Student Blog
Fieldwork

Pursuing a Sensory Integration Graduate Certificate: My Journey So Far ⟩
March 5, 2025, by Tanya

Classes Fieldwork International School/Life Balance

Sensory Integration (SI) has been an area where I’ve always wanted to delve further and bridge my understanding of its theory and practice. While I was confident in addressing factors (e.g., fine and gross motor challenges) that impacted occupational performance in children, I could not ignore the strong association between sensory integration and occupational therapy, especially in pediatric settings. Like many occupational therapists, my knowledge of pediatrics was built through formal education, journal articles, continuing education courses, and hands-on experience.

This led me to question: Am I truly practicing Sensory Integration? Am I offering the right treatment?

And that’s what led me to USC, the birthplace of Sensory Integration theory. USC offers a Sensory Processing/Sensory Integration Graduate Certificate, that can be taken as part of both the Post-Professional Master’s of Occupational Therapy (PP-MA) and Post-Professional Doctorate of Occupational Therapy (PP-OTD) programs. The program spans over the Fall and Spring semesters, being a cumulative learning experience that includes in-person and online lessons, assignments, exams, case discussions, and hands-on clinical work with your own portfolio of clients.

Now, as I navigate the clinical aspect of this course, I would say that this has been a huge learning experience. There have been challenges, surprises, and plenty of moments where I had to pause and rethink everything I thought I knew. Here are some key lessons I’ve learned along the way:

1. Unlearning and relearning
Did you know that sensory strategies and Sensory Integration (SI) are not the same thing? This was a huge realization for me, and I had to relearn and understand the implications of SI, exploring the sensory systems in a much deeper way. It can be easy to interchange key concepts, and as such, revisiting the foundations of SI has been essential in strengthening my clinical reasoning.

2. Expanding my toolbox
I learned about new concepts surrounding praxis, motor planning in relation to sensory systems, and the impact it has on occupational performance. I also had the opportunity to learn and practice new assessments like the SOSI-M and COP-R on my peers, all under the supervision of our professor. Getting hands-on experience with these tools has made such a difference in my confidence and understanding!

3. Rolling with the unexpected — being flexible
One of the biggest lessons I’ve learned? Things do not always go as planned. Sometimes, you do not get placed at your preferred clinical site. At times, the treatment plans go completely off track. Other times, your caseload and schedule shifts, requiring you to adjust your travel plans. Speaking of travel, I have truly learned to embrace what people have warned me about the LA traffic — almost 1.5 – 2 hours is spent commuting home each time I go to the clinic. I have also woken up extra early to carpool with my peers so they could see their caseload and we could save on transport costs. Staying open-minded and adaptable has been key to making things work.

4. Managing energy, not just time
Balancing clinic and coursework in the Spring semester has been an adjustment, especially coming from Singapore, where long commutes were not part of my daily routine. I quickly realized that time management is not just about fitting everything in — it is about knowing when I will have the energy to do it. Instead of leaving work for the end of the day when I am exhausted, I use small pockets of time between classes or while waiting for my peers to finish at the clinic. A little planning goes a long way!

5. Finding confidence in not knowing
SI is complex; assessing and providing intervention does not come with a straightforward or clear answer. I am still learning to be comfortable with not always knowing the ‘right’ responses. Sharing my thoughts with my clinical mentor and professors can feel intimidating — what if I sound ridiculous? However, I am learning that the best way to grow as a clinician is to ask questions, share my clinical reasoning, reflect on the treatment, and even being wrong is part of the learning process.

6. Learning is better together
One of the best parts of this experience has been learning alongside my peers. Whether we are brainstorming intervention ideas, analysing cases, or simply processing our experiences together, having different perspectives has made learning so much more meaningful. At the clinic site that I am at, I also get to interact with E-OTD and PP-OTD students, which has added another layer to our growth. We are all figuring things out together, and that has been incredibly reassuring.

Pursuing the SI graduate certificate has been a journey that has been filled with challenges, unexpected twists, and plenty of “aha” moments. It has pushed me to rethink what I know, step outside my comfort zone, and embrace both the uncertainty and growth that come with learning. Some days feel overwhelming, and I would be lying if I said it has been a breeze. Be open, lean on your peers (they are such a great support system), ask questions — even the ones you think sound silly — and trust that every challenge is shaping you into a better clinician. Growth does not happen in perfect, predictable steps; it happens in the messy, uncertain, and in-between moments. So, take it one day at a time, and enjoy the journey!

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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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To Fieldwork, Thanks for Everything! ⟩
April 19, 2024, by Jaida

Fieldwork

Fieldwork. It can be the best of times, it can be the worst of times. No two experiences are the same which can be both a blessing and a curse. A little bit before this time last year, I was starting off my first fieldwork experience at an inpatient acute hospital — talk about being nervous! The fact that any moves I made with the patient directly affected their wellbeing had me shaking in my boots! If I could go back in time, I would tell myself, “You’ve got this!”

Here’s what each of my fieldwork experiences has taught me and some takeaways that I hope can be helpful for you:

• Adult Rehab: Being in a fast paced environment can be nerve-wracking, so don’t forget to relax and enjoy the experience! Rely on your Fieldwork Educator to help build your clinical reasoning skills. They are a resource so use them! You’ll also have numerous resources from class and lab time, as well as your instructors, to help facilitate your success. While a level I fieldwork is more observation based, you are able to ask your educator questions to deepen your understanding about certain diagnoses. For example, if there’s a certain condition you learned in class that you’re wanting to know more about, your Fieldwork Educator can give you great insight as to how they have navigated it from their experiences.


Loved reading the messages displayed on the whiteboard while at an inpatient acute setting; always brightened my day!

• Mental Health: They just want to be treated like people, so don’t see them for what condition they have, but rather the potential of who they can become. Building rapport is key so if you’re a people person, this is your time to shine! Being in this setting can allow you to work on those interpersonal skills. Your classes at USC will teach you how to use your own therapeutic use of self, so feel free to ask your instructors how to help develop this skill more.



Had so much fun doing collaborative paintings with the residents on my last day at a board and care setting

• Pediatrics: FUNctional treatments are key! This means that majority of the sessions will look like the therapist is playing with the child, when they are actually working on certain skills to work on developmental milestones. Even though they are a child, they also deserve some autonomy when it comes to figuring out what activities they want to do during their session. It’s not the end of the world if a child gets upset during sessions; if anything, this now gives you a sense of their likes/dislikes and how to problem-solve going forward.
• Geriatrics: Leave the ageism behind! Older adults can teach you so much about life. Don’t be afraid to ask questions about their lives; you never know what interesting things they’ll tell you. In doing so, you might also be able to provide insight on what activities the patients like to do. Continue to think outside the box and explore new avenues for engaging in treatment.



Working with these amazing people has allowed me to understand what true productive aging looks like with the members that come have fun here!

I am so grateful for all of the interactions I’ve had and lessons I’ve learned from each of my Level I fieldwork sites. Remember to engage in self-care as you go through your different immersions and give yourself some grace. Cheers to Level I and on to Level II!

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An OT (student) Needs Her Occupations! ⟩
October 31, 2022, by Yoojin

Fieldwork Living in LA School/Life Balance

I have a bachelor’s degree in occupational therapy, and I’ve known what OT was for more years of my life than I have not, but this summer I rediscovered the importance of engaging in meaningful activities to add purpose to each day, especially in the midst of stressful life changes (permission granted to say “Duh!” at this point).

This summer was one of the most challenging yet rewarding summers of my life. I spent it completing my Level II fieldwork at a fast-paced outpatient pediatric clinic. Just three days after graduation, I was learning terminology that sounded like a new language, loading up on snacks and interesting podcasts for my 1.5-hour commute, and stomaching my new identity as a post-grad without a real break in between the semesters.

Unsurprisingly, I was burnt out and questioning my competency as an OT student and future clinician. To say the very least, I was exhausted at the end of each day. I felt fulfillment providing care to the (most adorable) kiddos at the clinic, but everyday I was sighing along to the exhaust pipe on my car as Henry (my car) and I made the trip each day. Though only 12 weeks, I knew this current lifestyle was not sustainable for even a short summer. More naps and cups of coffee were not going to cut it for me. I wanted to practice the healthy habits I was taught (and am teaching others) to instill a lifestyle I was proud of and could carry with me to when I am working.

Even though I knew the OT principles and research behind engaging in occupations, it was a little hard to get started. Nothing could beat the thought of being at home, but I remembered how I felt after I forced myself to go on a short run at the park after an especially difficult day at fieldwork. It was an amazing way to decompress and I didn’t even feel significantly more tired!

I thought of my favorite restorative occupations, and reached out to my friends to join me! I spent the remainder of my summer balancing school and life: hiking, making clay ring dishes, running, going to concerts, and trying out new restaurants are some of my fondest memories. I still engage in all these occupations and they bring so much more meaning into my everyday life.

Here’s a little photo recap of my summer!

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From Patient to Therapist: Rediscovering Occupational Therapy ⟩
September 9, 2022, by Leah

Fieldwork Living in LA What are OS/OT?

I first learned about occupational therapy from my cousin’s girlfriend, who was an occupational therapist. I was ten years old, undergoing chemotherapy for liver cancer, and spent most of my time in hospitals and at home. Besides feeling fatigued and nauseous, I had lost many of my occupational identities, such as being a student, athlete, and friend. My cousin’s girlfriend began to visit my home to teach me how to paint, and we would talk about schoolwork and life. I looked forward to her visits, motivating me to get up from bed, and I received a lot of comfort in starting to see myself as an artist. Following treatment, this experience stuck with me as I became involved in an oncology summer camp that uses occupations to provide healing and respite to impacted families.

Years later, I loved studying psychology, neuroscience, and philosophy during my undergraduate years. Due to my connection with cancer treatment, I continued to be drawn to health care positions and enjoyed my health science classes. Still, I had no idea what career I wanted to pursue.

Following college, I began working in permanent supportive housing. Because of my previous work in research, I thought I might want to be a clinical psychologist. I fell in love with working 1:1 with people and using occupations as a therapeutic means. Some activities I participated in with the residents included shared meal times, grocery shopping, laundry, resource seeking, dog watching, visiting the zoo, birthday parties, and bowling. My favorite part of the role was spending mornings in conversation and sitting in the lobby with residents. I became closest with the public health nurses in the building, and it continued to make me consider working in health care.

Because I was still pursuing clinical psychology, I began working as a research coordinator. While working at a Multiple Sclerosis clinic, I learned many things about myself, both good and bad. I loved working with the participants and often would talk with participants on the phone for far longer than necessary while completing assessments. I loved collaborating with an interdisciplinary team in the clinic when working with participants. I also learned that while researching was essential and exciting, I did not want to make research my career. I had a hard time in an office job and felt like jumping out of my seat every day.

At the beginning of the pandemic, I had a long conversation with my good friend from college who was currently at USC’s OT program. I shared all my doubts and hesitations about pursuing clinical psychology, and I realized my friend was describing my dream job. He discussed his love of occupational therapy’s holistic approach and the connections he had built during his fieldwork experiences. He then told me how he was about to begin his doctoral residency in an oncology hospital! I was overwhelmingly happy for him and a little jealous, so I decided to learn more about pursuing occupational therapy.

I then spoke with several occupational therapists over zoom/phone (hello pandemic!) about their roles as occupational therapists in hospitals, community mental health, and school settings. During every conversation, I felt myself light up and easily connect with the therapists about what I valued about working with people. Importantly, every therapist expressed satisfaction and pride in their work and the longevity in which they have enjoyed their job. I was drawn to the flexibility and scope of the profession. I reflected on my occupational identity and how vital my cousin’s girlfriend was to me during my medical treatment.

And now, I love my experience studying to be an occupational therapist. I spent this last summer in an inpatient acute adult setting. Next summer, I have my dream fieldwork, working in pediatric oncology at St. Jude’s Hospital in Memphis, TN!

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