My Fieldwork Experience: Vital to Growth as an OT Student

By Makayla Henderson, Duke OTD Class of 2025

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During their third year in Duke’s Occupational Therapy Doctorate (OTD) program, students participate in two full-time, 12-week fieldwork experiences. My rotations included working in acute care at Novant Presbyterian Medical Center and in outpatient pediatrics at Integration Station, both located in Charlotte, NC.

One of the most impactful experiences was participating in the small yet meaningful daily victories in the cardiac ICU at Novant. Working in critical care deepened my appreciation for the smaller steps and skills necessary to engage in various occupations. During this placement, I had the unique opportunity to observe an open-heart surgery, and the following day, I evaluated and treated that same patient as part of their occupational therapy care. Throughout my pediatric rotation I was able to enhance my understanding of the large impact regulation has on participation within occupations. We celebrated daily wins as goals toward occupational engagement were progressing and achieving.

These experiences provided me with insights into the physical and emotional challenges my clients face. It also emphasized the significance of interdisciplinary care and teamwork, demonstrating how various roles and expertise collaborate to support an individual’s recovery and overall well-being.    

Fieldwork enriched my OT education by enabling me to observe firsthand the connection between meaningful occupation and health and well-being in daily practice. I was offered opportunities to apply my skills and utilize my therapeutic use of self to enhance individuals’ participation in meaningful activities. Two supportive and encouraging placements played a crucial role in building my confidence and refining my therapeutic approach. This hands-on experience was essential for my growth as an OT student because it deepened my understanding of my strengths, areas for growth, and overall skills while emphasizing the significance of my therapeutic use of self in client engagement and success.

I want to express my gratitude to my amazing mentors, Emily Hardy and Jackie Abidi, who have greatly influenced my development as an OT student. I’m incredibly thankful for their wisdom and encouragement throughout my fieldwork experiences.


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