By Ayano Endo & Adair Sanchez
Dr. Jenny Martinez, Faculty Advisor
Walking into a classroom at Thomas Jefferson University, the first thing that we notice as students of color is the lack of color among the students seated at the tables or the faculty situated at their podium. This phenomenon is mirrored in the profession of occupational therapy (OT) as a whole. The 2019 AOTA Salary & Workforce Survey found that the OT community is currently made up of mostly white (84%) and female (91%) practitioners.
As a profession in which mutual feelings of trust are essential for strong and effective therapeutic client-practitioner relationships and inter-professional collaboration, OT thrives when its workforce reflects the diverse population that it serves (e.g., gender identity and expression, socioeconomic status, disability status, etc.). More specifically, workforce diversity plays an important role in: (1) mitigating health disparities, primarily through greater access for vulnerable populations and better patient-provider interactions; and (2) creating inclusive communities where students, faculty and practitioners feel a true sense of belonging. Efforts to diversify the OT profession benefit innovative strategies such as pipeline programs that set a foundation for youth from traditionally underrepresented communities to pursue successful careers in the health professions.
On March 26, seven students from the University’s Department of Occupational Therapy represented the Coalition of Occupational Therapy Advocates for Diversity (COTAD) chapter at our first community event. They virtually attended the 9th Grade Career, Trades, and Military Forum at Kensington Creative and Performing Arts High School (KCAPA), to introduce ninth graders to OT as a potential future career. This student-led initiative was supported by department faculty members Dr. Jenny Martínez and Dr. Tracey Recigno, who had presented at last year’s KCAPA career fair, and had thereby forged a bridge between the two organizations.
The event consisted of three 20-minute informal discussions around what OT is, whom it serves, and how high school students can start to prepare for a career in this profession. Each session started with a fun ice-breaker that asked the high school students to think of as many creative ways that they could use common objects, such as a pencil, to segue into a conversation about the importance of creativity in OT -- something that many of the students demonstrated having through the activity. The ice-breaker was then followed by several open-ended questions that encouraged the high school students to share their current understanding of the term “occupations,” and their thoughts as to how OT might be able to help certain populations based on their new understanding of what the word encompasses.
The openness of the questions also facilitated discussions about some of their own valued occupations and interests and how they might consider a career in OT, or about how OT might help someone who had the same interests but were faced with certain limitations. The event incorporated strategies from the ABC Toolkit provided by the Philadelphia Education Fund, which emphasized the importance of attendance, behavior and course performance to maintain a positive trajectory throughout high school towards their post-secondary plans. Following the event, some of the Jefferson students also compiled a list of additional resources that could be distributed to the high school students for more information about OT and how they could start preparing for their futures now.
We, the Thomas Jefferson University OT students, spent several weeks planning the event to discuss various strategies that could be utilized to engage the high school students, such as fun ice-breakers, ways to promote conversations and participation through various technical features on Zoom and discussions about whether the presentation should be in the form of a student panel or discussion-based. On the day of the event, we were met with varying levels of engagement and interest in the event from the high school participants. For example, the first breakout room consisted of roughly 18 students, half of whom had their screens on, with an ongoing dialogue occurring in the chat box throughout the session, while the third breakout room consisted of roughly 10 students with all but one student with their screens off. Probing from the high school teachers in the room was constantly necessary to engage the students in the conversation.
As we began to introduce OT, the main emotion that we encountered from the high school participants was one of confusion. Were we like doctors? What is the difference between occupational therapy and physical therapy? Is an architect, an artist, a nurse, etc. an occupation? As we progressed through the sessions, the seven of us found, , that it was beneficial to first explain what occupations were, and to then have them come up with their own personal examples of occupations that they engage in during their daily life. From there, the direction of the discussions in each breakout room was dictated by the type or lack of questions, and whether the group responded better to quiz-style questions or personal anecdotes of our experiences getting into OT.
This experience reminded us of how difficult it is to explain OT and the services that we provide, especially in a way that is both appealing and meaningful to a high school audience. It is extremely difficult to introduce and explain the distinct value of OT in a two- or three-year graduate program, let alone in 20 minutes to a group that consists of many individuals who have never even heard of OT. That being said, we can confidently say that many of the high school participants were left with a beginning, general understanding of what OT is, with one student verbalizing their interest in OT. The interest in OT from this one student allows us to conclude that this event was indeed a success, as it fueled us with hope that we were taking steps in the right direction.
Participation in this event also reinforced the value that students have in advancing the field of OT through involvement in our education programs and student organizations. Student involvement in events such as the KCAPA career fair provide student leadership and character development opportunities while they contribute to the advancement of our profession. These events provide avenues to greater awareness of the issues of diversity, equity and inclusion within the field, as well as opportunities for students to take initiative and be active change-makers in creating the future of OT that they envision. We look forward to growing the initiatives such as this partnership between the COTAD chapter at the University and KCAPA to support recruitment of students from diverse backgrounds, including first-generation college students and communities of color.