Level II Fieldwork Diaries: School-Based Pediatrics Week 2

Hey readers! Last week, I finished my second week of level II fieldwork in a public school system. I am in an elementary school 3 days per week, a middle school 1 day per week, and remote 1 day per week. I will eventually also take over supervision of a COTA who works in the high school. Here is a quick recap of my first 2 weeks.

Week 1

  • Introductions
  • Orientation to site and online programs
  • Mandatory school trainings
  • Reading relevant IEPs
  • Familiarizing myself to the OT space and materials
  • Observation of OT sessions in elementary, middle, and high schools

Week 2

  • Observation of OT sessions
  • Co-lead a sensory group
  • Lead 2 treatment sessions and assist in additional sessions
  • Perform the Bruininks-Oseretsky Test of Motor Proficiency Second Edition (BOTTM-2), DeCoste Writing Protocol, and Developmental Eye MovementTM Test during an evaluation
  • Data collection

One of the main differences between outpatient pediatrics and the school setting so far is the way that OTs document their sessions. In outpatient pediatrics, I wrote daily treatment notes for each client. In the schools, I have to document data each session to track the student’s progress in achieving their goals. This often includes quickly jotting down data points in an excel sheet. I will have to write progress notes using this daily data documentation later.

There are some noticeable differences between OT in an outpatient setting and the schools, and adapting the way that I provide OT services has been a challenge. I am still getting the hang of data collection and changing my “style”. I am asking lots of questions and trying to learn as much as I can about OT in a school setting. Overall, I am really enjoying this placement! I am excited to continue to grow and learn as a future OT this fall.

Thanks for reading! If you have any suggestions for being in the school setting, please comment below!

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