Hello John:

I've been an OT for over 10 years. Like you, I came to the profession in
my mid 30's. In fact, I was the oldest student in my class. I would like
to address your concerns.

1)  OT is a VERY diverse profession. OT work across the life span and in
many  different  types  of  settings.  Thus, there is almost no accurate
description  that  defines  ALL types of OT. Work experience in an acute
care  pediatric  hospital  is  vastly  different than in a mental health
hospital.  This  diversity has advantages and disadvantages for both the
profession  and  the  individual  practitioner. For example, if changing
diapers  is not your "cup of tea", then you should not work in a setting
where  this  is  a  reality.  For years, I worked in an acute care rehab
hospital.  Patient  incontinence  was  a daily event and ALL professions
participated  in butt wiping and diaper changing. I NEVER liked doing it
but I often found it a great tool to help patient motivation, because as
much as I didn't like it, they liked it even less!

2)  Being  an OT is frustrating. In my opinion, we have a major identity
crisis,  both among ourselves and with other professionals. For years, I
have  written about this crisis but it just seems to be part of who/what
we  are. OT is difficult to apply and even more difficult to explain. If
you  are not comfortable working in a profession that is not well-known,
misunderstood  and  difficult to explain, then OT may not be for you. Of
course, you can become an OT with the goal of changing the profession so
that we don't have an identity crisis (hint, hint).

3)  Burnout is not unique to our profession. Doctors, lawyers, dentists,
PT's,  etc  all suffer from burnout. As an OT you have a LOT of autonomy
on  who you work for and how you work. At the moment, the job market for
OT  is  outstanding.  If  you are unhappy with you current setting, it's
very  easy  to  find  another  job.  And while there may be more PT jobs
offers,  don't  forget  that  there are many more PT's looking for those
jobs!

Seems  to  me like you have a wonderful start. Also being a male OT is a
commodity when it comes to finding employment. Males OT's are definately
a  minority  and our "maleness" is often a valuable assett to employers.
In  fact,  I think I will write an article about the benefits of being a
male  OT.  At  one  time, there was an organization called MOTA (Male OT
Assoc).

Ron

----- Original Message -----
From: John Campbell <[EMAIL PROTECTED]>
Sent: Monday, February 25, 2008
To:   [email protected] <[email protected]>
Subj: [OTlist] Conflicted

> I'm currently a student completing the prerequisites to pursue a  
> Master's in OT. This is a career change for me in my early 30s, and I  
> should be in the program in 2009. I chose OT because it seemed a  
> stable field (growing demand), and because it focuses on psychological/ 
> social skills to a high degree, which really appeals to me.  
> Considering it now requires an MA to practice, I imagine if anything  
> the demand will increase. And, of course, it is helping people in an  
> immediate sense, and rewarding beyond it's decent compensation.

> I struggled initially with OT vs. PT, and in the end it was the  
> heightened focus on cognitive areas of OT that trumped PT for me;  
> psychology and the brain are more interesting to me than physics. At  
> the same time, there are factors that keep making me second-guess my  
> choice:

> 1) There's generally twice as many PT jobs available than OT, from  
> what I can tell. So both availability and pay scale seems to be a  
> little more on the PT side of things.

> 2) I keep sensing frustration among OTs and hearing about burnout,  
> lack of recognition, and being threatened as PT gradually extends its  
> sphere of learning into OT areas of expertise (although I think it's a  
> positive thing that the two should learn and develop from each others'  
> strengths). Will OT and PT be the same position eventually?

> 3) A couple of times I've heard of OTs doing nurse activities. Helping  
> someone learn to transfer themselves into a shower is one thing, but  
> cleaning their diaper just seems like something I wouldn't expect an  
> OT to have to do, and certainly something I'd never want to do. Is  
> this something that all OTs have to do from time to time, or does it  
> depend on their area of expertise (i.e. someone in hand therapy would  
> not run into this)?

> Am I totally getting the wrong picture of OT here? I'm only going by  
> impressions, and I'm sure my thoughts will be cleared up to a degree  
> after I actually get some experience volunteer-working in a rehab  
> facility with PTs and OTs.

> Many of you have the benefit of knowledge of having worked as OTs for  
> years, and can provide valuable insights. I feel like OT is more my  
> natural area, but little doubts keep creeping into my mind from what I  
> hear and see.

> Thanks a lot for your thoughts. I just discovered this website and  
> have been perusing it quite a bit the past couple of days.

> John



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