http://otconnections.aota.org/search/?o=DateDescending&tag=play,older+adults,resources,warm+mouse,acute+care,elections,Occupation,Vice+president,RA&orTags=0Search resultsen-US7.x Productionhttp://otconnections.aota.org/Public_Forums/f/79/p/9285/122229.aspx#122229Thu, 23 May 2013 07:46:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122229alejandroduran/Public_Forums/f/79/p/9285/122229.aspx#122229          Kathy’s post touched upon Principle 7 Subsections E and F of the Code of Ethics: ::::::::          “E.  AVOID CONFLICTS OF INTEREST OR CONFLICTS OF COMMITMENT IN EMPLOYMENT, VOLUNTEER ROLES, OR RESEARCH.           F. AVOID USING ONE’S POSITION (EMPLOYEE OR VOLUNTEER) . . . IN SUCH A MANNER THAT GIVES RISE TO REAL OR PERCEIVED CONFLICT OF INTEREST AMONG THE PERSON, THE EMPLOYER, OTHER ASSOCIATION MEMBERS, AND/OR OTHER ORGANIZATIONS.” :::::::::: Notice that Subsection F requires avoiding conduct that just creates a “PERCEIVED” conflict of interest. Does anyone think that the members of the Ethics Commission violated that standard - the standard of avoiding the use of one’s position in such a way so as to create a "PERCEIVED" conflict of interest - by investigating themselves?          Additionally, does anyone think they used their positions in such a way so as to create a “REAL” conflict of interest by investigating themselves? One of the questions I would have in answering this is if, as Kathy mentioned, there was some independent finding of fact that included an interview of Kathy as part of its fact-finding mission. http://otconnections.aota.org/Public_Forums/f/79/p/9285/122228.aspx#122228Thu, 23 May 2013 04:36:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122228kgrace/Public_Forums/f/79/p/9285/122228.aspx#122228 The ethics commission looked into their own conduct and found their behavior of their panelists were appropriate? If judgment and perspective is under question why wouldn't the investigators seek assistance from outside the ethics commission? They gave no rationale of their findings? Sounds paternalistic.   The panelists apparently cannot maintain an objective view of the subject matter to engage in discussion.  Further, they do not seem to know how to uphold the very document they are presumed to be well versed in.  It was painful for me to write about the 04/27/13 ethics presentation. I am angry that I was placed in the situation to make that decision. My view is that the agenda of AOTA leadership is questionable. The leadership is stirring frustration, anger, and resentment in it's membership by ignoring pertinent discussion if they are feeding their own anger, that was demonstrated at the presentation in question. A couple of legitimate questions were viewed as coming from vicious trouble-makers.  Now more than ever, I am left wondering what private agendas are driving AOTA. This strikes to the very core of their credibility.  Kathy Grace On May 21, 2013, at 536PM, Christopher J. Alterio wrote: As Kathy Grace's posting about the Everyday Ethics presentation at the AOTA Conference has never been approved in this forum thread, I would like to refer readers here to the following link: otconnections.aota.org/.../122179.aspx In this link you can see Kathy Grace's report about what happened when she asked a question after the presentation and you can see my follow-up letter to the Ethics Commission.  I received notification today from the ethics commission, stating they received my letter to them dated May 3, 2013.    They stated that my concerns have been looked into and it was determined that all the panelists conducted themselves appropriately and professionally both during and after the presentation.   No other commentary was included. Perhaps Kathy Grace would like to respond - I would certainly welcome any thoughts or additional information. For purposes of continuity, it may simply be helpful to keep it in this thread which has more broad readership and makes it easier for everyone to follow. Christopher J. Alterio, Dr.OT, OTR http://otconnections.aota.org/Public_Forums/f/5265/t/16540.aspxWed, 22 May 2013 19:05:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:16540mabel/Public_Forums/f/5265/t/16540.aspx0 Re: the new G-codes for functional reporting in out-patient settings---     What assessments are you planning on using when you are working on functional cognition with a client?    Do you plan to use the "Attention or Memory" impairment categories? http://otconnections.aota.org/Public_Forums/f/5265/p/15974/122222.aspx#122222Wed, 22 May 2013 19:02:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122222mabel/Public_Forums/f/5265/p/15974/122222.aspx#122222 You do not need to use a standardized test, but you must be able to objectively quantify your findings because you need to choose a severity index for the degree of impairment some one has at eval, for a goal, and at discharge.  A Composite Test such as the AMPAC will give you that score and it will be easier to translate into a severity index. http://otconnections.aota.org/Public_Forums/f/5265/p/15974/122221.aspx#122221Wed, 22 May 2013 18:58:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122221mabel/Public_Forums/f/5265/p/15974/122221.aspx#122221 I agree with using the AMPAC---you can either use the 6 "quick pics" or the full activity battery. http://otconnections.aota.org/members/erinwbrennan/activities/default.aspx?ActivityMessageID=3397dc64-f22e-415b-b506-0f7c50570e2fWed, 22 May 2013 01:01:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:27332mommyvolk/members/erinwbrennan/activities/default.aspx?ActivityMessageID=3397dc64-f22e-415b-b506-0f7c50570e2f I had the same question. http://otconnections.aota.org/Public_Forums/f/79/p/9285/122180.aspx#122180Tue, 21 May 2013 21:36:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122180cjalterio/Public_Forums/f/79/p/9285/122180.aspx#122180 As Kathy Grace's posting about the Everyday Ethics presentation at the AOTA Conference has never been approved in this forum thread, I would like to refer readers here to the following link: otconnections.aota.org/.../122179.aspx In this link you can see Kathy Grace's report about what happened when she asked a question after the presentation and you can see my follow-up letter to the Ethics Commission.  I received notification today from the ethics commission, stating they received my letter to them dated May 3, 2013.    They stated that my concerns have been looked into and it was determined that all the panelists conducted themselves appropriately and professionally both during and after the presentation.   No other commentary was included. Perhaps Kathy Grace would like to respond - I would certainly welcome any thoughts or additional information. For purposes of continuity, it may simply be helpful to keep it in this thread which has more broad readership and makes it easier for everyone to follow. Christopher J. Alterio, Dr.OT, OTR http://otconnections.aota.org/Public_Forums/f/79/p/16463/122179.aspx#122179Tue, 21 May 2013 21:28:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122179cjalterio/Public_Forums/f/79/p/16463/122179.aspx#122179 I received email today from the ethics commission, stating they received my letter to them dated May 3, 2013.    They stated that my concerns have been looked into and it was determined that all the panelists conducted themselves appropriately and professionally both during and after the presentation.   No other commentary was included. Perhaps Kathy Grace would like to respond - I would certainly welcome any thoughts or additional information.   Christopher J. Alterio, Dr.OT, OTR http://otconnections.aota.org/AOTA_Blogs/b/ot_notebook/archive/2013/05/21/evan-s-last-day.aspxTue, 21 May 2013 20:02:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122222awaite87/AOTA_Blogs/b/ot_notebook/archive/2013/05/21/evan-s-last-day.aspx0 The fuzzy cat toy vibrates when Kathy pulls the string. Evan grasps it and smiles, his red cheeks like big cherry lollipops on his face. Kathy Stewart, OTR/L, MS, FAOTA, lets Evan hold the toy, but he suddenly drops it on the floor underneath his small desk. He cups his hands over his ears as if to say “This is too scary.” Jeff, Evan’s dad, shuffles in on his knees and scoops the toy off the floor. He gives  it back to Evan and guides his hands, hoping that Evan will understand that pulling the string is what makes the cat shake. Kathy taught Jeff that Evan oftentimes needs hand-over-hand  guidance to help him plan his movements during a new motor activity. It’s already worked when teaching Evan how to use a spoon to feed himself. Evan seems to be figuring out the cat toy, but he still hasn’t made the connection. Jeff does the hand-over-hand technique again.   (Kathy Stewart) “That’s great,” Kathy says. “I’ll fade back now so it’s easier for Evan to focus on you.”     She steps to the side and there are father and son, working together, trying to make sense of it all. Kathy coaches Jeff through the rest of the session. E va n spent the last year at the Boyer Children’s Clinic , an early intervention program, working with Kathy and other staff. Boyer helps to maximize the potential of children with neuromuscular disorders and developmental delays by employing an interdisciplinary team approach that includes occupational therapists, physical therapists, speech-language pathologists, educators, family resource coordinators, social worke rs, nurses, and a developmental pediatrician. Kathy has worked at Boyer Children’s Clinic for the past ten years, after teaching in the occupational therapy education programs at the University of Washington and the University of Puget Sound. She also currently serves at Research Coordinator at Boyer.    Evan is on the autism disorders spectrum, and he’s about to turn 3 years old, which means he will “graduate” from Boyer and transition to a developmental preschool program for children ages 3-5 years  in the public school system. Evan’s parents, Jeff and Barbara, say Evan’s experience at Boyer, especially his individual  sessions with Kathy and others on his Boyer team, has prepared their son for his next steps in life.    When Evan first came to Boyer, he couldn’t communicate at all. “He didn’t clap until after he worked with Kathy,” says Barbara. “That helped him then do more sign language, so it’s helping with his communication.” Now Evan can rub his hands together to signify that he wants more of something. He’s now starting to put sounds together and has said an occasional word. Occupational therapy has been helpful for Evan because of the step-by-step approach Kathy used, say Evan’s parents. The methodical process helped Evan learn how to wash his hands.      “Kathy breaks things into steps. So on the mirror in the bathroom, Kathy has put the steps in a list. First turn on the water, get the soap on your hands, rub your hands together, rinse your hands, turn off the water, and dry off. Kathy started thinking us through those steps,” Jeff says. Now Barb and Jeff use similar methods with Evan at home. As Evan begins to transition to his next preschool program, Kathy introduced Evan to the task of taking off his coat and hanging it on the hook next to the other children’s coats.  A photo of Evan near the hook helps him understand where his jacket belongs.   One of Evan’s biggest improvements over the past year was increasing his interaction with other children. As part of her occupational therapy intervention, Kathy regularly visited Evan’s daycare, which included him with his typically-developing peers. During her time with Evan at his daycare, Kathy encouraged him to participate in as many of the routines and activities that he could, including washing his hands, eating breakfast at the table, clearing his dishes, looking at books, and various gross and fine motor play activities,  While Evan did not directly interact with his classmates, he enjoyed watching them and playing nearby.   “It was a positive step, Kathy says. “What I am doing is setting up the play environment and the activities so he can watch and learn from the other kids,” she said immediately following her visit to his daycare. “So he is as that stage where he is watching, doing what they call parallel play. He will sit by the other kids looking at books, but he is not yet really interacting. And that is a typical stage for a younger child. So I have to understand where he is developmentally, then set up the activity to help him progress to the next stage of development.”    An encouraging sign of Evan’s social development came when one of his classmates started crying recently. Evan responded by crying, too. “Six months ago, he would not even have noticed the other child. Whatever he was doing he would continue to do. Now he wants to watch the kid and figure it out,” Jeff says.   Parent involvement has been a critical part of Evan’s early intervention program.  His progress can be attributed to the hard work of his whole team, including his parents, the staff at Boyer, and the daycare providers. Evan wears a green sweater with a train during his final day at Boyer. It could be a metaphor that life is constantly moving down a track. But it is probably just because he likes trains. He poses for a photo with his Boyer team, a little overwhelmed by all of his therapists in one place.  When it is time to go, everyone sings Evan the usual goodbye song.  “Bye-bye, Evan. Bye-bye, Evan. Bye-bye, Evan. We’re glad you came to school,” they sing. Except Kathy sings Boyer instead of school. Jeff and Barb are glad Evan came to Boyer, too.  http://otconnections.aota.org/more_groups/advocacy_and_leadership/research_news_and_resources/b/research_news_and_resources-blog/archive/2013/05/21/patient-centered-outcomes-research-institute-pcori.aspxTue, 21 May 2013 19:43:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122221SusanHLin/more_groups/advocacy_and_leadership/research_news_and_resources/b/research_news_and_resources-blog/archive/2013/05/21/patient-centered-outcomes-research-institute-pcori.aspx0 PCORI Awards $88.6 Million in Funding for Comparative Effectiveness Research Projects As stated in their mission statement, the Patient-Centered Outcomes Research Institute (PCORI) aims to help people make “informed health care decisions, and improve health care delivery and outcomes, by producing and promoting high integrity, evidence-based information that comes from research guided by patients, caregivers and the broader health care community”. Their vision is for “patients and the public to have the information they need to make decisions that reflect their desired health outcomes”. At the Board of Governors meeting on May 6 th , PCORI announced its approval of $88.6 million for 51 new projects. The selected projects address diseases and conditions that affect tens of millions of Americans. These include studies of how to best care for people with kidney disease, certain cancers, obesity, asthma, diabetes, and various mental health conditions. Other projects will explore ways to support patient decision making, reduce specific health disparities, and improve healthcare delivery systems.    Details on the approved awards, including the project name, primary investigator, research institution, and associated PCORI research priority area, are provided on the PCORI website, www.pcori.org . For more information about this announcement, visit the PCORI News Room . PCORI has also issued two Cooperative Agreement Funding Announcements to support the development of a National Patient-Centered Clinical Research Network. This will form a clinical research infrastructure to bring together patients, researchers, and healthcare systems to support the rapid, effective observational and interventional studies with active participation from a broad patient population. An overview of each announcement as well as relevant deadlines can be viewed here . Complete announcements including other PCORI Funding Announcements are available on the PCORI website . If you would like to be informed about PCORI funding announcements and opportunities to get involved, sign up here . PCORI plans to award up to $81 million in this newly announced round of PCORI Funding Announcements (PFAs) . With this latest funding opportunity, plus previous calls for research proposals and plans to offer targeted PFAs later this year, PCORI expects to commit at least $355 million in support for patient-centered CER in 2013. The revised PFAs released today correspond to PCORI’s  National Priorities for Research and Research Agenda  and feedback PCORI received during previous funding cycles, including several improvements designed to make it easier for applicants to understand the criteria and features that make the PCORI process unique. PCORI has revised its online application system , guidelines, and templates. You can download the funding announcements and learn more on the Funding Center  section of their website. You can obtain additional details in a new blog post by PCORI Executive Director Joe Selby and Director of Contracts Management Martin Dueñas . Required letters of intent (LOIs) from applicants for our latest funding cycle are due June 15 and applications are due August 15 . Awards for this cycle will be made in mid-December. PCORI welcomes your feedback and suggestions. Email: info@pcori.org . Submitted by: Guest Blogger     Stacia Matthews                       & AOTA Director of Research       Susan Lin http://otconnections.aota.org/Public_Forums/f/79/p/9285/122178.aspx#122178Tue, 21 May 2013 19:40:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122178brentbraveman/Public_Forums/f/79/p/9285/122178.aspx#122178 I have always found Christopher to be honest, direct, and respectful of others' opinions. http://otconnections.aota.org/AOTA_Blogs/b/elin/archive/2013/05/21/today-tuesday-may-21st-free-webinar-plus-facilitator-manual.aspxTue, 21 May 2013 18:06:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122220elin/AOTA_Blogs/b/elin/archive/2013/05/21/today-tuesday-may-21st-free-webinar-plus-facilitator-manual.aspx0 Sign up NOW! TODAY May 21 st at 5pm Eastern Time attend a free webinar sponsored by AARP Driver Safety: We Need To Talk Facilitator Training for OT’s. A free Facilitator manual with DVD will be mailed to each registrant upon completion of this training. Also get one education credit! Register here: http://wntt-facilitator-ot-may21.eventbrite.com Cannot participate today?  You can still become a part of the solution and bring important information about senior drivers to YOUR community!!  Following today's webinar we will post a link so you can listen to the recorded session.  Once you listen to the training you will be invited to request a Facilitator Guide to conduct YOUR first seminar.   http://otconnections.aota.org/AOTA_Blogs/b/elin/archive/2013/05/21/fitness-to-drive-screening-ftds-measure-for-at-risk-older-drivers-workshop-and-webinar-to-be-held-june-24-2013.aspxTue, 21 May 2013 17:03:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122219elin/AOTA_Blogs/b/elin/archive/2013/05/21/fitness-to-drive-screening-ftds-measure-for-at-risk-older-drivers-workshop-and-webinar-to-be-held-june-24-2013.aspx0 Announcement: Registrations are now being accepted for the  Fitness-to-Drive Screening (FTDS) Measure for At-Risk Older Drivers Workshop and Webinar to be held  June 24, 2013.  This 2.5 hour Webinar/Workshop will be presented by Dr. Sherrilene Classen at the University of Florida from 6:30 - 9:00 pm.  You may attend this session live at the University of Florida, Health Sciences Center, Communicore Building Room C1-3 or remotely via computer.  A total of 2 CEUs will be earned by participating. Presenter: Dr. Sherrilene Classen, PhD, MPH, OTR/L Associate Professor UF Occupational Therapy (352) 273-6062 http://ot.phhp.ufl.edu/about/people/faculty/sherrilene-classen/ sclassen@phhp.ufl.edu Background: The approaching “Gray Tsunami” - the rapidly growing population of aging Baby Boomers - has placed renewed importance on the identification of at-risk older drivers. On-road testing, the gold standard for assessment, is expensive and is often unavailable to drivers in this age group. Additionally, caregivers, friends, or loved ones who share lived experiences with older individuals often have valuable information to contribute regarding fitness-to-drive. To overcome the limitations of on-road testing and to better involve the public in identifying at-risk drivers, researchers, led by Dr. Sherrilene Classen at the University of Florida Institute for Mobility, Activity and Participation, have developed and tested the Fitness-to Drive Screening Measure (FTDS; formerly known as the Safe Driving Behavior Measure). Registration Fees: Early Bird Price (on or before June 10) is $30.00 per person Full Price (after June 10) is $50.00 per person Organizations wishing to broadcast the webinar to multiple staff members, please contact jerishell@ufl.edu to arrange for a group discount. For additional information or to register for the event, please visit http://www.t2events.ce.ufl.edu/assnfe/ev.asp?ID=2408 . http://otconnections.aota.org/Public_Forums/f/5265/p/15974/122176.aspx#122176Tue, 21 May 2013 12:02:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122176pjboarman/Public_Forums/f/5265/p/15974/122176.aspx#122176 I have been looking a lot into this as it looks to be a big change in practive, especially with the standardized assessment piece. I supervise an acute OT department who gets part B observation patients frequently. Historically we always used observation for the functional measures and I have had concerns about how valid it will be with the G-Codes. I found an ADL assessment with Boston University the "6 clicks" it is pretty simple and lines up really well with modifiers. I also have a hand therapy department and they use a wide variety of assessments. I found the Mediserve website to be helpful with providing information on assessments and entering in scores to generate the appropriate modifiers. http://otconnections.aota.org/Public_Forums/f/1261/t/16537.aspxTue, 21 May 2013 06:31:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:16537socalOT/Public_Forums/f/1261/t/16537.aspx0 As a student that is headed towards the beginning of my first internship and completing my classroom learning it was interesting to read about the feelings of the some individuals in Andrew Waite's article.All I can think about is the expectations that my fieldwork facilities may have and I ask myself if I have the skills to successfully pass fieldwork. From reading about the transition from student to a new grad and working, it seems apparent that those feelings do not disappear but repeat again. The main key in the article is about the individual being confident about themselves and to know that they are not alone in what they are going through .As the new person in fieldwork or employment it is important that you keep your mind and ears open to learning from the people around you. Other experienced therapists are willing to teach you and take you under their wing. I can honestly say that my feelings are a mixture of nervousness and excitement. After learning from case studies, books, videos, and lectures I get to put it together in real settings and apply it. I believe that the experiences that is awaiting me in the near future will be how I make it. There is a learning opportunity in every experience and I will find it in fieldwork also.  Ryan Vinuya, OTS References: Waite, A. (2013). Joining the workplace: Successfully navigating from student to practitioner.   OT Practice, 18 (4), 8-12. doi:http://dx.doi.org/10.7138/otp.2013.184f1 http://otconnections.aota.org/more_groups/aota_governance/assembly_of_student_delegates/f/139/p/16522/122174.aspx#122174Mon, 20 May 2013 22:06:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122174slingelbach/more_groups/aota_governance/assembly_of_student_delegates/f/139/p/16522/122174.aspx#122174 Hey Melissa, I also don't know what this "summer vacation" concept is like.  I'm sure you remember when we met at the conference that I'm in the master's program at USC and we also go straight through all of our summers with coursework and fieldwork.  I'm getting ready to start my level II fieldwork this summer after completing my second year of coursework!  Yay! I understand your desire to get a jump start on all things OT and OTA, but I second Brittany's statement that you definitely need to take time for yourself.  Now, that doesn't mean that I'm suggesting sitting on the couch all summer or laying on the beach (both of which sound great, though it sounds like you may need more stimulation).  Maybe take this opportunity to learn a new occupation or start volunteering with a population you are interested in.  One of the best ways I know to advocate for OT is through my conversations with people outside of an occupational therapy setting, at the gym, in line at the grocery store while I'm buying ingredients to try a new recipe, at a museum when I'm taking a docent-led tour, and who doesn't love giving an OT elevator speech in an actual hotel elevator when on a weekend vacation with some close friends from OT school? As far as being an effective OT and leader, I believe I call on my past experiences a lot from other school work (my undergrad was in theater), from previous jobs (I worked at veterinary office, a bookstore, a dermatology practice, etc.), and from past places I've lived (Northern California, Oregon, Nevada, Los Angeles) to help me communicate with others and keep an open mind to the lives and experiences that they've had.  The more experiences you can have, the better! Another suggestion would be to look into your state association, and if you aren't already a member, you should join your local network and ask to be on a committee.  Many state associations are desperate to recruit people to organize events and they all love students!  You should also look into registering on AOTA's COOL database (Coordinated Online Opportunities for Leadership) and see if there's an ad hoc committee you could join. Of course, I am a self-proclaimed OT junkie and spent many hours researching different practice areas and populations and traveling all over to shadow just like you have set up for yourself.  Just keep it balanced and know that every choice you make will contribute towards making you a great future OTA. Enjoy that time off!  I'm excited to hear what you do with your summer. Best, Susan Lingelbach http://otconnections.aota.org/Public_Forums/f/1605/p/11189/122172.aspx#122172Mon, 20 May 2013 19:18:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122172melissamatthew/Public_Forums/f/1605/p/11189/122172.aspx#122172 Dear Lisa, How did your Backpack awareness day go?  I know you wrote way back in September but I am new to this forum.   Melissa http://otconnections.aota.org/more_groups/aota_governance/assembly_of_student_delegates/f/139/p/16522/122171.aspx#122171Mon, 20 May 2013 19:15:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122171melissamatthew/more_groups/aota_governance/assembly_of_student_delegates/f/139/p/16522/122171.aspx#122171 Brittany,  Thank you so much for your advice.  I don't really do well with too much free time on my hands..haha.  I am a structure type of person but I can put "me time" into my schedule this summer.  I will continue to read my OT journals and research the subjects I am passionate about.  It is good to hear your ideas.  Good luck in fieldwork.  I look forward to hearing from you again. Melissa http://otconnections.aota.org/Public_Forums/f/1261/p/16488/122170.aspx#122170Mon, 20 May 2013 17:57:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122170shoule/Public_Forums/f/1261/p/16488/122170.aspx#122170 Dr. DiGrado, Thank you for sharing some of your feelings you had as a new practitioner.  Being able to form a connection with my patients was one of the primary reasons I chose OT over other healthcare professions.  I like that to be a great OT you have to get to know the person you are working with.  This type of relationship would definitely present many opportunities to learn from each other - thank you for emphasizing that aspect for me.  I appreciate the advice. Sincerely, Sheila Houle http://otconnections.aota.org/Public_Forums/f/1261/p/16493/122169.aspx#122169Mon, 20 May 2013 17:50:00 GMT9079418d-4ee6-4590-87f3-c0cc4c3814cd:122169shoule/Public_Forums/f/1261/p/16493/122169.aspx#122169 Julie, You always have the most thoughtful things to say.  I appreciate you sharing your fieldwork supervisor's suggestion of using a reflection journal.  I've never been into keeping a journal, but when you mentioned that you were a "verbal processor" I laughed to myself because I think I am too, though I never have considered myself to be.  Instead, I find myself "thinking out loud" when I am processing/reflecting upon a situation.  This journal idea could be an interesting way to accomplish this reflection in a more structured (and less weird!) way.  Thanks for sharing. Sincerely, Sheila Houle