title: 1000 fieldwork hours: analysis of multi-site evidence.
abstract: BACKGROUND
  Internationally, the World Federation of Occupational Therapists has established a minimum of 1,000 hours as the fieldwork standard.
  
  
  OBJECTIVE
  To examine student development in fieldwork across placements to determine if students achieve entry-level competence after completion of 1,000 hours of fieldwork.
  
  
  METHODS
  Archival data (N=400) from six occupational therapy programs were analyzed to examine the acquisition of fieldwork competency over time as measured by the Competency Based Fieldwork Evaluation Scale.
  
  
  RESULTS
  Competency scores increased with each fieldwork placement, the majority of students achieved entry-level scores upon completion of their final fieldwork placement. While, on average, some competency scores exceeded entry level by 1,000 hours, Practice Knowledge, Clinical Reasoning, and Facilitating Change fell just short.
  
  
  CONCLUSIONS
  The identification of a plan for addressing the lower ratings in these three competencies should be considered.
authors.affiliation: School of Occupational Therapy, University of Western Ontario, 1201 Western Road, Room 2529 Elborn College, London, Ont., N6G 1H1. jeff.holmes@uwo.ca
authors.forename: Jeffrey D
authors.initials: JD
authors.lastname: Holmes
authors.forename: Ann M
authors.initials: AM
authors.lastname: Bossers
authors.forename: Helene J
authors.initials: HJ
authors.lastname: Polatajko
authors.forename: Donna P
authors.initials: DP
authors.lastname: Drynan
authors.forename: MaryBeth
authors.initials: M
authors.lastname: Gallagher
authors.forename: Clare M
authors.initials: CM
authors.lastname: O'Sullivan
authors.forename: Anita L
authors.initials: AL
authors.lastname: Slade
authors.forename: Jill J
authors.initials: JJ
authors.lastname: Stier
authors.forename: Caroline A
authors.initials: CA
authors.lastname: Storr
authors.forename: Julie L
authors.initials: JL
authors.lastname: Denney
mesh_terms: D002983:Clinical Competence; D003162:Competency-Based Education; D006801:Humans; D009788:Occupational Therapy / Q000193:education*