I don't drink Kool Aid.

My OT academic life in one day: • AM: “We need ±1/8 inch precision so the force plates don’t misread someone’s balance.” • PM: “Chris, please stop intimidating people by asking whether feminist Foucault analysis counts as therapy.” There is no manual for this job.

I posted a philosophical question in an OT academic forum. Four days of silence. Do OTs just not like thinking in public?

Everyone is comfortable narrating, reflecting, deconstructing - until it requires an audience that might answer back.

Occupational therapy dialogue is a wasteland. OTs will write a 6,000-word article on reflexivity but won’t risk a 30-word comment in public. Wild.

Occupational Therapy's Real AI Problem Isn't ChatGPT - It's Us. https://t.co/UjjULb1mCP

Flight chaos kept me from conference so I recorded my full talk: “Teaching OT Ethics Through Speculative Fiction” Ethics needs imagination — and safer spaces for honest, heterodox thinking. #OTEdSummit #OccupationalTherapy #HealthPunk 🎥 Video:

Things to think about when flying: The Misery Map doesn’t show FAA-mandated flight cuts - those disappear before they’re logged as cancellations. Data is your friend, but remember: when the reporting mechanisms change the dataset, humans have to fill in the blanks.

Even if they reopen it won't be until Wed or Thurs, and the mess will be even worse by then - and will take a week to resolve. #virtualnow

So @AOTAInc is pushing ahead with in-person conference amid the longest gov shutdown in history - flights are a mess and getting worse. Presenters and attendees will bail. Email AOTA now - ask to switch to virtual/hybrid. https://t.co/X7AUNtKiCh #OTEdSummit

Another milestone! ✅ RIT has officially received Middle States approval to offer clinical doctoral degrees - including our new Occupational Therapy Doctorate (OTD). Next stop: launch! 🚀 #RIT #OTD #OccupationalTherapy #HigherEd #Accreditation

Engineer Ian Davis created his own mechanical prosthetic when his insurance wouldn't cover one. It works without needing batteries or electricity.

The real lesson: stop yelling at the medical model. Learn to hack it. We need to translate occupation into data, into efficiency, into measurable relevance.

OTs repeatedly fail to evolve within the realities of modern healthcare.

Instead of iterating - digitizing, streamlining, embedding into EHRs - OT dig in and argue for “occupation-based purity” while the system moved on.

When systems reward billable minutes and impairment codes, tools that don't fit the system are never going to scale. You can’t diffuse an innovation that ignores its own ecosystem.

AMPS was an interesting tool - grounded in occupation, standardized, psychometrically rigorous. But it was also slow, expensive, and hard to integrate into productivity-driven settings. That’s a design failure.

The AMPS family of assessments didn’t disappear because therapists stopped caring about occupation. It disappeared because OT never learned to hack the medical model for relevance. https://t.co/apua6ja9Pc

Great news from @NBCOT Twitter

Part II Beyond the Seat: From Being Overlooked to Being Unignorable https://t.co/iFmZEfm4sG

“That’s where the neurodiversity movement is failing,” Ms. Kancir said. “They have usurped this population to the point of exclusion.” 💯🎯