I am a person who worries, doubts, and has times of self depreciation. This is probably evident to many people already, but a disclaimer to anyone else. On the plus side, I likely have those traits due to an urge to be better at the things that I do. Part of the duty of being a member of a profession is a continued commitment to improvement, and I feel that is especially important to be the best I can be so that I can best facilitate goal achievement in my clients. So it hurts when others suggest that OT is not effective, not science-driven, not worthwhile. I found this post linked from another blog, and was disappointed in many of the comments I saw. It also made me wonder if any of my clients or their parents are writing about me. If not writing, they may be talking... one of the things that I have noticed w/ my peds caseload is that some come in for an evaluation and a couple of treatments and are never heard from again, despite phone calls and notes. I often wonder what has happened in these situations when a kid disappears from my schedule and isn't heard from again. Some I know are for financial or personal family reasons, but I know that there's been at least one who didn't come back because mom didn't like me or the therapy session that she observed. It can make you a little paranoid, and I don't need help finding things to worry about.
More thoughts in the full post...
One specific problem that I have is that I feel I'm doing pretty well at evaluating kids and spotting a sensory processing difficulty, and I know that I can pick treatments that challenge them, but I'm not seeing these kids improve as much as I would like. Also, it's difficult to best know what to do for some kids.
I've had more parents observing sessions recently, which I don't mind most of the time, but would rather have a 2way mirror other times. I wish I had better answers for their questions sometimes. I can see in some of their eyes that they don't find me smart enough, or good enough to work with their kids. One set of parents was whispering back and forth to one another as I let their child engage in free play during the eval... they were very upset at her for 'not following directions.' Though I haven't had anyone confusing me with a high school student lately, I don't know that I'm giving off the vibe that I need to best interact with the kids and their parents.
I really wish that I had a fieldwork in peds, or someone else that would share the caseload and give me ideas, or (ideally) a mentor to help me grow as a practitioner. That is on my list of things to do this week... finding people to reach out to online as the ones that I have attempted to reach out to in person have not panned out well. Also on my list of things to do, and gaining priority with each passing second, is preparing my 'inservice.' I have to present it tomorrow. It's not a big thing, more like a five minute thing, but I need to get it done.
Haven't had a chance to check out the OT Connections site... also haven't been on OT Advantage for awhile anyway. Hopefully one or both of these will work out... I am already on the computer too much w/ reading interesting things. And my only network is Facebook, I try to avoid all the other stuff. I already need at least 24 more hours every week, I can't imagine trying to cram in a 'second life' of any sorts.