Student Blog
Beginnings and Endings

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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Expanded Horizons, Open Ambitions ⟩
February 27, 2025, by Mason

Beginnings and Endings Fieldwork

In occupational therapy school, students have the opportunity to take part in a plethora of fieldwork experiences, and students engage in both level 1 and level 2 fieldwork. Uniquely here at USC Chan, level 1 fieldwork is integrated within the 4 practice immersions in which students learn: Adult Physical Rehabilitation, Mental Health, Pediatrics, and Geriatrics. In level 1 experiences, students have the opportunity to shadow clinicians and interprofessional teams out in their practice settings and gain valuable experience in interacting with the select patient population in which their current immersion is focusing. Level 2 fieldwork, on the other hand, takes students a step further. Rather than simply observing clinicians in practice, students begin the transition of becoming entry-level practitioners through hands-on clinical application and mentorship. By the end of a student’s level 2 fieldwork, they will have the skills and experience to enter the vast clinical landscape as a new practitioner.

This summer, I will take on the challenge of my first level 2 fieldwork experience. I was fortunate enough to be placed at an outpatient pediatric clinic where I will work full time 5 days a week for the entirety of the semester to gain the skills of an occupational therapy practitioner. I would be lying if I said I wasn’t nervous, but I am also beyond excited to begin this new chapter in my education. One unique component of my story is that I will be completing both of my level 2 fieldwork experiences Out-of-Area (OOA).

But what exactly is Out-of-Area (OOA) fieldwork? To answer that question, let me first give you a little background on how our standard system works. Students within the USC Chan’s occupational therapy program are all guaranteed to be placed in a fieldwork setting for both of their level 2 experiences. However, not all fieldwork sites are the same, and not all students take the standard path towards finding their fieldwork placements. Each year, USC Chan’s designated fieldwork coordinators work hard to curate a comprehensive fieldwork “wishlist” of clinical sites in Los Angeles and the surrounding area. Students have the opportunity to rank their preferences through an online portal and are eventually matched with a fieldwork site, where they then may have to interview to secure a placement.

However, if you are an avid out-of-state student like me, you may plan to return after you get your degree and also may want to conduct fieldwork a little closer to home or the area where you plan to lay your roots. That is exactly where Out-of-Area (OOA) fieldwork comes into play. In OOA fieldwork, students work closely with the fieldwork coordinators to locate, research, and connect with clinical sites in different states and even potentially internationally in different countries. Students have complete freedom to engage in fieldwork outside of LA, and when the time comes, USC Chan specifically offers virtual class options so that students may finish the entire last year of their degree remotely. OOA fieldwork does come with its own unique challenges. Rather than have a curated list of fieldwork sites already ready to accept a student, in OOA, students take on the burden themselves of researching & locating potential clinical sites where they would like to study. Moreover, even after a site is located and contacted, there is no guarantee that the site is interested or has the availability to take on a student.

Engaging in the search to find OOA opportunities for my level 2 fieldwork has certainly been time-consuming and stressful; however, for me, the benefits of these opportunities outweigh the additional work. What I love most about the OOA process is that it allows students like me to find fieldwork in the area they plan to practice after graduation. Fieldwork is not only a fantastic learning opportunity but also a strategic opportunity for networking and future employment. Many occupational therapy students get offered their first job post-grad from one of their fieldwork sites. Therefore, by conducting fieldwork where you call home, you are keeping yourself open to those possibilities and setting yourself up for a successful career post-graduation. Additionally, if you know me, you know I like saving money. Almost every decision I have made so far academically, professionally, and personally has been to set myself up for a successful financial future that aligns with my ambitions. The OOA process will enable me to move back home with my family for my entire last year and half of the graduate program. Of course, I am excited to be back with them, but in addition, this will save me all of the money I would have to spend on rent, and hopefully a little on food too. In graduate school, every penny counts, so when you are looking at your opportunities across any program, I would also recommend creating a plan for your ambitions and then working hard to make them a reality. You will certainly not regret it!

That’s all for now, and Fight On!

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Taking my first exam, more than a decade later ⟩
November 12, 2024, by Tanya

Beginnings and Endings Classes International

The anxiety that hit me on the morning of my first exam in a long time was one I had not experienced, one that felt so foreign. Perhaps it is because I was not used to it as it has been a while, and not to sound dramatic but it felt worse than going for a job interview or presenting in front of a large audience. Everything felt so uncertain and unexpected, and I, as a person who valued control and preparedness, felt quite lost and nervous.

Even the platform that the exam was on seemed foreign, with the entire exam being digitalized. This is a stark contrast from the days when my biggest worry was that I had multiple sharpened 2B pencils to shade the correct option in a multiple-choice exam. I was amazed that the paper could be downloaded before the commencement of the exam, and the exam software came with tools such as the highlighter and timer visible on your screen.

I was overcome with a sense of relief mixed with anticipation of how I performed once I saw the green screen notifying me that the submission was successful on my screen.

Given the option, I would have much preferred to have written a paper instead, as this would have allowed me to weave in my thoughts and opinions supported by evidence. When I reflected on the entire experience, I would say my anxiety stemmed from the unfamiliarity of the advancement in technology as well as the entire examination process that felt so foreign rather than the actual content. And this was yet another way for me to learn how to adapt to changes and move with the times.

If you have not been on the academic journey for some time, here is what I did to help deal with these changes. It did not remove the nerves completely, but it helped me settle into it faster.

1. Having stationaries that help with note-taking
If you are like me and prefer to organize and write down notes on paper to visualize the information learned, it will be helpful to bring some writing implements or sticky notes that you are used to back home.

2. Follow your usual sleep pattern
Hearing some of my classmates share about the later times they sleep and how they feel more efficient or productive, made me consider this choice and attempt it. I usually head to bed by around 11 pm and decided to try staying up till 1 am. Sad to say, this was counterproductive, and I was less efficient and felt even more lethargic over the next 2 days. Know your body system and do what is best for you, you do not have to change your routines despite adopting a new role.

3. Enjoy leisure amidst the exams and assignments
Along with midterms also come assignment submissions, this can be a lot, and you may feel overwhelmed by it. It may feel that every minute should be channeled to studying or reading another article, however, engaging in leisure does clear your mind and refreshes you. It is the little things that can have a greater impact.

4. Planning ahead to ensure you have sufficient groceries
I usually travel on the bus to get my groceries over the weekend, as it is nice to browse and select my items. However, it can be a little time-consuming when it is ‘crunch time’ due to the additional time spent on commuting. It is helpful to plan and purchase additional groceries with a longer shelf-life to last for the upcoming week. Another helpful way is to purchase your groceries online. There are various stores online, such as Instacart, Weeee, etc that are helpful when other factors are deterring you from going out.

5. Be a little more courageous
That’s what I tell myself when I do not understand the concepts or have questions about the topic being taught in class. It could be my personality or how I am used to academic lessons back home that make it more challenging for me to ask questions. However, I would encourage you to raise your hand and ask, or go to an office hour appointment to clear the doubts that you may have. If you don’t, the person that is at the losing end will eventually be yourself. As they say, knowledge is power, so do not leave the module with an unanswered question.

Despite various deadlines that you need to meet, it is important to stop and pause, and also look at your surroundings as you commute on the shuttle bus or to your apartment. LA has very beautiful sunsets and skies, but you will miss it if you are just focused on thinking about your to-do list.

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My Mental Health and How It Led Me to OT ⟩
October 22, 2024, by Dana

Beginnings and Endings First-Gen

As an immigrant, the idea of the “American Dream” was the main path that every immigrant aimed to achieve. All my life, I was told to keep learning and going to school to achieve higher education so that I can make more money and live that “American Dream”. So, being in an Asian immigrant household, I was expected to become a doctor, lawyer, engineer, or entrepreneur of some sorts in high positions. My first time ever where I thought of a career path for myself was in middle school. Low and behold, I thought of becoming a lawyer. I had this immense confidence that I could argue anything and everything with those around me whenever I disagreed with them. However, that did not last very long when high school came along and my confidence and mental health plummeted.

High school was an interesting time, but it was also a traumatizing time for me that is buried all the way in the back of my mind. I was not given sufficient guidance nor opportunities to explore what I potentially wanted to do in the future. It was a time where academic excellence was ingrained in my mind by my parents and teachers. Excelling in classes and engaging in educational organizations were the priorities of what other people wanted for me. It took me some time to process, after the fact, that that was one of the causes of my mental downfall. In addition, a huge life event of my mom passing away during my sophomore year created even more mental turmoil. As much as I expressed what was happening to me in my high school, they wanted me to focus on strengthening my college applications with grades, standardized tests, and personal development. Ironic because the only personal development my high school allowed was to develop our academic skills. With no guidance there, I fought to find my own path.

Getting past the grief of my mom being gone was what felt like the longest mental journey of my life. However, her passing sparked my love for healthcare. There were some things I wished the healthcare system could have done for her to increase her quality of life by maintaining her independence and promoting occupations in which she could still engage in. Watching her lose all her ability to do things for herself was difficult as a teenager because I had seen her do almost everything for our family. Because my high school wasn’t helping me explore career paths, I took it upon myself to research healthcare professions that aligned with my values and goals of helping people with terminal conditions have some independence and internal satisfaction with what they can do while they are still alive. With extensive research, I came across Occupational Therapy.

I didn’t follow the traditional path that was expected of me, but I found something better: a career that aligns with my values, one where I can help others maintain their dignity and independence, just as I once wished for my mom. Occupational Therapy became more than just a profession — it became a way for me to honor her, and in some ways, to heal myself.

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A Legacy of Hard Work, Perseverance, and Occupation ⟩
September 27, 2024, by Mason

Beginnings and Endings School/Life Balance

Hi everyone! In my introductory blog post, I talked to you all about why I chose to take on the challenge of becoming an occupational therapist. In case you missed it, let me give you a refresher. My mother is a pediatric occupational therapist and has served various populations of children with special needs and developmental disabilities for over 30 years. Growing up around my mother and watching her treat and impact the lives of the children she worked with sparked my passion and lifelong goal to help others. My mother always taught me that no matter what you do, you should leave the world better than you found it, and use your energy, health, and opportunities to help those who have less or do not have the same luxuries. Throughout this program, there have been many times when I doubted myself and my abilities to succeed as a student, clinician, and overall individual. But in those moments I have always had my mother and her lessons to support me.

My mother has always been a key pillar of support in my life. However, my mother was also not shy about pushing me to do my best. Growing up, my mother always had one rule: it was okay to fail as long as you tried your best. In every moment of failure or setback throughout my college years so far I always tried to remember that simple lesson because I knew that my best was within reach if I worked hard and put in the effort. It wasn’t easy to move across the country to a state I had barely visited, work multiple jobs to support myself throughout my education or start a full graduate course load while my friends moved on to full careers after their undergrad. College is not an easy challenge, and it’s not meant to be. After 4 years of strong effort, I still find challenges and overwhelming moments every other week. But I know I can get through it because I have the people around me that make me feel supported.

In a funny way life always comes full circle. This year to my utmost pride, pleasure, and enthusiasm my mother started a new journey of her own and returned to school to earn her post-professional doctorate in occupational therapy. Despite not being in school for almost 30 years and diving into an educational landscape that has changed fourfold, she’s taking on this challenge to grow and better herself, and I couldn’t be more proud. As children, you always view the relationship you have with your parents as a one-sided transaction. They teach you, they support you, and they help you grow to dreams and goals they know you can accomplish. However, as you inevitably grow up and expand in your ability to understand those around you, you begin to realize how much you impact their lives as well. We can teach our parents, we can help them grow, but most importantly we have the ability to support them amid the vulnerability that makes change so scary.

My mother inspired me to become the person I am today, and today I’m lucky enough to inspire my mother to reach the exact same potential she has always seen in me. So when you’re reflecting on the challenges and obstacles that stand in your way, don’t ever forget about the people in your life that lead you to greatness. Cherish those who have always supported you and take any opportunity you can to return the favor by supporting them.

That’s all for now, and remember to Fight On!

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