Student Blog
Classes
Electives! ⟩
March 2, 2011, by Helen
Classes
Graduation is quickly approaching . . .
During the last semester of the program, you are to take eight units of electives. Last night was our dysphagia final. 😊 Dyshpagia was an eight week, 2 unit elective I took this semester and I LOVED it! This dysphagia elective counts towards your advanced practice certification, if you so choose to pursue that within the next five years. As I was studying for the final exam, I realized how much I have learned in only the last eight weeks. Another elective I am taking concurrently is at University Hospital, where I am able to gain experience in both physical disabiltiies and mental health. As we’ve been seeing patients this semester at the hospital, I’ve been able to feel the difference in my knowledge of dysphagia on my interactions with patients. I am able to notice more as we do room visits about the quality of the patient’s voice, eating habits, posture, etc. While an eight week course may seem short and very intense, I have learned an incredible amount of information and am very grateful for having taken the course.
I am also taking a Sensory Integration elective that is four units which also works towards certification in Sensory Integration. While I am intending to work with adults in the future, Sensory Integration is a topic that impacts many populations and knowledge of Sensory Integration techniques can be beneficial in any setting. This past weekend, I attended a conference organized by Pediatric Therapy Network on Sensory Integration practices and it was great to see current research that is being done in the field and see some of our professors presenting. Having our coursework intertwine with our fieldworks and to attend conferences seeing how what we are learning is being implemented in research is my favorite part of this OT program. I enjoy this aspect of our graduate program because it really provides a sense of how we can personally impact current practice and research.
I have really enjoyed the electives I have taken this semester and really feel like I’ve gained so much insight into specific practice areas. As graduation is quickly approaching, I realize more and more how much we have learned in such little time!
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A chance to be the client and clinician ⟩
February 23, 2011, by Austen
Classes What are OS/OT?
One of the electives I chose to take this semester is Lifestyle Redesign. This class is taught by Dr. Camille Dieterle of the USC Faculty Practice for Lifestyle Redesign. Some of the topics we are learning about include the foundation of this practice area, the populations that benefit, the programs offered at the USC Faculty Practice, ways to develop programs and modules, and methods for helping people establish a healthier lifestyle.
A large portion of the class includes role-playing with a partner, taking turns playing the parts of the client and the clinician. We work in our “diads” to practice self-reflection and analysis, goal-setting, problem solving, and solution generation on each other. While one person acts as the client and identifies complaints, areas for improvement, things they would like to change, and/or what their goals are, the other person acts as the clinician, helping identify outcomes to work towards, possible solutions to get there, and ultimately collaboratively establishing an action plan with the client. This role-playing aspect of the class has been the most valuable to me so far. I am learning to communicate effectively in the clinician role, asking open-ended questions, avoiding judgement, and using non-directive comments. It is very challenging to not give advice when that may be what someone is looking for, but we are learning more effective ways of empowering the client so that they can reach their own solutions.
Not only am I learning skills I will use in the workplace next year, but I am also getting a lot out of being the client during our one-on-one sessions. I have learned a lot about myself, what is bothering me that I may not have been aware of, what I want, and what I want to change. It has been a great opportunity for self analysis and reflection, allowing me to identify aspects of my life that could be improved. In essence, it has been like free therapy. What a bonus!
This class has already equipped me with effective communication skills that I will be able to use in practice, no matter what setting. I have many more “tools” to add to my bag of tricks as a soon-to-be clinician, which makes me feel more confident and excited. When looking at the elective courses available, I highly recommend this one!
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M.I. ⟩
February 15, 2011, by Yao
Classes School/Life Balance What are OS/OT?
A great opportunity and a blessing in disguise.
I just finished my first session and am about to start working on the homework for my second session of Motivational Interviewing. Motivational Interviewing is an elective class that is offered the spring semester over three Saturdays with days starting at 9am and scheduled to end around 4pm. I originally elected to take the class not only because one of my favorite professors was teaching it but also because it was a method that I planned to use in my research project. I went into class that first Saturday with the mindset of just learning a clinical skill and perfecting and perfecting until I felt that I had it right. Boy did I have the wrong idea!
The day started off with the basics and the history behind motivational interviewing and some video examples of practitioners incorporating it into practice. Then it came time to practice. Like I had mentioned before it was not a skill that should just be learned cold and practiced numerous times, rather it’s a skill that you need to feel and experience. This feeling and experience will guide your use of the skill, a real feeling and investment in the person that you’re talking to. To me it’s not a skill that you can just practice with a partner and in the middle ask if you’re doing it right, but something that when given the opportunity should be used to help fully understand the origin of certain actions and feelings. And as my professor mentioned, “If you do it well, people won’t even know it”; not to echo what I mentioned in my previous entry but sometimes listening can bring about more answers and chances for change than automatically trying to fix the problem as soon as you hear one.
On another note this motivational interviewing class has allowed me to tap into my emotions for the first time in about a year and a half. When things happened over these past two years that required emotional investment I tended to push them aside because there was that ever present need to do well in school and live in the moment with school and my social life here in Los Angeles. I was surprised at how I felt, not to say that there was a huge revelation and that I was denying my feelings these past two years. But I was able to identify emotions and feelings that I thought I have overcome or had just died down over the past years. I’m looking forward to the second session to further explore these feelings and try and resolve them instead of just pushing them aside and making school the excuse for not addressing them. It’s a nice complement to the other coursework this semester. It also is a reminder that no matter what is going on you have to consider taking care of yourself so you can provide your best care to others.
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Supporting Coursework ⟩
January 31, 2011, by Amanda
Classes What are OS/OT?
To complement the clinical coursework, there are a few classes that enhance your ability to understand client needs and address them from an occupational science perspective.
Throughout the clinical coursework, there is supporting coursework to enhance your understanding of occupation and multiple dimensions of practice. To begin, there is a medical lecture component to your coursework, the purpose of which is to introduce students to varying diagnoses and conditions. Guest lecturers that specialize in working with various populations are the ones delivering the course content. The information from this course serves as a great reference. As an entry-level practitioner you are faced with so many new populations and your notes from school are something you will return to refresh your understanding and knowledge of the details of the conditions you see in practice. What I also found fascinating was when a professional from another discipline presented his or her perspective of a diagnosis. For example, there was a bariatric surgeon presented on obesity. From his professional perspective, bariatric surgery was the answer to the obesity and type II diabetes epidemic. This compares with the occupational science and therapy perspective that would intervene through understanding an individual’s occupational habits, roles, and routines and develop strategies to address the chronic weight management issues that the individual faces. Both interventions require major lifestyle changes, depending on the individual, one, the other, or both interventions may be appropriate. From these lectures, you begin to build your sense of how OT would approach a condition compared to another professional. You see how important the OT perspective is in healthcare.
Occupational science is an academic discipline devoted to the systematic study of the form, function and meaning of occupation. USC’s Division of Occupational Science and Occupational Therapy is committed to understanding the human experience of occupation in order to apply that understanding to the practice of occupational therapy. Coursework in occupational science is part of the curriculum for occupational therapy students at USC. Students explore the various dimensions and interdisciplinary knowledge that underlie occupation. Topics include how routines, habits, culture, environment and preferences contribute to health and well-being. Guest lecturers present how they have taken concepts from occupational science and developed programs that increase well-being, such as in the programs at the USC Faculty practice and in the Well-Elderly Study. As a student, you begin to see occupation through different lenses and how to identify supports and barriers to occupation. The study of occupational science informs occupational therapy practice through asking how we may best understand and enable occupational performance.
The Skills for Occupational Therapy coursework that I previously wrote about in a blog post continues in the subsequent semesters. You expand your knowledge from analyzing tasks to understanding the therapeutic relationship and how to design occupation-centered programs. I found that these classes gave a space for discussing the tough issues you may see in practice. We explored our strengths and weaknesses in terms of building relationships and how we may best serve clients therapeutically. As a therapist you are not only providing an intervention, but you are using the relationship with the client to see successful outcomes. We also had the time to discuss what we were seeing in our level I fieldworks: what we liked and what we didn’t like. Based on what I saw in fieldworks and from discussions in this class, I began to imagine how I want to be as a therapist in the future. Skills for Occupational Therapy also allows students to explore interests in program development. We had a semester-long project aimed at founding the skills for surveying a population’s needs, designing an evidence-based program, and how you would go about implementing that program. Although not required, some students realize their occupation-based program or continue on to the OTD program to run their program. Topics for this project varied from addressing returning veterans needs to the use of pets in therapy to educating other professionals about effective “sensory strategies” in pediatric settings. Medical lectures, occupational science and skills for occupational therapy all enhance one’s ability to understand client needs and how to address them in occupational therapy practice.
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Experiencing a new area of practice ⟩
January 30, 2011, by Austen
Classes What are OS/OT?
There are several OT practice areas I still have yet to experience. These include school-based pediatrics, mental health, and geriatrics. One great thing about the USC OT program is there is an option to do an independent study course in the second year as an elective. You can design your own objectives and choose a setting of interest. Since I have always wondered about school-based pediatrics, I chose to do an independent study in a school setting to get an idea of what occupational therapy looks like there. I created the objectives I wanted to complete and found a school-based occupational therapist to observe for 4 hours a week.
Now, every Thursday morning I head down to Grand View Elementary in Manhattan Beach. The first day I set foot on the beautiful school campus I fell in love with it! It is a large elementary school, with lots of buildings, gardens, walkways, playgrounds, and grassy areas. There are 3 small rooms set aside for speech therapy, physical therapy, and occupational therapy. The OT room has a mat, swing, squeeze machine, games, arts and crafts materials, toys, a computer, and table and chairs. It has the full setup with plenty of resources. I was really impressed!
The occupational therapist I am observing is also amazing. She has so much energy, treats the students as equals, radiates a positive attitude, and is a great teacher. She strives to make OT fun for the kids, occupation based, and relevant to their participation in school activities. I really like the interventions used in school based therapy, including activities that help improve fine motor skills, bilateral coordination, attention, etc.
The other thing I found I really like about school based OT is the environment is really fun. The kids are social and happy, they are around their peers, and there are a lot of other professionals (teachers, administrators, instructors, etc) to consult with. It is a very supportive environment for both the children and the school staff, making it an enjoyable place to be in. I can definitely see myself working in school based OT. I am aware of the downsides, such as large case loads, limited therapy time, and traveling between schools. But I find the job’s perks to outweigh the disadvantages. Maybe I have found a new aspiration?
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