Within occupational therapy education, there has been increased attent
ion to curricula and courses that emphasize problem solving, clinical
reasoning and synthesis of information across traditional discipline-s
pecific boundaries. This article describes the development, implementa
tion, and outcomes of a problem-based learning course entitled Selecte
d Cases in Occupational Therapy. The course was designed to help stude
nts to integrate the various elements of a specific occupational thera
py curriculum and to enhance their abilities to respond to an ever-cha
nging health care environment. An evaluation of the course by the firs
t 11 students who completed it revealed both strengths and weaknesses.
Students responded that the course enhanced their professional behavi
or, including interpersonal communication skills, team work, and follo
w-through with professional responsibilities; helped them to integrate
the various elements of the total occupational therapy academic progr
am; enhanced their clinical reasoning skills by providing a structure
for thinking through clinical issues; and provided personal gain or be
nefit (i.e., students perceived the course to be a valuable, realistic
and motivating experience). The students also identified several spec
ific course elements that contributed to its integrating function, inc
luding content, class session format, and students' role. Identified c
ourse weaknesses included the methods of evaluating student performanc
e and the format and content of specific cases.