Marisa Circle, 

Staten Island, NewYork

16th December 2021.

 

The Instructor of Record,

The Department of Occupational Therapy,

School of Pharmacy and Health Professions,

Creighton University.

 

The Associate Dean for Academic Affairs,

School of Pharmacy and Health Professions,

Creighton University.

 

Academic Issues Hearing Board,

Creighton University.

 

Dear All,

 

LETTER OF RECONSIDERATION OF GRADE

 

This letter serves as a humble request for a reconsideration of my grades, which were awarded in my clinical experience on fieldwork level IIB. I participated in the said clinical experience in partial fulfillment of my Postgraduate Degree in Occupational Therapy. Accordingly, this letter shall first provide an outline of my experience at the fieldwork. I shall then explain the circumstances that led to the award of my grades. Lastly, I shall point out why a review of the grading is appropriate in the circumstances. 

 

My experience at fieldwork

 

I did my fieldwork at the Kessler Rehab Institute as an Occupational therapy (hereinafter “OT”) student. My role at the said institute greatly enhanced my Clinical reasoning and knowledge. Besides, working there allowed me to acquire the necessary OT skills set required of a proper professional and leader. Working at the institution also gave me an opportunity to gain knowledge in operating equipment.   I also obtained pertinent skills from their special assessments such as the KFNAP, the WOLF-Motor Assessment and KFPAT. 

 

It is instrumental to note that during the fieldwork at the said institution, I exercised intellectual curiosity and endeavored to acquire new information during my rotations. This zeal and enthusiasm reflected in my weekly verbal and written evaluations. My Clinical Instructor attested to my improvements and progress. Notably, I grew in communication, documentation, professionalism, patient handling and evaluation. 

 

Background

 

In light of the foregoing, I was utterly surprised when at the end of the mid-term week, my final grade was lower than I had expected. I attribute this performance to the incidence that occurred on my last session on the last day. Notably, as already seen above, I began my fieldwork with naivety due to inexperience. However, I soon began learning and became adept to the systems and operations. 

 

The incident that led to the low award of grades happened when I was handling a patient on a wheelchair around the kitchen. I observed that the patient was motivated and mentally ready for another trial but I later figured out that the patient did not have enough physical strength and endurance for a continuity of the activities. Therefore, I unlocked the brakes to manually shift the wheelchair midway of the kitchen path as a safety plan, since rest breaks did not progress as anticipated. Besides, I had previously observed from my Clinical Instructor that it is imperative to trust one’s patients, especially when they are progressing unto discharge. For that reason, I could see apparent progress with this patient, as he had previously carried out similar assigned tasks and functional transfers without difficulty, so I decided to trust him. However, the patient unexpectedly verbally expressed fatigue, while the Clinical Instructor was present. The Clinical Instructor reprimanded me for my erroneous judgment.

 

Therefore, when I inquired about the low grades, my Clinical Instructor informed me that although my clinical judgment was reasonable, it was questionable due to lack of supplemental support and that I had not properly assessed and anticipated the patient’s level of fatigue.

 

The Clinical instructor then educated me on additional methods of handling patients in order to ensure that in the future, I could gather confidence to request assistance for wheelchair stabilization and or to be escorted with the wheelchair. 

 

The incidence also made me understand how anticipation and alternatives are imperative for health professionals. 

 

Areas of Concern with the Assessment

 

My Clinical Instructor had developed confidence in me and had allowed me to retrieve, treat, and return the Patients back to their next appointments. Besides, I recall 

 

Request for Reconsideration

 

As an entry level OT, I am prone to make mistakes. Therefore, I am in need of mentorship and experience, so that I may grow into a better OT practitioner and leader. For that reason, I reasonably believe that the aforesaid assessment does not truly and fairly reflect my robust professional capacities and adeptness. I am looking forward to learn further and advance my skills in OT. Therefore, I kindly request reconsideration of the fieldwork course grade. I affirm that with continued fieldwork training, experience and mentorship to augment my areas of opportunity, I can continue breaking barriers with occupation therapy. 

 

I humbly state that it will be unfair to rescind my observable years of remarkable development and successes due to an inexperienced intuitiveness. Accordingly, failure to reconsider the assessment would subject me to much psychological harm since I would be dismissed from my three-year program, which I was due to finish by May 2022. For the past three years, I have dedicated my time and efforts into this program. A dismissal would therefore be to my utter detriment. 

 

Yours sincerely, 

 

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