Doctor of Occupational Therapy

Admissions Requirements

The OTD program consists of 114 semester credit hours of graduate-level coursework, including 6 months of full-time clinical fieldwork and completion of a doctoral capstone. A baccalaureate degree is required for admission. All program prerequisites must be completed by the end of the fall semester prior to summer admission. Applicants are encouraged to seek advisement from their college counselors or the Health Professions Office of Admissions and Special Programs at (866) 802-6288 (toll-free) or (210) 567-6220.

Applications for the OTD program are accepted between mid-August and mid-October for the incoming class. The OTCAS Application, supplemental application, official transcripts, and all supporting documents must be submitted by the application deadline in mid-October (See School of Health Professions web site for each year's specific dates). The first semester of OTD coursework typically begins the last week of May. 

In addition to non-academic factors that are considered, admission requirements for the OTD program include:

  • Official transcripts from each college and university attended (Note: All transcripts from institutions outside the United States must be submitted in the original language and must be accompanied by a course-by-course evaluation through a NACES Members agency)
  • Grade point average (GPA) of at least 3.0 on OTD Program prerequisites
  • Cumulative grade point average (GPA) of at least 3.0 for bachelor's degree
  • Knowledge and understanding of occupational therapy gained through a minimum of 30 observation hours under the general supervision of a licensed occupational therapist as documented on Documentation of Experience form
  • Two letters of reference, preferably from licensed occupational therapists
  • Interviews with occupational therapy faculty
  • Completion of all OTD program prerequisites (26 hours) by the end of the fall semester prior to admission the following summer:
    • Human Anatomy with lab OR Anatomy & Physiology I, 4 semester credit hours
    • Human Physiology with lab OR Anatomy & Physiology II, 4 semester credit hours
    • Physics I Lecture, 3 semester credit hours
    • Abnormal Psychology, 3 semester credit hours
    • Development Psychology, 3 semester credit hours
    • Sociology and/or Anthropology, 3 semester credit hours
    • Statistics, 3 semester credit hours
    • Medical Terminology, 1 semester credit hour or certificate of completion is acceptable 
  • International Applicants only: Submit Test of English as a Foreign Language (TOEFL) scores; minimum scores 560 (paper) or 68 (Internet).
  • Tuition Deposit 

Degree Requirements

The Doctor of Occupational Therapy (OTD) program consists of 114 semester credit hours of graduate-level coursework, including 6 months of full-time clinical fieldwork and a doctoral capstone. In order meet graduation requirements, students must successfully fulfill all program-specific requirements including completion of all coursework in the Plan of Study while maintaining the performance standards outlined by the program, as well as program requirements related to professional behavior, interprofessional education, and community service.

The OTD curriculum consists of three segments that must be successfully completed to fulfill the requirements of the degree: didactic coursework, level II fieldwork, doctoral capstone experience and doctoral capstone project. Students must successfully complete all didactic coursework before they register for Level II Fieldwork coursework and proceed to the Level II Fieldwork experiences. Students must successfully complete two Level II Fieldwork courses before they register and proceed to the Doctoral Capstone segment of the curriculum. Students must successfully complete the Doctoral Capstone Experience and the Doctoral Capstone Project as the final segment of the degree requirements.

Sample Plan of Study 

First Year
SummerCredit Hours
OCCT 7000Theoretical and Professional Foundations of Occupational Therapy3
INTD 7050Gross Anatomy6
Fall
OCCT 7002Applied Biomechanics of Movement4
OCCT 7003Environmental Technologies 13
OCCT 7004Human Occupation Across the Lifespan3
OCCT 7005Occupational Therapy Process: Mental Health4
OCCT 7007Level 1 Fieldwork: Mental Health1
OCCT 7006Foundations of Research Design3
Spring
OCCT 7008Occupational Therapy Process: Pediatric Part 15
OCCT 7009Clinical Conditions: Pediatrics2
OCCT 7010Application of Neural Systems to Occupation3
OCCT 7011Research Design and Proposal3
OCCT 7012Level I Fieldwork: Pediatrics1
OCCT 7013Assessment Measures2
Second Year
Summer
OCCT 7015Pediatric Service Delivery3
OCCT 7030Doctoral Capstone Proposal Development 13
Fall
OCCT 7014Occupational Therapy Process: Pediatric Part 25
OCCT 7016Occupational Therapy Process: Adult Neuromuscular5
OCCT 7017Clinical Conditions: Adult Neuromuscular2
OCCT 7018Environmental Technology 23
OCCT 7020Teaching and Leadership2
OCCT 7021Level 1 Fieldwork: Adult1
Spring
OCCT 7027Occupational Therapy Process: Adult Biomechanical5
OCCT 7024Adult Service Delivery3
OCCT 7028Clinical Conditions: Adult Biomechanical and Medical2
OCCT 7025Management and Leadership in OT3
OCCT 7031Doctoral Capstone Proposal Development 22
OCCT 7019Inter-professional Seminar1
OCCT 7026Doctoral Seminar1
Third Year
Summer
OCCT 7022Level II Fieldwork A9
Fall
OCCT 7023Level II Fieldwork B9
Spring
OCCT 7032Doctoral Capstone Experience10
OCCT 7033Doctoral Capstone Project2
 Total Credit Hours: 114.0

Objectives/Program Outcomes

The program outcomes are aligned with the five concentration areas of the Doctoral Capstone Experience (Advanced Clinical Skills, Research/Evidence-based Practice, Leadership/Professional Skills, Teaching, and Program Development/Community Engagement) and reflect the five Curriculum Concentration Areas (Body Structure and Function, OT Theory and Practice, Research/Evidence-based Practice, Leadership/Professional Practice, and OT Practice in Context) that support these outcomes.

1. Apply theoretical and empirical knowledge in the implementation of evidence-based occupational therapy practice through integration of foundational bases of physiological, behavioral, social, and occupational therapy.

2. Design, establish and justify the schemata for a state of the art clinical occupational therapy practice.

3. Implement interventions and evaluate their effectiveness in the context of complex, inter-professional, and changing health care, education, and community environments.

4. Critique and evaluate patient information, literature in the field, and research evidence and data to make clinical decisions

5. Compare existing and new scientific and professional knowledge for discriminate adaptation and integration into practice.

6. Formulate and implement research initiatives and scholarly works while critically analyzing and defending the need for scholarly endeavors in the OT discipline.

7. Conduct and support professional responsibilities within the framework of ethical and professional standards.

8. Structure and integrate leadership skills in professional activities including practice, education, community, and professional service.

9. Implement and advocate for evidence-based interventions for clients, families, and the profession through employment as an occupational therapy practitioner and engagement in professional initiatives.

10. Distinguish and employ cultural competence in meeting the occupational performance needs of diverse client populations, including underserved communities.

11. Assess learning needs of individuals or groups in the context of practice, education, or program development and develop structured instructional delivery options to achieve the established learning outcomes. 

12. Integrate and adapt learning theory and frameworks of teaching to the teaching and learning process and evaluate learning outcomes in order to meet the learning needs and goals of diverse clients and groups

13. Formulate and express clear and effective communication designs in professional situations, using appropriate modes of expression, documentation, teaching approaches, and interpersonal interaction.

14. Adapt, integrate, and facilitate distinguishing and demonstrable professional competencies including communication, teaching, and evaluation to meet the program development and evaluation needs of community organizations.

Program Policies

Laptop Computer Requirement

All OTD students are required to have a laptop computer for various class and testing activities that are conducted using web-based programs or our university online course management system. The Office of Veteran Services and Financial Aid can provide additional information about program cost including the expense of a laptop in financial aid awards. 

Ethics

Ethical principles reflect the values of a profession and thereby serve as action-oriented guidelines that are designed to be preventative rather than disciplinary.  Occupational therapists are expected to abide by the ethics adopted by the profession (AOTA Code of Ethics, 2015). The Occupational Therapy Department subscribes to this ethical code and expects the behaviors of students to be consistent with these principles.

Fieldwork

Fieldwork is an important part of the educational process for becoming an occupational therapist.  It represents the part of the program for the student to develop clinical skills through observation and experiential learning and to apply understanding of theory and techniques through extended, supervised experience.  

Fieldwork occurs away from the health science center at affiliated clinical institutions/sites.  The majority of the fieldwork sites are located within the State of Texas.  Students may complete fieldwork only at assigned facilities. The department maintains agreements with approved fieldwork sites, and these have been carefully selected to assure compatibility with the department philosophy, objectives, and curriculum design.  The Academic Fieldwork Coordinator maintains contact with the fieldwork facilities to support links between the didactic and fieldwork aspects of the curriculum.  Grades are based on the student’s performance, judgment, and attitude as measured by the on-site supervisor using the Fieldwork Performance Evaluation for the Occupational Therapy Student.

Whereas students are given an opportunity to express their preferences for location of placements, the program cannot grant assurances that student will be placed in their setting or location of choice.  Students may be assigned a placement based on availability or other factors to ensure degree completion. Student placements are reserved many months (and in some cases, up to two years) in advance of a scheduled fieldwork experience.  The Academic Fieldwork Coordinator maintains contact with the fieldwork facilities to support links between the didactic and fieldwork aspects of the curriculum.  All assigned work including observational/participatory times, written and oral assignments, and class discussion participation must be satisfactorily completed in order for the student to receive a passing grade.  Grades are based on the student’s performance, judgment, and attitude as measured by the on-site supervisor using the Fieldwork Performance Evaluation for the Occupational Therapy Student.

The student is responsible for making any required living arrangements and should be prepared to incur expenses for transportation, food, and lodging during required fieldwork assignments.  Fieldwork students are expected to obey policies and procedures of the facility providing the fieldwork experience (this may include, but is not limited to, a background check and drug screen), and should submit all required assignments and evaluations, and other documentation as requested.

The Accreditation Council for Occupational Therapy Education (ACOTE) requires completion of all fieldwork within 24 months following completion of academic preparation. This requirement assures continuity of academic concepts.

Program Costs

In addition to required tuition and fees, there are costs for textbooks, professional occupational therapy association dues, and supplies. The full-time clinical fieldwork experiences included in the curriculum may require that students locate outside of San Antonio for the duration of the rotations. Fieldwork expenses are the responsiblity of the student and will vary according to individual arrangements depending on the cost of travel, temporary housing, maintenance of local accommodations, etc. Students are encouraged to budget for major expenditures that could be associated with these assignments.  Detailed information about program costs can be found on the Department of Occupational Therapy website.

Other program requirements

In order to be eligible for graduation, students must meet all academic degree requirements and successfully complete program requirements including participation in community service activities, the professional behavior evaluation, interprofessional education activities, and membership in professional occupational therapy associations. 

Standards of Practice

The American Occupational Therapy Association (AOTA, 2010) publishes minimum standards of practice. These standards are viewed as minimum expectations for therapists as they conduct their professional activities on a daily basis. Please note that standards by other agencies, whether voluntary, regulatory, or institutional, may be more specific or rigorous than those published by AOTA.

INTD 7050. Gross Anatomy. 6 Credit Hours.

This course provides a complete and detailed study of the structure and function of the human body including the study of human cadavers through guided prosections and dissection. The course is designed for the Doctor of Occupational Therapy (DOT) and Doctorate of Physical Therapy (DPT) programs and will focus on material most pertinent to the practice of OT and PT. Students will apply their theoretical understanding of clinically relevant structures and common disorders to their therapeutic practice. Course fees: $831.

OCCT 7000. Theoretical and Professional Foundations of Occupational Therapy. 3 Credit Hours.

Students in this course will explore the historical origins and philosophical base of the use of occupations in the profession. They will analyze philosophical, epistemological, and theoretical constructs of the profession from the inception of the profession to contemporary practice. They will examine the nature of occupation; the complex transactional relationship between the person, context or environment and concepts of occupational justice. Students will deconstruct the foundational concepts through experiential learning in a community setting. Throughout the course, students will examine the documents of the American Occupational Therapy Association, the World Federation of Occupational Therapy, and the World Health Organization, then evaluate and apply these guiding frameworks to professional cases.

OCCT 7002. Applied Biomechanics of Movement. 4 Credit Hours.

This course builds on knowledge from Human Gross Anatomy and is the study of kinesiology and biomechanical principles related to human motion in preparation for utilizing the biomechanical approach for physical dysfunction. Students will gain an understanding of concepts pertaining to interactions between the person and the physical environment and begin to apply these for optimizing function and occupation. Students will develop and apply occupational therapy assessment techniques of the musculoskeletal system, orthotic fabrication, and treatment planning using therapeutic exercises and activity. Students will gain critical thinking and problem solving skills through labs, splint fabrication, exams, and case studies, for applying biomechanical principles to the delivery of occupational therapy.

OCCT 7003. Environmental Technologies 1. 3 Credit Hours.

This course provides the philosophical and therapeutic basis for occupational therapy utilization of adaptive, technological, and therapeutic media and materials. Students develop an understanding of the demands of interventional therapeutic media on clients and appraise their perception, sense of achievement and mastery through in-class experience and self-reflection. Students develop skills in applying task analysis methodologies to evaluate the occupations, client factors, performance skills, performance patterns, context(s), and environments that affect clients' participation while demonstrating skills in the use of methods for instrumental and environmental adaptation and strategies that employ assistive techniques.

OCCT 7004. Human Occupation Across the Lifespan. 3 Credit Hours.

Students will relate their knowledge and understanding of human development throughout the life span to the client's need for occupational participation by evaluating the interplay between life span development and the meaning and dynamics of occupation and activity in the domains of occupations, performance skills, performance patterns, context(s) and client factors as they enable the client to achieve health and wellness. Students will conceptualize and apply their understanding of the need for occupational participation throughout the life span to promote health and contribute to the prevention of disease and disability for their clients, their families, and society.

OCCT 7005. Occupational Therapy Process: Mental Health. 4 Credit Hours.

This course is a study of occupational therapy practice with individuals with mental health conditions. Students will advance their foundational knowledge of human behavior acquired in courses that include but is not limited to principles of psychology, sociology, and abnormal psychology as they develop and incorporate knowledge of the role and impact of sociocultural, socioeconomic, diversity factors, and lifestyle choices on the occupational participation of clients affected by mental illness. Through their understanding of the history and philosophical base of the profession of occupational therapy and their application of the theories that underlie this practice students will demonstrate the ability to select and provide direct, evidence-based occupational therapy assessment, intervention, and procedures to enhance their clients' safety, health and wellness, and performance in ADL's, IADLs, education, work, play, rest, sleep, leisure, and social participation while incorporating the role of the occupational therapy assistant in the coordination, management of care, and transition of occupational therapy mental health services from client referral to discharge.

OCCT 7006. Foundations of Research Design. 3 Credit Hours.

This is the first course in a four course sequence designed to develop students' knowledge and skills of research design to support the use of research evidence to occupational therapy practice and to develop and implement a scholarly study. The students will learn to search, access, analyze, critique, and synthesize literature; analyze philosophical orientations of research; evaluate quantitative and qualitative research designs; understand and interpret basic statistical measures used in data analysis; understand components of conducting research such as the development of research questions, sample selection, protection of human subjects, institutional review board requirements, and funding for research.

OCCT 7007. Level 1 Fieldwork: Mental Health. 1 Credit Hour.

Students will apply knowledge gained across the curriculum to practice in areas of occupation, performance skills, performance patterns, client factors, activity demands, and contexts with populations through directed observation and participation in practice settings related to mental health services. Students will apply evidence-based practice and clinical reasoning through course assignments.

OCCT 7008. Occupational Therapy Process: Pediatric Part 1. 5 Credit Hours.

This course covers occupational therapy practices with infants and children with disabilities, their families, and other significant persons. The students critique selected theoretical perspectives, models of practice, and frames of reference for evidence-based occupational therapy, including occupation-based, task/environmental adaptation, motor learning/skill acquisitional, neurodevelopmental, sensory processing, psychosocial, biomechanical and ecological views. Students will demonstrate interventions including developmental, remedial, and compensatory strategies supporting meaningful and contextual occupation. They will integrate these foundations into the occupational therapy processes for children with disabilities and their families and will ensure cultural and socioeconomic relevancy; and child- and family-centered practice; and therapeutic-use of self. Students will show competence in screening, assessment and interpretation of assessments and use findings to diagnose occupational performance. Students will demonstrate evidence-based decision making to guide assessment, intervention planning, outcome measure identification, intervention, monitoring progress/outcomes, and program termination for infants and children.

OCCT 7009. Clinical Conditions: Pediatrics. 2 Credit Hours.

Students will learn about the impact on occupational performance, pathophysiology, incidence and prevalence, sign and symptoms, diagnosis, and medical management of clinical conditions in pediatrics encountered in occupational therapy practice. Students will utilize clinical problem solving skills to apply knowledge learned through case-based learning activities related to each condition addressed.

OCCT 7010. Application of Neural Systems to Occupation. 3 Credit Hours.

This course provides the foundation to understand the structures and functions of the developing, mature, and aging nervous system. Students will differentiate structural components of the nervous system to their function, correlate neurological examination findings with structural components, and associate neurological deficits or dysfunction seen in clinical practice with damage to specific neurological systems. Throughout the course, students will utilize deep critical thinking and problem solving skills to apply anatomical knowledge to clinical case scenarios.

OCCT 7011. Research Design and Proposal. 3 Credit Hours.

This is the second course designed to develop students' skills to develop a research proposal. Students will apply knowledge they attained in Foundations of Research regarding conducting a literature review, analyzing levels of evidence, synthesizing literature, selecting appropriate research design, and maintaining ethical conduct of research to develop a scholarly research proposal. In addition, students will learn how to critique qualitative research in order to analyze and evaluate scholarly activities.

OCCT 7012. Level I Fieldwork: Pediatrics. 1 Credit Hour.

Students will apply knowledge gained across the curriculum to practice in areas of occupation, performance skills, performance patterns, client factors, activity demands, and contexts with populations through directed observation and participation in practice settings related to pediatric services. Students will apply evidence-based practice and clinical reasoning through course assignments.

OCCT 7013. Assessment Measures. 2 Credit Hours.

This course examines the various types of assessment measures used in occupational therapy practice. Students apply appropriate procedures to administer, score, analyze, interpret, and document the results of selected standardized and non-standardized assessment measures within the context of the occupational therapy process. Students apply their knowledge of the psychometric properties of standardized and non-standardized assessments in the selection of appropriate measures for their clients and client populations and determine the importance of statistics, tests, and measurements for the delivery of evidence-based practice. They assess the role of the occupational therapist and the occupational therapy assistant in the screening and evaluation process and relate the importance and rationale for supervision and collaboration in that process. Students will evaluate research-based evidence for the use of assessment tools and demonstrate an understanding of how the collection, organization, and reporting of data promotes an understanding of client outcomes.

OCCT 7014. Occupational Therapy Process: Pediatric Part 2. 5 Credit Hours.

This course covers occupational therapy practices with children and adolescents with disabilities, their families, peers, and other significant persons. The students critique selected theoretical perspectives, models of practice, and frames of reference for occupational therapy, including occupation-based, task adaptation, skill acquisitional, sensory processing, behavioral, social skill, social emotional, and ecological views. They integrate these foundations into the occupational therapy processes and ensure cultural and socioeconomic relevancy; child-centered focus; and therapeutic-use of self. Students will demonstrate evidence-based decision making to guide assessment, intervention planning, outcome measure identification, intervention, monitoring progress/outcomes, and program termination. Occupational therapy processes are examined and developed to support participation in the home, school, and community contexts. Occupations, performance skills and patterns, activity demands and client factors are discussed, with the following incorporated: sensory integration, motor skills, behavioral management, social skill and social-emotional skills, handwriting, activities of daily living, school tasks, and transitional skills.

OCCT 7015. Pediatric Service Delivery. 3 Credit Hours.

Students in this course examine service delivery systems for infants, children and young adults with developmental disabilities. Characteristics of Early Childhood Intervention (ECI) and School-based service delivery will be compared and contrasted to the medical service delivery system. Students will describe and explain the historical development and the current implementation of legislation that supports occupational therapy services with individuals with developmental disabilities including: IDEA, Section 504 of the Rehabilitation Act of 1973, American with Disabilities Act, and Every Child Succeeds Act (ESSA) of 2015. Reimbursement regulations and practices for occupational therapy will be described by the students. Students will analyze and develop implementation procedures for children with disabilities within ECI and school settings inclusive of: Free and Appropriate Education, Early Intervening Services, Response to Intervention, and IEP and IFSP processes. Students will develop IEP and IFSP documentation including assessment, goal development, implementation, document, and transition and termination processes. Students will write consultative, team collaboration, and accountability plans used with other professionals and with occupational therapy assistants. Students will explain and provide strategies for providing OT services that are socioeconomically, culturally and contextually appropriate.

OCCT 7016. Occupational Therapy Process: Adult Neuromuscular. 5 Credit Hours.

This course studies the theories and approaches of occupational therapy assessment and intervention as related to the areas of occupation, performance skills, performance patterns and contexts for adults with neurological and neuromuscular dysfunction. Students will integrate knowledge learned in other foundational courses, analyze, and apply theories, evidence-based assessments, interventions, and strategies for treatment planning and apply it to the OT process for the neuro population. Students will demonstrate high-level clinical reasoning skills in the planning and implementation of OT intervention for adults with neurological and neuromuscular dysfunction.

OCCT 7017. Clinical Conditions: Adult Neuromuscular. 2 Credit Hours.

Students will learn about the impact on occupational performance, pathophysiology, incidence and prevalence, signs and symptoms, diagnosis, and medical management of clinical conditions related to neuromuscular conditions encountered in occupational therapy practice with adults. Students will utilize clinical problem solving skills in learning activities to apply knowledge learned related to each condition addressed.

OCCT 7018. Environmental Technology 2. 3 Credit Hours.

Students will apply the Human Activity Assistive Technology (HAAT) framework to perform appropriate assessment for the provision of individualized assistive technology systems for individuals across contexts and environments. Students will be able to assess the need for and demonstrate the ability to design, fabricate, apply, fit, and train in assistive technologies and devices (e.g., electronic aids to daily living, seating and positioning systems) used to enhance occupational performance and foster participation and well-being for use by individual across lifespan. Students will also gain the skills of provide recommendations and training in techniques to enhance wheelchair management and mobility devices and applying evidence-based practice in the selection of assistive technology devices. Included are computer input/output technologies, augmentative and alternative communication systems, seating and mobility systems, electronic aids to daily living, aids for sensory impairment, and driving rehabilitation.

OCCT 7019. Inter-professional Seminar. 1 Credit Hour.

This interprofessional course provides an exploration of professional, ethical issues or leadership issues facing health professionals. Students work collaboratively in interprofessional teams reflecting on and deconstructing these issues. Students learn to articulate occupational therapy's view of the ethical, professional, and practical considerations that affect the health and wellness needs of those who are experiencing or are at risk for social injustice, occupational deprivation, and disparity in the receipt of healthcare services. Students are exposed to knowledge of global social issues and prevailing health and welfare needs of populations with or at risk for disabilities and chronic health conditions. This allows students to integrate their knowledge and understanding of the American Occupational Therapy Association (AOTA) Occupational Therapy Code of Ethics and Ethics Standards and AOTA Standards of Practice and communicate how these serve as a guide for ethical decision making in professional interactions, client interventions, and employment settings. Students will apply the knowledge content and the interprofessional exchange of ideas to identify strategies for analyzing issues and making decisions to resolve personal and organizational bias and ethical conflicts.

OCCT 7020. Teaching and Leadership. 2 Credit Hours.

This course addresses teaching and learning, leadership, and change theories integral to occupational therapy education and leadership. Students will analyze frameworks that support teaching and learning in the practice and education settings, as well as leadership approaches that support development across settings. Students will design an education module related to the Doctoral Capstone Experience and deliver a community or professional education presentation.

OCCT 7021. Level 1 Fieldwork: Adult. 1 Credit Hour.

Students will apply knowledge gained across the curriculum to practice in areas of occupation, performance skills, performance patterns, client factors, activity demands, and contexts with populations through directed observation and participation in practice settings related to adult services. Students will apply evidence-based practice and clinical reasoning through course assignments.

OCCT 7022. Level II Fieldwork A. 9 Credit Hours.

During this first 12 week full-time fieldwork placement students will apply their understanding of the occupational therapy process, professional practice and leadership. Under the direct supervision of an occupational therapist, students will advance their clinical problem solving skills and gain competence as a generalist practitioner in providing occupational therapy services to individuals with physical dysfunctions or developmental disabilities.

OCCT 7023. Level II Fieldwork B. 9 Credit Hours.

During this second 12 week full-time fieldwork placement students will apply their understanding of the occupational therapy process, professional practice and leadership. Under the direct supervision of an occupational therapist, students will advance their clinical problem solving skills and gain competence as a generalist practitioner in providing occupational therapy services to individuals with physical dysfunctions or developmental disabilities.

OCCT 7024. Adult Service Delivery. 3 Credit Hours.

This course examines service delivery systems that exist for adults with physical dysfunction. Topics include organizational structure, variations in different practice settings, professional roles, team interactions, and documentation requirements associated with successful occupational therapy practice. Students will analyze current policy issues and trends in models of service delivery that influence the practice of occupational therapy and compare and contrast the differences in the culture and requirements of settings in which services are provided for adults including hospitals, rehab centers, out-patient clinics, home health, nursing homes and long term care, vocational settings, and hospice. Through practical application, students will learn documentation (including the use of an electronic platform), coding and billing, Medicare requirements, Functional Independence Measure (FIM) scoring, GG codes, and regulations for supervising assistants.

OCCT 7025. Management and Leadership in OT. 3 Credit Hours.

This course is a study of political, economic, legal, and ethical factors that impact the healthcare system and occupational therapy practice. Students will analyze various approaches to management and supervision in the profession and the community. Through exposure to current knowledge and case scenarios students identify and demonstrate techniques of supervision and collaboration with occupational therapy assistants and other professionals concerning therapeutic interventions. Students are challenged to develop strategies for effective, competency-based legal and ethical supervision of occupational therapy and non-occupational therapy personnel. Students use self-assessments to evaluate personal and professional abilities and competencies as they relate to job responsibilities and interpret these to develop plans for improvement of personal management skills. Students are then challenged to analyze current policy issues and the social, economic, political, geographic, and demographic factors that influence the various contexts for practice of occupational therapy to select effective models of service delivery and understand their potential effect on the practice of occupational therapy.

OCCT 7026. Doctoral Seminar. 1 Credit Hour.

This course will focus on the transition from classroom to Level 2 Fieldwork experiences. Students will have the opportunity to identify Level 2 fieldwork expectations, explore professional behaviors and ethics, review AOTA, NBCOT, and the State of Texas licensure requirements.

OCCT 7027. Occupational Therapy Process: Adult Biomechanical. 5 Credit Hours.

This course is the study of occupational therapy practice with adults with musculoskeletal, orthopedic, cardiac, and oncology conditions, and requires students to apply knowledge learned in Anatomy and applied Biomechanics to integrate the content of this course. Students will analyze and apply theories, evidence based assessments, interventions, and strategies for treatment planning to support the occupational therapy process and demonstrate clinical reasoning skills in the use of treatment procedures and modalities utilized in the biomechanical approach. Students will learn and demonstrate effective interventions that include physical agent modalities, therapeutic exercises, ergonomic applications, manual therapy techniques, advanced orthotic fabrication and serial casting. The students will describe the use of these assessments and interventions for clients with disability in the participation of occupation in their home and community.

OCCT 7028. Clinical Conditions: Adult Biomechanical and Medical. 2 Credit Hours.

Students will learn about the impact on occupational performance, pathophysiology, incidence and prevalence, signs and symptoms, diagnosis, and medical management of clinical conditions related to biomechanical and medical conditions encountered in occupational therapy practice with adults. Students will utilize clinical problem solving skills in learning activities to apply knowledge learned related to each condition addressed.

OCCT 7030. Doctoral Capstone Proposal Development 1. 3 Credit Hours.

This is the first course designed to support students' integration of coursework into conceptualization of their doctoral capstone. Students will explore theoretical frameworks and models to guide their area of inquiry. They will continue their investigation of research design as it relates to program evaluation, program outcomes, and other outcome measures. Students will analyze and synthesize the literature in an area of interest and develop a base of support for their proposed focus area.

OCCT 7031. Doctoral Capstone Proposal Development 2. 2 Credit Hours.

This is the fourth course in a four course sequence designed to prepare students to develop their individual plan for their doctoral capstone. Students will integrate their knowledge of theoretical frameworks, research design, and professional issues to develop a proposal for their doctoral capstone. Students will create and present a culminating project that connects theory to practice in a professional area that represents their intended focus for their doctoral capstone. These areas may include occupational therapy practice, research in a focused area, leadership/management, teaching/academia, or program development/community engagement.

OCCT 7032. Doctoral Capstone Experience. 1-10 Credit Hours.

The student will be immersed in an in-depth experience to support development of advanced skills and practice beyond a generalist in one or more of the following areas: advanced clinical practice, research, leadership/management, teaching/academia, program development/community engagement. Students will finalize their specific learning objectives in collaboration with a faculty mentor and complete the experience in a mentored setting with faculty mentor support.

OCCT 7033. Doctoral Capstone Project. 2 Credit Hours.

Students, with guidance from their faculty mentor, will complete and disseminate an individual, scholarly project related to their doctoral capstone experience that demonstrates synthesis of in-depth knowledge in their focused area of study. Students will also take the NBCOT practice exam as part of this course.