My Level I fieldwork experience in Belize was an incredibly meaningful and eye-opening opportunity that expanded both my clinical understanding and cultural awareness. Unlike many Level I placements where observation is the primary role, this experience allowed me to actively participate in therapy sessions rather than simply being a “fly on the wall.” Being involved in the therapeutic process helped me build confidence in my clinical reasoning skills and better understand how occupational therapy is applied in real-world settings.
Throughout the experience, I had the privilege of collaborating daily with an OTR/L as well as a speech-language pathologist (SLP). This interprofessional collaboration was one of the most valuable aspects of the fieldwork. Observing and contributing to treatment planning, as well as seeing how different disciplines work together to support client outcomes, gave me a deeper appreciation for a holistic, team-based approach to care. It reinforced the importance of communication, flexibility, and mutual respect among healthcare professionals.
Being in Belize provided a unique opportunity to engage with cultural diversity in a way that cannot be replicated in a classroom setting. I was able to observe how cultural values, resources, and community contexts influence both access to care and therapeutic interventions. This experience challenged me to think critically about adapting interventions to be culturally relevant and meaningful for each client. It also highlighted the importance of being culturally sensitive and open-minded as a future practitioner.
The hands-on nature of this placement, combined with the cultural immersion, made it a truly impactful learning experience. I developed a greater sense of independence, improved my communication skills, and gained a better understanding of client-centered care in diverse environments. Overall, my Level I fieldwork in Belize not only strengthened my foundational skills in occupational therapy but also deepened my commitment to providing inclusive, culturally competent care. I am grateful for the opportunity and will carry these lessons forward into my future practice.
What is your advice to future travelers on this program?
You can never have too much bug spray. And don't be afraid to jump and immerse yourself in the cultural experience. Feel silly, observe, participate and have fun.