title: Learning client-centred practice short report: experience of OT students interacting with "expert patients".
abstract: BACKGROUND
  Client-centered care, a core value of occupational therapy (OT) and the gold standard of health care, presents challenges in practice. Learning client-centered practice (CCP) in health professional education has been linked to use of "expert patients". How this learning occurs was acknowledged as a gap in research.
  
  
  OBJECTIVE
  This article aims to describe OT students' experience interacting with "expert patients"; describe students' learning regarding CCP; identify conditions for learning CCP.
  
  
  METHODS
  MScOT students participated in a qualitative study with the research question: "How does the students' experience interacting with the 'expert patient' relate to learning regarding client-centred practice?" In-depth interviews were conducted with six OT students subsequent to their "expert patient" sessions. Transcripts were analyzed using CAQDAS.
  
  
  RESULTS
  Students described admiration, discomfort, humility, and gratefulness; learning regarding collaboration; respect for autonomy; and recognition of client expertise. Three coexistent conditions fostered learning regarding CCP: the client is an expert; students experience power; and the environment includes guided reflection/discussion.
  
  
  CONCLUSIONS
  This study adds to the literature particular conditions that facilitate learning client-centered practice. All stakeholders in health professional education can benefit.
authors.affiliation: School of Rehabilitation Therapy, Queen's University , Kingston, Ontario , Canada.
authors.forename: Jasmin Joan
authors.initials: JJ
authors.lastname: Cameron
authors.forename: Mary Ann
authors.initials: MA
authors.lastname: McColl
mesh_terms: D003299:Cooperative Behavior; D003479:Curriculum; D006801:Humans; D008875:Middle Aged; D009788:Occupational Therapy / Q000193:education*; D016544:Patient Simulation; D018802:Patient-Centered Care / Q000379:methods*; D036301:Qualitative Research; D013336:Students, Health Occupations
keywords: health professional education; occupational therapy curriculum; patient-centered care; phenomenology; professional practice; transformative learning; transformative phenomenology