Friday, May 8, 2015

Optimizing fieldwork education for male student OT’s



This blog post was written by Donna Barker, Director of Clinical Education, Department of Occupational Science and Occupational Therapy, University of Toronto. 

As only 8.4% of practicing OT’s are male (CIHI, 2012), it is highly likely that the male OT student will be placed into a predominantly female fieldwork environment. Do male student OT’s have a different fieldwork learning experience than females because of their gender? Do they face unique challenges? How can the university, the preceptor, and the student himself ensure optimal fieldwork learning?

For the past eight years, the fieldwork team at the University of Toronto have been thinking about and researching these questions. From our research, it appears that male student OT’s do encounter unique, but definitely not insurmountable challenges in the fieldwork environment! 

The OT Now article, The male occupationaltherapy student on fieldwork: Optimizing the experience outlines some of the issues faced by male student OT’s and gives students, preceptors, and university educators advice on how to approach potential roadblocks as successful fieldwork learning is the responsibility of all three of these education partners. 

Students: as adult learners, must understand their learning needs and be actively involved in the provision of learning experiences. 

The university: has a responsibility to prepare the male student OT for fieldwork learning, making them aware of potential challenges and strategies for dealing with those challenges and providing male role models and support networks.* 

The preceptor:  should be aware of the unique potential challenges of male student OT’s and teaching strategies to prevent or manage these challenges.  The following chart is meant to be a quick reference for the preceptor:

Potential Challenge on Fieldwork
Preceptor Approach
Unequal clinical opportunities
·         Provide a full variety of available learning opportunities.  Advocate for student participation in client care for both male and female clients
·         Offer to be present during assessment and intervention of female clients as required for sensitive self-care assessments
·         Be open to differing communication styles for the development of rapport with clients and team members (e.g. less emotional, more direct)
·         Be sensitive to how and when to introduce various learning opportunities
·         Be diligent about client consent to decrease possible accusations of misconduct
Feelings of isolation
·         Be aware of female-oriented conversation during work breaks that may be potentially isolating for the student
·         Allow opportunity for connections with other male employees and students
·         Encourage open communication regarding challenges during the fieldwork experience
Various assumptions and stereotypes
·         Don’t make assumptions about the use of tools, physical strength, topics of interest, etc. Recognize individual differences and preferences as you would any student OT.
                                                                                                                                                                       
For a more fulsome explanation of male student challenges and preceptor strategies, please refer to the OT Now article. 

Male OT’s add to the occupational therapy profession in many positive ways.  We need to provide a welcoming environment within our university OT programs and our fieldwork environments to ensure that our profession is one that provides equal opportunity and welcomes diversity and inclusion.  

* Lisa’s note:  We have been holding a “Guys only” session each fall for male OT students here at U of M since 2010.  This session is facilitated by two male OTs from our OT community.  I got the idea from the fieldwork team at U of T after attending the presentation "Addressing gender issues in clinical education: Turning the tide" (Barker, D., Stack, R., & Reed, N. ) at the 2010 CAOT annual conference in Halifax.



Thank you to Donna Barker for contributing to this blog!

References:

Barker, D., Stack, R. Jakubovic, R. & Reed, N.P. (2013). The male occupational therapy student on fieldwork: Optimizing the experience. Occupational Therapy Now. Vol.15(2).

Canadian Institute for Health Information (2012). Occupational Therapists in Canada; Occupational Therapist Workforce, 2012. Retrieved April 6, 2015 from https://secure.cihi.ca/estore/productSeries.htm?pc=PCC375

Give Time to Think



Students may say they don't have a question about a certain situation, but I often find they're just processing what's going on and may have questions later.”
-a Manitoba OT fieldwork educator

Whether it is responding to your question or commenting on an interaction that has just occurred, students at this stage need extra time to process information.  It takes them longer to process what they’ve seen/read/heard-so it makes sense that it takes them longer to process what questions they might have.  It also takes students longer to respond to your questions.  This might be because they are looking for that “one right answer” and/or that they need to sort through/organize all the information they have learned in school and on placement.   

In light of this, the tip of the week is:

Give time to think:

o        If you know you are going to debrief later in the day, give the student some questions to consider in advance.  “When we meet at the end of the day, I’d like you to share what you thought went well with this initial assessment and what you’d do differently next time.”
 
o       After asking a question, wait at least 5 seconds (you may want to add more time if English isn’t the student's first language)

o   Encourage the student to write out/jot down their answers before responding to you to you later that day.
 
o      If there is another student available, have the student process out loud with his/her peer before responding to you

So what do you do when you’ve allowed more time to think and the answer still isn’t “right”?


o     Let them know what is “right” about their answer; use probing questions to help guide them onto the right track

o     Share your reasoning /think out loud to share how you processed the information


 Please feel free to check out these related blog posts:


Lisa