Implementing the 2:1 student placement model in occupational therapy: Strategies for practice

Aust Occup Ther J. 2016 Apr;63(2):123-9. doi: 10.1111/1440-1630.12257. Epub 2016 Feb 2.

Abstract

Background/aim: Health industry changes, including a growing demand for health professionals, have led to a greater need for clinical placements for occupational therapy and other health discipline students. As we develop programmes to accommodate larger numbers of student placements, there is a need to ensure that we understand the challenges and opportunities new models of supervision present and how any difficulties might be overcome. A large occupational therapy department in metropolitan Melbourne introduced a new 2:1 (two students to one supervisor) supervision model, moving away from the traditional 1:1 (one student to one supervisor) supervision model. This exploratory study examines supervisor experience in a trial of the new model.

Methods: The study adopted a social constructivist theoretical perspective and an exploratory qualitative design. Data were collected in two focus groups involving eight supervisors; one focus group was held prior to implementation of the 2:1 supervision model, and one post. A thematic analysis approach was used to identify, analyse and report patterns within the data.

Findings: The 2:1 placement model presented challenges particularly in relation to ensuring a quality placement and managing two students while acknowledging there were also opportunities for peer learning. Supervisors developed a number of strategies to minimise difficulties and maximise benefits, including taking an evidence-based approach, being prepared, mobilising organisational support and being positive but also pragmatic.

Conclusions: The 2:1 student placement model is likely to be a model of choice in the future. There are challenges and opportunities associated with its use. This study identifies these as well as strategies for maximising opportunities and mitigating challenges.

Keywords: clinical placements; fieldwork; organisational change; student supervision.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Clinical Clerkship / organization & administration*
  • Clinical Competence
  • Female
  • Focus Groups
  • Humans
  • Male
  • Middle Aged
  • Occupational Therapy / education*
  • Personnel Staffing and Scheduling / organization & administration*