Building Student Community in a Hybrid Program

ABSTRACT

The concept of student community has been shown to enhance learning, empower students, and increase engagement in the learning process. An occupational therapy program transformed classroom-based learning to a hybrid platform with over 70% of the course content online and expanded from one to two learning sites. Based on faculty concerns about occupational therapy students’ experience of belonging to a community, this study compared student-perceived sense of community in the first and final didactic semesters of a hybrid Master's program. Using the Classroom and School Community Inventory and a Checklist of 24 Points of Contact, faculty found over 90% of students reported a sense of community with no significant differences from start to finish of the didactic program, or between learning sites. Furthermore, students reported informal, out-of-classroom interactions with colleagues, group assignments, and face-to-face classroom sessions as the strongest points of contact contributing to a sense of student community.     

Achieving Curricular Themes Through Learner-Centered Teaching

This paper focuses on the use of the four specific learner-centered teaching approaches: service-learning, learning through discussion, team-based learning, and a structured research course sequence in an occupational therapy curriculum. These methods are used to develop the four curriculum themes of engagement, critical thinking, innovations in practice, and clinical reasoning. The outcome of these approaches has been that students have taken more responsibility for their learning and shown increased maturity while promoting faculty creativity. Additionally, students have developed skills and interests in social and community engagement, and have sought jobs in community-based practice areas.     

Configuration of occupational therapy,professionalism and experiential learning — An integrated introductory course

The professional obligations of an occupational therapy faculty include the need to provide students with means to develop a sound professional identity and facilitate a positive and coherent professional socialisation process. This article proposes that, through calculated construction of an introductory occupational therapy course, one can relate to these issues. It suggests basing the course content on Mosey's concept of ‘the configuration of occupational therapy’, in answer to possible problems in professional identity, and at the same time working to develop the basic professional socialisation dimensions — knowledge, skills and art of therapy. It uses experiential learning theory, both as an instrument for the examination of students learning styles and for choosing teaching methods.     

Curricular Inclusion of Complementary and Alternative Medicine Content in Occupational Therapy Education in the United States

An exploratory, cross-sectional survey design was used to explore the extent to which CAM was included, what factors impacted its inclusion, topics and student learning outcomes covered, who taught the material, and what sources were used to prepare for delivering course content. While the vast majority of responding occupational therapy educators reported curricular inclusion of CAM, educational experiences for occupational therapy students varied widely. This overview of the curricular inclusion of CAM by faculty in occupational therapy programs in the United States indicated that many occupational therapy educators are responding to the demands of a more integrative healthcare system. Resolving ethical and pragmatic issues, providing faculty development opportunities, and standardizing student learning outcomes would align all stakeholders and mitigate ambiguities that currently exist surrounding the inclusion of CAM in occupational therapy education.     

Education and Practice: Connecting with Research

This paper discusses a faculty project that explored community research needs to guide and shape the research curriculum and class assignments for a master of occupational therapy education program. Thirteen community partners were identified and interviewed. Eleven of 13 valued or greatly valued research. Those same 11 expressed an interest in collaborating with the Department of Occupational Therapy. The community partners identified 86 potential future topics for research covering many areas of practice; the majority of them focused on pediatrics. The community partners also identified several research supports already in place such as team work, administrative support, and access to clients. They identified barriers to implementing research including lack of time and assistance for the research process. This information will be incorporated in student research projects, course assignments, and faculty research agendas to provide students with an authentic learning experience while meeting community partners' needs.     

Preparing students for practice in a changing community environment: an innovative course

This paper provides an overview of an innovative course in community occupational therapy. The course emphasises and prepares students for community practice in an environment profoundly affected by ongoing changes in Canada's health and social systems. Its rationale, objectives, structure, and content are outlined. In particular, the paper highlights the in vivo, problem-based component of the course, which centres around community-based fieldwork. A summary of the major results of the evaluation of the course is also presented. Although this course was designed for Canadian occupational therapy students, much of the material presented is potentially useful to educators of occupational therapy students in other countries. Copyright © 1996 Whurr Publishers Ltd.     

Combining Roles as an Academic Instructor and a Clinical Practitioner in Occupational Therapy: Benefits,Challenges, and Strategies for Success

SUMMARY

Approximately 28% of the total occupational therapy (OT) faculty in higher education are adjunct faculty members. Adjunct faculty (i.e., faculty who teach a course or part of a course) have been used in higher education to maintain quality educational experiences while providing positive community connections and educational resources with first-hand experience. In occupational therapy, practitioners often assume adjunct faculty responsibilities, thereby significantly increasing professional workloads. Despite added effort, there are several benefits to adjunct teaching. However, there are equally as many challenges.

Objectives of this article were to describe rewards and challenges of adjunct teaching and suggest strategies for successfully negotiating adjunct roles. The article summarizes findings from needs assessments undertaken to develop adjunct faculty programs. Results are relevant to practitioners with both clinical and teaching roles, and to their supervisors and peers.     

Capstone Projects as Scholarship of Application in Entry-Level Occupational Therapy Education

ABSTRACT

Capstone projects are integrative student learning experiences used in higher education. This article describes the value and merit of capstone projects as scholarship of application within an entry-level occupational therapy education program. The capstone process is outlined and roles and responsibilities of student, faculty members, and community mentors described. Summative curricular evaluation from 5 years of capstone projects indicated that project characteristics and objectives aligned with the theory and desired outcomes of applied scholarship in the areas of student learning, faculty practice and development, and community service. Challenges identified can further inform development of the capstone experience in occupational therapy education.     

Students Teaching Students: Learning Through Doing,Being, and Becoming

This paper describes a creative teaching strategy that may be used by occupational therapy educators. The strategy is illustrated through the learning experience of five occupational therapy students in Pi Theta Epsilon (PTE) who participated in a project which involved teaching first year occupational therapy students. With guidance from their faculty advisor, the students developed a lecture on Occupational Science and designed a pre and posttest instrument to measure the first year student's learning as well as their own performance and learning. Qualitative data from the five PTE students provided insight into their teaching experience. This project afforded an opportunity for the five students to apply and strengthen their problem-solving, interpersonal, and leadership skills, and teamwork. The doing aspect of preparing a lecture required various skills and knowledge that will benefit the students as future practitioners. The actual teaching of others allowed the students to experience being in the role of an educator. Such learning activities help to prepare students for their journey to becoming occupational therapists.     

A service learning is a perfect fit for occupational and physical therapy education

Service learning provides invaluable contributions to the education of occupational and physical therapy students by allowing them to contribute to the community while simultaneously optimizing their professional preparation. This report explores the application of five principles in occupational and physical therapy service-learning experiences: placement quality, application between classroom and community, reflection, diversity, and listening to the community's voice.     

A comparison of distance education instructional methods in occupational therapy

The progression of technology is rapidly bringing new opportunities to students and academic institutions, resulting in a need for additional information to determine the most effective strategies for teaching distance learners. The purpose of this study was to compare the effectiveness of three instructional strategies (two-way interactive video and audio, chat rooms, and independent learning) and student preferences regarding instructional methods in a mental health programming distance learning course. Precourse and postcourse surveys were completed by 22 occupational therapy students enrolled in the course. Effectiveness of the teaching methods was determined based on the results of students' examinations. The findings indicated that there were no statistically significant differences in student performance on multiple-choice examinations using the three instructional methods. Of students, 77% indicated a preference for two-way interactive video and audio instruction. To provide effective education via distance learning methods, faculty members need to structure assignments that facilitate interaction and communication among learners. As distance education becomes more commonplace, it is important to identify the methods of instruction that are the most effective in delivering essential course content and the methods that provide the atmosphere most conducive to learning.     

A new inter-professional course preparing learners for life in rural communities

The 'Professionals in Rural Practice' course was developed with the aim of preparing students enrolled in professional programs in Canada to become better equipped for the possible eventuality of professional work in a rural setting. To match the reality of living and working in a rural community, which by nature is interprofessional, the course designers were an interprofessional teaching team. In order to promote group cohesiveness the course included the participation of an interprofessional group of students and instructors from the disciplines of medicine, nursing, occupational therapy, physical therapy, teacher education, and theology. The format of the course included three-hour classes over an eight-week period and a two-day field experience in a rural community. The course utilized various experiential and interactive teaching and learning methods, along with a variety of assessment methods. Data were collected from student participants over two iterations of the course using a mixed methods approach. Results demonstrate that students value the interprofessional and experiential approach to learning and viewed this course as indispensable for gaining knowledge of other professions and preparation for rural practice. The data reveal important organizational and pedagogical considerations specific to interprofessional education, community based action research, and the unique interprofessional nature of training for life and work in a rural community. This study also indicates the potential value of further longitudinal study of participants in this course. Key words: Canada, community based action research, education, interdisciplinary, interprofessional.     

Incorporating problem-based learning and video technology in teaching group process in an occupational therapy curriculum

This paper describes an innovative, cost-effective method for teaching group dynamics in an occupational therapy curriculum. The revised "Models of Group Dynamics" course incorporated problem-based learning (PBL) sessions and video technology. In this single-semester course, the class of 24 students was divided into small groups of five to seven students. Each group participated in six hours of PBL sessions and six hours of observation. PBL; effectively served as the instructional methodology to stimulate group dynamics because it demands that the students engage in the group process by creating an open structure for discussion, negotiating goals, and building team consensus in the group. The PBL experience facilitated the integration of the various content areas of the curriculum by expecting the student to apply previous learning to the construction of a therapeutic treatment plan. Through the use of a closed-circuit video monitor, students in the observation group analyzed group process skills in real time without interruption. This format provided the opportunity for students to generate feedback responses about group process with faculty guidance. The use of a closed-circuit video monitor was a low-cost, effective tool that facilitated the learning process. Measures of student learning indicated that the new course design was effective in meeting course objectives. Measures of the effectiveness of the new course design included focus groups conducted in two time periods: after completion of the course and after completion of fieldwork. The results demonstrated that the course had continuing impact on group skills carried into the fieldwork experience.     

A interdisciplinary community partnership for health professional students: a service-learning approach

This paper presents a qualitative approach to studying the reflective learning experiences of health professional students after they participate in an interdisciplinary community-based healthcare course. Over a 2-year period, health professional students from various health-related disciplines voluntarily took an interdisciplinary community-based health course offered at an urban, mid-Atlantic, private university. Through didactic and experiential opportunities, students in the course learned the importance of providing health care services to underserved populations at urban community-based sites. Throughout the semester, students kept journals, completed community response forms, and participated in documented class discussions. A research team of health professional faculty applied constant comparative analyses to the journal entries and community site-visit response forms. Four central themes were identified as the students engaged in learning experiences at various community sites: (1) the need for preventive healthcare; (2) the importance of health services and resources; (3) the awareness of student attitude and behavioral changes; and (4) increased awareness of student and client expectations for health care services. Interpretations of these findings and recommendations for future research are presented.     

Student Development in an Online Post-Professional Master's Program

SUMMARY

Students' perceptions of personal and professional development in an online post-professional Master's degree program in occupational therapy were investigated. In-class postings, reflection papers, and e-mail surveys completed by 14 occupational therapists throughout the course of an online Master's program were coded and analyzed. Three themes were identified: the developmental process of post-professional education, the value of the online learning community, and the influence of positive and negative characteristics of online pedagogy in creating lifelong learners. Results indicated that the students perceived personal and professional growth that enhanced their clinical practice, and that the online learning community supported and enhanced this growth. Online pedagogy was effective in creating a cooperative learning environment that facilitated personal and professional development at the post-graduate level.     

Shared goals, shared learning: evaluation of a multiprofessional course for undergraduate students

Twenty-eight undergraduate degree students from seven health care professions attended a two-day pilot course. Using small multiprofessional groups, final-year students from occupational therapy, orthoptics, therapy radiography, nursing, physiotherapy, medicine and dentistry explored professional roles and clinical problem-solving using a theme-based approach. A balance of didactic and interactive small-group learning enabled them to identify issues surrounding multiprofessional teamworking and collaboration in the National Health Service. Evaluation results showed that the course increased knowledge and understanding of other health care professions, developed more positive attitudes and demonstrated the importance of multiprofessional teamwork and communication. Participating students believed that both early and regular opportunities for shared learning should be essential aspects of undergraduate courses.     

Online learning: the potential for occupational therapy education

Online learning continues to have a significant impact on higher education. Increasingly students seek a combination of online learning and face-to-face instruction at undergraduate and graduate levels and occupational therapists ask for online continuing professional development opportunities. However, occupational therapy educators have been slow to adopt web-based instructional technology. This paper presents background information on the use of web-based learning in the general sphere of higher education and outlines the current range of usage in occupational therapy education. Research findings are presented to stimulate discussion regarding online learning and occupational therapy professional socialisation, student satisfaction and outcomes. There is a fine line between full and partial online course delivery, so research on technology-enhanced campus-based delivery is also included in the review. Evidence suggests that blending combinations of technologies with computer mediated learning enhances interaction and could address the higher order learning needs of professional programmes such as occupational therapy.     

Effective fieldwork supervision: Occupationa therapy student perspectives

Qualitative research methodology was used to explore occupational therapy student perceptions of the characteristics of effective fieldwork supervisors and the limitations on effective fieldwork supervision. In addition, the study investigated differences in perceptions between students in each of the 4 years of the undergraduate course. Forty-eight students completed an open-ended questionnaire. The two major characteristics of effective fieldwork supervisors identified by the students were well-developed interpersonal skills and the use of collaborative and facilitatory teaching/learning strategies. The major environmental issue limiting the effectiveness of fieldwork supervisors was a lack of time for student supervision. Although students in all years of the occupational therapy course expressed similar viewpoints, variations were identified across the years, particularly with teaching/learning strategies used. Findings from the study need to be interpreted in light of its limitations, which include small student numbers.     

Student Experiences of Learning Portfolios in Occupational Therapy Education

Learning portfolios are used extensively in general education; however, limited information is available regarding its usage and value in occupational therapy education. This article discusses the experiences of 30 senior-level occupational therapy students who used student-learning portfolios as a method of comprehensive learning within an upper extremity orthotics and prosthetics course. Results indicated that portfolios assisted students in structuring their learning environment, documented their learning journey, highlighted their achievements, and developed professional skills of organization, motivation, and higher-ordered thinking. Implications of this study lend support towards using student-learning portfolios as a teaching tool to facilitate more holistic and effective student-centered learning environments.