5 Things OT Students Should Observe During Level I Fieldwork

A confident female doctor in a white lab coat sits in a well-decorated medical office, smiling at the camera, with plants and modern furniture in the background.

How Professionals Build Rapport

  • Notice how therapists introduce themselves, explain their roles, and create comfort.
  • What language do they use?
  • How do they adjust communication for different ages, diagnoses, or cultural backgrounds?
  • Rapport-building is foundational to occupational therapy and is often subtle but powerful.
A group of healthcare professionals, including a doctor and nurses, engaging in discussion while looking at a tablet in a modern medical office.

How the Environment Influences Participation

  • Observe the physical and social environment.
    • What supports participation?
    • What creates barriers?
  • Pay attention to lighting, noise, layout, routines, and staff interactions.
    • Environmental analysis is a core OT skill that begins with careful observation.

How Teams Collaborate

  • Watch interdisciplinary communication.
    • How are goals shared?
    • How are disagreements handled?
    • How are client needs prioritized?
  • Understanding team dynamics helps students see where OT fits within broader systems of care.
A group of children and young adults engaged in a creative workshop with a female instructor in a medical coat. They are working at a table with colorful craft supplies and materials.

How Practitioners Adapt in Real Time

Rarely does a session go exactly as planned.
Notice how clinicians adjust when a client is fatigued, distracted, or resistant. Adaptability is a hallmark of strong clinical reasoning.

How Occupation Is Addressed — Even Indirectly

  • Even in settings where OT is not present, ask:
    • How does this service impact daily function?
    • How does it support independence or participation?
    • What occupational barriers exist here?

Level I Fieldwork is an opportunity to begin thinking like an occupational therapist — even when you’re not yet acting as one.

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