Comparing Occupational Therapy Students' Competency Scores: 2:1 versus 1:1 Fieldwork
DOI:
https://doi.org/10.18552/ijpblhsc.v5i1.385Keywords:
clinical competence, competency-based education, fieldwork supervision, occupational therapy, studentsAbstract
Fieldwork is essential to occupational therapy students’ development of professional competencies. Fieldwork models using student-to-fieldwork educator ratios of 1:1 and 2:1 are widely used, however, quantitative research exploring differences in student competencies between these two models is scarce. The objective of this study was to determine if development of student competencies differ between 2:1 and 1:1 fieldwork models during an occupational therapy educational program. A retrospective study using two years of occupational therapy students’ competency ratings by fieldwork supervisors (N = 95 students; N = 355 fieldwork events) was performed. The Competency Based Fieldwork Evaluation for Occupational Therapists tool was used to assess student competencies at each fieldwork rotation (n = 5 placements). Independent samples t-tests were used to compare students’ scores during 1:1 and 2:1 placements. No significant differences were noted in student competencies following participation in 2:1 and 1:1 placements. It was concluded that students are equally well prepared for practice if they have 1:1 or 2:1 fieldwork experiences.
References
Association of Canadian Occupational Therapy Regulatory Organizations (2011) Essential Competencies of Practice for Occupational Therapists in Canada. [online] 3rd edn. Victoria, BC: College of Occupational Therapists of British Columbia. available from http://www.cotbc.org/PDFs/EssentialCompetenies3rdEd_WebVersion.aspx [20 May 2016]
Bartholomai, S. and Fitzgerald, C. (2007) ‘The collaborative model of fieldwork education: Implementation of the model in a regional hospital rehabilitation setting’. Australian Occupational Therapy Journal, 54 (s1), S23–S30 https://doi.org/10.1111/j.1440-1630.2007.00702.x
Bossers, A., Miller, L.T., Polatajko, H., and Hartley, M. (2007) Competency Based Fieldwork Evaluation for Occupational Therapists. Toronto: Nelson Education
Canadian Association of Occupational Therapists (CAOT) (2012) Association of Canadian Occupational Therapy University Programs & Canadian Association of Occupational Therapists Position Statement: Professional responsibility in fieldwork education in occupational therapy. [online]. Ottawa: CAOT. available from https://www.caot.ca/pdfs/positionstate/fieldwork%20education%20%20Position%20Statement%20Final%202012.pdf [19 July 2016]
Cohn, E.S., Dooley, N.R., and Simmons, L.A. (2002) ‘Collaborative learning applied to fieldwork education’. Occupational Therapy in Health Care, 15 (1-2), 69–83 https://doi.org/10.1080/J003v15n01_08
Copley, J. and Nelson, A. (2012) ‘Practice educator perspectives of multiple mentoring in diverse clinical settings’. British Journal of Occupational Therapy, 75 (10) 456–462 https://doi.org/10.4276/030802212X13496921049662
Dawes, J. and Lambert, P. (2010) ‘Practice educators’ experiences of supervising two students on allied health practice-based placements’. Journal of Allied Health [online] 39 (1), 20–27 available from http://www.ncbi.nlm.nih.gov/pubmed/20217003 [19 July 2016]
DeClute, J. and Ladyshewsky, R. (1993) ‘Enhancing clinical competence using a collaborative clinical education model’. Physical Therapy [online] 73 (10), 683–689 available from https://doi.org/10.1093/ptj/73.10.683 [6 March 2017]
Holmes, J.D., Bossers, A.M., Polatajko, H.J., Drynan, D.P., Gallagher, M., O’Sullivan, C.M. … and Denney, J. (2010). ‘1000 fieldwork hours: Analysis of multi-site evidence’. Canadian Journal of Occupational Therapy, 77, 135–143 https://doi.org/10.2182/cjot.2010.77.3.2
Jung, B., Martin, A., Graden, L., and Awrey, J. (1994) ‘Fieldwork education: A shared supervision model’. Canadian Journal of Occupational Therapy, 61 (1), 12–19 https://doi.org/10.1177/000841749406100105
Kirschner, F., Paas, F., and Kirschner, P.A. (2008) ‘A cognitive load approach to collaborative learning: United brains for complex tasks’. Educational Psychology Review, 21 (1), 31–42 https://doi.org/10.1007/s10648-008-9095-2
Ladyshewsky, R.K. (2010) ‘Building competency in the novice allied health professional through peer coaching’. Journal of Allied Health [online] 39 (2), e77–82 available from http://www.ncbi.nlm.nih.gov/pubmed/20539925 [20 May 2016]
Ladyshewsky, R.K., Barrie, S.C., and Drake, V.M. (1998) ‘A comparison of productivity and learning outcome in individual and cooperative physical therapy clinical education models’. Physical Therapy, [online] 78 (12), 1288–1298 available from http://www.ncbi.nlm.nih.gov/pubmed/9859948 [19 July 2016]
Lekkas, P., Larsen, T., Kumar, S., Grimmer, K., Nyland, L., Chipchase, L., … and Finch, J. (2007) ‘No model of clinical education for physiotherapy students is superior to another: A systematic review’. Australian Journal of Physiotherapy, 53 (1), 19–28 http://dx.doi.org/10.1016/S0004-9514(07)70058-2
Martin, M., Morris, J., Moore, A., Sadlo, G., and Crouch, V. (2004) ‘Evaluating practice education models in occupational therapy : Comparing 1:1, 2:1 and 3:1 placements’. British Journal of Occupational Therapy, 67 (5), 192–200 https://doi.org/10.1177/030802260406700502
Mason, L. (1998) ‘Fieldwork education: Collaborative group learning in community settings’. Australian Occupational Therapy Journal, 45 (4), 124–130 https://doi.org/10.1111/j.1440-1630.1998.tb00793.x
Miller, L.T., Bossers, A.M., Polatajko, H.J., and Hartley, M. (2001) ‘Development of the competency based fieldwork evaluation (CBFE)’. Occupational Therapy International, 8 (4), 244–262 https://doi.org/10.1002/oti.149
O’Connor, A., Cahill, M., and Mckay, E.A. (2012) ‘Revisiting 1:1 and 2:1 clinical placement models: Student and clinical educator perspectives’. Australian Occupational Therapy Journal, 59 (4), 276–283 https://doi.org/10.1111/j.1440-1630.2012.01025.x
Pallant, J. (2013) SPSS Survival Manual. 5th edn. Maidenhead: Open University Press/McGraw-Hill
Price, D. and Whiteside, M. (2016) ‘Implementing the 2:1 student placement model in occupational therapy: Strategies for practice’, Australian Occupational Therapy Journal 63 (2), 123–129 https://doi.org/10.1111/1440-1630.12257
Rindflesch, A.B., Dunfee, H.J., Cieslak, K.R., Eischen, S.L., Trenary, T., Calley, D.Q. and Heinle, D.K. (2009) Collaborative model of clinical education in physical and occupational therapy at the Mayo Clinic’. Journal of Allied Health, [online] 38 (3), 132–142 available from http://www.ncbi.nlm.nih.gov/pubmed/19753424 [20 May 2016]
Rodger, S., Fitzgerald, C., Davila, W., Millar, F., and Allison, H. (2011) ‘What makes a quality occupational therapy practice placement? Students' and practice educators' perspectives’. Australian Occupational Therapy Journal, 58 (3), 195–202 https://doi.org/10.1111/j.1440-1630.2010.00903.x
Thomas, Y., Penman, M., and Williamson, P. (2005) ‘Australian and New Zealand fieldwork: Charting the territory for future practice’. Australian Occupational Therapy Journal, 52 (1), 78–81 https://doi.org/10.1111/j.1440-1630.2004.00452.x
World Federation of Occupational Therapists (WFOT) (2008) Entry-level competencies for occupational therapists [online]. Forrestfield, WA: WFOT. available from http://www.wfot.org/ResourceCentre/tabid/132/did/271/Default.aspx [6 March 2017]
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