Student Blog
What are OS/OT?

Adventures in OT in Ireland ⟩
April 4, 2018, by Erika

Externships International What are OS/OT?

As part of our Leadership Capstone course that rounds out our final semester at USC Chan (boy, did time FLY!), we are given an opportunity to build our own externship experience during the two weeks leading up to Spring Break. In recognition that OT is a broad field that can work with populations across various settings and life stages and that each students’ journey through OT is highly individual; this is a great opportunity for students to pursue their individual interests and curiosities about the profession while demonstrating their own knowledge and leadership in OT.

The creativity of my fellow classmates’ externship experiences was inspiring! Some students stayed local and observed ergonomic and lifestyle changes that their friends could implement to prevent work-related injuries at their desk jobs. Other students chose to shadow faculty in order to see what goes into working in academia. Still, others expanded upon their community-based OT programs that we crafted last semester and furthered their research and execution to make these programs viable and one step closer to becoming realized.

Additionally, a great number of students went international. As Kaitlyn mentioned, our Global Initiatives office offers organized trips to places like Denmark, Japan, Ghana, Korea, and Australia where you can go with a group of your classmates to visit various OT facilities and universities abroad.

I chose to go international as well! I ended up going to Ireland and with the help of a few classmates and colleagues who were either from Ireland or had previously gone to Ireland during their externships, I was able to set up 8 independent site visits with OTs in 4 different cities across the country. In choosing Ireland, I really wanted to understand what the strengths and barriers were in practicing OT within a public healthcare system, explore interventions that prove successful in Ireland that may not be in America and the cultural implications of that, and gain a sense of the student experience and curriculum for those currently learning OT in Ireland.

My overall experience exceeded any of my expectations and goals. Here is a map and a list of sites I was able to visit:

Map of Externship in Ireland
(Note: Yellow Points = OT Site Visits)

Co. Dublin

Dublin City University & Trinity University
I spoke with OTs and OT students who work in Student Disability Services.

National Rehabilitation Hospital
Inpatient Rehab observation of their Prosthetic Orthotic Limb Absence Programme, Rehabilitation Training Unit Group, Brain Injury Program, and discuss the student experience with Trinity fieldwork students that were placed there.

Co. Galway

Galway University Hospital
I observed OTs working in acute care in the following areas General Med (renal, infectious disease, and endocrine), Med Surgery, and Cardiac ICU.

National University of Ireland, Galway (NUIG)
I met with the Practice Education Coordinator who graciously set me up with many of her OT contacts in Ireland.

Co. Westmeath

Clonbrusk Resource Centre
I spoke with American OTs who have been in Ireland for over 15 years practicing in pediatrics and observed an OT evaluation with a new client.

Co. Cork

St Finbarr’s Hospital
Spoke with an OT working in the hospital’s Inpatient Rehab Geriatrics unit.

University College Cork (UCC)
Along with my classmate, Joe, we presented on our community-based OT programs to graduating OT students at UCC. Additionally, I was able to sit in in a couple of lectures about interventions that are being introduced into Ireland from other parts of Europe as well as a lecture on working with transgendered clients in Ireland.

On top of this, I was able to travel and sightsee the gorgeous countryside in between site visits. From the terrifying adventure of learning how to drive on the left side of the road to observing Irish families playing in the snow on their first snow day in 10 years to exploring the towering Cliffs of Moher and the teeny artist town of Dingle to celebrating St. Paddy’s day in Dublin, Ireland was nothing short of extraordinary and this was most often shown through the warmth of its people and culture.

Sláinte! (Cheers! in Irish)

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Making Our Mark in Denmark: My Leadership Externship Experience ⟩
April 2, 2018, by Kaitlyn

Externships International What are OS/OT?

Denmark has been one of my top places to visit for the past few years now, as I knew that they were consistently ranked one of the happiest countries (if not the happiest) in the world. I was particularly interested in their efforts in eco sustainability, health care system, biking culture, and “hygge”. Thus, when I was offered to go to Denmark for my leadership externship for two weeks in collaboration with USC Global Initiatives and Southern Denmark University, I knew that 1) I had to go and 2) it was meant to be (duh!).

During the two weeks, our schedule was jam-packed with presentations, activities, and cultural exchanges! In the first week, my team and I presented to Metropolitan University College, Southern Denmark University, and University College Lillebaelt on how education and healthcare systems function in America, what USC’s OT program looks like specifically, and some of the research being conducted at USC. As much as we were the ones providing information to Denmark’s school departments, students, and faculty, they also provided an abundant amount of information about themselves, their research, and their culture in return.

During the second week, we visited Hammel Neurorehabilitation and attended an Ergo Symposium hosted at Southern Denmark University, where Dr. Renee Taylor, one of the authors of a textbook we use in the program, was a speaker! In that same week, we had the amazing opportunity to shadow occupational therapists at Odense University Hospital in various departments (i.e., hand therapy, pediatrics, TBI, trauma, oncology, etc.). While shadowing at Odense University Hospital, it was evident to me that the free healthcare system adopted by Denmark affects the way OTs practice there.

Throughout the two weeks, we were completely immersed in Danish culture and ways of living, and I can honestly say that it has changed my perspective on life. Here are just a few of the things I learned along the way:

The importance of work-life balance
In Denmark, employees receive 6 week paid vacations (which does not include sick days) and 1 year paid maternity leave. Speaking of sick days, it is actually looked down upon if you go into work sick (if you’re sick, you’re sick . . . Don’t be selfish and contaminate the work environment, they say!). Overall, the Danish really embody the idea that when you leave work, you actually leave work and live your life.

The importance of saying what you mean and meaning what you say
Here in America, it is so common for me to say to almost everyone, “Hi! How are you?” In Denmark, however, this customary greeting does not equivalently translate. We were told that you do not ask someone, “How are you?,” unless you are prepared to get an actual answer about how they are doing. In short, people in Denmark do not say things unless they mean it. For example, they will not offer to do something they do not want to do, and will not sugarcoat things or beat around the bush. 

The importance of humility
In the working world of America, we like to rack up all of the accomplishments we can so that we can put them on our resume. This is something we have to do in order to be a competitive applicant. Interestingly enough, they do not do that in Denmark. For the Danish, it is actually looked down upon if you try to upstage the people around you and/or try to make yourself stand out and look better. Showing off how much money you have, how great your career is, etc. are big no-no’s in Denmark! This idea relates to Denmark’s emphasis on equality (see: below bullet point).

The importance of equality
The emphasis on equality is reflected in so many ways in Denmark. For example, education is completely free (as a university student you also get a monthly stipend), and so is healthcare (it doesn’t matter if you’re homeless or if you’re the richest person in Denmark, as both will get the same level of care).

The importance of trust
They trust everyone in Denmark. On one particular day, we walked by a restaurant and there was a peaceful child sleeping in a stroller outside without the parents! It is probably safe to say that would not happen here in America, but it’s refreshing to know that there is so much inherent trust within the people in Denmark.

Taken altogether, this experience has been a highlight in my time here as a USC OT student. I’ve always loved traveling, and this trip was confirmation why. The world is so big, and there is always more to explore. It is so incredibly easy to simply go through the day-to-day motions and be stuck in the bubble of Los Angeles, but traveling always grounds me and forces me to expand my ways of thinking. There is more to life than the life lived here in LA.

Mange tak (many thanks) to Dr. Danny Park, Benedict of the Global Initiatives Team, the kindhearted students and Dr. Jeanette Christensen of Southern Denmark University, and my wonderful team of 7 for a life-changing international experience.

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After Graduation: Now What? ⟩
March 19, 2018, by Linah

Admissions Life Hacks What are OS/OT?

Start practicing or further your degree?

NBCOT, OTED, OPT, HIJKLMNOP . . .
As many already know, the NBCOT is the national board exam for occupational therapy. In other words, in order to get licensed as an occupational therapist in the US, passing this test is a requirement. Luckily, USC Chan Division prepares its students well for it by requiring them to sit for the comprehensive exam at the end of the master’s degree. During this exam all the information related to OT is tested, and this serves as an adequate rehearsal for the NBCOT. The method works evident by how USC has maintained a passing rate among students as high as 99%! This option is not limited to US citizens. International students can take advantage of the OPT (Optional Practical Training) year that their F-1 student visa allows, get licensed, and practice OT in the US, too. 

In order for an international student to sit for the NBCOT, they would need to go through OTED first. The Occupational Therapist Eligibility Determination (OTED) process requires a few documents that are better brought from back home. Documents like detailed syllabi for each course studied during undergrad, official transcripts, a letter from the undergrad’s program director acknowledging the student’s attendance, and more. The full list of requirements can be found here. All I am saying is, if you’re an international student planning to take advantage of your OPT then better start early (even before starting your post-professional masters) to collect all the required documents. Many of which would be much easier to attain while you’re still in your home country.

OTD vs PhD
Here’s the breakdown: an OTD is generally 2 years long, clinical based, and prepares students to be faculty members and clinicians. It mainly focuses on preparing students to be leaders for the profession. It is a doctoral level degree recognized in the US, however it is yet to be recognized as so in other countries where this degree does not exist yet. It is a great option for those who plan to work in faculty positions that allow clinical practice. The OTD prepares students to be administrative leaders and helps them specialize in emerging clinical fields in OT.

The PhD on the other hand lasts about 4 to 5 years on average, research based, and prepares students to be researchers in the field. This PhD program in USC is literally the first ever PhD in occupational science, and it is fully funded. This means it does not require a tuition, and offers a monthly stipend to its candidates.

Thankfully, being a master’s student in USC offers numerous opportunities to explore one’s interests. This includes visiting clinical sites, volunteering in research labs, and even sitting down with some respectable names in occupational science research who just happen to be part of our faculty!

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OT Generalist! ⟩
February 28, 2018, by Ali

Admissions What are OS/OT?

Hello! The other student ambassadors and I have been receiving a lot of questions about “concentrating” or “specializing” in certain setting within the field of occupational therapy. The wonderful part of graduate coursework to becoming an occupational therapist is that you gain knowledge and skills to treat every population. You will graduate from the program as a “generalist,” which means you know a little bit of everything. Throughout the program students are able to explore three separate settings through their level I fieldworks in pediatrics, mental health, and adult rehabilitation. Then students will choose two of these settings to be placed in for their level two fieldworks.

If you take a look at the course sequence and the course descriptions you can see that the Entry Level Master’s program exposes you to various setting and provides you with a strong base for your first job!

One way the USC Chan Division of Occupational Science and Occupational Therapy is special is the ability to choose electives your final semester of coursework. Although all students from our program will graduate “generalists” this freedom to choose classes that allow you to delve into certain areas, populations, or skills gives us the chance to specialize and learn more about topics we have a particular interest in! See Caroline’s post to learn more about what this final semester could look like!

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OT in Oncology ⟩
February 15, 2018, by Kaitlyn

Getting Involved What are OS/OT?

I have met a lot of amazing and inspiring people during my journey to becoming an occupational therapist. While I try to preach equality as much as I can, there is still one patient that remains one of my favorites to this day. In my freshman year of college, I volunteered at USC Norris Comprehensive Cancer Center, where I met the woman who would spark my road to health care.

Without going into too much detail, she was the kind of woman who wore lipstick everyday even though symptoms and side effects of her diagnosis and treatment yielded a thinning (and nearly disappearance) of her lips. She told me countless stories about her life in her twenties and early thirties — all of places she had lived, all of the countries she had traveled to, and all of the men she had to date before she found her husband (this is my mini plug to say happy belated Valentine’s day!). She was such a light in my life at the time (and still is, to be quite honest) and my interactions with her and all of the other patients in that hospital are what solidified that working with patients in healthcare is what I wanted to do for the rest of my life.

That was nearly 7 years ago (wow, how time seriously and flies!), and since then, oncology has always held a special place in my heart. As I continued OT school, I was so happy to discover that OT does play a role in cancer care as well. With that being said, a few weekends ago I attended the ‘OT in Oncology Symposium’ hosted by OTAC and City of Hope. This is the first time they’ve held an event like this on this topic, so I knew that I could not pass up the opportunity.

At this event I learned about a multi-pronged approach to cancer-related fatigue, pediatric oncologic OT in acute care, a comprehensive approach to address cancer-related cognitive impairments, evaluation and treatment of of chemotherapy-induced peripheral neuropathy, psychosocial interventions across the continuum of cancer care, and even how to manage cancer as a chronic condition using a Lifestyle Redesign® approach (lectured by our very own, Dr. Camille Dieterle).

Within these topics, I learned about how fatigue, as a result from cancer, can negatively affect cognition in patients’ everyday lives and how we, for example, can educate the client on how to take proper rest breaks throughout the day. I also learned about the importance of facilitating normalcy and encouraging toddlers with cancer to participate in play in order to yield a sense of autonomy and self, even in a setting like a children’s hospital. In addition, I learned different exercises (i.e., median nerve glides, overhead elbow active range of motion stretches, etc.) to incorporate into treatment sessions with patients to help reduce edema (swelling) and increase tissue circulation in the body. I learned a lot more but if I kept on going this blog post would be way too long!

One of the biggest takeaways I learned from this symposium is that in oncology care (and in any area, really), an extremely essential role for OTs is to present and instill hope in our patients. Yes, as OTs we assess and work on patients’ instrumental activities of daily living (IADLs), activities of daily living (ADLs), and range of motion (ROM), but an even more important role is that we aim to make our patients feel understood and really look at what roles are most impacted during this time in their lives. A role can be that of a mother who wants to be able to pick up her child, or it can even just be that of a woman who wants to be able to put lipstick on every day.

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