Exploring Supports and Barriers to Inclusion in Occupational Therapy Education

The recent innumerable social and racial injustices and healthcare disparities experienced globally have catapulted diversity and inclusion discussions to the forefront. The purpose of this study was to identify the supports and barriers to inclusion in occupational therapy (OT) education from the experiences of OT students from historically marginalized groups and the perspectives of OT faculty/staff. The authors used a convergent mixed methods design for the study, which consisted of an online survey and semi-structured interviews. 131 students and 35 faculty/staff completed the survey, while 20 students and 11 faculty completed interviews. Five themes emerged from the data: 1) Barriers and facilitators exist while exploring OT as a potential career; 2) There are pros and cons to the OT admissions process for students from historically marginalized groups; 3) Students from historically marginalized groups experience varying degrees of exclusion and a limited sense of belonging within their OT programs; 4) Many OT programs have good intentions to promote diversity and inclusion through various efforts; and 5) Some OT program efforts may be counterproductive, and more actions must be taken to further promote inclusion and address barriers to inclusion. Numerous supports and barriers to inclusion in OT education were identified within these themes. Findings indicate that despite numerous inclusion efforts, students from historically marginalized groups continue to experience several barriers that impact inclusion in OT education. Based on these findings, the authors provide strategies to promote and advocate for inclusion in OT education

Challenging the Status Quo: Infusing Non-Western Ideas into Occupational Therapy Education and Practice

The authors of this Topics in Education article, who are both occupational therapy educators, reflect on challenging concepts related to decolonizing occupational therapy education, an idea they first encountered at the 2018 World Federation of Occupational Therapists Congress. They acknowledge that Western views heavily influence the occupational therapy concepts they teach to their students. The downside of approaching occupational therapy education and practice primarily from a Western worldview is that occupational therapy students and practitioners may perpetuate societal inequities through their practices and are not well-prepared to address the occupational needs of individuals and communities around the world. This article describes existing alternative views, including occupational consciousness, cultural humility, and ubuntu, and how these concepts can be applied to occupational therapy practice and education. Practical recommendations are made about reconsidering how occupational therapy concepts are taught in educational settings and applied in practice

An Exploration of the Occupational Therapy Doctoral Capstone: Perspectives from Capstone Coordinators, Graduates, and Site Mentors

Few studies have investigated entry-level doctoral capstone outcomes regarding how the experience and project relate to employment opportunities. This descriptive study reports various stakeholders’ perspectives regarding the entry-level occupational therapy doctoral (OTD) capstone in relation to employment opportunities and awareness of the profession. Authors disseminated a nationwide survey to doctoral capstone coordinators, entry-level OTD graduates, and capstone site mentors. Ten doctoral capstone coordinators, 68 OTD graduates, and 22 capstone site mentors responded to the survey. Collectively, doctoral capstone coordinators reported that 117 OTD graduates obtained employment in a setting related to the focus of their doctoral capstone and gave examples of graduates employed as entrepreneurs, faculty, program specialists, and supervisors. OTD graduates most often completed their doctoral capstones in community-based settings with projects focusing on program development. Sixty-four percent of the OTD graduates were employed at their doctoral capstone site or at a site similar to where they completed their doctoral capstone. Professional background of capstone site mentors varied, and all mentors who were not occupational therapy professionals reported improved awareness of occupational therapy after mentoring an OTD student. Outcomes of the OTD doctoral capstone are needed to support the efficacy of this experience and project. This study begins to provide such outcomes by reporting findings related to employment and awareness of the profession

Understanding the Doctoral Capstone Coordinator Position: A Unique Faculty Role in Occupational Therapy Education

The doctoral capstone coordinator (DCC) position is a required faculty position in U.S. entry-level OTD programs, but there is limited information about this role. This descriptive study aimed to explore the demographics of DCCs; their required workload, tasks, and responsibilities; and the supports available to DCCs. The researchers administered an online survey and analyzed the data using descriptive statistics and content analysis. The results revealed much variability in DCCs’ experiences, workloads, and responsibilities across OTD programs. Of the DCCs survey, 74.0% previously held leadership positions in academia or clinical practice before taking the role, and 60.5% of the DCCs worked overtime for at least half of the previous year. Approximately half of the DCCs spent different percentages of time on teaching, research, service, and clinical responsibilities than expected by their universities. Common capstone tasks completed only by the DCC involved educating others about the capstone process, developing and evaluating the capstone processes, and teaching capstone courses. Tasks commonly completed with support include ensuring student completion of preparatory requirements, securing placements and affiliation agreements, and advising students. The responses varied regarding the individuals involved with mentoring and student assessment responsibilities. Overall, 67.7% of the DCCs were slightly to extremely satisfied with their existing workload

A Snapshot of How Entry-Level Occupational Therapy Programs Collect and Use Doctoral Capstone Outcomes

Entry-level occupational therapy doctorate (OTD) programs are required to gather program evaluation data regarding the doctoral capstone for accreditation purposes. This study aims to describe the processes used by a sample of OTD programs to gather doctoral capstone outcome data and to determine the type of data collected in order to understand the perspectives regarding doctoral capstone outcomes by doctoral capstone coordinators (DCCs) within the United States. The investigators used purposeful sampling to recruit DCCs at accredited entry-level OTD programs in the United States. The most common outcome data collected included information about the doctoral capstone experience from students, student performance outcomes, employment and scholarship outcomes from alumni and employers, and various outcomes from site/expert/faculty mentors. Results highlight the need to disseminate doctoral capstone outcomes as few participants in this study used the data they were collecting outside of their program. By sharing and reporting outcomes of the doctoral capstone, OTD programs, and the profession can collectively benefit. Development of common outcomes, collected across programs, can help to provide data large enough to draw meaningful conclusions regarding the value of the doctoral capstone in occupational therapy education and in strengthening the knowledge of the profession among the public