Fieldwork
Overview
The fieldwork experience is a crucial part of professional preparation and is integrated into the design of the WashU OT curriculum. The purpose of all fieldwork experiences are to promote students’ professional reasoning and reflective practice, transmit the values and beliefs that enable ethical practice, and to develop students’ professionalism and competence as they transition in career responsibilities (Accreditation Council for Occupational Therapy Education [ACOTE], 2023, Standard C.1.0). All fieldwork experiences are assigned and overseen by Jenny DeBourge, the WashU OT Academic Fieldwork Coordinator (AFWC).
Click on the plus sign for information.
Level I Fieldwork
Level I Fieldwork experiences vary in length and offer scaffolded learning experiences throughout the didactic portion of the curriculum. The goal of Level I Fieldwork is to, “introduce students to fieldwork, apply knowledge to practice and develop an understanding of the needs of clients” (ACOTE, 2023). At WashU OT, Level I Fieldwork experiences are designed to facilitate connections between didactic coursework and fieldwork by encouraging the application of practice concepts and process es, guided by participation in clinical activities in a variety of traditional and emerging settings.
The following table demonstrates how the Level I Fieldwork experiences are integrated into the curriculum and support students ability to integrate information from the classroom with their understanding of practice. Level I Fieldwork occurs in the greater St. Louis area and can be supervised by a variety of qualified professionals including, but not limited to, occupational therapy practitioners, teachers, nurses, social workers, physical therapists and speech language pathologists (ACOTE, 2023, Standard C.1.10).
| Semester | Course |
| Fall Semester, Year 1 | OT 6075 Fieldwork IA: Immersion in Professional Practice Settings |
| Spring Semester, Year 1 |
OT 6175 Fieldwork IB: Immersion in Mental and Behavioral Health Practice |
| Fall Semester, Year 2 | OT 6375 Fieldwork IC: Immersion in Pediatric Practice |
| Fall Semester, Year 2 | OT 6475 Fieldwork ID: Immersion in Adulty Practice for Cognitive Rehabilitation |
| Spring Semester, Year 2 | OT 6575 Fieldwork IE: Immersion in Adult Practice for Physical Rehabilitation |
Level II Fieldwork
After successfully completing required coursework and Level I Fieldwork, MSOT and OTD students complete two, 12-week Level II Fieldwork experiences. All students must successfully complete both Level II Fieldwork rotations to meet graduation requirements. The schedules for MSOT and OTD Level II Fieldwork rotations differ based on the course sequence required for each program as described in the table below. For more details about course sequence, please see the following curriculum grids:
Click here to view the MSOT curriculum grid.
Click here to view the OTD curriculum grid.
| Degree Plan |
Level IIA Fieldwork |
Level IIB Fieldwork |
| MSOT | Summer, Year 2 | Fall, Year 3 |
| OTD |
Fall, Year 3 |
Spring, Year 3 |
WashU OT maintains fieldwork contracts with numerous practice sites throughout the U.S. in a variety of settings across the lifespan. States in red represent where we have fieldwork contracts.

Students have the opportunity to preference Level II Fieldwork sites based on their interests and professional goals. Students choose the setting and locations within program guidelines, site availability and the requirements set by WashU OT and the ACOTE.
Student Coordinator and Educator Resources
The Program in Occupational Therapy at Washington University School of Medicine in St. Louis greatly appreciates the partnership we have with our fieldwork sites and our Fieldwork Educators. WashU OT is an active participant in the Gateway Occupational Therapy Education Council (GOTEC), which offers regular trainings and resources to fieldwork educators. Please contact Jessie Bricker, AFWC, for further information specific to WashU OT or to schedule a training for your team.
AOTA Fieldwork Resources
AOTA has many resources for fieldwork educators to help you build your fieldwork program or improve your clinical supervision skills.
Interested in taking fieldwork students?
Fieldwork students can be a great addition to OT practice settings by offering clinicians an opportunity to grow their skills in clinical supervision and mentorship while bringing fresh perspectives on evidence-based practice to the setting. WashU OT is always interested in growing opportunities for our students in a variety of traditional and emerging practice settings across the US. If your organization is interested in taking WashU OT students for Level II Fieldwork, please contact us.
If you are a student coordinator at one of our partnering sites, we are currently collecting availability for our upcoming Level II rotations. Please email [email protected].
Accreditation Council for Occupational Therapy Education. (2023). 2023 Accreditation Council for Occupational Therapy Education (ACOTE®) Standards and Interpretive Guide (effective July 31, 2025). The American journal of occupational therapy, 72 (Supplement_2), 7212410005p1–7212410005p83. https://doi.org/10.5014/ajot.2018.72S217
Meet Our Fieldwork and Capstone Development Office
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