Perceptions by practicing occupational therapists of the clinical doctorate in occupational therapy

Despite recent discussions regarding the implementation of the clinical doctorate in occupational therapy (OTD) as the entry-level degree for occupational therapy, there is a dearth of published literature that addresses the issue of the OTD. In this study, recent alumni of an occupational therapy program from an urban midwestern university were surveyed to determine their perceptions of the OTD. Most respondents agreed or strongly agreed that the OTD curriculum should include courses about managed care and/or insurance regulations, business management/administration, effective professional communication, research, and specialization in a specific area of occupational therapy. Respondents believed that an OTD would assist in career advancement, obtaining a higher salary, and professional competence. However, the majority of respondents did not believe that an OTD would result in enhancement of interprofessional relationships, improved reimbursement from third-party payers, and enhanced public recognition of the profession or enhanced ability to practice without a referral. There was not a strong opinion whether there is an advantage to a clinical doctorate degree, and only 22% agreed or strongly agreed that they would be interested in pursuing a postprofessional OTD.