I was also improving my life balance, including prioritizing meal prepping and making more time to socialize (especially weekly Bachelor/ice cream nights with friends).

Week 6: Midterm Eval
Woohoo halfway through! Anxiety no more! Just kidding. You get evaluated at the end of week 6 and I was really worried for nothing. I had been getting consistent feedback from my fieldwork educator, and the evaluation session was helpful for us to elaborate on that feedback and set goals for the second half of the summer.

Weeks 7-11: Full Caseload, Feeling like I Belong
The gradually-building-up-to-a-full-caseload part of fieldwork was over. I was still working closely with my fieldwork educator, but the goal was for me to lead all the sessions. Even though I had become more comfortable with treatment planning, the nature of brain injuries is unpredictable and you never knew what the next patient would be like — which was both challenging and exciting as an opportunity to get creative working in a hospital.

The role of a fieldwork student at this point of the experience was an unfamiliar middle ground between student and professional. Obviously, I was still learning and building my skills, but at the same time I felt like I was really in it and working. I got to collaborate with an amazing PT and SLP, my documentation required minimal review, and I got such kind comments from patients who were surprised I was a student. I really felt like I belonged.

Week 12: A Tearful Goodbye
I am a sprinkler when it comes to saying goodbye. On my last day, I cried on the way there, I cried saying goodbye to everyone, and I cried on my way home. I never thought I would love working in this setting so much, and it was so hard to think about it being over and going back to school for a year before my next Level II. Looking ahead, I still can’t wait to try out pediatric hospital work, but I’m happy to know there’s a part of me that likes working with adults too.

If you’ve made it this far, thanks for reading! TLDR: My Level II fieldwork was expectedly challenging but unexpectedly awesome.

⋯

My Experience with the Pen Pal Program ⟩
December 13, 2021, by Global Initiatives Team

International What are OS/OT?

By Abraham Ramirez, Entry-Level Professional Master’s student

Editors Alison Chang and Vanessa ElShamy
Entry-Level Professional Master’s students

One of the meaningful projects that I’ve been involved in within Global Initiatives is the Pen Pal Program. I was lucky enough to be connected to two students in Colombia who were both in the same year at the Escuela Colombiana de Rehabilitacion. This was a great opportunity to learn about occupational therapy and its scope of practice in Colombia. My pen pals and I communicated in Spanish because it’s the most widely spoken language there.

What is the most memorable letter that you’ve received from your pen pal?

Even though the program has the word “pen” in the title, my pen pals and I decided to communicate through Instagram messenger via group chat, as well as Zoom when we found the time. Our group chat conversations revolved mostly around the OT profession in our respective countries. However, the most meaningful experience was communicating over Zoom. We talked a lot about differences in culture between Mexicans and Colombians, since I’m culturally Mexican. We also discussed nuances in Spanish and how the language has evolved in Colombia and Mexico. It was interesting to find the beauty in the uniqueness of our cultures, as some may make assumptions that countries in Latin America are all similar.

What is the best thing you have learned from your pen pal?

I learned about how OT education is different in Colombia compared to in the U.S. In Colombia, you currently only need a bachelor’s degree to practice as an OT. Additionally, from the way they explained their curriculum, it seemed like there’s an emphasis on hands-on approaches. I also like that they place emphasis on OT in the “sector laboral,” or “the workplace.” For example, one of my pen pals had a rotation at an airport where she completed ergonomic assessments for the personnel.

What message would you send to your pen pal right now if you had only 2-3 sentences to say it?

If I were to send a message to my pen pals right now, I would honestly just say that I appreciate their openness to friendship, even though there are hundreds of miles between us. It’s great to know that there’s people across the world that enjoy speaking with you.

⋯

My Experience in Creating the World OT Day Video for the USC Chan Division ⟩
November 29, 2021, by Global Initiatives Team

Diversity International Videos What are OS/OT?

By Kashvi Shah, Post-Professional Master’s student

Editors Michelle Plevack and Abraham Ramirez
Entry-Level Professional Master’s students

“Our sense of belonging can never be greater than our level of self-acceptance.” — Brené Brown.

At USC Chan, we have a diverse global community with a significant percentage of international students. Most of them struggle to find their sense of belonging in this new environment and find it challenging to develop resilience. However, “true belonging does not require you to change who you are: it requires you to be who you are” (Brené Brown).

Hence, on this World OT Day, I thought it would be a great idea to involve our student community in celebrating ourselves and our profession. I approached Dr. Daniel Park at the Global Initiatives office with the idea of creating a short video film of our students on the theme by WFOT (World Federation of Occupational Therapists): Belong, Be You. I am sure you began to wonder what these words mean to you. And so did I.

Earlier, I was excited about this project as I found an opportunity to contribute to this with my interest in videography and editing. However, soon after my excitement turned into anxiety. The technical aspects of videography then seemed less challenging than the conceptualization of this video, which was more entangled than expected.

Fortunately, I had the assistance of Marvyn Ngo, our MA-1 Student Ambassador at USC Chan, who always corroborated my ideas and furthermore, helped in reaching out to students for participation in the video.

The most exciting and enthralling part of this process began next, as it was finally time to put together what the participants had shared. Ann Beattie once said “People forget years and remember moments.” That is exactly what the video clips from our participants’ cherished moments were. They could feel their belonging in celebrating who they really are! I enjoy dancing as a meaningful occupation wholeheartedly and being myself is my true belonging. I was glad to see how all our participants found meaning in different activities.

For me this experience was so enriching. From facing the challenges of generating ideas to the support in executing them, and from the excitement of creation to the anxiety of outcome, it was indeed a whirlwind. For this opportunity, I am grateful to those at the Chan Division who added meaning to my belonging at USC.

References

Brown, B. (2012). Daring greatly: How the courage to be vulnerable transforms the way we live, love, parent, and lead. New York, NY: Avery.

Brown, B. (2017). Braving the wilderness: The quest for true belonging and the courage to stand alone. New York, NY: Random House.

Beattie, A. (2002). Where you’ll find me and other stories. New York, NY: Scribner.

⋯

The ABCs and 123s of NBCOT Prep ⟩
November 24, 2021, by Kayla

Classes Life Hacks

The NBCOT, the certification exam that solidifies new graduates as a ~real~ OT. For most, this is the last big exam in your academic career and a reminder of just how far you have come; quite literally everything has led you to this point.

So, let’s get right into it; as with many things in life, there is bad news and good news. Bad news first, studying is going to be stressful and require discipline and dedication; but the good news, you are NOT alone and it won’t last forever. During the process of studying I eventually gathered the sense that the NBCOT is like a rite of passage; not only because every OT has to take it, but because everyone remembers that unique time and the experience of it all. Everyone you speak to is going to have study tips and advice to give you . . . so it would only be right to pass unto you the wisdom that was imparted on me. Without further ado, I give you, the NBCOT ABCs and 123s.

ABCs

N — Nail Down a Study Schedule
One of the first things you’ll want to do is create a study schedule, including determining how long you want to study overall and how many hours per day/week. The next step I took was to determine my study schedule and luckily for me (and you) there are many readily available online. I chose not to reinvent the wheel and use a pre-existing study guide because that worked for me, but creating your own is also an option. This step is all about formulating a study schedule that meets your needs and makes sense to you!

B — Build Endurance
This exam is four, count them, four hours long. A huge component to success is training your body and mind to be able to tolerate sitting in a chair and more importantly focusing and thinking clearly for that long. One of the best ways to do this is to gradually increase the amount of time you are in complete focus/study mode. Consistency is key in building test endurance.

C — Choose Exam Materials That Fit Your Learning Style
There are so many study materials out there and so many different opinions on the usefulness, but ultimately what really matters is how they fit with your unique style of learning. Below I’ve listed some commonly used study materials and a little bit about them.

AOTA Exam Prep: This resource consists of practice questions, practice tests, informational PDFs, and flash cards on virtually every practice area and study topic. This resource also provides rationale for the correct answers to questions, I personally found this very helpful! The price of these materials is $149 for AOTA members and $209 for non-members. (Pro-Tip: USC professors normally send out an email to get a reduced group rate on this resource so be on the lookout for that when the time comes around!)

NBCOT Study Pack: This resource has a pre-test, domain-specific questions, mini tests, flash cards, and study games to help you along the way. The most valuable components to me were the practice test and the full practice exam. The consensus among my classmates was that this resource was most useful for getting the feel of how questions would be asked and the format of the exam. There is also a myth that you are likely to score within 10 points (more or less) than your score on the full practice exam; my score proved the myth right in my experience! This resource is $75.

OT Miri: On top of this being a completely free resource, it is so useful! The videos are a great way to learn or solidify the information you’re studying. Personally, I absolutely LOVE OT Miri, she’s so relatable, covers a wide range of study topics, and presents information in a way that’s easy to understand and easy to remember. I’ll be singing the Finkelstein Test song for a long long time (IYKYK).

OT ExamPrepper Podcast: This is another free resource, this podcast is dedicated to helping students like us succeed on the board exam. The host explains study topics using pop culture references and creates clever mnemonics to help you remember information. There are even visual and study guides to refer to while listening to the podcasts; they’re great to listen to during a workout or on your daily commute!

TherapyEd: The TherapyEd book often gets a bad reputation because it is dense and has a lot of information. This is a very comprehensive resource that covers a lot of content and specifics within each study topic. I found the corresponding online questions and practice exams so useful because rationale for the correct answer is provided.

I started using mine about a week before my exam and I was so upset I didn’t use it sooner, the questions and rationale SO useful for my learning style.

O — Optimize Your Study Space
Here are some pointers to optimize and organize your study space/time!

• Use the do not disturb/silent feature on your devices to decrease distractions
• Find a quiet and comfortable place to set up your study headquarters
• Have water and snacks nearby
• Take meaningful breaks when needed
• Study at the optimal time for you (I’m a night owl!)
• Switch it up every once in a while (I did this by zoom studying with a friend!)

T — Take Practice Tests
Taking practice tests is SO useful because it combines all of the skills you need to be successful on the actual exam. They help build endurance, help determine how long you take to complete the exam, and illuminate areas for you to focus on during your studies!

123s

Another huge component of NBCOT prep is making sure that you are taking care of yourself so that you have the energy and mental capacity to study! This is more easily said than done but hopefully these tips will help.

1 — Listen to Your Mind and Body
Honestly, some days are going to be better than others. Some days you are going to be studying and really understanding the material and motivated to keep going. Other days, you may be tired, overwhelmed or busy with other things, or just not have the energy to study. And guess what, that’s OKAY! The process of studying for this exam is just that, a process, and the results will be a culmination of the effort you put into your preparation. That means, if one day you feel like you just cannot focus or are too exhausted to study, give yourself some grace and rearrange your study schedule. I promise it is 100% better than trying to push through and burning yourself out. Extra Tip: schedule rest days into your study schedule! It can help ease the apprehension that can come with taking a day off!

2 — Do Your Self Care!
This counts for during your studying as well as before the exam. This is a great time to practice what we preach, take time to do the small things that make you happy and the things that make you feel like your most authentic self. It is easy to assume the identity of “studying for the NBCOT” and let that and the stress consume us (guilty as charged) but it doesn’t have to be that way.

Extra-Extra Tip: The day before your exam, don’t touch any of your study materials and schedule some R&R activities for yourself. Spend some time with family or friends, grab your favorite latte, just do things that make you feel good. I promise, your brain and body will thank you.

3 — Affirm and Reaffirm Yourself . . . and Reaffirm Yourself Again!
Mindset is EVERYTHING and this starts way before test day. While you are studying it is easy to get down on yourself or doubt your abilities but it is important to reaffirm yourself that you can do this! Positive self-talk and reframing how you’re feeling will go miles farther than putting yourself down; it could even be the extra edge that helps you pass.

⋯