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OCCTH 503

Professionalism, Supervision, and the Intentional Relationship in OT Practice 3

Instructor: Cori Schmitz

Office: CH 2-32

Office hours: sign up on office door E-mail: [email protected]

Teaching Assistant (Calgary Cohort): Jutta Hinrichs

Office: Calgary Satellite Program

Office hours: email to make an appointment

E-mail: [email protected]

Lecture & Seminar & Activity Schedule:

Edmonton: Wednesdays from 08:30 – 11:20 or seminar groups, as assigned (either Tuesdays 0800- 1000 or Wednesdays 0800-1000 or 1000-1200).

Calgary: Wednesdays from 08:30 – 11:20 or seminar groups, as assigned (either Wednesdays 1000- 1200 or Thursdays 1030-1230).

All students will also attend a mandatory, half-day Health Sciences Education & Research Commons (HSERC) Interprofessional Launch event on the afternoon of either Friday, Sept 19 or 26, as assigned.

Fieldwork Schedule:

All students will complete a 1 week Introductory Fieldwork Placement from Oct 14-17, 2014.

 No placement on Monday, Oct 13 (Thanksgiving).

 Typical clinical hours are 0800-1615 but the exact daily schedule for the week-long placement will depend on the specific workplace to which the student is assigned.

 Students should expect to be on placement full-time for 4 days.

 Placement locations/sites will be confirmed ASAP.

Course Description:

In the classroom … via lectures, seminars, activities and assignments, students will be provided with the conceptual knowledge and practical skills for the development of professional competencies, including communication, self-assessment & reflection, goal-setting, life-long learning, continuing competency and teaching. The policies and guiding principles for Occupational Therapy, including regulatory, professional and ethical standards of practice, will be presented. Students will be introduced to inter-professional communication and teamwork. Supervisory and managerial skills will be overviewed, including the appropriate delegation of occupational therapy activities to support personnel. Students will be

introduced to the Model of the Intentional Relationship in OT (Taylor, 2008) and will begin the process of identifying and developing their individual therapeutic use of self in response to the interpersonal

characteristics of clients. Students will be given the opportunity to learn from client narratives and initiate their understanding of how to promote and establish respectful, therapeutic relationships.

In the field … students will have the opportunity to complete 1 week of introductory clinical education with an Occupational Therapist(s) as a means of gaining early exposure to the role of occupational therapy in a particular practice setting. Students will engage in a mentoring relationship(s) and will have the

opportunity to practice their therapeutic use of self and articulate their understanding of occupational therapy as well as demonstrating their professionalism.

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Links to Other Courses:

Foundational to all the courses in the MScOT curriculum, including Level 1, 2 and 3 fieldwork courses.

Learning Objectives for OCCTH 503:

At the end of the course students will be able to demonstrate their understanding of:

1. Professional conduct, accountability and life-long learning 2. Self-assessment of communication and clinical skills 3. Peer evaluation & feedback

4. Regulatory and professional organizations guiding the practice of OT in Alberta (ACOT & SAOT), Saskatchewan (SSOT), British Columbia (CAOT – BC), Canada (CAOT) and the world (WFOT) 5. Human rights legislation as it relates to health and disability

6. Inter-professional Learning Pathway Competency Framework (HSERC)

7. Initial exposure to inter-professional teamwork and the roles of various health disciplines 8. Skills and strategies for effective supervision in various collegial relationships

9. Role of the therapy assistants & effective delegation to support personnel 10. Therapeutic Use of Self

a. Model of the Intentional Relationship in OT (Taylor, 2008) b. What defines a good therapist

c. Therapeutic modes

d. Interpersonal characteristics of clients e. Challenges to client-therapist relationships

f. Therapeutic responding & interpersonal reasoning g. Therapeutic communication

h. Interviewing skills & strategic questioning 11. Ethical decision-making

12. Introduction to cultural competency, including socio-economic diversity 13. Client narratives re: therapeutic relationships and clinical reasoning 14. Becoming an Ally (Bishop, 2002)

Teaching Strategies:

 Lectures

 Student led seminars

 Clinical education (fieldwork)

 Interprofessional case studies and challenge activities

 Guest speakers

 Multimedia forms of client narrative

 Guided reflection

 Self-directed research and learning

 Small group discussion

Resources:

Required Textbooks:

Taylor, R. (2008). The Intentional Relationship: Occupational Therapy and Use of Self. F.A. Davis Company: Philadelphia.

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Required Readings**

Other required readings (articles, documents, and weblinks) will be sent out, as needed, on the Friday prior to each lecture or seminar via email and posted on the OCCTH 503 e-classroom.**

Recommended Textbook:

Bishop, A. (2002). Becoming An Ally: Breaking the Cycle of Oppression in People. Halifax:

Fernwood Publishing.

Overview of Assignments, Examination and Mark Distribution:

Assignment #1: Narrative Assignment

An Exploration of Multimedia Narratives re: Persons with Disabling Conditions and the Role of OT Due Friday, October 10^th at noon

The Narrative Assignment is worth 30% of your final grade in OCCTH 503.

10% of the respective assignment grades will be deducted for each 24-hour period (or portion thereof) that an assignment is late (including weekends).

Assignment #2: Introductory Fieldwork Placement Reflection Due Friday, October 24^rd at noon

The Fieldwork Reflection Assignment is worth 10% of your final grade in OCCTH 503.

10% of the respective assignment grades will be deducted for each 24-hour period (or portion thereof) that an assignment is late (including weekends).

Assignment #3: Student-Led Seminar Presentations & Participation

Over the course of the fall term, students will create and deliver two presentations to their seminar group:

Intentional Relationship Oral Presentation (50 min including student-led activity and Q&A) Due as per seminar presentation schedule (sign-up sheet for each seminar group) Introductory Fieldwork Placement Oral Presentation (8 min including Q&A)

Due Oct 21-23 as per seminar presentation schedule (sign-up sheet for each seminar group)

Student presentations and participation in the seminars will be evaluated by peers (informally) and by your seminar facilitator (formally) and an overall mark will be given worth 30% of your final grade.

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Please Note:

Although a numeric grade will not be assigned to the Introductory Fieldwork Placement or the Interprofessional (IP) Launch event, these activities are MANDATORY.

 Student engagement, communication and time management in the fieldwork placement will be evaluated using a Professional Behaviour Rubric (©DalU) which will be completed by your on-site clinical educator(s) and submitted to the course instructor.

 Student engagement in the IP Launch is tracked by completion of the group ‘IP Passport’

activity which will be provided and submitted on the day of the event.

 Students who are noted as AWOL from either of these important activities will be required to withdraw from OCCTH 503.

Course Rubric:

Seminar Presentations & Participation 30% (due as scheduled)

Narrative Assignment 30% (due October 10)

Fieldwork Reflection 10% (due October 24)

Final Exam 30% (tentatively scheduled for December 9)

Grading:

MScOT (Course-based) Conversion Scale

A+ 95-100

A 87-94

A- 81-86

B + 76-80

B 71-75

B 65-70 -

C+ Minimal Pass 60-64 (Minimal pass)

C 57-59

C - 54-56

D + 52-53

D 50-51

F 0 - 49

Student Accommodation/Illness:

Any request for accommodation must be submitted in writing at the beginning of the course with a letter from Specialized Support and Disability Services (SSDS) that identifies the student’s specific

accommodation needs. This information should address how this disability or need impacts the student’s ability to participate in the normal requirements of the course. Where a student is not yet registered with SSDS, medical or other documentation must be provided at the beginning of the course. Students will be referred to SSDS by the course instructor for the necessary registration.

Refer to the Faculty of Rehabilitation Medicine student procedures manual for specific information:

http://www.uofaweb.ualberta.ca/ot/FRM_Student_Procedures_Documents.cfm

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It is important for students to note that:

Learning is a partnership between the student and the facilitator (professor, instructor, teaching assistant, preceptor, personal advisor, etc). Learning opportunities have been designed and resource materials have been identified to help you achieve the course objectives and outcomes.

Not all material will be covered in class. Reading, exercises, and other forms of directed and self- directed study will be required to achieve depth of learning. It is the student’s responsibility to use these opportunities and material and ensure that (s)he can achieve the stated objectives and specific occupational therapy outcomes. This is an essential component of the accountability that is associated with becoming a professional.

Policy about course outlines can be found in Section 23.4(2) of the University Calendar. Refer to Appendix A of the University Calendar:

“The University of Alberta is committed to the highest standards of academic integrity and honesty.

Students are expected to be familiar with these standards regarding academic honesty and to uphold the policies of the University in this respect. Students are particularly urged to familiarize themselves with the provisions of the Code of Student Behaviour (online at www.ualberta.ca/secretariat/appeals.htm) and avoid any behaviour which could potentially result in suspicions of cheating, plagiarism, misrepresentation of facts and/or participation in an offence. Academic dishonesty is a serious offence and can result in suspension or expulsion from the University.” (GFC 29 SEP 2003)

If applicable:

Group work- is an essential part of the course and students are expected to fully participate in each group activity. How you participate is one indicator of your professional conduct and therefore assignments requiring group work incorporate peer evaluation and academic consequences for not participating fully as outlined in the group work policy at http://www.rehabmed.ualberta.ca/ot/Handbook/policies.htm.

Please read carefully. DO NOT wait until an assignment is due to take action as outlined in the policy. DO contact your course instructor about concerns as soon as possible.

Please be aware that classes may be recorded by the instructor for potential distribution among students and instructors in both the Calgary and Edmonton sites. This is to ensure fair and equitable access to course content at both sites.

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OCCTH 503 COURSE SCHEDULE FALL TERM

Lectures: Wednesdays 0830-1120 (CH 2-39 in Edm, unless otherwise noted, or Calg Sat) Seminars: Tuesdays 0800-1000 or Wednesdays 0800-1000 or 1000-1200 or Thursdays 1030-1230

(groups and rooms as assigned)

Please take note of specific dates and times below.

Schedule is subject to change based on the availability of guest speakers.

Week Date Topic

1 3hr

Wed, Sept 10 0830-1120

Brief Overview of OCCTH 503

 Introductory Fieldwork Placement & Reflection

 HSERC Inter-professional (IP) Launch

 Student-led Seminars: The Intentional Relationship

 Narrative Assignment: An Exploration of Multimedia Narratives re: Persons with Disabling Conditions and the Role of OT: Guided Reflection & Research

Definitions

 Professionalism

 Supervision

 Intentional/Therapeutic Use of Self Professionalism

 A Schemata of Professionalism (Bossers et al, CJOT, 1999) Inter-professionalism (IP)

 IP Learning Pathway Competency Framework (HSERC)

Narrative as a Key to Understanding (Crepeau & Cohn, 2014) Professional Reasoning in Practice (Boyt Schell, 2014)

 What is Narrative Reasoning?

Intro of Seminar Groups (including presentation sign up) Willard & Spackman (2014) Chapter 8 & 30 & 35

plus weekly required readings & weblinks

2 2 hr +

Tues, Sept 16 0800-1000 Wed, Sept 17 0800-1000

Seminar 1

 Taylor (2008) Chapters 1 & 2

 Taylor (2008) Chapter 3

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3 2 hr

Tues, Sept 23 0800-1000 Wed, Sept 24 0800-1000 1000-1200 Thurs, Sept 25 1030-1230

Seminar 2

FILM SCREENING (in Edmonton) Murderball: TBA

IP LAUNCH (second half of Edmonton cohort – KUZ to WYN):

Friday, Sept 26 1330-1630

Detailed invitation will be emailed directly to student from HSERC.

IP LAUNCH (Calgary cohort): Friday, Sept 26 13:30-16:30 Location & instructions TBA

4 2 hr

Tues, Sept 30 0800-1000 Wed, Oct 1 0800-1000 1000-1200 Thurs, Oct 2 1030-1230

Seminar 3

5 3 hr

Wed, Oct 8 0830-1130 (Broadcast)

Supervision & the Role of Therapy Assistants (Guest Speaker: Jacalyn Poulin, OTA, Dept of OT)

 Guidelines for the Supervision of Assigned OT Service Components (2007)

 Practice Profile for Support Personnel in OT (2009) Supervision – Collegial/Managerial

(Guest Speaker: TBA)

Introductory Fieldwork Placement Preparation

 Professional Behaviour Rubric (DalU) Taylor (2008) Chapter 15

Willard & Spackman (2014) Chapter 69, 70 & 72 plus weekly required readings & weblinks

NARRATIVE ASSIGNMENT due Friday, Oct 10 at noon

6 30 hr

Oct 14-17 INTRODUCTORY FIELDWORK PLACEMENT

No Lectures or Seminars

7 2 hr

Tues, Oct 21 0800-1000 Wed, Oct 22 0800-1000 1000-1200 Thurs, Oct 23 1030-1230

Seminar 4

 Fieldwork Presentations & Debrief

FIELDWORK REFLECTION due Friday, Oct 24 at noon

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8 2 hr

Tues, Oct 28 0800-1000 (Exam Hall) Wed, Oct 29 0800-1000 1000-1200 (Exam Hall)

OH Card Activity (Edm Cohort only – attend assigned session) Guest: Dr L. Taylor, Associate Dean

OH Card activity for Calgary Cohort – Date/Time TBA.

9 3 hr

Wed, Nov 5 0830-1130 (Broadcast)

ACOT (Guest Speaker: M. Fulford, Registrar)

 Regulation of OT in Alberta

 Alberta Health Professions Act (HPA)

 Standards of Practice (ACOT, 2003)

 Code of Ethics (ACOT, 2005)

 Continuing Competency

SAOT (Guest Speaker: L. Budzak, President)

 Promotion of OT in Alberta

 Professional Development

SSOT (Guest Speaker: C. Lennea, Executive Director)

 Regulation of OT in Saskatchewan

 Promotion of OT in Saskatchewan

CAOT-BC (Guest Speaker: G. Boniface, Director)

 Promotion of OT in BC

CAOT (Guest Speaker: Judith Lee, Incoming AB Board Director)

 Profile of OT in Canada

 Essential Competencies of Practice for OTs in Canada

WFOT (Guest Speaker: Sharon Brintnell, WFOT President) Weekly required readings & weblinks

10 3 hr

Wed, Nov 12 0830-1130

(Exam Hall in Edm)

Professional Ethics Taylor (2008) Chapter 14

Willard & Spackman (2009) Chapter 32 plus weekly required readings and weblinks

11 2 hr

Tues, Nov 18 0800-1000 Wed, Nov 19 0800-1000 1000-1200

Seminar 5

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12 2 hr

Tues, Nov 25 0800-1000 Wed, Nov 26 0800-1000 1000-1200 Thurs, Nov 27 1030-1230

Seminar 6

 Mystery Article! (TBA)

13 3 hr

Wed, Dec 3 0830-1130

Introduction to Cultural Competence

 Socio-Economic Diversity Becoming a Better Therapist

 Privilege

 Occupational Justice

 ‘Becoming An Ally’

Brief Final Exam Review Taylor (2008) Chapter 16

Willard & Spackman (2013) Chapter 16 & 17 & 41 Bishop (2002) (recommended)

plus weekly required readings & weblinks Exam

Week(s)

Dec 6-19 Final Exam (Tentative time, as per Beartracks: Dec 9 0900-1100)

“The instructor reserves the right to change topics due to availability of speakers”