First 4 Fieldwork Sites Done!

March 24, 2025
by Patricia

Beginnings and Endings Fieldwork

Level one fieldwork is a clinical hands-on opportunity where you get to observe and apply the knowledge you’ve learned within the four immersions: adult rehab, mental health, pediatrics, and productive aging and geriatrics. As the level one fieldwork experience comes to an end I can’t help but reflect back at my experiences - especially day one! I remember waking up super early to get ready, arriving at my destination 30 minutes early, standing outside the facility and feeling nervous to enter. Honestly, this is something I did for every fieldwork site I was placed at, so let’s get started. 

On the first day of each fieldwork experience I never really knew what to expect so I entered each space with an open mind. I started off my first fieldwork experience at a community-based mental health site with no OT on site and the staff themselves did not know what OT was. I realized the need for OT in mental health settings and I walked away building rapport with the clients and staff by sharing how OT can support individuals with mental health challenges. And I won’t lie, it wasn’t easy creating that experience for myself. I definitely remember going back to class and having discussions with the professors and sharing during our debrief groups in the lab to get feedback and suggestions on what I could do. There was another student from my cohort group at this site and we both created group sessions which were a major success. I enjoyed my experience at the mental health site and I wish I had more time because it wasn’t until near the end of my fieldwork experience that I felt confident in practicing the strategies we learned in class.

My second fieldwork experience was at a pediatric outpatient clinic. The structure of this setting was much different than mental health because there were OTs on site. What I really loved about the site was that my fieldwork educator (OT) involved me during the treatment session and supported my learning during my time there by answering my questions. They shared with me what the child’s goals were, what type of interventions they were using, and asked for my input on what therapeutic activities could be done in order to meet the child’s goal. I will say what was new and interesting to observe was the approach of sensory integration and sensory strategies used during sessions. I enjoyed my experience as there was definitely a lot to learn about and observe that nine weeks was not enough.

My third fieldwork experience was at a continuing care retirement community (CCRC) that provides four levels of care: independent living, assisted living, memory care, and skilled nursing facility. In this setting most of the interactions were with elder individuals in the independent living and assisted living level of care and there was no OT on site. At this site there were three other students from my cohort group and we created activities for the residents while keeping in mind their abilities and limitations. This experience has a special place in my heart as the residents were so welcoming, shared their life experiences, and allowed us to share what OT is about.

Lastly, this semester I am in an outpatient setting for adult rehabilitation. Patients with different diagnoses are seen in this setting for the following reasons: a referral for an OT evaluation, continuing clients attending their treatment sessions, and/or wheelchair evaluations. I truly appreciate my fieldwork educator (OT) as they facilitate my learning when they explain what and why they are doing a screen test and/or assessments for an evaluation. Similarly, during treatment sessions they explain what the client’s goals are and will ask me what therapeutic activities can be done to help meet the client’s goal.

Overall, the level one fieldwork experiences for me have been such eye opening experiences filled with memorable moments. I hope my sharing of experiences serves a glimpse into the fieldwork experience and that you get to create these experiences for yourself. Until next time, Fight On!

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