Posts

The OTD Mandate and The Great Pumpkin

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It is near Halloween, so a themed entry seems appropriate.

We have another motion in front of the AOTA Representative Assembly to mandate an entry level doctoral degree - even though a decision point was reached just six months ago on this same issue.  At that time, the decision was to support dual entry at both the master's and doctoral level.

That did not satisfy a Small Group of individuals, and so we are at the debate again.

People frequently ask me 'why' the profession is going through this again.  That is where the Halloween story comes in.

Each year, despite overwhelming evidence against his belief system, Linus would sit in the pumpkin patch and wait for the arrival of the Great Pumpkin - who he believed flies around and gives toys to sincere and believing children on Halloween eve.  Each year the Great Pumpkin would fail to appear but that does not stop Linus from believing.  Sometimes he even manages to convince his friends to sit in the pumpkin patch waiting wi…

The need for occupational therapy educational standards reform: Addressing the real problem behind the push for a doctoral mandate

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As a profession, occupational therapists have been spending time talking about opposing the motion to mandate the doctorate – but we need to spend time trying to solve the problem that is bringing this issue to the table.

I believe that we have a specific problem (too many credits in masters programs) and some of our colleagues are trying to justify the escalated degree solution by conflating the real problem with a lot of side issues that may not be accurate (e.g. doctorates will give us a seat at the table, doctorates will make us more respected, doctorates will maintain parity with other professions, doctorates will make people practice at the top of their license etc - all evidence-free platitudes).

We should try to address the Credit Problem by reforming curriculum, reforming ACOTE standards, removing excess from those systems - and that will solve the REAL underlying problem.

Here are some ideas that Caroline Alterio and I generated and that she posted on the AOTA forums the …

Open letter to the Representative Assembly of the American Occupational Therapy Association

Dear Representative Assembly Members,

I am a program director of an occupational therapy program. I am shocked and concerned that the AOTA's Representative Assembly has accepted a new motion to re-litigate the entry level doctoral issue after it was just voted on and decided six months ago.

In any democratic process, issues should never be considered 'closed.' However, we also need to have some procedural safeguards to ensure that there is not an abuse of processes in order to effect a Small Group's will.

The Representative Assembly has such a process. In the document 'Rubric for RA Motions' it clearly states:

" Topic #4:
Motion originators/Rep articulate how the intended outcome of the motion is different from anything that other AOTA groups (ad hocs, COE, COP, EC, etc.) is working on or has already been addressed."
It is a mockery of the process to serially submit motions on the same topic that has already been liti…

Can you have too many books?

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On the theme of having 'too many' of something...

Can you have too many books?

My choice to engage in private practice complicated my life plan to have dedicated spaces for work and play.  Work became a lifestyle, and the Internet just made the whole problem that much more complicated - accessing email and any other point of information at any time.  I am not sure why I didn't consider this back in 1981 when I first logged onto CompuServe.  I might have planned all this differently, and maybe made different life choices about information access.

Anyway, I think that I have too many work-oriented books.  Maybe.  Or maybe I just have too many in locations that I don't want to have them in.  I am working from one satellite office today and I looked at the books overflowing the bookshelf all over the floor.  How does this happen? 

I thought for a moment to just move them all down the street to my college office, but then I started looking at them and immediately recognize…

There are too many occupational therapy educational programs in New York State

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There is an alarming increase in the number of accepted applicant and developing occupational therapy programs in New York State. The current entity responsible for the accreditation of these programs is the Accrediting Council for Occupational Therapy Education (ACOTE), a function of the American Occupational Therapy Association (AOTA).

According to data provided by AOTA and ACOTE, there are 22 accredited occupational therapy masters-level degree programs in NY State and 12 accredited associates-level occupational therapy assistant degree programs.

There are two additional developing masters-level degree programs, ten applicant doctoral-level programs, and one applicant masters-level program. Of the developing and applicant programs, approximately half are new and the other half are existing accredited programs that are seeking to add an additional degree level.

The question that is never asked is “How many occupational therapy educational programs can be reasonably supported in a …

The Barton Project: CAOT 2019 Conference slides

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Conference slides!


Hi and thank you for stopping here to look at the slides for my presentation at the 2019 CAOT conference!

I will update this page with more information SOON!



Relying on student subservience in the degree escalation competition game.

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I was wondering today how many students were paying attention to the early presidential primary activities.  During Joe Biden's kickoff presidential rally in Pittsburgh yesterday he discussed the problems with over-credentialing and how it can serve to restrict competition in the marketplace.

He framed his basic presentation in context of lower wage earners and Union jobs, but does his argument apply to health care other middle income licensed occupations?


"They do the same thing with occupational licenses. Why should someone who braids hair have to get 600 hours of training? It makes no sense. It's designed to keep the competition down.

Look, folks, you can't just transfer your licenses across one state to another. They're making it harder and harder in a whole range of professions all to keep competition down."
He also talked about reclassification into exempt categories in order to prevent paying overtime.  That made me think of all my colleagues work…