Student Blog
Diversity
From USC to Tokyo: My Level IIB Fieldwork Journey in Pediatric OT ⟩
March 11, 2026, by Guest Author
Beginnings and Endings Community Diversity Fieldwork Housing and Transportation International
Hi, my name is Alyssa Prigge, and I am a third-year Entry-Level OTD student at the University of Southern California. I am particularly interested in pediatric rehabilitation, with a focus on motor development and neurorehabilitation approaches such as NDT. Through my international fieldwork experience in Tokyo, I developed an interest in the cognitive rehabilitation approaches used in Japanese pediatric occupational therapy. I am committed to continuing to grow as a clinician and supporting children and families from diverse cultural and linguistic backgrounds through culturally responsive care.
As I touched down in Tokyo, I couldn’t help but think about how a moment of curiosity at an international fieldwork info session had turned into a life changing opportunity. My name is Alyssa Prigge and I am an Entry-Level OTD student. For my Level 2B Fieldwork, I was placed at a pediatric day service called Linie Platz Futakotamagawa, where they serve children with neurodevelopmental disorders. The reason why I decided to pursue fieldwork in Japan is due to my personal connection to the country and my interest in learning how occupational therapy (OT) is practiced in a different cultural context. As for my background, I am half Japanese and spent my childhood growing up in Tokyo before moving to the U.S.
Living Logistics
Of course, moving back to Japan for a year of fieldwork also meant figuring out the practical logistics of where I was going to live. Although I had maintained friendships in Japan by visiting every summer, I knew living in a community with others my age would be important for my mental health. I found a company called Social Apartments that offers dorm-like housing for adults seeking social connections and community. This turned out to be the best decision for me, as I have made friends not only from Japan but also from countries like Malaysia, Indonesia, Brazil, and Thailand. Fortunately, there was a Social Apartment location that was 15 minutes by bicycle or bus/short walk from my fieldwork site. This means I can avoid cramming into trains during the morning and evening rush. In terms of other logistics, my Japanese mom helped me navigate language barriers securing health insurance and setting up utilities for my apartment. Since I hold a Japanese passport, I didn’t have to worry about student visas and I was able to register for the National Health Insurance.
Life Experiences
My favorite experiences living here have been the summer firework festivals where people dress up in kimonos, eating takoyaki or okonomiyaki from street vendors, and walking through neighborhoods that each have their own personality and charm. I love exploring new restaurants that serve Japanese-style Italian food, Taiwanese dishes, and cold noodle dishes like soba and udon. As I’ve settled into daily life in Tokyo, living here has brought up a renewed awareness of my identity. Japan is a relatively homogeneous country, and as someone who is half Japanese, I have often stood out. Reconnecting with old friends from international school introduced me to a community of other mixed Japanese people who share similar experiences and have helped me embrace that difference.
Challenges
In terms of challenges I’ve experienced, I am not natively fluent so keeping up in meetings and articulating my thoughts professionally has been a learning curve. In the beginning, getting used to the constant processing and responding in Japanese was mentally taxing, causing my brain to fatigue more quickly than usual. I often rely on technology to look up unfamiliar words, transcribe and translate faster-paced conversations, and help format professional emails using keigo, the polite form of Japanese. These tools help bridge the gap in language skills that developed after living in the U.S. for over a decade. For students considering international fieldwork, I would recommend having a strong level of experience with the language and culture of the country you hope to train in, as not every site may be as accommodating to language differences as mine has been.
Opportunities
Since beginning my Level 2B fieldwork, I have learned OT practices unique to Japan through conducting small-group interventions. The daily programming blends cognitive and school-based activities (such as hiragana writing, counting, and language comprehension) with movement and balance tasks designed to support body awareness, postural stability, and coordination. Main goals in OT are to address caregiver concerns on their child’s ability to respond appropriately to environmental demands like educational and community contexts where children must function cohesively in groups. Additionally, this experience has also opened the door to opportunities I never expected, such as attending a pediatric OT conference in Yamagata, participate in Linie training conferences, presenting to OT students in Tokyo on differences between OT practice in the United States and Japan, and connecting with numerous OTs and related professionals from Osaka, Tokyo, and Kobe.
One especially meaningful experience was having the opportunity to be introduced to leadership members of the Japanese Association of Occupational Therapists (JAOT) by my supervisor, Saeko Takenaka, the director of Linie. I was able to share about my fieldwork experience in Japan and discuss similarities and differences between OT practices in both countries. Through this connection, I have been invited to observe OT practice in inpatient psychiatry, a setting I haven’t been exposed to in the U.S. Additionally, because Linie is a rehabilitation service provider with multiple locations across Tokyo serving individuals across the lifespan, I had the opportunity during Term 1 to observe a variety of clinical settings, including home rehabilitation, pediatric day services for medically complex children, an inpatient pediatric hospital, and an outpatient orthopedic clinic.
With USC’s unique and extensive global network, I have had the chance to pursue fieldwork in a place that is both personally meaningful and professionally enriching. If you have the opportunity to do international fieldwork in a country you have ties to, I would absolutely take it.
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Occupational Awareness Abroad ⟩
January 29, 2026, by Makayla
Diversity International School/Life Balance
Over the course of my winter break, I had the pleasure of traveling to 3 different countries in Asia—Bangkok, Thailand; Saigon, Vietnam; and Hong Kong, China. While traveling with my family, I couldn’t wait to get some much-needed relaxation from a busy fall semester and enrich myself in the new cultural landscapes that each country had to offer. However, stepping into new cultural environments in each country heightened my awareness about how meaningful daily activities are deeply embodied and shaped through access, space, and societal values. Viewing these cities through an occupational lens transformed what would have been ordinary or overlooked travel moments into thoughtful reflections of how occupational awareness and accessibility are embedded in every aspect of life. Here, I want to share some instances of my trip where I noticed small moments of occupational awareness and justice in action.
My Trip to Asia! (˶ᵔ ᵕ ᵔ˶)
Bangkok, Thailand
Bangkok’s Chinatown
1. Massages
One of the biggest things I noticed in Bangkok, Thailand, was the prevalence of many massage services all across where I stayed. Even before coming to Thailand, many people recommended that I try their massages. To me, the act of getting a massage is a luxury, a paid service towards one’s own self-care, or part of a therapeutic practice, at least in the United States. However, in Thailand, the emphasis on massages as a therapeutic intervention is not just a tourist must-do; it is an essential, culturally embedded, health-maintenance occupation. Massages are more than a service but rather a routine, vital practice integrated into daily life that supports the occupational performance of all individuals across the lifespan. They are a part of one’s daily body maintenance rather than an intervention used after experiencing pain, injury, or ongoing discomfort. In doing so, massages support individuals’ occupational performance by improving mobility, reducing pain, and most importantly, supporting an individual’s ability to meaningfully participate in everyday activities with greater independence and ease.
2. Transportation
While riding the BTS Skytrain, I watched as people used these means of transportation for commuting to work, travelling to schools, and participating in social and leisure activities. What stuck out to me was the priority seating readily available to those who needed it, including disabled passengers, elderly passengers, pregnant passengers, women with infants, and monks. What surprised me was not only the inclusion of monks, reflecting a deep-seated and high respect for their spiritual, social, and cultural significance in Buddhist society, but also the fact that people respected these directions and offered these seats for passengers with these special needs. While priority seating is nothing new in the United States, I became especially aware of this inclusive signage because it is often overlooked or not completely followed in the United States.
BTS Skytrain Priority Seating
BTS Skytrain Priority Seating Signage
3. Chair Lifts
Accessible Chair Lift
In densely packed cities such as Bangkok, it can make for a lot of tall buildings with multiple floors. While I found that elevators and escalators were readily accessible in transit spaces, malls, or official city buildings, areas dense with local street vendors, like Bangkok’s Chinatown, often required navigating uneven surfaces or stairs. As a result, mobility limitations can shift even just from one block to another, which can be largely inaccessible for vulnerable populations, including older adults. One place that caught my eye was a restaurant where I went for dinner with my family. Here, there was a chair lift on the stairs that led to the restaurant’s entrance. While I overlooked this feature at first glance, it wasn’t until I was leaving the restaurant that I noticed this and snapped a quick picture. This moment underscored how these essential accessibility features can go unnoticed to those who do not need them, yet are critical for mobility for individuals whose participation in daily activities requires them for support.
4. Tactile Paving
Thailand’s Tactile Paving
At airports and train stations, tactile paving is everywhere, whether it be in front of an elevator, an escalator, for caution, or to locate the nearest exit. They are often designed with contrasting colors to improve visibility while also serving as indicators for upcoming direction changes, hazards, or raised surfaces.
Saigon, Vietnam
Saigon, Vietnam
1. Vespa, Motorcycle, and Biking Culture
One of the main means of transportation in Vietnam were Vespas, motorcycles, and bikes that tightly packed the streets and closely zipped by each other. As an essential occupation for daily life, all walks of life used these as a means of transportation and for different purposes. Some people were commuting to work or making delivery runs, while others were transporting their families, with up to 4 people riding on a Vespa. I even got to ride on the back of a Vespa using Grab, a transportation and delivery service app similar to Uber in the United States. What I found interesting was that even older populations used Vespas as their main means of transportation, many times while juggling cargo, suitcases, or bags. Riding motorized or wheeled transportation requires a combination of strong postural stability, core strength, motor control, and quick reflexes to ensure one’s safety and mobility. As people age, their physical and cognitive health declines, which can increase the risk of injuries and accidents. It is amazing to see how older populations can remain physically active and alert in navigating demanding forms of transportation, highlighting how necessity, rather than age alone, shapes continued occupational participation and independence.
Busy Streets of Vietnam
The incredible cargo people can carry on their bikes
2. Sidewalks as Multifunctional Occupational Spaces
Sidewalks in Saigon host a range of occupations, including selling, socializing, eating, cosmetic services, repairs, and the list goes on. Street vendors that line the sidewalks sell quick eats, fruits, vegetables, household goods, and souvenirs. Seeing how people embrace public spaces and their different functions reinforces how essential these spaces are in maintaining their vibrant city life by uplifting small businesses while fostering social cohesion and economic activity.
Eating on a low plastic stool and table
Eating bò né
Fruit Stand- with a small visitor ≽^•⩊•^≼
Hong Kong, China
Hong Kong: Avenue of Stars
1. Braille and Tactile Floor Plan
I noticed while visiting Stanley Island and the Hong Kong Museum of Art that Braille signage and tactile paving are often designed into maps with audio descriptions. On a systems level, ensuring accessibility through universal designs, such as bilingual signage and international symbols (such as for “No Smoking,” toileting, exit/enter, etc.) to seamlessly blend into the environment, highlights how accessibility is intentionally embedded into public space.
Braille and Tactile Floor Plan of Hong Kong Museum of Art
Braille on railing
Braille and Tactile Floor Plan of Stanley Island
2. Pedestrian crossings
Aids for Visually Impaired Persons
Another Aid for Visually Impaired Person
While crossing the busy streets of Hong Kong, I noticed yellow aids for visually impaired persons. I tried this out for myself by waving my hand underneath the button and found that they serve two functions. The button vibrates underneath to indicate when it is safe to cross while also emitting a beeping/clicking sound on both sides of the street to help individuals navigate across the street.
3. Tactile Paving and Signage
Tactile Paving and Signage
Here is another example of tactical paving with different surface indicators, as well as indicators for priority seating and elevators.
It was such a privilege to visit Asia, and the act of noticing can go such a long way. I hope I can visit again in the future!
Mural in Macau, China
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Bridging Cultures, Building Futures: Our PP-MA Journey ⟩
October 2, 2025, by Global Initiatives Team
Beginnings and Endings Classes Community Diversity Getting Involved Housing and Transportation International Living in LA School/Life Balance What are OS/OT?
Angel and Haemin, international students in the 2025-2026 Post-Professional Master’s (PP-MA) program
Hi everyone! We’re Angel and Haemin, international students in the 2025-2026 Post-Professional Master’s (PP-MA) program at USC. Coming from the Philippines and South Korea, we are starting this new chapter in Los Angeles! We’re excited to meet new people, explore new places, and grow together as OTs.
Angel’s Journey
My name is Angel, a pure-blooded Filipina and current PP-MA student for 2025–2026. I earned my OT degree in the Philippines and worked as a pediatric occupational therapist for three years—a role that brought me so much joy working with children and their families. In 2023, I got married, and by 2024 I had moved to the U.S. to be with my husband, first living in Chicago before deciding to continue my OT journey here in LA.
When I began exploring further studies, USC stood out immediately. Its Post-Professional MA is one of the few programs in the U.S. that can be completed in just one year, allowing internationally trained OTs like me to deepen our skills, discover new ideas, and connect with people from around the world—all while returning to practice sooner. I also heard wonderful feedback from colleagues who studied here, describing supportive faculty, a vibrant community, and an environment that pushes you to grow. Most of all, I was inspired by USC Chan’s mission to optimize people’s engagement in the ordinary and extraordinary activities of life—a statement that perfectly reflects why I chose OT in the first place.
Life in Los Angeles has been a big adjustment after Chicago and the Philippines—new city, new culture, and no familiar faces. At first, it was daunting, but having my husband’s support made the transition easier. Together, we’re slowly building our rhythm, exploring neighborhoods, and enjoying small routines that make LA feel like home. Lately, we’ve started visiting local cafés for matcha and coffee, and Little Tokyo has quickly become a go-to spot for food and culture.
So far, the PP-MA program has been both exciting and humbling. One of my favorite courses is Foundations in Occupational Science and Occupational Therapy, where we explore and challenge diverse perspectives on both OS and OT. Because our cohort includes students from many different countries, I have gained a deeper understanding of how culture and society influence a person’s occupations. I have also come to appreciate the importance of language in our work as occupational therapists when connecting with patients.
What I value most about this program is how it encourages us to think critically about OT while equipping us with practical tools to grow as clinicians and leaders. It’s not just about earning a degree—it’s about shaping how we want to contribute to the future of the profession.
Looking ahead, I see this year at USC as a stepping stone. My immediate goal is to gain licensure in the U.S. so I can continue serving people in healthcare. Beyond that, I hope to bridge what I learn here with my roots in the Philippines, finding ways to give back and strengthen OT globally.
Haemin’s Journey
My name is Haemin, and, like Angel, I’m a PP-MA student, class of 2026. I graduated from my home university in South Korea this year and moved to LA to attend USC Chan’s Master’s program. Being a PP-MA OT student at USC has been one of the most exciting chapters in my life. When I arrived in LA to start my journey, I had mixed feelings of both excitement and being overwhelmed. I moved into a new apartment, met new people and classmates, and tried to make a new daily routine. Even though there were a lot of things to take in on my own, I found myself becoming more independent and confident.
Back in 2022, I joined the Summer Occupational Therapy Immersion (SOTI) program as an exchange student. It was such a memorable time to interact with people from all over the world with warm and supportive instructors. I loved exploring various OT fields through guest lectures and field trips, and it made me want to reflect more on the kind of OT I’d like to become. These experiences inspired me to deepen and broaden my own view of occupational therapy and to find the areas of practice that truly align with my interests and passions. Finding that USC provides strong support and resources to help international students achieve these goals gave me the confidence to come here for my master’s program.
Even though I have experience of living in the US before, moving to LA for graduate school was still a new adventure. I set up a new apartment and established daily routines like meal prep, errands, and transportation to balance my work and studies. It took time to adapt to a new environment, but I was able to figure it out thanks to so much support from my family, friends, and professors at USC Chan. As I figure out step by step, I find myself having done so many things, which makes me feel confident and mature 😊
One of the best parts of the PP-MA program is having classmates from all over the world. We share our OT experiences and cultures from our home countries, which makes every discussion richer and exciting. The atmosphere is so friendly and supportive, and the Global Initiatives team always makes me and other international students feel welcomed and connected. Working as a GI team member, I’m supporting students who want to celebrate their meaningful holidays, which is especially valuable in that I can learn about important cultural meanings from my classmates.
As for classes, Foundations of Occupational Science & Occupational Therapy has been my favorite! At first, OS felt a bit philosophical and abstract, but it helped me see what occupation truly means and what the OT’s role is from a global perspective. Having discussions with international classmates adds so much fun and depth 😊
Even though we may have grown up in different countries and started OT in different ways, the PP-MA program at USC has brought us together. We’re learning, growing, and cheering each other on as we chase our own unique dreams as future OTs.
Outside the classroom, I love spending time at Hoose Library, which has a Harry Potter vibe. It’s so aesthetic and makes me focus on studying better.
Preparing for what’s next, one of my biggest goals during this program is earning the Sensory Integration (SI) certificate, which will be valuable for working with children. After graduation, I hope to continue working in pediatrics, especially with children and adults with ASD, and to expand into community-based practice. I’m excited to face my future clients with a richer perspective on occupation by everything I learned and grew from my time at USC.
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Beside the Mahjong Table ⟩
September 19, 2025, by Makayla
Community Diversity
The sound of shuffling tiles intermingled with various exclamatory shouts has become synonymous with my memories of family gatherings, as the game of Chinese Mahjong has been an important pastime of mine throughout my childhood. I was often surrounded by this game during these family gatherings, where I would find myself sitting on a miniature stool beside my mother, playing amongst my relatives, fascinated by the quick plays before my eyes, and subconsciously picking up the rules and method of the game. For my family, Mahjong is more than a meaningful activity; it is a generational occupation that contributes to our overall well-being and supports resilience against cognitive decline in older generations. While I hadn’t fully understood the realization at the time, the game of Chinese Mahjong has allowed me not only to grasp my native Chinese roots but also to learn valuable lessons about the art of strategy and calculation applicable to the present, changing world, which requires both to navigate uncertainty and make thoughtful decisions.
Mahjong is an intellectual activity involving four players sitting around a square table who must draw and discard tiles to arrange them in a “perfect” set. One must complement their hand of tiles while memorizing the tiles discarded by their opponents to strategically form special sequences essential for a win. Though simple in explanation, it is complex in playing, as players must take calculated chances on possible risks or play defensively so that other players cannot win.
I often questioned why the older generations of my family were so devoted to this game and what exactly was the fixation that drew them to return to the game every waking moment of our family gatherings. The placement of a single tile can alter the course of the game and the strategies of the opposing players. You must be mindful and strategic in your intentions, since your actions have consequences not only for yourself but also for those around you, requiring full concentration on your own set while remaining aware of the tiles desired by other opponents and those being circulated in the game.
While Mahjong may seem like a leisure activity or family pastime, it is an effective intervention that occupational therapy practitioners may use when supporting healthy aging across the lifespan. The game of Mahjong is not just an activity that sustains social engagement but also serves as a means to alleviate depressive symptoms of older populations in addition to empowering individuals to regain or maintain the ability to stay cognitively engaged. Unique to Mahjong are strategies that require players to integrate working memory, attention, logic, executive function, and intrinsic motivation in ways that complement one another. In doing so, Mahjong provides protective factors against cognitive deterioration while also fostering self-efficacy that contributes to a positive outlook on aging. What began as a family tradition has become a powerful reminder that our personal and cultural identities can shape effective, health-promoting interventions using occupations as both a means and an end goal.
While I am still quite a beginner at this game, I see life as a parallel to Mahjong, as life changes with every move, sometimes as a result of others’ actions or even of your own doing. Sometimes you must be patient for the serendipitous moment when you find the tile you need to complete a winning set. Other times when the odds are against you, it is important to be cautious in compromising, but when you can’t, you shouldn’t for the sake of protecting your own tiles to win. Mahjong is a metaphor for life; one must take what life throws at you, just like receiving a set of undesirable tiles, to adapt quickly and uncover advantages hidden within setbacks. There is no perfect round or just one strategy to win.
And perhaps that is the draw of the game — because it is so difficult to master. It takes years of experience, a good grasp of body language, and a command of the Chinese language, coupled with a dash of good luck, to be successful.
Every time I return to play Mahjong at family gatherings, I have begun to understand why this activity was more than just a game to me. Looking across the table, I have come to realize the shared bond with my family that not many people can replicate. As a non-native speaker of Chinese, the game of Mahjong has brought me closer to my culture as well as my grandparents. While we are engaged in deep concentration and contemplating strategies in Mahjong, I have recognized that this game forms its own separate language to converse through, strengthening my bonds with my grandparents and relatives while also helping to keep their minds sharp.
As an aspiring occupational therapist, I imagine one day drawing upon my own personal experiences and applying these principles to empower the growth and support the development of the future patients I work with. When I am older, I will congregate at my own mother’s house, where relatives and different walks of life will come together over the game of Mahjong. And this cycle will continue for generations beyond my time.
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Occupational Therapy, Entrepreneurship, and a Conversation with Dr. Esther Bae ⟩
April 10, 2025, by Avery
Community Diversity What are OS/OT?
Occupational therapy (OT) is a field dedicated to helping people live fuller, more independent lives. OT’s are often found in clinics, schools, or hospitals. But how can the field of Occupational Therapy blend with entrepreneurship? I recently had the opportunity to sit down and talk with Dr. Esther Bae, an Occupational Therapist, entrepreneur, and business owner, about just that.
As someone passionate about both OT and business, I’m exploring how these two worlds intersect. At USC, I’m considering an Entrepreneurship minor alongside my OT major, and I am currently taking the course BAEP 450: The Fundamentals of Entrepreneurship, to learn how to turn my ideas into real-world impact.
Dr. Bae earned her OTD degree right here from USC. She is an entrepreneur who has merged her passions for accessibility, beauty, and social impact into a thriving career. Esther is the co-founder of Dwelle Collaborative (now Qualified), the first nonprofit to provide occupational therapy services to survivors of sex trafficking, empowering them through meaningful employment. Additionally, she founded a consulting business, which she now focuses on, called Modified Independent, which focuses on accessibility and inclusive beauty, helping brands develop more adaptive and user-friendly products and services. Dr. Bae has always had a passion for makeup and beauty, and she was able to combine her two passions through consulting and entrepreneurship.
One of Dr. Bae’s most notable collaborations through her company Modified Independent has been with Selena Gomez’s company Rare Beauty, where she played a key role in developing accessible packaging for people with disabilities and user-friendly designs for their products, specifically on their Find Comfort line. By working closely with the brand, she ensured that beauty products could be more inclusive, demonstrating how OT principles can be applied in industries beyond healthcare.
Additionally, she has been highlighted nationally by the American Occupational Therapy Association (AOTA) for her accomplishments as an entrepreneur in the field.
Dr. Bae shared some advice with me as I embark on my OT journey. One of the most impactful things she told me was:
“There is no one right way to go about things in your career. What’s important is that you always keep going. I have experienced so many setbacks, but sitting here talking to you, I can see how my journey has come together. You have such a vast future ahead; don’t get caught up in the things that go wrong. Pivot and keep going”.
Her words really stuck with me—not just as encouragement, but as a reminder that the path forward doesn’t have to be perfect to be meaningful. As someone who is inspired by both occupational therapy and entrepreneurship, her message reinforced that forging your own path means embracing uncertainty and setbacks as part of the process. Whether in healthcare or in business, growth often happens in the pivots. As I move forward in this journey, I’ll carry her wisdom with me: to trust the process, stay open to change, and keep showing up; even when things don’t go as planned.
Dr. Bae’s story is a testament to the limitless possibilities within occupational therapy. Whether through consulting, nonprofit work, or product development, OTs have the potential to innovate and create meaningful change. Her journey inspires me as I explore my own aspirations in OT and entrepreneurship, reminding me that success is about persistence, relationships, and the willingness to adapt.
For anyone considering an entrepreneurial path in OT, Dr. Bae’s story proves that it’s possible to build a career that aligns with your passions while making a meaningful impact. The key is to start with what you have, embrace setbacks as opportunities to pivot, and never stop moving forward.
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