The curriculum for the Entry-Level Doctor of Occupational Therapy (EL-OTD) professional program aims to promote the development of professional clinical reasoning skills by integrating clinical, theoretical and scientific evidence.
Professional identity
Woven throughout the curriculum are professional identities in the roles of practitioner, manager and contributor.
The curriculum design promotes students' progression in professional identity through the development of foundational skills, followed by the application and integration of professional formation with a global view of the occupation.
Developing a professional identity requires students to enhance their self-reflection skills. Students must also learn to effectively collaborate with individuals from diverse cultures, age groups and learning styles to cultivate cultural humility, ethical integrity, and the ability to work both independently and collaboratively.
Sequence of progression
The curriculum progression sequence starts with building foundational knowledge and then moves on to applying reflective and advocacy skills, as well as understanding the complexities of the supervisory process. It also involves embracing interdisciplinary team roles and responsibilities while developing lifelong learning skills as practitioners, managers and contributors. Integration occurs after completing the didactic part of the curriculum during the Level II fieldwork experience, capstone project and capstone experience.
Intellectual curiosity and critical thinking
The mission of Binghamton's EL-OTD program is to foster intellectual curiosity and critical thinking skills, along with a dedication to lifelong learning. We achieve this by supporting innovative teaching methods that integrate clinical decision-making based on evidence and a strong theoretical foundation. This prepares occupational therapy graduate students with the knowledge, skills and philosophy needed for a global perspective.
The mission allows for developing the roles of practitioner, manager and contributor to promote, lead and serve as innovators in health and well-being through occupation in various sociocultural, professional and institutional contexts.
Integrating ICF components
The EL-OTD program curriculum is based on science and incorporates the World Health Organization's components, which include environment, participation, activities, and body functions and structures.
ICF concept interaction with OT primary roles
The OT roles of practitioner, manager and contributor interact with the ICF concepts to form the framework for the EL-OTD curriculum. The primary roles foster the development of the professional identity of EL-OTD students.
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ICF concept: Environmental factors
Practitioner
- Analyze, adapt and utilize the environment to enhance the client鈥檚 day-to-day functional performance.
- Work collaboratively in an interprofessional healthcare arena to effect change in the environment to allow for the client鈥檚 engagement and participation in activities that will obviate the consequence of or ensuing impairment by enabling adaptation.
Manager
- Considers a wide array of environmental (external) factors when managing OT therapy models of delivery of care.
- Promotes interprofessional collaboration and referral.
Contributor
- Uses research evidence to identify and influence health within multiple environments.
- Advocates for the needs of consumers served by OT.
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ICF concept: Participation/participation restriction
Practitioner
- Evaluates and intervenes for factors that enable or restrict full participation of consumers of OT services.
- Develops and implements theory-driven and
evidence-based interventions that promote client鈥檚 participation in daily life situations, health and well-being, and prevents participation restrictions. - Practices OT in an ethical manner.
Manager
- Considers social, economic, political, legislative and policy issues to plan, establish and manage service-delivery systems that promote participation of OT clients.
- Applies management principles to ensure legal and ethical occupational therapy
practice.
Contributor
- Uses and designs research to examine factors that enable full participation of individuals and populations and disseminates findings to consumer, professional, regulatory and health policy groups.
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ICF concept: Activities/activity limitations
Practitioner
- Analyzes everyday activities and occupations.
- Evaluates and intervenes for factors that enable or limit expected, required or desired activities/occupations of clients of OT services.
Manager
- Plans, establishes and manages resources and service-delivery systems that reduce activity limitations and promote activities for individuals and populations of OT clients.
Contributor
- Uses and designs research to examine factors that enable activities and occupations of individuals and populations and disseminates findings to consumer, professional, regulatory and health policy groups.
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ICF concept: Body functions and structures/impairment
Practitioner
- Evaluates body structures/functions to determine their impact on activity and activity limitations.
- Develops and implements theory-driven and evidence-based body structure/function interventions to reduce impairment to prepare for performance of day-to-day activities and to influence optimal health and well-being.
Manager
- Plans, establishes and manages resources and service-delivery systems that reduce impairments and promote healthy function of body functions/structures for OT clients.
Contributor
- Uses and designs research to examine factors that prevent deviations and loss of functions/structures to promote the health of individuals and populations and disseminates findings to consumer, professional, regulatory and health policy groups.
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Notes about the ICF concepts above
- Environmental factors make up the physical, social and attitudinal environment in which people live and conduct their lives.
- Participation is involvement in a life situation.
Participation restrictions are problems an individual may experience in involvement in life situations. - Activity is the execution of a task or action by an individual.
- Activity limitations are difficulties an individual may have in executing activities.
- Body functions are the physiological functions of body systems (including psychological functions).
- Body structures are anatomical parts of the body such as organs, limbs and their components.
- Impairments are problems in body function or structure, such as significant deviation or loss.
- Functioning indicates nonproblematic aspects of health and health-related states.
- Disability indicates impairment, activity limitations or participation restrictions.
Occupational therapy role descriptions
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Practitioner
The OT practitioner, based on meaningful outcomes for clients, uses evaluation data to formulate and implement interventions to establish, restore, maintain or enhance functional and structural integrity, activity and participation in lifestyles that are optimally independent, productive and satisfying to clients.
Graduates will demonstrate the ability to:
- Establish therapeutic relationships with clients and caregivers and professional relationships with colleagues consistent with the Occupational Therapy Code of Ethics and Ethics Standards (AOTA, 2010).
- Evaluate body structures/functions to determine their impact on engagement and participation in activities and activity limitations.
- Develop and implement theory-driven and evidence-based body structure/function interventions to prevent, reduce, control or ameliorate impairment and to prepare for safe performance and participation in day-to-day activities.
- Screen and assess client鈥檚 participation and participation restrictions, activity and activity limitations, functional and structural integrity and impairments, and occupational environment; document the findings and accurately interpret the results.
- Formulate, implement and document theory-driven and evidence-based interventions that promote the client鈥檚 participation in life situations, health and well-being and to prevent participation restrictions.
- Analyze day-to-day activities and occupations for their ability to enable the client鈥檚 independence, safety and satisfaction.
- Develop and implement a transition plan in collaboration with clients in preparation for the discontinuation of OT services when appropriate.
- Collaborate effectively in an interprofessional healthcare delivery model.
- Practice OT in an ethical manner.
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Manager
The OT manager plans, organizes, implements, staffs, directs and evaluates OT services; coordinates these functions with other health, education and work-related services; and promotes understanding of OT services.
Graduates will demonstrate the ability to:
- Use data when making resource and program management decisions and apply management principles and strategies to direct, monitor and assess OT services.
- Relate the roles and functions of OT to other healthcare services.
- Consider the influence of external factors, such as demographic trends, public laws, healthcare policies and reimbursement policies, on healthcare delivery services when managing OT service delivery models of care.
- Promote interprofessional collaboration and referral.
- Apply management principles to ensure legal and ethical OT practice.
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Contributor
The OT contributor has a professional responsibility to recognize and influence healthcare within the context of world, national, state, community and local work environments. Contributors participate in the development and application of a scholarly body of knowledge within OT practice.
Graduates will demonstrate the ability to:
- Recognize, integrate and discuss issues about public health and OT practices, and articulate methods to effect change.
- Use scientific and theoretical evidence to advocate for OT in various existing and emerging practice contexts.
- Use and/or conduct research for consumers, professionals, regulatory and/or health policy groups that describes factors that enable or limit activities or occupations of clients and/or populations.
- Find, analyze and integrate scholarly works from OT and other appropriate sources to inform proposal writing for grants and program development.
- Design, implement and disseminate beginning-level research projects.