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If I suspected that a therapist was behaving unethically toward a client during my level II fieldwork experience, my first step after consulting with a mentor, such as my Academic Fieldwork Coordinator, would be to clarify the situation at the fieldwork site in a professional and respectful manner. According to Estes and Brandt (2011), students should first identify ethical concerns, gather accurate information, and consider all parties involved before acting. I would approach my fieldwork educator or the therapist privately and ask for clarification to better understand the situations, rather than making assumptions. Hood and Mooney (2024) emphasize the importance of maintaining professional communication and respectful relationships with fieldwork educators, especially when addressing sensitive concerns.
If the situation were confirmed to be truly unethical, I would follow the facilitys established chain of command and reporting procedures. This would include documenting what I observed and reporting the concern to my supervisor or appropriate administrative personnel while maintaining client confidentiality. The AOTA Code of Ethics clearly states that occupational therapy practitioners and students have an obligation to report unethical or illegal behavior to protect clients and uphold professional standards. (AOTA, 2020). Carese et al. (2015) further explain that ethics education prepares healthcare professionals to respond appropriately to ethical violations by using professional judgment and accountability rather than avoidance. Throughout this process, I would continue to seek guidance from my academic program to ensure I’m handling the situation ethically and professionally.
As a future occupational therapist practicing in Florida, one must comply with both national and state requirements for licensure and certification. Nationally, these include. Graduating from an accredited occupational therapy program and passing the NBCOT examination to become certified. At the state level, I must apply for licensure with the Florida Board of Occupational Therapy and complete the required continuing education hours to maintain licensure. These requirements include education related to ethics and professional practice. Adhering to the AOTA Code of Ethics and Florida Licensure Regulations ensures that I practice within legal and ethical standards and prioritize client safety and well-being. (A OTA, 2020.). Ethics Education. As described by. Carrese et al. (2025) play a critical role in developing professionalism and ensuring that practitioners understand their responsibilities to clients, supervisors, and regulatory bodies.
Overall, addressing suspected unethical behavior requires thoughtful clarification, appropriate follow-up actions, and strict adherence to professional and legal standards. By consistently applying ethical reasoning, clear professional communication, and established reporting procedures, students and future practitioners not only advocate for clients but also reinforce the integrity and trustworthiness of the occupational therapy profession.
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