school of health professions - student handbook 2022-2023


Master in Occupational Therapy

MOT Program 


SHP General Information
Review information that pertains to all students within the School of Health Professions (SHP) that is located at the beginning of the SHP Student Handbook. 
Department of Rehabilitation Sciences Policies, Procedures, and Student Responsibilities
Review information that pertains to all students within the Department of Rehabilitation Sciences (DRS) that is located in the Rehabilitation Section of the SHP Student Handbook.
This section of the Student Handbook describes academic policies and procedures that are specific to the TTUHSC Master of Occupational Therapy (MOT) program. Student policies that are common to the School of Health Professions are provided at the following website address:

 https://hscweb.ttuhsc.edu/health-professions/current/policies.aspx

Accreditation and Program Overview


Accreditation
The MOT Program at TTUHSC is accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) of the American Occupational Therapy Association (AOTA). Contact information is as follows:
6116 Executive Boulevard, Suite 200
North Bethesda, MD 20852-4929
(301) 652-2682

Mission
The mission of the TTUHSC MOT Program is to provide students with a strong foundation in clinical reasoning, knowledge, and skills to become competent occupational therapists who improve the health of individuals and communities. Academic and professional citizenship of students is cultivated through mentorship in scholarly activities.
Philosophy Statement

Beliefs about Humans

Human beings possess a unique array of interests, values, skills, abilities, and experiences which influence the way one perceives, chooses, and engages in various, meaningful activities (also called occupations). Occupations are the ordinary and familiar things that people do every day. The selection of and engagement in these meaningful activities contributes to one's identity, health, and well-being.

Belief about the Nature of Learning

Human beings learn through and are shaped by, experiences throughout their lives. Opportunities for learning occur in many ways, such as acquiring knowledge, skill development, or personal growth. Through these varied experiences, changes in a person's knowledge, abilities, behavior, and attitudes occur

Beliefs about the Nature of Occupational Therapy

Occupational therapy is the art and science of helping people do the day-to-day activities that are important and meaningful to them. Engagement in valued occupations is used in treatment to facilitate health and well-being. Valued occupations include the following areas: self-care, learning, work, play, leisure, social participation, and sleep/rest.
Occupational therapists work collaboratively with individuals, families, caregivers, and other groups whose life patterns and ability to engage in valued occupations have been altered as a result of various circumstances (i.e. cognitive or developmental problems, injury or illness, social or emotional deficits, or the aging process). Occupational therapists apply their clinical reasoning as they plan, direct, perform and reflect on client care. The focus of occupational therapy is to facilitate the individual's ability to participate in meaningful, purposeful activities (occupations) at home, school, workplace, community, and various other settings.
Occupational therapy practice areas and settings:
  • Acute Care
  • Assistive technology
  • Burn centers
  • Case management
  • Community health practice
  • Driver rehabilitation
  • Early intervention services
  • Ergonomics consultation
  • Hand rehabilitation
  • Health and wellness consultation
  • Home health
  • Home modifications access
  • Hospice services
  • Hospitals
  • Low vision services
  • Mental health
  • Nursing homes
  • Private practice
  • Psychosocial needs of youth
  • Rehabilitation centers (inpatient and outpatient)
  • Schools
  • State Supported Living Centers
Curriculum Design
G Grounded in Bloom's Taxonomy
O Occupation-based approaches
T Teamwork in scholarship and practice
E Education of future professionals
C Clinical Reasoning/Case Mapping 
H Hands-on learning
The curriculum of the occupational therapy program is shaped by two guiding frameworks. Bloom's levels of learning serve as a framework that faculty utilize to inform and guide the student learning process. Students develop critical thinking skills as concepts are introduced and reintroduced in increasing complexity. The other framework consists of the following six curriculum threads: Fundamental Concepts, Theoretical Foundations, Clinical Reasoning, Research Methods, Occupational Therapy Processes, and Professional Practice. These curriculum threads further focus on the development of the students' knowledge, skills, attitudes, and behaviors with respect to the profession of occupational therapy. The program fosters the development of each student's clinical reasoning and professionalism through a combination of didactic and experiential processes.

Curriculum Threads

Student Learning Goals

Fundamental Concepts
  • Students will be able to identify, describe, and summarize the biological, physical, social, and behavioral factors that affect a person's engagement in occupation across the lifespan.
  • Students will be able to demonstrate clear, effective written and verbal communication.
  • Students will be able to analyze the effects of physical and mental health, disability, disease processes, and traumatic injury to the individual within the cultural context of family and society on occupational performance.
Theoretical Foundations
  • Students will be able to describe and discuss history, theories, practice models, and frames of reference that are used in occupational therapy.
  • Students will be able to apply theoretical constructs to evaluation and intervention with various types of clients and practice contexts.
  • Students will be able to analyze historical, theoretical, and sociopolitical influences on practice.
  • Students will be able to integrate occupation-based theories, practice models, and frames of reference to guide occupational therapy processes.
Clinical Reasoning
  • Students will be able to describe clinical reasoning concepts in relation to occupational processes.
  • Students will apply active learning, concept mapping, case mapping, clinical problem solving, and documentation exercises to develop clinical reasoning strategies.
  • Students will be able to distinguish the importance of therapeutic use of self, the environment, and occupation/activity to identify the needs of the client and facilitate relationships with others.
  • Students will be able to integrate clinical reasoning skills to work collaboratively to meet the occupational needs of individuals or groups.
Research Methods
  • Students will be able to understand quantitative and qualitative research methods and describe the importance of research to the profession of occupational therapy.
  • Students will apply active learning, concept mapping, case mapping, clinical problem solving, and documentation exercises to develop clinical reasoning strategies.
  • Students will be able to plan, conduct, and analyze entry-level research that is relevant to occupational therapy practice.
  • Students will be able to synthesize, evaluate, and disseminate findings of research to inform occupational therapy practice.
Occupational Therapy Processes
  • Students will be able to explain the meaning and dynamics of occupation and activity including areas of occupation, performance skills, performance patterns, activity demands, context(s), and client factors.
  • Students will be able to select and administer relevant occupational therapy screenings, assessments, and intervention methods based on client needs and contextual factors.
  • Students will be able to interpret results of occupational therapy screenings and assessments to formulate the therapeutic intervention plan and method of service delivery.
  • Students will be able to synthesize the occupational therapy process (from referral to discharge), client needs, and contextual factors to support the client's participation in valued occupations.
Professional Practice
  • Students will be able to discuss the importance of advocacy, safety, professional ethics, values, and responsibilities.
  • Students will adhere to ethical standards and safety regulations.
  • Students will be able to analyze supervisory, ethical, and organizational issues and responsibilities to support professionalism in practice.
  • Students will be able to synthesize and evaluate their professional role in varied settings to foster the process of reflective practice and a spirit of life-long learning.
Program Goals and Objectives
  1. TTUHSC MOT students will possess clinical reasoning, knowledge, and skills required for competent occupational therapy practice.
  2. TTUHSC MOT students and faculty will improve the health and well-being of people through the provision of occupational therapy services and healthcare education.
  3. TTUHSC MOT students and faculty will practice professional citizenship through community outreach.
Program Outcomes and Measurements
The MOT Program has established the following learning outcomes for the students:

  1. Students will be able to plan and apply occupational therapy evaluations and interventions to address the physical, cognitive, psychosocial, sensory, and other aspects of performance in a variety of contexts and environments to support engagement in everyday life activities.
  2. Students will be prepared to articulate and apply occupational therapy evidence-based interventions.
  3. Students will develop and implement a population-based service that addresses occupational needs of a community organization.
  4. Graduates achieve entry-level competence through a combination of academic and fieldwork education that provides broad exposure to delivery models and occupational therapy practice settings.
The following resources are used to measure the level of achievement for the desired outcomes established for our program: 1) Graduation & Attrition Rates; 2) Fieldwork Performance Evaluation for the Occupational Therapy Student; 3) Occupational Therapy Knowledge Exam (provided by the National Board for Certification in Occupational Therapy) results; 4) National Board for Certification in Occupational Therapy (NBCOT) exam results; 5) Graduate surveys; 6) Student surveys; 7) Employer surveys; 8) Job placement rates, and 9) Faculty developed rubrics and evaluative tools.
Technical Standards
The occupational therapy program at Texas Tech University Health Sciences Center (TTUHSC) is a rigorous and intense program that places specific professional, intellectual, physical, and social requirements and demands on the students enrolled in the program. An objective of this program is to prepare graduates to enter a variety of employment settings and to render care to a wide spectrum of individuals with physical and psychosocial impairments. The technical standards set forth by the occupational therapy program establish the essential qualities considered necessary for students admitted to this program to achieve the knowledge, skill, and behavioral competencies for entry-level practice. These standards are subject to amendment based on changes in health care and the scope of occupational therapy practice.

Ability to meet these technical standards is required for admission to the occupational therapy program and must be maintained throughout the time a student is enrolled in the program. Applicants to (or accepted applicants for) the occupational therapy program will be required to verify that they understand and meet these essential functions, or that they believe that with reasonable accommodations they can meet the technical standards.
In keeping with applicable federal and state law regarding disabilities, we are committed to making reasonable accommodations for students with disabilities to enable them to perform successfully in our program. Any student with a disability who is accepted to the OT program must contact Student Disability Services (SDS) in the TTUHSC Office of Student Affairs as soon as possible. SDS Staff will determine whether the stated condition qualifies as a disability under applicable laws and work with the program faculty to determine reasonable accommodations.
There are two separate and distinct components in the curriculum for the occupational therapy program: 1) an academic didactic component, and 2) a clinical/fieldwork component.  Accommodations in place for the didactic component may not be the same accommodations available for the clinical component in the curriculum. The technical standards listed below are necessary functions and skills for the development of the knowledge, skills, and behaviors to provide safe and effective occupational therapy services.  
1. Cognition
  • Applicants and students must be able to skillfully conceptualize, apply, analyze, synthesize, and evaluate information from a broad range of sources. Use of these learning domains must produce effective critical thinking skills to be used during observations of patient behavior, task performance, and the environment. To produce the required didactic and clinical learning, students must have:
    • i) Sufficient perception and attention (sustained, shifting, and divided) to perform components, such as: discernment and discrimination of relevant information (e.g., attention to safety concerns during laboratory and clinical/fieldwork experiences; sustained attention for actively learning during lecture and taking tests lasting up to 4 hours); accurate perception and interpretation of spatial relationships (e.g., surface anatomy; analysis of movement); and acquisition and use of knowledge within rigorous time constraints (e.g., assignment due dates, semester schedules, allotted treatment time). 
    • ii) Sufficient memory skills (immediate, short term/working, and long term) to perform components such as the transfer of immediate memories (from sensations) to short term memories, which are then developed into long term memories through various learning strategies. All forms of memory should be accessible/retrievable for use in working memory as evidenced by effective didactic and safe and effective clinical experiences (e.g., assignment completion; examination preparation; occupational therapy evaluation; treatment planning; reassessment; outcomes review).
    • iii) Sufficient higher-level cognitive skills to perform components, such as: concept formation (e.g. development of theoretical concepts in occupational therapy); cognitive flexibility (e.g. understanding of various contexts and patient situations); problem-solving and decision making (e.g., searching and evaluating published literature; selection of appropriate assessments and treatment strategies); and accurate self-assessment of clinical/fieldwork skills, professionalism, and academic performance (e.g. monitor one’s own actions; learn from peer, instructor, client, and environmental feedback).
2. Communication
  • Applicants and students must be able to effectively communicate with a broad range of individuals, such as: peers, faculty, patients, caregivers, family members, other professionals, supervisors, and payers. Such communication requires that students can effectively engage in receptive and expressive forms of communication (e.g., written, spoken, non-verbal). Students must have:
    • i) Sufficient proficiency with the English language to perform components, such as: acquisition of information and knowledge through written and spoken language (e.g., classroom instruction, textbooks, journal articles, websites, videos); production of written assignments with accurate spelling, grammar, and writing mechanics (e.g., essays, documentation); completion of examinations that require reading and comprehension; and professional presentation of information (e.g., class presentations; interdisciplinary team discussions; patient status reports).
    • ii) Sufficient proficiency with use of technology to perform components, such as: utilization of computer resources for didactic, laboratory, and clinical/fieldwork courses (e.g., internet, email, electronic health records, and computer software for word processing, spreadsheet, and presentation); accessing content using a variety of electronic media (e.g., videos, pdf, forums, electronic library databases); and utilization of technology resources used for standardized testing (e.g., electronic modalities).
3. Motor Skills
  • Applicants and students must be physically capable to perform a range of motor skills. Such motor skills require functional movement to effectively perform various physical components of patient assessment and intervention. Students must have: 
    • i) Sufficient muscular and cardiovascular endurance to perform components such as: positioning and stabilization of patient; and sustaining physical activity levels necessary to meet academic and clinical/fieldwork productivity (e.g., classroom and clinical/fieldwork activities).
    • ii) Sufficient fine motor coordination, range of motion, and strength to safely perform components, such as: grasp and manipulation of therapy supplies, tools, and equipment (e.g., cut and form materials to fabricate splints and assistive devices; positioning of supplies or equipment in accordance with standardized testing procedures); demonstration of dexterous movements for various activities of daily living (e.g., write, button, open containers); and application and calibration of pressure to soft tissue (e.g., massage, facilitation, inhibition, and handling techniques).
    • iii) Sufficient gross motor coordination, range of motion, and strength to safely perform components, such as: stabilization, positioning, and moving of patient (or patient’s body parts); maneuvering patient in wheelchair; application of physical resistance to assess muscle strength and tone; and accommodation and/or demonstration of desired positioning or movement patterns for patient (e.g., crouch, kneel, squat, bend, reach, sit).
4. Observation
  • Applicants and students must be able to effectively observe behavior, task performance, and the environment. Such observation requires the functional use of their senses. Students must have
    • i) Sufficient vision acuity and perception to perform components such as: visual observation of educators and/or peers demonstrating techniques, procedures, and equipment use; seeing and reading text and images( e.g., equipment gauges/dials, medical records); observation of patient behaviors, skills, and impairments; visual inspection of signs of distress, trauma, or impairment; visual monitoring of tools and equipment for safe, effective operation; and identification of environmental barriers and supports.
    • ii) Sufficient auditory function to perform components, such as: hearing patient’s verbalizations and utterances; monitoring of tools and equipment for safe, effective operation; and accurately hearing sounds from the pulmonary, cardiovascular, gastrointestinal, and musculoskeletal systems.
    • iii) Sufficient tactile sensation to perform components, such as: accurate discernment, palpation, and mobilization of muscles, bones, joints, and other subcutaneous structures; monitoring of temperature or tension through touch; and manipulation of supplies, tools, and equipment.
5. Social Behavioral Skills
  • Applicants and students must be able to establish and regulate behaviors to meet performance demands of occupational therapy practice. Such social behavioral skills require motivation, self-awareness, emotional regulation, and interpersonal skills. Students must have:
    • i) Sufficient motivation to achieve academic or clinical/fieldwork performance expectations that include components, such as: self-direction and autonomy (e.g., utilize organization and time management skills; utilize resources for self-directed learning; access transportation to attend academic courses and clinical/fieldwork placements); compliance with academic and professional standards of conduct (adhere to safety guidelines and procedures; conduct oneself in an ethical and legal manner); and portrayal of honesty, integrity, and professionalism in all circumstances.
    • ii) Sufficient interpersonal skills to perform components, such as: respect for individual, social and cultural diversity; building and maintaining healthy relationships with a broad range of individuals (e.g., peers, faculty, patients, caregivers, family members, other professionals, and supervisors); facilitation of therapeutic interaction (e.g., attending, clarifying, coaching, facilitating, and touching as part of therapeutic process); professional interactions (e.g., provide constructive feedback; timely and appropriate response to feedback).
    • iii) Sufficient awareness of emotional and behavioral states to perform components, such as: self-reflection, self-appraisal, and adjustment of actions when necessary (e.g., align behaviors to meet performance expectations; self-identify areas for improvement); and regulation of emotional and behavioral responses (e.g., manage uncertainty in academic and clinical/fieldwork situations; adapt thinking and behavior to changing situations).
6. Participation
  • Applicants and students must be able to participate in various experiential learning opportunities to develop the knowledge, skills, and behaviors for occupational therapy practice. Such experiential learning occurs in the classroom, laboratories, and clinical/fieldwork experiences. Students must be able to:
    • i) Complete the interprofessional core curriculum that involves completion of online modules as well as face-to-face interactions that involve teaching, learning, and collaborating with students from various professions. 
    • ii) Complete a gross anatomy course, which includes extensive hands-on dissection of human cadavers.
    • iii) Participate in classroom and laboratory activities in a co-educational environment where students are required to practice observation and intervention skills on individuals of all body types and genders. Students are often required to dress in shorts and t-shirts/sports bras to allow appropriate visualization or palpation when engaged in simulation of patient assessment and intervention.
    • iv) Participate in small group activities and projects that require students to coordinate schedules and work collaboratively to meet assignment expectations and deadlines. 
Professional Expectations and Opportunities

Certification and Licensure Requirements
Graduates of the MOT program will be eligible to sit for the National Certification Examination for the Occupational Therapist administered by the National Board for Certification in Occupational Therapy (NBCOT). After successful completion of this exam, the individual will be an Occupational Therapist, Registered (OTR). In addition, most states require licensure to practice. However, state licenses are usually based on the results of the NBCOT certification exam. A felony conviction may affect a graduate's ability to sit for the NBCOT certification examination or attain state licensure.

Occupational Therapy Code of Ethics
Preamble
The 2020 Occupational Therapy Code of Ethics (Code) of the American Occupational Therapy Association (AOTA) is designed to reflect the dynamic nature of the profession, the evolving health care environment, and emerging technologies that can present potential ethical concerns in practice, research, education, and policy. AOTA members are committed to promoting inclusion, participation, safety, and well-being for all recipients in various stages of life, health, and illness and to empowering all beneficiaries of service to meet their occupational needs. Recipients of services may be individuals, groups, families, organizations, communities, or populations.
The Code is an AOTA Official Document and a public statement tailored to address the most prevalent ethical concerns of the occupational therapy profession. It outlines Standards of Conduct the public can expect from those in the profession. The Code applies to all occupational therapy personnel in all areas of occupational therapy and should be shared with relevant stakeholders to promote ethical conduct.
The Code serves two purposes:
  1. It provides aspirational Core Values that guide occupational therapy personnel toward ethical courses of action in professional and volunteer roles, and
  2. It delineates ethical Principles and enforceable Standards of Conduct that apply to AOTA members.
The entire AOTA Code of Ethics may be found on the AOTA website: https://www.aota.org/Practice/Ethics/code-of-ethics.aspx
Student Occupational Therapy Association (SOTA)
The Student Occupational Therapy Association (SOTA) is a student-led, service-oriented organization that strives to promote occupational therapy as a growing evidence-based profession. SOTA offers opportunities for community service, social events, leadership, and professional development. A faculty member serves as a sponsor (advisor). All MOT students are encouraged to join SOTA. The TTUHSC SOTA is noted for its creativity, resourcefulness, and quality of activities. The SOTA must also abide by the registration of student organizations' policies listed in the TTUHSC Student Handbook. Students are responsible for any and all fees and costs associated with membership, and participation is voluntary. Detailed information about the organization is available on the SOTA webpage:
https://www.ttuhsc.edu/health-professions/student-occupational-therapy-association/
Professional Societies and Student Membership
Students are encouraged to join the American Occupational Therapy Association and the Texas Occupational Therapy Association. Membership is part of the socialization into the profession. Students who are members of these professional associations receive access to the member section of the association website, online newsletters, discounted conference fees, and access to resources that facilitate their understanding of the profession. Students who are members of AOTA can obtain a discount on books published by AOTA.
Pi Theta Epsilon
Pi Theta Epsilon is the honor society for occupational therapy. The purpose of the organization is to support the development of occupational sciences and the practice of authentic occupational therapy by promoting research and other scholarly activities by its members. Our chapter, Alpha Epsilon, is part of the national Pi Theta Epsilon honor society system recognized by the American Occupational Therapy Foundation. Membership is limited to not more than 35% of the current class and students with a 3.5 cumulative grade point average while enrolled in the MOT program. Pi Theta Epsilon must also abide by the registration of student organizations' policies listed in the TTUHSC Student Handbook.
Professional Development / Academic Advising
Professional development, including academic advising, is an important part of each student's experience throughout the TTUHSC MOT Program, beginning at orientation. The Professional Development Portfolio is designed to encourage exposure to various professional development opportunities including knowledge, interpersonal skills, ethical reasoning, critical reasoning, performance skills, and professional responsibility. As a part of the professional development program, each student is paired with an MOT faculty advisor when they begin the program. Each student meets with his or her faculty advisor periodically, at the initiation of the student, faculty advisor, or program director. The focus of these meetings is to guide students as they develop both academically and professionally. Each Fall semester, the student meets with his or her faculty advisor and completes the "Generic Abilities Advising" form, a standardized advising tool used to encourage self-assessment/assessment for the student. This tool creates a framework for students and advisors to discuss the student's progression through the MOT program as well to foster development of professional behaviors. Additionally, a student who receives a Mid-Term Academic Warning Letter or an Academic Probation Letter is encouraged to meet with his or her faculty advisor. Students are encouraged to communicate openly with their faculty advisor whenever the need arises.
A student who receives a Mid-Term Academic Warning Letter or an Academic Probation Letter is encouraged to meet with his or her faculty advisor. Additional meetings occur during other times of the year at the initiation of the student, faculty advisor, or program director.
Dress Code
Members of the faculty and staff have the authority and responsibility to maintain reasonable standards of student dress and grooming within their respective classrooms, laboratories, offices, and other areas of public presentations. The dress code reflects professional integrity and the special needs of individual classes. Professional dress is expected of students at all times. At the discretion of the faculty, more casual attire may be worn to lecture and laboratory classes as warranted. See the course syllabus for more specific details.
Since TTUHSC is a public institution in which patients and visitors are present, standards of dress should reflect good judgment. Attention to safety standards and professionalism is important.
Casual attire is not appropriate for educational activities that occur off-campus. For clinical observations and internships, information regarding specific dress codes of the clinical sites will be provided by the clinical coordinator.
Fieldwork Education
Fieldwork education is an integral aspect of the MOT program. Students must pass a Criminal Background Check, maintain immunizations, and complete annual tuberculosis testing in order to participate in clinical experiences. Students may also be required to pass a drug screen (requirements may vary for each fieldwork site). The student is responsible for fees related to a Criminal Background Check, drug screening, and immunizations
Students must be approved for Fieldwork placement by the program director and Academic Fieldwork Coordinator. Considerations in this recommendation include student's academic performance, completion of program requirements, demonstration of adequate professionalism, and behaviors indicative of the ability to be effective and productive during clinical training, including problem-solving ability and critical thinking.
Students on Fieldwork placements are expected to follow safety procedures of the clinical site, plus any other requirements deemed important by the Academic Fieldwork Coordinator and/or Fieldwork Educator for a specific clinical site. Behaviors observed during the professional curriculum are taken to be a measure of a student's readiness for Fieldwork.
Students are responsible for all costs associated with Fieldwork courses including transportation, housing, meals, uniforms, criminal background checks, drug screens, and other incidental expenses.
Level I Fieldwork courses are scheduled throughout the professional program and allow students to reinforce and test the knowledge and attitudes presented in the classroom. Students will be involved in Level I Fieldwork experiences during the second year in the program. Following completion of all academic courses, students undertake 24 weeks of full-time Level II Fieldwork. No part of Fieldwork Level I may be substituted for any part of Fieldwork Level II. Students must complete all Level II Fieldwork within 12 months following the completion of the didactic portion of the curriculum. Level II Fieldwork courses are typically full-time and will often require the student to relocate outside the immediate geographic area. Available assignments are determined by contractual arrangements between the department and facility. Students pay regular tuition and fees for enrollment in Fieldwork courses. Optional Fieldwork rotations in many specialty areas such as pediatrics, administration, hand therapy, and work hardening are also available. The length of the entire program is two and a half years.
Fieldwork consists of five experiences designed to prepare and expose the student to a variety of applied settings in occupational therapy:
  1. Fieldwork I: Pediatric Process in Fieldwork and Fieldwork I: Psychosocial Group Process occur in the summer semester of the second year. The student's Fieldwork experiences will be ongoing throughout the summer semester and will include clinical experiences throughout the community. The student will actively participate in occupational therapy clinical situations to develop professional and clinical skills as well as an understanding of clinical settings.
  2. Fieldwork I: Adult Physical Dysfunction occurs prior to beginning classes in the Spring semester of the second year. The student actively participates in occupational therapy as it is practiced in a physical disabilities setting for a total of 80 hours.
  3. Fieldwork II:1 Full-time Fieldwork experience that typically begins in June of the student's third year. The student integrates client evaluation and intervention planning/implementation skills and develops entry-level competency in essential skills. The student has the opportunity to develop advanced competencies beyond entry-level where applicable.
  4. Fieldwork II:2 Full-time Fieldwork experience that typically begins in September of the student's third year. The student integrates client evaluation and intervention planning/implementation skills and develops entry-level competency in essential skills. The student has the opportunity to develop advanced competencies beyond entry-level where applicable.
Clinical facilities that have occupational therapy clinical education agreements with TTUHSC may be used for Fieldwork sites. The MOT Academic Fieldwork Coordinator provides detailed information for selection procedures. The student's selection of a Fieldwork site must be approved by the MOT Academic Fieldwork Coordinator and/or the program director prior to the student enrolling in the applicable Fieldwork courses. The MOT Academic Fieldwork Coordinator reserves the right not to approve a student's selection of any clinical education site. The MOT Academic Fieldwork Coordinator may consult with MOT faculty and the MOT program director in order to determine a Fieldwork placement for any student. As such, the MOT Academic Fieldwork Coordinator further reserves the right to place the student at any clinical site determined necessary for successful completion of a student Fieldwork course, or to not allow a student to enroll in a Fieldwork course, for the following reasons:
  1. The student is on Academic Probation.
  2. The student has previously displayed behavior resulting in counseling using the General Abilities
Fieldwork Course Grading is Pass / Fail
All Fieldwork courses are graded on a pass/fail basis (i.e., course grade of "P" or "F"). The syllabus for each Fieldwork course specifies criteria that constitute a passing or failing course grade. The course coordinator assigns each student's Fieldwork course grade based on evaluative feedback from the Fieldwork clinical instructor in consideration of requirements specified in the course syllabus.
Fieldwork Courses: Course Grade of "F" Results in Recycling or Dismissal
A student may receive a course grade of "F" (Fail) for a Fieldwork course for any of the following reasons:
  1. Failure to maintain and present all of the appropriate documentation to the Fieldwork education facility as required by that facility. The documentation required varies from facility to facility, but typically includes:
    1. Evidence of current immunizations for Hepatitis B, Tdap (Tetanus, Diptheria, Pertussis), and MMR (Measles, Mumps, Rubella/Rubeola).
    2. TB (tuberculosis) test results
    3. Personal medical/health insurance
    4. Current CPR (cardiopulmonary resuscitation) certification.
  2. Failure to meet all requirements set forth by a Fieldwork education facility for students receiving Fieldwork education at their site (e.g., failure of a facility required drug test, failure to adhere to dress code, etc.)
  3. Failure to complete course objectives as specified in the Fieldwork course syllabus.
  4. Unsafe or unprofessional behavior at a Fieldwork site. 
Failure of Fieldwork Course and Dismissal
If a student's failure (course grade of "F") of a Fieldwork course is due to unsafe or unprofessional behaviors, the program director and/or Fieldwork Coordinator reserve the right to deny the student a recycling opportunity. In such situations, the student is subject to dismissal on grounds of academic deficiency (refer to "Dismissal from the MOT Program" section).
A student who receives a course grade of "F" in a Fieldwork course is subject to dismissal if the student has been on academic probation twice or if the student has previously recycled a course in the MOT curriculum. A student who is in the process of grieving dismissal from the MOT program is not allowed to participate in a clinical education course.
Failure of Fieldwork Course and Recycle
A student who receives a course grade of "F" in a Fieldwork course is required to recycle the course if they are academically eligible to do so (i.e., no previous recycling of a course, no more than one previous academic probation, and otherwise in good academic standing), provided the reasons are not due to unsafe or unprofessional behaviors, in which case the student is subject to dismissal from the program. Criteria that constitute successful recycling of a Fieldwork course will be specified in a "Recycling Requirements Document" that will be written by the program director with input from the Fieldwork Coordinator.
Consensual Relationships
Consensual relationships between a student and supervisor, patient, or other persons at clinical experience sites constitute (1) conflicts of interest; (2) unprofessional conduct; (3) breach of trust; (4) appearances of impropriety; and (5) questions the validity of consent, any of which impairs the integrity of academic and clinical decisions. Such relationships also have the potential for (1) undermining the atmosphere of trust and objectivity essential to the educational process and clinical experience; (2) exploiting subordinate faculty, staff, employees, or students, and the possible professional or academic disadvantage of third parties; and (3) subjecting both TTUHSC, the clinical sites and the individuals to the risk of liability.
Therefore, the MOT program strictly prohibits any type of such relationship as described above, whether consensual or not. Violation of this prohibition may result in dismissal from the program. Should such a relationship develop, faculty, staff, fieldwork educators, and MOT students who become aware of the relationship have the obligation to disclose the existence of the relationship to the program director.
Adapted from TTUHSC OP 70.55 Consensual Relationships - Faculty, Staff, and Residents.
Academic and Conduct Policies
Academic Probation
A student will be placed on Academic Probation for failure to maintain a cumulative grade point average (GPA) of 2.70 or higher. Cumulative GPA is calculated at the end of each semester. For a student to return to good academic standing and be removed from Academic Probation in this situation, the student must raise his or her cumulative GPA to 2.70 or higher by the end of the following semester. A student whose cumulative GPA is less than 2.70 in consecutive semesters (i.e., fails to come off Academic Probation) is subject to dismissal (refer to "Dismissal from the MOT Program" section below).
A student who has been on Academic Probation twice and subsequently meets any of the criteria for Academic Probation a third time is subject to dismissal on grounds of academic deficiency (refer to "Dismissal from the MOT Program" section below).
Recycling
Recycling in the MOT program is the re-taking of an entire course in which the student received a course grade of "D" or "F" (didactic or Fieldwork course). For a course to be successfully recycled, a passing course grade of "C" or better for academic courses and a course grade of "P" (Pass) for Fieldwork courses must be obtained the next time the course is offered in the student's curriculum. A student who refuses to recycle a course in which he or she received a grade of "D" or "F" will be subject to dismissal on grounds of academic deficiency (refer to "Dismissal from the MOT Program" section below).
A student enrolled in the MOT program is allowed to recycle only one course, and that course can only be recycled one time.
The MOT curriculum is designed for coursework to be taken in sequence. Therefore, a student is not permitted to advance academically in the MOT curriculum until the student has successfully recycled the course in which he or she was found to be academically and/or clinically deficient. The didactic portion of the MOT curriculum requires the student to not be enrolled in the curriculum for one full academic year until the course that needs to be recycled is taught again. As described below, a recycling student is also required to audit courses as a component of the recycling process.
Recycling Requirements Document
Criteria that constitute successful recycling of academic and/or clinical education deficiencies will be specified in a "Recycling Requirements Document" that will be written by the program director. In addition to requiring that the student re-take and earn a passing grade in the course for which the student received a grade of "D" or "F", the recycling student will be required to audit the preceding year's MOT curriculum in total. The recycling student must meet the same academic/clinical requirements as any and all students enrolled in the required audited courses (regardless of whether they are auditing/recycling or not) as specified in course syllabi including, but not limited to, all assignments and examinations. A recycling student who fails to meet all requirements for a passing grade ("C" or higher) as specified by the course syllabus for any of the required recycled/audited courses will be subject to dismissal on grounds of academic deficiency (refer to "Dismissal from the MOT Program" section below).
Other Considerations With Respect to Recycling
After successfully recycling, a student is subject to dismissal on grounds of academic deficiency if there are any instances of subsequent academic and/or clinical deficiency, including a cumulative GPA below 2.70 or receiving a course grade of "D" or "F" in any course (refer to "Dismissal from the MOT Program" section below).
It is the student's responsibility to obtain financial information and pay for additional expenses that will be incurred as a result of recycling.
Both the original and recycled course grades (but not grades in audited courses) are used to calculate cumulative GPA, and both course grades will appear on the student's transcript.
Student Misconduct
Student misconduct can lead to dismissal with no opportunity to remediate or recycle. For policies and procedures related to behavioral deficiencies and misconduct, refer to the TTUHSC Student Handbook, available at the following website: https://www.ttuhsc.edu/student-affairs/handbook.aspx 
Dismissal from the MOT Program
A student enrolled in the MOT program is subject to dismissal for any of the following reasons:
  1. Failure to maintain the academic standard of a cumulative GPA of 2.70 or higher for two consecutive semesters.
  2. Failure to maintain the academic standard of a cumulative GPA of 2.70 or higher for any three semesters of the curriculum.
  3. After receiving a course grade of "D" or "F" in one course, refusal to sign a "Recycling Requirements Document" or refusal to recycle/audit courses specified in "Recycling Requirements Document" (see section on "Recycling").
  4. Failure to meet all requirements specified in the "Recycling Requirements Document."
  5. Receiving a course grade of "D" or "F" in two or more courses or the same course twice.
  6. Failure to maintain the academic standard of a cumulative GPA of 2.70 or higher in any subsequent semester after successfully recycling a course.
  7. Failure of a Fieldwork course due to unsafe practices and/or unprofessional behavior as documented by the Fieldwork clinical instructor.
  8. Based upon a complaint of misconduct as set forth in the TTUHSC Student Handbook.
Dismissal procedures will occur in compliance with the dismissal policy established by the School of Health Professions. Refer to the School of Health Professions policy entitled "Academic Dismissal", available at the following website: https://hscweb.ttuhsc.edu/health-professions/current/policies.aspx