Ron, 

I just wanted to say that I also see the 2 different
approaches in practice. Maybe it could help if the OT
educators do inservices for clinical OT's on the
importance of using occupation as a framework of
practice. For those who have been away from university
environments, I find it is very hard to grasp/apply
the  occupational framework and using the old, already
ingrained medical model approaches seems easier.

Naz 
3 yr post graduaction

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