Content and evidence revision needed.

Narrative is a general description of honest, integrity and morally-grounded decision making. Recommend picking one clear example and elaborating. Multiples comments provided, but maybe be selective and choose a few (remember to indicate the subject/category heading).

Content revision needed for approval.

Be very careful with this competency. You don't want to give too much information about the facilities or their clients since this revolves around ethics and it's a public site. May be select one example, such as the terminating treatment one and elaborate (without identifying which rotation or facility).

I would delete all of the Discussion Board posts and just keep the evaluation information. It's too much information about the facilities.

I think this example is great, but too much identifying information for a public site. Maybe re-describe this situation in the narrative without identifying the location or client age.

Approved with minor evidence revision.

There are two comments here. Indicate the category/section heading.

Approved with minor evidence revision/removal.

I'm not sure how I feel about the sign-in sheets being used here since there are other professionals' names. Unless you have permission from all of the professionals on the list, then I would just delete these since you cover it in your narrative.

Approved. Strong evidence.

The narrative feels generic. I think every OT student could report the same thing. I recommend choosing one specific example where you really had to articulate and/or advocate for the OT in an inter-professional situation.

Approved. Well done!

Approved: I really like the example you selected for this competency. The materials you presented would be further strengthened by presenting work from Teepa Snow: http://teepasnow.com/ and applying APA principles/guidelines in your handouts. This is just food for thought if you utilize this resource again in the future.

patients versus clients

Narrative content revision needed to clearly express application of theory.

I would recommend removing this evidence. It's a bit difficult to read and understand. I think you can express it better in the narrative.

Allison, from your description the model could be the Theory of Occupational Adaptation or it could be the Rehabilitative Frame of Reference. The example is very good, but the application of which model/theory you used is unclear. Also, continue to be careful about giving away too much identifying information. You can keep the rotation # and setting name vague to protect client identity.

Approved with minor narrative and evidence.

I would not repeat your discussion board post since you already discussed it in the narrative.

Informal language. Please revise to express professional terminology.

Be mindful of "patient" versus "client".

"impairments" is stated three times in this sentence. Revise the sentence to improve clarity, decrease wordiness. Again, be careful about giving away too much identifying information. You don't have to state, which rotation you were at to protect the client's privacy.

Continue practicing your APA guidelines. Spell out then abbreviate. Avoid all medical abbreviations (i.e. L).

Approved with minor revision to narrative and evidence.

The evidence is appropriate. It would be helpful to indicate what categories the comments were associated with. Please add sub-headings with the basic category for each comment.

I'm a bit concerned with how this sentence is worded. It could be interpreted as arrogant (though I know that was not your intent) and makes it sound like you did not receive any supervision, which may be concerning for accrediting bodies. Maybe state, "I was able to independently treat a full caseload of 4-6 clients per day by Week 6 and with minimal assist for documentation." Something to that effect.

Approved with minor revision to narrative.

Great selection of evidence.

Again, be careful about giving too much identifying information since this is a public site. You can state I worked with a young woman in an outpatient setting on iADLs.

Is this only in physical dysfunction settings? Or in psychosocial settings as well? Biomechanical Frame of Reference may not be appropriate for all settings so I would be careful not to generalize the 5 goal rule to every setting.

Evidence revision needed for approval.

I think this is sufficient evidence for 1.2. Please see comments and concerns with the next pieces of evidence.

Keep in mind that the profile is public. Is this too much information about a client? Can this client be identified? Especially concerning since the post mentions a suicide attempt. I would be concerned about possible violation of privacy since the location and client description is provided, even though not specifically identified by name.

Allison, this example would be better for the 1.1 competency since you are specifically addressing culture and language barriers. However, I would like to point out that it's not best practice to use family members as translators. Best practice is utilizing a medical translator or CyraCom services (blue phone). Also, consider if you were an employer reading this post. Would the employer be concerned about the utilization of family members as translators if that is against facility policy/best practice?

State recommendations rather than "opinion".

Content revision needed for approval.

I think you did a fair job of addressing this competency. I can see how you integrated client-centered and occupation-centered practice, but I don't really see how you addressed "socio-cultural, socio-economic, diversity, etc."I recommend describing one specific example of how you addressed, this professional competency. For example, some students will discuss how they worked with a family from a low income status to locate and utilize adaptive equipment or durable medical equipment, or working with an individual from a different culture. One year, a student worked a client who was from Haiti and she discussed how she learned about the client's culture to best address her needs.

I'm not sure how I feel about the use of "mastered". None of the OT faculty believe the standards in the ADPE should be mastered at this point since you are an entry-level OT. Rather, these are competencies that you are continuing to develop and refine for practice.

Adjunct and associate level is very different....maybe state instructor instead. You have to have a doctorate, preferably a terminal degree (i.e. PhD) before you can rank at an Associate level. The highest level you can teach at this time is at an Assistant level, which requires a Masters degree, usually a minimum # of practice years, history of teaching (includes fieldwork educator hours), and evidence of scholarship.

neuro, geriatric - lower case. Also, recommend stating neuro-rehabilitation rather than neuro-OT.

Same lower case.

Geriatric is also lower case.

Occupational Therapy is actually lower case...."occupational therapy". Same with grandmother.

Move "Cum Laude" behind graduated. In 2015, I graduated Cum Laude from.....

Please continue to revise your resume using the feedback received in OT 630.

Consider using official title since capstone projects are usually terminology solely used in OTD programs.

Beautiful conclusion!

Just food for thought, profit could be interpreted as trying to gain employment at the fieldwork site during the fieldwork placement. So one could argue placing emphasis on future employment rather than current educational experience as "self-promotion or profit". It's an important concept to explore since conflicts of interest can arise, such as OTs who also work as vendors in adaptive equipment or orthotics, and who can gain profit through those dual roles. With all that said, 4.12 is approved.

And we are so honored that you represented the UTHSC MOT program! You will continue to be a great leader, I'm sure! Approved!

Content revision needed for approval.

I'm not exactly sure how the narrative demonstrates empowering team members. When I think of empowering a team member, I think of complimenting or giving positive feedback to colleagues. Or seeking their mentorship in areas of expertise and telling them how much their mentorship means to me. Or maybe it's been a rough week at work and bringing in sweets to share with the team and pep everyone up.

I like where this part of the narrative is going. I feel like the statement "some of which are described in earlier competencies" distracts a bit from the take-away. If you need to repeat a specific example, then do so.

spelling

Approved with suggested revision.

Mixed tense of present and past in one sentence. Consider splitting the sentence or making the tense agree with each other. Or rather state, "I strived to...." and take out "I value creativity in others".

I think you absolutely chose an appropriate narrative for this objective. It would be a nice add-on if there was a statement about tapping into clients' strengths as well. You are more than accurate about the behavioral issues that clients' struggle with during acute phases of their conditions. I just want to reinforce the reality that these clients can be helped.

Active psychosis, hostility, and violence are definitely risk factors in inpatient psych. Maybe lend a little more client-friendly language by stating, "Clients suffering from acute mental illness often have difficulty with controlling hostility, intrusive thoughts, and violent reactions." Since it's a public profile, I think it's important to be honest about acute psych behaviors, but without reinforcing stigma for all individuals with mental illness.

Approved. You did an excellent job of diplomatically and professionally describing a tough situation.

Approved with suggested revisions. I absolutely loved the OT memes!

I would reconsider having this on your public profile. I definitely get where you are coming from and agree, but you may just want to place the period after "months" instead.

spelling

Beware of the double negative.

Approved.

It is and it isn't. Think of it in terms of your OT identity and how you see yourself as a practitioner. I can definitely see your identity shaping and evolving in the discussion board posts that you shared as evidence.

Yes, you definitely excelled in the work life balance part. I also think that was wise since you were adventurous with your fieldwork matching process and wanted to experience new geographical locations. Approved!

Content revision needed for approval.

Assertiveness can vary depending on the setting. It's different to set boundaries with children in a pediatric clinic versus adults in an inpatient psych unit. You may want to discuss that difference to further expand on your professional development. I am a bit concerned that assertiveness was your only goal and it was implemented in all three settings. I would say from an outsider perspective, I think you're too hard on yourself sometimes and sometimes hold yourself to a standard that may not be appropriate for exactly where you are at in your development. Again, that's my perspective from the outside looking in. I think you touched on that rather pointedly when you talk about "self-pity and negative thinking". I would encourage you to continue utilizing a variety of sources for self-assessment to continue with professional development throughout your career (such as the AOTA Prof. Dev. Tool). Also, I wanted to point out there's a change in how you reflected in your discussion board posts. OT 731 and 732 are really internalized. I can tell you have mulled on it extensively and you're feeling empowered about your personal change/growth. OT 733 reflection seems more external since you mention that Joel was pleased. There's one mention of your FWE in the OT 731 post, but it's still very focused on your internal processing/perspective compared to the last one. I know that the inpatient psych rotation was a significant challenge personally and professionally, but that seems to be missing from your ADPE. Because some of the emphasis on external validation of improvement instead of internal, I wonder if you are feeling any insecurities or like you were pushed too far out of your comfort level.

Content revisions needed for approval.

This is another narrative that is too general. Please provide a specific example of feedback that may have pushed you out of your comfort zone or pushed you to grow.

Approved with suggested revisions.

Consider rephrasing. There is a great debate in OT about how to describe client behaviors. One major concern is whether implicit bias or stigma is discretely underlying our descriptions. Many clients' with mental illness are believed to be violent and dangerous by the general public so I would caution in reinforcing that concept on a public profile. You may want rephrase like this, "Constructive feedback needs to be helpful and therapeutic, but must be timed appropriately when addressing maladaptive behaviors or active psychosis among clients with mental health issues." I know that's not a perfect description and I'm willing to give further clarification if needed.

Spelling

Is receiving the same as incorporating? You may want to rephrase to demonstrate that you are not only going to receive, but will put the resources to use.

Approved with suggested revisions.

Approved. Sufficient narrative and examples.

The narrative seems to be very external and general again. I don't feel like I learned how you grew from didactic to fieldwork in this area. I would recommend picking out at least one specific example of how you evolved in this competency.

Needs content revision to receive approval.

Grammar

Approved with suggested revisions.

Check grammar. I think it would make more sense if phrased as, "My ability to be client-centered, as well as evidence-based is demonstrated in the following discussion board posts." Something to that effect.

Approved. Again, excellent examples and thank you for specifying what I need to look at for this competency.

Absolutely excellent. No revisions needed. Approved whole-heartedly.

Needs content revision for approval.

The first OCP section seemed to have strong personal reflection narratives. Mid-way through the Ethically grounded section, I feel like the reflections have shifted to an external perspective rather than internal growth perspective. The majority of the evidence and narratives are focused on external reviews/comments, etc. I would really like to hear more of your internal voice/reflection. Here is another really good place where you could reflect deeper on the picture/texting observed at High Hopes. I recommend choosing one specific memory or circumstance and maybe diving deeper into that narrative.

Needs content revision for approval.

I think it's great that you were in highly ethical practice areas, but again this feels a bit generic as well. I think you included an excellent post from OT 731. I am a bit concerned about the post being shared for ethics from High Hopes. Since this is a public profile, I think it could compromise the integrity of the organization. I would be ethically concerned about sharing this one. It may improve your competency narrative if you reflected on the picture/texting scenario in the narrative without disclosing the site name.

Needs content revision for approval.

Need additional information for approval. Evidence is sufficient.

Approved with suggested revisions. Please continue to check grammar, especially usage of tense (past, present, future).

Check verb tense

Before using an abbreviation, introduce it behind the official title with a parentheses.

Comma after Center

Fully approved.

Approved with suggested revisions/corrections.

Consider rephrasing by simply stating "with language barriers".

I would check that fact. I believe the third largest city in the world is Tokyo. Did you mean the U.S.?

Approved with suggested revisions.

Same feedback - please apply to the rest of the competencies. I'm going to skip annotation on the rest of the competencies for the sake of time/efficiency.

Grammar correction needed.

Approved with suggested revisions.

Same feedback.

Needs to be past tense - "manifested"

Approved with suggested revisions.

Same feedback as previous competencies.

Run-on sentence. Consider splitting into two complete sentences.

Approved with suggested revisions.

Same feedback as previous competency.

Maybe state are "the supervisors". Authors implies a formal manuscript, but I think it would make more sense to simply list them as the fieldwork educators or supervisors.

Maintaining

Maybe state "future" rather than "an (almost)".

Recommend "challenged daily" for flow of reading.

Megan, I love the focus on authenticity, but I'm not sure if "fearfully" is the best word choice. Possible use "fiercely" or "truly". Fearfully usually means anxious, apprehensive, etc. so it may be misconstrued by an external audience.

The focus of the objective is collaboration. I think the examples are creative and a good use of resources at the VA, but please describe how these examples relate back to collaboration. Did the client need and want to express creativity with his hands and that's why ceramics was chosen?

I'm not sure that I understand this statement. What do you mean occupational therapist is a component of medication?

This is a nitpicky recommendation, but avoid repeating "In addition," Rather use "Furthermore" or "Moreover".

Excellent job. Objective approved.

Overall, I think you did a good job of picking your two examples. I would recommend some refinement to the descriptions to demonstrate cultural competence.

Lorin, It's not necessarily considered best practice for a family member to translate during sessions. What was the policy of the facility? Did they require and/or provide medical translators for sessions? I think if you rephrased this example to demonstrate how you educated and empowered the family member to explain the rationale of OT to her father, then that would come across as culturally competent. The way it's phrased sounds like the daughter was used and not necessarily valued in the therapeutic process.

Maybe state that he is a member of the deaf community. Deafness reduced to a diagnosis does not necessarily jive with the rich community that consists of individuals who are deaf.

Whole-heartedly approved. You are such a fantastic leader change agent.

Approved with minimal corrections below.

You may need to spell out/explain further.

occupational therapist is in lower case.

Well done! Approved.

You used great judgment in selecting your examples for the entire Leader Change Agent section. Approved.

I love this narrative. Excellent job! Approved.

Again, another excellent example. Approved.

Spelling

The objective is approved, but it would be strengthened by a narrative or more specific example.

Wonderful example that demonstrates the journey to confidence and assurance. Approved.

Again, another excellent example and description. Whole-heartedly approved.

Fantastic example and well-described. Your section for Leader/Change Agent is extremely strong so far! Approved.

I really love this example. You were very responsive to the client and family needs. Approved.

Again, another excellent example. I can tell your confidence has improved in how well you articulate yourself throughout the ADPE. Approved.

I love this example and your ability to think into the future. You have truly transformed into a clinician. Approved!

Super awesome and I love the professional example. Great job, approved!

Excellent job. Well-thought out description. Approved!

How does this integrate with the client values? Clarify this one piece for approval. I think you did an excellent job of selecting your examples.

Approved, but please address the one concern regarding terminology below.

"clients with mental health conditions" would be a more appropriate and client-centered terminology.

Absolutely wonderful job! I am so happy with you future plans. Totally approved!

Excellent and practical examples that I know a future employer would love to see. Approved!

Excellent, whole-heartedly approved!!!

Also, very close to approval. Please clarify the concerns below.

Good use of abbreviation/APA.

Double check your SEFWE forms to ensure you are mentioning the primary theories/FoRs utilized.

Are you missing another model that was utilized at Murfreesboro VA?

Recommend stating "rehabilitation approaches"

My only concern with this example is scope of practice. I would worry about PT taking over sensory integration from OT. I don't think this is what happened, but it's not clear.

Did you just learn from books or were there intentional lectures, labs, and practicals designed to build your knowledge? It could read a little offensive to the instructors and professors who were there to educate you along the way. I know that wasn't the intention.

Absolutely wonderful! Approved!

Absolutely wonderful explanation of how legislation impacts access to OT services. Whole-heartedly approved and I feel like I learned so much more about this issue.

Again, what is the actual name of this model?

What is the official name of this theory/model?

I'm not sure what this means and it seems to generalize a bit too much.

I love it! Approved!

Keep in mind APA, spell out first, then place abbreviation in parentheses. PROM can mean premature rupture of membrane in the NICU/OB/GYN setting.

I can absolutely see the empowerment piece for clients, but am curious how the objective was met with team members. Were other disciplines involved in this intervention? Did you have to educate other disciplines on the benefits to encourage referrals?

On your resume, make sure you are using past tense consistently on your action words. I would also try to condense it to two pages if possible.

The front page is very inviting and I like the picture on the front.