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The Occupational Therapy
Program offers a choice of several types of clinics as a practicum course
for senior occupational therapy students. Clinic choices include: mental
health, gerontology, physical disabilities, and pediatric clinics. The clinics
are designed to provide O.T students with an opportunity to further develop
their clinical skills under the
supervision of a faculty member. Although on-campus clinics (originally
called senior clinic) have existed at SJSU since 1944 (Pedretti, 1993),
a clinic solely for people with serious mental illness was not introduced
into the O.T. curriculum until 1982 (Klasson and MacRae, 1985). In all of
the SJSU clinics, each student therapist is assigned one client for the
semester for whom the student has primary responsibility for evaluation
and the development of a treatment plan. However, a student therapist may
actually treat two or even three clients during the course of the semester
because the clinic often over enrolls clients to compensate for a relatively
high rate of absenteeism and recidivism. Group activity is one intervention
tool that is used in the clinics to help familiarize the students with every
client in the clinic.
Concurrent with each
clinic is a seminar facilitated by a faculty member and usually a graduate
assistant. This seminar is for instruction, support and supervision. The
seminar operates like a team meeting, with the faculty member filling
the dual roles of student instructor and clinical supervisor. By conducting
the seminar as a team meeting, the clinic supervisor invokes privileges
of confidentiality. This means that participants are not to discuss any
aspect of client evaluation or treatment outside of the seminar or clinic
without expressed written consent of the client.
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