Students participate in learning experiences in the community and in various clinical settings throughout the program. In occupational therapy, we call these experiences “fieldwork.” The purpose of fieldwork education is to:
- Enrich the educational experience through application of learned skills and knowledge to occupational therapy practice. This process is essential to progress from the role of student to that of practitioner competence.
- Provide opportunity for the student to learn to apply the occupational therapy process and evidence-based interventions to meet the occupational needs of a diverse client population.
- Assist student development in competency to assess client occupational performance needs, identify supports or barriers affecting health and participation, and document interventions provided.
- Provide opportunities for the student to develop advocacy, leadership, and managerial skills in a variety of practice settings.
- Support student development of a professional identity as an occupational therapy practitioner, aligning his or her professional judgments and decisions with the American Occupational Therapy Association (AOTA) Standards of Practice (AOTA, 2021) and the Occupational Therapy Code of Ethics (AOTA, 2025).
Level I Fieldwork
Level I fieldwork experiences are an introduction to occupational therapy practice and are completed concurrently within each term of the didactic curricula through courses titled “Integration and Practice.” These courses aim to introduce students to fieldwork, assist with developing an understanding of client needs, identify strengths and learning/growth needs, and introductory application of knowledge to practice. Concordia University Ann Arbor will utilize a wide variety of activities towards Level I fieldwork each semester, including but not limited to:
- Simulated environments
- Standardized patients
- Faculty practice
- Faculty-led site visits
- Interprofessional learning activities
- Community volunteer activities
- Supervision by a fieldwork educator in a practice environment
Level I fieldwork experiences may take place through community organizations, hospitals, clinics, schools, or through simulation. Supervisors may include but are not limited to practicing occupational therapy clinicians, psychologists, teachers, physician assistants, social workers, nurses, and physical therapists.
On Level I fieldwork, students observe and engage in the treatment process to varying degrees and largely depends on the site. This experience builds a foundation for the skills and knowledge that are required for Level II fieldwork engagement including professional behaviors, developing therapeutic communication, and understanding the clinical reasoning process.
Level II Fieldwork
Level II fieldwork is designed to provide an immersive clinical experience to prepare students for entry-level competency and for the National Board for Certification in Occupational Therapy (NBCOT) examination by building skills through observation, analysis and clinical reasoning; demonstrate safe, ethical practice and professional behaviors; and develop therapeutic use of self. Level II fieldwork takes place within two full-time, 12-week clinical placements. These placements provide the student with the opportunity to practice occupational therapy under supervision in order to integrate academic knowledge with application skills and attitudes for entry-level practice. Supervision must be provided by an occupational therapist who is currently licensed and has at least 1 year of experience.
The Level II experience is an integral part of the educational process with in-depth experience in delivering occupational therapy services to clients, focusing on the application of purposeful and meaningful occupation and/or research, administration, and management of occupational therapy services. On Level II fieldwork a student will be expected to act as a practicing occupational therapist and is considered an OT intern who engages in the evaluation, intervention planning, intervention implementation, ongoing assessment for effectiveness of intervention, and discharge planning phases of treatment.
Upon successful completion of the Level II fieldwork experiences, the student will perform as a competent, entry-level, generalist occupational therapist. Entry-level performance is defined within each practice environment based on the roles and responsibilities of the occupational therapist in that setting. Level II fieldwork is a full-time, unpaid commitment. Students are considered to be enrolled “full-time” while completing Level II fieldwork and therefore qualify for financial aid. Transportation to and from Level I and II Fieldwork and housing are the responsibility of the student. Concordia University student malpractice insurance is included with tuition.
Additional fieldwork requirements:
- All students will be required to provide proof of immunizations, get a physical examination to determine ability to engage in activities required of occupational therapists, and complete a background check prior to Level I or Level II placement confirmation.
- Some agencies/sites may require additional information including but not limited to drug testing, additional background checks, and additional immunizations.
- Proof of health insurance is required for all students prior to confirming a fieldwork placement.
- Students are responsible for their own transportation to and from fieldwork sites and housing.
- Some sites may require specific clothing such as scrubs.