So, this post will be brief.
I am back to paying some attention to the social media discussions of the OTD Mandate. I go in waves based on time demands, energy and tolerance. Recently I have seen some comments regarding entry-level competency and comparisons between current Masters students and current OTD students that I found disheartening. It has made me realize something.
I miss positive, visionary discussion about occupational therapy education!
The path that led me to support the notion of moving to a single point of entry at the OTD for the occupational therapist was primarily years of attendance at the Academic Leadership Council (formerly Program Directors) meetings. For years I had the opportunity to sit with those who I considered to be the preeminent thinkers about best model education in our profession. Discussions were focused on what we could do, what we needed to do to prepare students for practice of the future; to meet societal needs of the future. I learned SO much from these opportunities and more than that I left EVERY meeting energized and optimistic about our future. Even better I often left with concrete homework for what we could do in the educational program I worked in to improve the educational preparation of our students.
Do those conversations still happen?
I hope so!
I hope that it is only my move back into the hospital setting and out of secondary education that has removed me from awareness of these discussions and not that they have ceased! I hope that on a routine basis our educators are meeting and brimming over the edge with ideas about the possible; and not mired in the back and forth about whose vision for what is immediately next is more rationale.
I am hopeful because I certainly am involved in these types of discussions about the future of oncology rehabilitation and how care for cancer survivors can be improved. I am drawn to the energy of positive thought like a vampire to blood. So, I hope that it is only my physical absence from the ALC meetings and forums that is currently shielding me from visionary discussion about our educational future and not that visionary voices have been quieted.
If so, can someone send up a flare?
Just to tide me over until I return to academia and take up where I left off!
I have been in one of my quiet times on my blog. It’s been almost 3 months since my last post.
Today is the anniversary of my Mom’s death and the boomerang of losing two parents in less than a year took a bigger toll than I had imagined, or have been willing to admit at times. The toxic tone of the echo chamber that many of the OTD entry-level discussions have become has left me discouraged and not at all sure how to constructively contribute. It is my nature is to spend time, considerable time thinking about what “we” can do to solve problems and move our profession forward and I am stymied.
For the last couple of weeks, I am back to thinking about an idea that has been both friend and foe over the last few years: social justice. I do not use the term occupational justice because I have not yet been convinced the construct has been sufficiently developed to be different than social justice. This time, the issue is justice and student debt.
There has been a fair amount of comment in the social media world about whether increased student debt that is likely to occur with movement towards the entry-level OTD is unjust. Many practitioners from around the world have joined the chorus of voices expressing exasperation about the impact of student debt on the profession of occupational therapy. Some are asking how professionals who value social justice can also support moving to a single point of entry at the OTD with its increased tuition costs. Others are more pointedly accusatory of those who hold differing views.
Personally, I have become convinced that student debt is moving toward a crisis point in our country. Therefore, I would be disingenuous, if I did not acknowledge that it was not as much of a concern for me in 2014 when I served on the AOTA Board of Directors. Today, I am paying much more attention to those who speak in rational and respectful ways about the student debt issue and OT. I am not yet convinced that it is a reason for programs moving to the OTD to back off; however, it may be the tipping point to convince me that dual entry, at least for the foreseeable future is our most prudent course of action.
Now to justice. Is student debt a matter of (social) justice? I am not yet convinced, but my resolve to the contrary is shaken. It is not a simple issue and I am reading, asking questions and listening to answers.
For example, here is one question:
If two prospective students are interested in occupational therapy but one has the resources to complete their education debt free and the other must finance all of their graduate education and bear the burden of that debt, is this unjust? We have some colleagues who believe so.
A different but related question is: If there are prospective students who wish to pursue a career as an occupational therapist but cannot afford to assume the debt incurred and therefore cannot pursue this occupational choice, it is a social injustice?
This is a complex issue; one that will not be sorted out on Facebook or Twitter given the limitations of those platforms to having a balanced and thoughtful discussion focused on learning.
Currently I have more questions than answers and here are just a few. I’ve tried to alternate perspectives to represent the cognitive whiplash I feel sometimes when sorting through this maze.
I don’t have answers to all, or even most of these questions; yet.
More than anything I hope this post does not present at all as “preachy.” My logic on these matters is far from solidified. It has and continues to evolve as I open myself to more information and more ways of thinking. I hope that leaders and influencers of the profession and of our professional communities remain open to new perspectives as well. I hope we all continue to ask questions and listen to answers.
Here are some interesting reads on the issue of justice and student debt:
Student Debt and Social Justice: Tess Carter. National Association of Justice
Student Debt and Social Justice: Five Things You should Know. Amy Brown. www.FordFoundation.com
Why Student Loan Forgiveness is a Social Justice Issue. Aaron Taylor
The opinions expressed in my blog are personal and neither represent the views of my employer nor any organization.