A comparison of impact of undergraduate and graduate occupational therapy education on professional productivity

The Importance of Conceptual Origins: The Case of the Just-Right Challenge

Core concepts in occupational therapy have often developed over time with contributions from multiple clinicians and scholars. This makes it difficult to determine exactly from where, or from whom, ideas originated. Without original sources, we cannot chart the historical development of ideas and honor those whose scholarship made it possible. This article documents the process undertaken to properly cite one such common concept in occupational therapy, the just-right challenge; illustrates the value of doing so; and advocates for the importance of thorough historical scholarship.

What occupational therapists' say about their competencies' enactment, maintenance and development in practice? A two-phase mixed methods study

BACKGROUND

Understanding how professional competencies are actually enacted in clinical practice can help university programs better prepare their graduates. The study aimed to describe 1) the perceived competency level of occupational therapists holding an entry-to-practice master's degree 2) the factors perceived as impacting the enactment of competencies; and 3) the strategies used to maintain and further develop level of competency in the seven practice roles: expert in enabling occupation, communicator, collaborator, practice manager, change agent, scholarly practitioner and professional.

METHODS

Descriptive two-phase mixed methods sequential design. The quantitative phase consisted of an online survey sent to all occupational therapists holding an entry-to-practice master's degree in Quebec, Canada (n = 1196), followed by focus group discussions with a subset of participants. Analysis used descriptive statistics and the Framework Approach for content analysis of focus group data. Competencies were theoretically anchored into the Profile of Occupational Therapist Practice in Canada (an equivalent to CanMEDS framework) and we used the Theoretical Domain Framework to collect and describe perceived factors and strategies.

RESULTS

Response rate to Phase 1 was 26.5% (n = 317/1196). The communicator, collaborator and professional roles were perceived as highly solicited in practice, valued and were rated more frequently at a higher competency level as compared to the other four roles (expert, manager, change agent and scholar roles). Focus group participants (n = 16) mentioned that both individual and organisational factors influence enactment of competencies. Consulting colleagues was the preferred strategy to support the scholar role, often described as foundational for the development of expertise.

CONCLUSION

This descriptive study provides valuable information as to how the seven roles are enacted in practice. Though the scholar role is highly valued by clinicians and organizations, insufficient time is allotted to searching for evidence and reflection in practice. Strategies emerging from the results are mainly directed toward this role with an emphasis on using of peers as a source of evidence. Future studies could explore how contextual factors influence the enactment of competencies across different professions as well as how these evolve over time.

Graduate-Entry Master's Degrees: Launchpad for Occupational Therapy in this Millennium?

Trends in occupational therapy education worldwide are towards the increasing educational preparation of graduates. Initially, entry into the occupational therapy profession was gained via a brief course, followed by a diploma, and then later with a bachelor's degree. Most recently, graduate-entry master's degree programmes have been introduced as an alternative entry into the profession. With the introduction of four graduate-entry master's degree programmes in Canada and Australia and one in the United Kingdom since September 1998, and the planned introduction of other programmes in these countries, it is timely to review the history and context of the graduate-entry programmes.

The imperatives leading to the introduction of graduate-entry master's degree programmes include the increased qualification base of applicants, the need for practitioners to be evidence based and the concurrent so-called qualification creep of other health professions. The data from the first two cohorts of Australian students who commenced the graduate-entry Master of Occupational Therapy Studies programme at the University of Queensland are presented. Some similarities between these Australian students and the Canadian students are noted. The benefit of master's degree entry programmes to the profession is seen as an increased pool of highly skilled practitioners who will contribute to the research base of the profession.

Conclusion

Graduate-entry master's degree programmes have received an impetus from the international trends to increase the educational levels of health practitioners and for universities to adapt to global changes. Preliminary examination of the student profiles suggests a richness of experience in students coming into these university courses. The availability of such programmes has permitted more qualified and mature-aged students to enter the profession. These students have chosen a career path consistent with their values, competencies and goals. The availability of applicants with suitable pre-existing qualifications and attributes has benefits for the profession. Curricula need to accommodate and further develop these competencies and to prepare graduates for increasingly diverse areas of practice. The introduction of these programmes has created the opportunity to produce occupational therapists with research capabilities that can strengthen the practice base of the profession. These positive indicators need careful monitoring to ensure that the potential becomes a reality for the profession.

It is contended that graduates from graduate-entry master's degree programmes in occupational therapy will be better equipped to meet the professional challenges of the 21st century. They will bring to the profession a solid grounding in liberal arts or science. They will be able to embrace rapidly the tradition of the scientist-practitioner (Polatajko and MacKinnon 1987). It will be interesting and important to follow the trajectories of these graduates beyond lift-off! It is suggested that a longitudinal study which tracks their career progression, career choice and research productivity be undertaken.

Meanings of ‘Research’ and ‘Researcher’—The Clinician Perspective

This study used an open-ended self-report survey to define ‘research’ and ‘researcher’ from the clinician's perspective. Seventy-five occupational therapists working in 6 acute care metropolitan hospitals in Sydney, Australia participated in this study (75% response rate). There were four key findings. First, a profile of therapist research revealed variations in levels of involvement with most (75%) having none. This was not related to postgraduate qualifications or study, years of experience, age, clinical specialty or seniority. Second, the nature of activities identified to be research by clinicians varied: project names, specific research tasks, input, output-related activities such as thinking and professional development activities. Third, research was defined in terms of its attributes, process, and outcomes. Fourth, researchers were described as being engaged in specific research tasks, other general tasks that progressed the research, and they were identified as producers of research outcomes. Differences were identified in responses between those therapists who were involved in research and those who were not.

The Relationship of Academic Degree and Years in Practice to Occupational Therapists' Perceptions of the Status of the Profession and Educational Preparation

A questionnaire survey was sent to 2,000 occupational therapists and certified occupational therapy assistants to gather data on perceptions of the state of the profession and its educational system. Eight hundred and eleven questionnaires were returned and analyzed with a Kruskal-Wallis one-way analysis of variance. The results of two sections of the questionnaire are presented here. These results suggest that, in general, therapists feel that the status of occupational therapy should be improved and that the education of occupational therapists should change. However, there are significant differences of opinion about what should be done to improve the status of the profession and what changes should be made in education. These differences are related to subgroups in the profession. This article presents an overview of some of the differences in perceptions of the profession and its educational system according to two variables—academic degree held and years in practice.

Educational Level and Professional Activities of Occupational Therapists: A Case Study

Alumni of the three educational tracks of the University of Southern California were surveyed to examine the influence of level and type of educational preparation on professional activities. The entry-level and postprofessional master's groups scored higher than the baccalaureate group in 6 of 10 activity categories investigated—education, leadership, administration and supervision, oral presentations, publications, and research. The entry-level master's group differed from the postprofessional master's group only in education, leadership, and professional recognition. The results confirm that programmatic differences between basic and advanced professional education yield different outcomes in terms of involvement in professional activities. They also suggest that some activity categories are more amenable to educational influences than others. Limitations of the study include use of a self-report instrument, reliance on a dichotomous scale involving only activity participation and non-participation, and consideration of the influence of education on professional activities in isolation from other factors known to influence involvement.

Occupational Therapy Graduate Education: The Scientist-Practitioner Model

The development of a scientific based practice is essential if occupational therapists are to defend their practice against scepticism and budget cuts. In order to equip the profession with the skills necessary to develop a scientific basis for practice, it is generally considered that graduate programs in occupational therapy should be initiated. This paper argues that to be most effective a specific kind of graduate program is required — one based on the scientist-practitioner model. This model provides for the dual education of professionals as clinicians and researchers. In occupational therapy the undergraduate curricula already provide excellent education in clinical interventions. Thus, it is the role of the graduate curricula to provide education in methods of scientific inquiry and their application to clinical practice. The composition of such a curriculum is described.

Icelandic occupational therapists' attitudes towards educational issues

The purpose of this study was to assess the readiness of occupational therapists in Iceland to accept a professional as opposed to a technical view of the profession. Most Icelandic occupational therapists were educated in other countries, with little emphasis on liberal arts, sciences and research. The first Icelandic occupational therapy programme, a university-level programme, was founded in 1997. All Icelandic occupational therapists were surveyed. Eighty-seven questionnaires were sent out and 80 (92%) were returned and used for statistical analysis. The results of the study showed that Icelandic occupational therapists valued academic skills over technical skills, emphasizing occupational therapy theory unique to the profession and research to validate practice. More recognition among other health professionals was considered the most needed change in the profession. The results of the study showed that the clinicians' attitudes confirmed in general what is emphasized in the curriculum and in students' fieldwork. Further research is needed to explore whether the Icelandic occupational therapy profession succeeds in promoting research and recognition by other health professions.

The relationship among demographic variables, professionalism, and level of involvement in a state occupational therapy association

Research on professional occupations has defined varying criteria that an occupation must meet to be considered a profession. Involvement by the members in their professional organization is a recurrent theme. A questionnaire consisting of Hall's Occupational Inventory, an involvement scale, and a demographic survey was used to determine the relationship among three factors of the Indiana Occupational Therapy Association members: (a) demographics, (b) professional attributes, and (c) involvement in a state occupational therapy organization. Determining these relationships is significant for understanding membership and involvement in a state occupational therapy association. Findings indicated significant differences in terms of hourly involvement in a state occupational therapy association between respondents with entry-level and post-professional degrees and respondents who were married and those who were not married.