PubMed HealthSearch

Biomedical subjects

E S Cohn

Publications and source records attributed to E S Cohn.

9 recordsLinked to original sources

Staff development through analysis of practice.

Dreyfus and Dreyfus's (1986) five-stage model of skill acquisition is integrated with findings from the American Occupational Therapy Association/American Occupational Therapy Foundation Clinical Reasoning Study. This model is presented as an organizing framework for staff development. Strategies for the recognition and retention of experienced clinicians who can serve as mentors for newer colleagues are identified.

Clinical Competence

A part-time Level II fieldwork program.

This paper describes an alternative to the traditional Level II fieldwork program for master's degree students in occupational therapy. In this part-time 9-month program, students complete the fieldwork requirement while simultaneously balancing academic responsibilities. One advantage of this program over the traditional 3-month program is that the extended length of time offers students the opportunity to develop clinical skills beyond the technical level.

Clinical Competence

Evaluating a Level I fieldwork model for independent living skills.

A model for Level I fieldwork in which students co-led independent living skills (ILS) groups in clinical settings and observed occupational therapy evaluation and treatment was implemented in a curriculum and evaluated for its effectiveness. The evaluation surveys from this study suggest that the model is most effective in courses and clinical settings that deal with adult and young adult client populations. All clinicians in these settings believed that the students provided a service to the clients by co-leading ILS groups, and nearly all believed that student-led groups would be valuable for their clients in the future. The students reported learning about group leadership skills and developing creative activity adaptations to meet different clients' needs. Faculty members want to continue using this model because they think it facilitates students' integration of clinical and classroom experiences.

Activities of Daily Living

Fieldwork education: shaping a foundation for clinical reasoning.

The need to teach fieldwork students to critically examine practice has been a recurrent theme in recent occupational therapy literature; however, students need to learn routines and standard clinical skills before they can reflect on their practice. This article proposes a variety of strategies to teach technical skills while simultaneously providing a foundation for clinical reasoning.

Clinical Competence

Fieldwork supervision: more education is warranted.

Students completing fieldwork are the future of our profession. We can no longer allow our fieldwork educators to develop skills to supervise, teach, and evaluate students on a trial-and-error basis. By allocating resources to develop continuing education materials to be used in developing these skills, the profession will be acknowledging its long-standing espoused commitment to fieldwork. The development of continuing education materials must be based on an understanding of how experienced clinicians reason about their practice and transform occupational therapy theory into clinical practice. Critical analysis of the reasoning process will help us teach this process to students. Additionally, we need to develop self-contained educational materials to prepare our fieldwork educators to design fieldwork programs, supervise students, and handle administrative issues related to fieldwork. Finally, fieldwork educators and academic faculty need to collaborate to provide our future practitioners with an integrated academic and clinical education.

Education, Continuing

Origin and solution attributions of responsibility for wife abuse: effects of outcome severity, prior history, and sex of subject.

The purpose of the present study was to determine the effect of sex differences and seriousness of the abuse situation on observers' attributions of responsibility for origin and solution to both partners in a couple. Male and female undergraduate students (N = 354) read a vignette about a wife abuse incident. The results supported the victim activation hypothesis, with wives being held more responsible for the solution than for the origin of the problem. In contrast, husbands were held more responsible for the origin than for the solution to the problem. Overall, there were sex differences for attributions of responsibility to the husband but not for those to the wife. Women were more likely than men to attribute origin and solution responsibility to the husband. There was no clear support for the effects of the seriousness of the abuse situation. Husbands were attributed more control over the problem's solution than were wives.

Adolescent

Palatal reconstruction utilizing retrieved forehead flap.

Ablation of tumors involving the tonsil and retromolar trigone complex often require partial resection of the soft palate. The pharyngeal wall defect is well reconstructed with the forehead flap. We have used the distal portion of the severed inserted forehead flap to reconstruct the soft palate defect successfully in 35 cases. The nasopharyngeal surface is lined with a book-flap from the remaining palate. This provides full palatal reconstruction with nasopharyngeal mucosa lining: thus preventing flap contracture and the unwanted sequelae of nasopharyngeal air and fluid reflux.

Humans