Friday, April 1, 2011

OT A to Z: A is for Adaptation

I just learned about the A to Z Blogging Challenge in April. For this challenge, bloggers will post everyday in April (except for Sundays) for a total of 26 posts - one for each letter of the alphabet. Thanks to Kirsty Stanley for promoting this challenge!

And since April is Occupational Therapy Month in the US, it seems fitting to focus the posts around things related to OT!! So to kick things off...A is Adaptation.

The concept of adaptation is deeply rooted in the development of occupational therapy. Adolph Meyer described psychiatric illnesses as largely "problems of adaptation" and could be improved through occupation and temporal rhythms. Adaptation is defined as "a change in response approach that the client makes when encountering an occupational challenge" (AOTA, 2008, p. 662). Schulz and Schkade (1997) also describe how adaptation can happen at the level of the individual, groups, or communities. Here are are a few questions for us to consider:

  • So how do we as OTs understand and facilitate adaptation?

  • Since OT is surely not the only profession to consider adaptation, how do our views of adaptation differ from those in psychology or other health professions?

  • Is adaptation a process or an outcome - or both?

  • How does adaptation differ among clients and in different cultures?
References
American Occupational Therapy Association. (2008).Occupational therapy framework: Domain and process(2nd ed.). American Journal of Occupational Therapy, 62,625–683.
Schultz, S., & Schkade, J. (1997). Adaptation. In C.Christiansen & M. C. Baum (Eds.), Occupationaltherapy: Enabling function and well-being. Thorofare, NJ: Slack.

Monday, January 31, 2011

Can OTs afford NOT to engage in social media?

While I know my use of tweeting, blogging, and Facebook is nascent compared to those in other fields, I am always struck by how the representation of the OT community is still relatively small in the world of social media. There are certainly individual OTs who are effectively using blog sites, Twitter, and other sites to convey information about their work and experience in OT. Even our professional association such as AOTA and BAOTCOT are increasingly on Facebook and Twitter. But I would still expect that OTs use of social media as a profession lags behind many others. I have often wondered why this is, because for a profession that often cites "lack of public awareness" as one of its challenges, the electronic world of social media seems full of potential. When I read Kevin Levin's post http://cwmemory.com/2010/09/19/can-you-afford-not-to-use-social-media/ urging teachers to consider the use of social media, it really resonated with me in thinking about OT and social media. He said if nothing else, social media enables educators to build an audience. That is EXACTLY what OT needs - a way to build an audience!!!! OTs have so much to contribute to the public sphere - a truly unique perspective about participation in meaningful occupations, fostering typical development in children, life transitions for patients and families, aging in place, caregiver issues, community participation, accessibility of community events...just to name a few! Understandably, OTs may be concerned about issues related to anonymity in using social media. But as we all build more robust digital lives, I think the issues of anonymity is less of a concern. However, it is important to be mindful of mixing completely personal information with professional information on the same site. Just as in all face to face interactions, it is critical to maintain anonymity of patients and be cautious when referring to any specific case or person. And certainly as health care professionals, there is a definite responsibility to only write or comment about things that are in the scope of practice for OT and generally applicable to the public. Kevin Pho, a leading physician in the arena of social media, posted theses strategies on his blog site for health care professionals interested in social media. http://www.kevinmd.com/blog/2011/01/simple-social-media-plan-health-care-professional.html Given the possbilities afforded with effective use of social media and OTs ongoing need to build public awareness all that OT has to offer, the question that is becoming increasingly vital is...can OTs afford NOT to engage in social media? What do you think?

Thursday, January 27, 2011

Publishing Purgatory - R&R

I recognized the name of the sender of the email. Anticipation built as I prepared to open the message....was the editor of the journal to which I had submitted one of my first articles going to tell me that it was the best submission they had received this year or that it was the worst one they had ever received?!?!?! For a moment, it almost felt as if my potential to succeed in an academic career hinged on this one message.

Click........................

Dr. Piernik-Yoder:

We sincerely appreciate your recent submission to our esteemed journal. Yada Yada Yada.....Three reviewers have taken time to review your work and have rendered an opinion on your work. Yada Yada Yada............We would like to infrom you that........................[Here it comes!!!! I can hardly bear it!!!!!] your submission will require further revision.

____ Best submission (ever!!!). You should be offered tenure by your instituion on the spot!!!

_X__ Revise and resubmit. You have earned a ticket to the purgutory of publishing!!

____ Worst submission (ever!!!). Are you sure you spent years in graduate school?

-------------------------------------------------------

Ok.....now what I am supposed to do?!?! I was done with this article. It was off of my "To DO" list. I was moving on to other things. Now I have to work on it...again!?!? I will admit that this process feels a bit like graduate school all over again: work really hard on something and hold your breath until you are told what change should be made.

Not that I was REALLY expecting it to get accepted without any changes, but what do I do with the reviewers comments? One said add more in this section, the other two said that section was good. So can I take the two out three vote and leave it alone? Probably not...

I feel as if this is the start of an ongoing process....a world of academic limbo....Revise and Resubmit...could it be Publishing Purgatory???

Tuesday, November 16, 2010

Image is Everything

As a longtime admirer of Suzanne Peloquin's work and writing, I always try to hear her speak when possible. I had the opportunity to hear Dr. Peloquin speak at the 2010 Texas Occupational Therapy Association's Mountain Central Conference on a fascinating experience she had in an effort to enhance the public image of occupational therapy.

Her presentation was captivating, as she described her feelings and perceptions regarding the single image that Microsoft had in its repertoire of clip art on PowerPoint to represent occupational therapy. Here it is...


Audience discussion revealed a similar reaction to Dr. Peloquin's...How does this represent OT? What exactly is it? What is it trying to depict about our profession?

AOTA members can read a more detailed account of Dr. Peloquin's quest to answer some of these questions in the April 5, 2010 issue of OT Practice. However, her delightful account in her presentation revealed that she contacted Microsoft directly regarding her inquiries. They readily responded, and through an iterative process, allowed Dr. Peloquin to select additional images to represent OT from the existing graphics collection.

Dr. Peloquin selected additional images - some concrete and some more abstract - to reflect the values and activities of our profession. The additional images includes pictures of items to support ADLs such as a toothbrush, craft supplies, animals, as well as symbols that represent concepts such as communication, diversity, and spirituality.

All in all, it was fascinating to hear of the process that Dr. Peloquin went through and the willingness of Microsoft to include additional images. Perhaps more than that, Dr. Peloquin's efforts serve as a reminder that we all have a responsibility to reflect on the images of our profession...and then take action as needed!!!

Friday, July 2, 2010

Update on the Summer O' Productivity

June??? Where did you go???

On May 14th, I posted my list of activities that I wanted to accomplish this summer. Since it is 4th of July this weekend, it seems a good point to check in as the summer is roughly HALF OVER!!!!

The Summer Activity List was as follows (see the updates in green):
1. Prep content changes for OT Process course.
I have THOUGHT about this quite a bit, but do not have anything on paper yet.
2. Mentor students on Community Projects.
This in ongoing. The students seem to be doing well and I have reviewed some drafts this week. Their presentations are on July 23rd.
3. Prep activities for Belize course in August.
This too is ongoing. We leave on August 7th!
4. Complete scholarship review process for TSAHP.
I have recevied the nominations and am forming the committee to review them.
5. Prepare review of supervision guidelines for TOTA.
This is not actually needed until November so I haven't started on it yet.
6. Continue data analysis on Project #1.
I got as far as I could on this one by mid-June and will be pursuing additional support for continued data analysis.
7. Present preliminary data on Project #1.
Completed - it went pretty well.
8. Complete data analysis for Project #2.
This is about 3/4 done.
9. Write first article (with colleague) for Project #2.
This is in progress and on track for completion by the end of the summer.
10. Complete Project #3 wiki.
I am making progress on this and it is really turning out to be a good tool, so this has gone better than I anticipated.
11. Write article for Project #3.
I hope to finish this next week.
12. Continue work on Project #4.
13. Complete Project #4 wiki.
I have actually combined Project #3 and #4 so the wiki is serving for both projects.
14. Prepare Project #4 materials for Fall symposium.
This will happen in August.
15. Write concept paper.
Haven't worked on this.
16. Last but not least...keeping up with this blog!!!!!
This has been poor at best. I think about what to write, but still have difficulty committing to writing on an idea or topic.

That sums it up for now! Looking at the update, I do feel good about the progress in several areas, but I am just concerned that these next weeks are going to fly by and it will be mid-August before I know it!

Happy 4th of July!

Tuesday, May 25, 2010

The "Unconference" Conference Concept

I have been intrigued about the concept of an "unconference" since I first learned about #THATcamp last spring on Twitter. The term "unconference" is not entirely accurate as conferences that follow these concepts are still a conference. However, it is a large departure from traditional conference experiences we are all used to attending in that the topics and schedule are largely participant-generated. The concept is explained in this article from Academe Today: http://chronicle.com/article/The-Unconference-Technology/65651/?sid=at&utm_source=at&utm_medium=en

So while I have been interested in this concept, I had not had the opportunity to participate in such an event until I was able to experience a similar approach in a meeting last week. At the end of our academic year, our school hosts a Faculty Development Day. This had been planned similar to a workshop with some featured speakers, maybe some small group discussions, and perhaps some faculty presentations. While it could be an informative day, the schedule was set by the planning committee and led to a fairly structured day.

This year, a consultant was hired to facilitate our Faculty Development Day and she utilized the Open Space Technology method. http://www.openspaceworld.org/cgi/wiki.cgi?AboutOpenSpace

As soon as I understood this approach, I thought it was very similar to the unconference approach. Essentially, the day began with a large board that was divided into six columns for separate groups and rows of one-hour blocks for the day, with time provided for lunch and wrap-up. The group (about 50 faculty and department chairs) was instructed to place on the board any topic they wanted to discuss as part of the day. Participants quickly began generating ideas and announcing their topic as they placed a sheet of paper with the topic on the board. Another group column was added to accommodate all of the ideas, but the 28 slots (7 discussion groups, one-hour blocks of time) filled rather quickly.

Discussion topics reflected the wide variety of interest and expertise of the group and included areas such as collaborative research efforts, interprofessional courses, managing with ongoing budget changes, utilization of staff for increased efficiency, and managing expectations of students. As participants, we were free to attend any of the group sessions that appealed to us, and were given permission to leave and move to another group if a discussion did not appeal to us. The "convener" of the discussion was responsible for starting off the discussion, but then it was the group's responsibility to carry out the discussion. A note-taker captured the main points of each discussion and the notes were submitted to a staff person at the end of each discussion. The staff person typed the notes and organizational plans will be developed from the notes of each discussion.

By the end of the day, all of the participants verbalized an appreciation for the process and genuine surprise and how well it worked. Many even commented that it was the best Faculty Development Day we had ever experienced.

All of this makes me wonder how this approach would apply to occupational therapy conferences. Group size would be an important consideration. THATCamp limits its participants to 100 people. Open Space Technology says the approach can accommodate over 2000 participants. Otherwise, the idea of this organic approach to conference planning is very interesting. Participant-generated topics and discussion should naturally lead to important connections and innovative discussions.

But what happens if no topics are suggested, or if the meeting or conference heads in a direction that planners aren't intending? Proponents of this approach are confident that topics will always be provided as this approach taps into participants' true interests and the things they are passionate about discussing. As far as heading in unplanned directions, it seems that the very foundation of this approach is that the ideas and activities will head only in the direction the participants want it to, so how could it ever be a wrong direction?

Undoubtedly, success of this approach relies on planners willingness to implement a much less "structured" approach to conferences. Furthermore, it places a greater responsibility on the participants. Participants may claim to dislike sitting through hours of sessions listening to a multitude of presenters, but it is easy on the participants. No engagement in the process is usually required. This alternative approach demands that participants be fully engaged in the process and that does take more effort and resonsibility for the process.

So, do you see this approach being an viable alternative to any OT conferences you attend? Why or why not?

Friday, May 21, 2010

Words in a Row

It is hard to believe it is Friday already! This week has absolutely flown by too quickly!!! In addition to regular work stuff, we had our annual Faculty Development Day on Wednesday and graduation rehearsal on Thursday. However, it has been a good and relatively productive week.
I am making reasonable progress on my first article for the summer. The journal to which I plan to submit it has a category for reflective essays, so I have written the material with that type of submission in mind.

This week I rediscovered the value of "words in a row." I don't know why I was even surprised by this, but in writing, it is really "words in a row" that is the key to accomplishing writing goals. I learned this mantra from a colleague when I was working on my dissertation. It worked for me then, so I knew I needed to revisit this approach.

You see, my natural approach to writing seemed to be something like this...

1. Think about the topic
2. Develop an outline - probably for the 10th time
3. Think some more about the topic
4. Review the submission criteria (again!)
5. Think about how much writing I would get done if I had a cabin where I could work
6. Look at the submission criteria of other journals (again!)
7. Think about the topic some more
8. Read something that may (or may not) be related to the topic area
8. Revise the outline
9. Clear off my desk
10. Think about how much writing I would get done if I had a condo at the coast where I could work
11. Think how painful it will be to get editorial comments back and possible rejection
12. Thinks some more about the topic
13. Look up some references -- again!

Yes...I am beginning to see the problem and perhaps the reason my progress in writing has been less than admirable! I tended to spend so much time THINKING about what it is I want to write that I procrastinated on getting anything actually written.

So this week, I really focused on returning to that fundamental principle of "words in a row." And guess what??? It really worked!!!!!! Once I could just overcome the inertia and start putting words on paper (or, quite literally, on the screen) the process started to unfold rather comfortably. I did not spend time to put look up exact citations or years of references, but rather put "XX" as placeholders. I worried less about the smoothness of what I was writing and just continued to put words in a row. As my dissertation chair used to say, it is far easier to edit than to write. And as I wrote, more ideas for the article came. The organization changed somewhat from my initial outline as I saw how it was fitting together a little differently than I envisioned. Perhaps most importantly, as I was writing, I wanted to keep writing! There was one day I continuously wrote for about 4 hours! That signified real progress to me!

Whereas I still have a lot more to write, I am pleased with what I was able to get done this week. And surprisingly, it all happened within the confines of my office or at my dining room table, not at a condo at the coast!