Abstract
Date Presented 03/23/24
This poster will describe the impact of a pro bono OT clinic on clinical reasoning development. It will summarize factors that influence student growth, such as specific clinic structure and learning activities to foster professional growth.
Primary Author and Speaker: Julie A. Sandvig
Additional Authors and Speakers: Paula H. Kitzenberg, Debra Hanson
Fieldwork educators have expressed concerns about the readiness of occupational therapy students for clinical reasoning in the practice setting. Experiential learning involving face-to-face personal interactions with clients facilitates the application of theoretical knowledge, and the development of professional skills, competence, and self-confidence. Having the opportunity for extensive hands-on time working with clients over time, such as is offered in a pro bono clinic structure, may positively impact student clinical reasoning development of occupational therapy students. The purpose of this study was to explore the impact of participation in a student-run occupational therapy pro bono on student perceptions of clinical reasoning ability. The Self-Assessment of Clinical Reflection and Reasoning (SACRR) was administered in this quasi-experimental, one-group, pre-posttest study to a convenience sampling of 20 students enrolled in a 3-year occupational therapy doctorate program in the upper Midwest. Results of a Wilcoxon signed-ranks test for nonparametric data indicated statistically significant improvements in SACRR results of 17 of the 26 questions with a statistical significance of p < 0.05. The student’s total score for the pretest and posttest (composite for all 26 items) also indicated statistically significant improvements after participation in the pro bono clinic. These findings add to the existing literature by describing the impact of specific experiential learning structures on clinical reasoning skill development. Comparisons are made to other health professions and implications for practice are explored. Further study of specific factors contributing to student clinical reasoning development within the learning structure of a pro bono clinic is recommended.
References
Goldbach, W., & Stella, T. (2017). Experiential learning to advance student readiness for level II fieldwork. Journal of Occupational Therapy Education, 1. https://doi.org/10.26681/jote.2017.010103
de Beer, M., & Mårtensson, L. (2015). Feedback on students’ clinical reasoning skills during fieldwork education. Australian occupational therapy journal, 62(4), 255–264. https://doi.org/10.1111/1440-1630.12208
Seif, G., Coker-Bolt, P., Kraft, S., Gonsalves, W., Simpson, K., & Johnson, E. (2014). The development of clinical reasoning and interprofessional behaviors: service-learning at a student-run free clinic. Journal of Interprofessional Care, 28(6), 559–564. https://doi.org/10.3109/13561820.2014.921899
