Inclusion in Fieldwork: Academic Fieldwork Coordinators' Perspectives on Accommodating Disabled Occupational Therapy Students.
Yael Mayer, Fernanda Mira, Shahbano Zaman and 1 others
PMID 40296579WHAT IT FOUND
Academic fieldwork coordinators say they patch together accommodations for disabled OT students with little institutional help.
Accessibility advisors don't understand what fieldwork demands, there are no formal tools to check whether accommodations worked, and coordinators leave students to flag problems themselves.
Key findings
01Coordinators reported that the accessibility advisors who set accommodations did not understand how fieldwork differs from classroom study, so coordinators had to translate the official accommodation letter into what would actually work on placement.
02Once a placement started, coordinators left students to monitor their own accommodation needs, and although 60% said they evaluated how well accommodations worked, only one used a formal method such as a survey.
03Every coordinator interviewed said disclosure of a disability was the student's own choice, and several said students feared being labelled or seen as deficient if they disclosed.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
Only the coordinators were asked. Disabled students, fieldwork educators and other faculty were not, so this is one side of the picture. The sample is small and all Canadian: 15 survey responses and 5 interviews, which the authors themselves describe as small and geographically bound. None of the participants identified as living with a disability, and the authors note that memory and their own biases about disability may have shaped what they reported. Some coordinators may have held back about their actual practices because they feared their employer's reaction. The survey was written for this study and only checked for face validity by three coordinators, so the authors accept it may have missed important topics.
Declared interests
The authors received no financial support for the research, authorship or publication of this article. They state that all of the authors have lived experience with disability and other marginalized identities, and that two of them are occupational therapists.
The easy way to misread this
Most of the students in this study did end up with accommodations, but do not read that as evidence that accommodations work. The coordinators were giving their own impressions, no student outcomes were measured, and the authors found no formal tool anywhere to check whether an accommodation actually helped.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →