Today, I want to talk with you about the idea of competition and how a competitive spirit can help us secure the power needed as we race toward our Centennial Vision (American Occupational Therapy Association [AOTA], 2007). It should be no surprise to you that some people call me competitive. Let me tell you how I became this way, and why embracing the competitive spirit is essential for realizing the vision we have for our profession and for projecting “Occupational Therapy in High Definition” in this revolutionary decade of health care reform.

Here I am at about 9 years old. For you students from the YouTube generation, this is what, once upon a time, was called 8 mm film. You can ask your parents about it. During cold Brooklyn winters, I went ice skating with my family at...

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