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Commonalities in Level II Fieldwork Failure
Karen L James1, Linda Musselman
1BAPTIST HEALTH School of Occupational Therapy Assistant, Little Rock, AR.
Occupational Therapy in Health Care
|August 10, 2013
Summary
Students failing Level II fieldwork often struggle with problem-solving, clinical reasoning, and responding to feedback. Supervisors also noted academic unpreparedness as a key factor in fieldwork failure.
Area of Science:
- Occupational Therapy Education
- Clinical Supervision
Background:
- Level II fieldwork is a critical component of occupational therapy education.
- A significant number of students do not successfully complete this fieldwork experience.
- Identifying factors contributing to failure is essential for improving student outcomes.
Purpose of the Study:
- To identify common characteristics associated with Level II fieldwork failure in occupational therapy students.
- To explore the perspectives of supervisors regarding student performance and reasons for failure.
Main Methods:
- A mixed-methods approach was employed, combining quantitative and qualitative data.
- Eleven fieldwork supervisors completed a questionnaire about their experience with students who failed.
- Six of these supervisors also participated in in-depth telephone interviews.
Main Results:
- Students who failed demonstrated deficits in problem-solving and clinical reasoning skills.
- Difficulty grasping the overall clinical picture and responding to constructive feedback were noted.
- Supervisors perceived students as academically unprepared for the demands of fieldwork.
Conclusions:
- Common student attributes and supervisor strategies are linked to Level II fieldwork failure.
- Addressing identified skill gaps and enhancing academic preparation may reduce failure rates.
- Further research into effective supervisory strategies is warranted.
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