OT 305 Midterm - OTR, capstones, research

OTR

registered and licensed

• R = registered from the NBCOT board exam

  • Competency certificate every 3 years

• L = licensed, regulated by state

  • Every 2 years

Professional level of practice

Entry-level masters with 24 weeks of FW

• Master’s entry-level: MOT (slightly elevated), MS in OT

• Advanced Masters: after previous undergrad degree MS/MA

OR entry-level doctoral degree with FW and 14-week capstone

• OTD: clinical or practice-based degree, entry-level or post professional

• PhD/EdD/ScD: research-based degree

OTA/COTA

·      (Certified) Occupational Therapy Assistant

·      Certified and licensed

·      COTA/L

·      Technical level of practice

·      Entry-level associates OR entry-level bachelors with 16 weeks of FW

ACOTE

Accreditation Council for OT Education

• Sets standards across education programs

• OT practitioners must graduate from an accredited program

Accreditation: program meets the minimal educational standards recommended

NBCOT

National Board for Certification in Occupational Therapy

• Acknowledges that an individual has the appropriate qualifications

evaluation roles of an OTR vs COTA

OTR: initiates, directs the evaluation, interprets data, develops the intervention plan

COTA: implements delegated assessments, reports observations

intervention planning roles as a COTA vs OTR

·      OTR: responsible for development, collaborates with client to develop

·      COTA: provides input

Intervention implementation roles as an OTR vs COTA

·      OTR: overall implementation, delegates to COTA

·      COTA: selects and implements therapeutic activities consistent with plan

intervention review roles as a OTR vs COTA

·      OTR: determines need for continued, modified or discontinued services

·      COTA: contributes to the process by sharing information

outcome evaluation roles as a OTR vs COTA

·      OTR: selects, measures, and interprets outcomes/data

·      COTA: contributes to process by sharing information

goal of ot practitioner and COTAs

evaluate, set goals, develop a plan, provide intervention

• interventions to support occupations

• activities: tasks used to build skills that support participation in occupation (preparatoyr and contrived)

• occupation

Hands-on interaction, make or modify adaptive equipment, serve as an advocate, modification of the environment

Develop a therapeutic relationship

Communicate effectively

Work with client, family/caregivers, and team members

professional development

responsibility to maintain continuing competence

• Requires 36 PDUs/CEUs every 3 years

• Professional Dev Tool (PDT) from AOTA

• Professional dev activities

• Specialty certifications/advanced credentials:

  • Pediatrics

  • Hand therapy

  • Mental health

• Professional team members: any other doctor specialty

doctoral capstone

project + experience (DCE)

doctoral capstone project

synthesis of curriculum design and application of gained knowledge through literature review, completion of a needs assessment, development of specific goals and objectives, and formulation of evaluation plan

• done with DCE

doctoral capstone experience (DCE)

culmination of 14 weeks onsite (8 hours of student’s time may be offsite of investment in research and writing) providing the deliverables contained with the project plan and designated area of interest

·      Full-time, 14-week experience

·      Exposure to one or more focus areas to develop advanced OT skills

·      Development and delivery of capstone project

·      mentor within OT or outside OT

Academic Fieldwork Experience (AFW)

·      2, 12-week full-time rotations

·      Exposure to various populations across lifespan

·      Goals of developing generalist OT skills and competency

·      Supervision by an OT

→ culminates in a masters of OT

core values and principles of AOTA code of ethics

beneficence, nonmaleficence, autonomy, veracity, justice, fidelity

beneficence

doing what is best for the individual

nonmaleficence

effort to avoid doing harm

autonomy

right of patient to make independent decisions and respecting the right/choice

• can sometimes result in moral distress

moral distress

when we as clinicians don’t agree with the decision patients make for themselves because it may not be beneficial to their well-being, but are required to respect their autonomy

justice

equal treatment and promoting fairness, equity vs equality

veracity

provide comprehensive, truthful, and objective info

• cannot promise a certain result

fidelity

respect for all, manifested in faithfulness to one’s promises and commitments

Professional liability

determined by the practice model and type of patients treated

·      Omissions in practice, ethical conduction, and professional and legal considerations

·      Practicing outside of scope of practice

·      Provided substandard care through deliberate or negligent act or failure to act

·      Knowingly delegating responsibilities to an individual who does not have the knowledge, skills, or abilities to perform those responsibilities

·      Failure to provide appropriate supervision of an OTA

evidence-based practice

the critical appraisal of literature and the methods of incorporating evidence into clinical and intervention decision making in context of the current best evidence, treatment environment, and the client’s values

• steps:

  • write an answerable clinical practice

  • gathering evidence which may help to answer this question

  • appraising gathered evidence

  • using evidence

qualitative research

produces data using words and verbal information, categorical data

quantitaive research

produces data using numbers and statistics, numerical data

mixed methods research

most common, using both numbers and words as data values (quant and qual)

in-text citation for APA

(author last name, data, p. page #)

(author last name 1, author last name 2, date, p. page #)

(author last name 1, 2, 3, 4, 5, date, p. page #) then (author 1 et. al., date, p. page #)

Journal entry citation in APA

Author last name, Author Initials. (publishing year). Title with only first word capitalized. Journal Title, volume number, page ranges. doi: /web address

apa citation for a book

Author Last Name, Author Initials. (publishing year). Title with only first word capitalized. Publishing Company. doi/webaddress