Science, Certainty, and the Active Learning Lab of COVID-19

As we move through the semester the students’ certainty in their understanding of how to be an evidence-informed practitioner falters. They learn of instances where what we do in practice is not supported by science and instances where science is silent. And now they have new, different questions and how they make sense of a disconnect between science/research and practice ultimately matters—to them and to their clients.

In early December, NetVUE hosted a webinar on “The Scientific Vocation in a Time of Crisis.” Judy Ericksen, associate professor of occupational therapy at Elizabethtown College, offered these reflections about how COVID-19 has created an “active learning lab” for students.

I teach in a program that attracts students who have decided early on what they want to do with their lives: they want to help people. They are often drawn to the health professions by personal experiences with disease or disability, and understand becoming an occupational therapist as a calling, something they were drawn to at an early age.

As they move through our program, which is five years in length, they are required to reconcile their vision of occupational therapy with the reality of today’s healthcare environment and this is often not an easy task for them. My advisees who question this early calling seem to fall into two categories—those who discover that health care, e.g. medical care no longer fuels their passion—and those who discover that while their calling came from the heart, being an occupational therapist also requires good use of the head. We describe our profession as being an art and a science and often it is the science that is more challenging for them. 

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The Grace of Troubling Questions

I did not discover that my church actually had a human founding and a human history in the United States until I was roughly twenty years old. But what was that history? What were our roots? What were the cultural and religious forces that had produced this tradition and, by extension, the forces that had shaped me? These questions were hardly academic. These were questions that assaulted my very sense of self since my sense of self was so completely bound up with my church’s claim to be true and right while others were false and wrong.

Finding good work to do—work that can enrich and satisfy the soul, not just for a moment but for a lifetime—is an incredible gift of grace.

That gift can enter our lives in such mysterious ways, however, that we often fail to see it for what it is. In fact, grace can sometimes appear in such profoundly negative ways—in defeat or despair or rejection, for example—that we often resist the very grace that can make us whole.

In my case, the grace that opened up a lifetime of good and satisfying work first appeared in the form of deeply troubling questions about the church in which I was raised, the Church of Christ.

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