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Choosing Wisely: Conquering Habit to Achieve Excellence

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1.  The Choosing Wisely Initiative was launched by: American Medical Association (AMA) American Occupational Therapy Association (AOTA) American Board of Internal Medicine (ABIM) Healthcare Waste Institute (HWI)

2.  Which of the following is identified in the AOTA “5 Things” as a non-purposeful activity? Making a meal Using a pegboard Playing bridge Putting on a coat

3.  Why is an assessment needed before recommending sensory interventions? Blanket provision of sensory tools may be ineffective or harmful Every child has similar sensory needs All children benefit from a wobble seat Sensory diets are very time consuming

4.  Cognitive interventions should: Be done in a quiet room and without distractions Increase awareness and support functional task skills Include worksheets and 3-ring binders Incorporate timed memorization and delayed recall

5.  Which part of the brain is closely linked to habit formation: The cerebellum The occipital lobe Wernicke’s area The basal ganglia

6.  Habit-driven practice means: We deliver a treatment technique out of habit NOT intention We deliver a treatment technique that is evidence-based We deliver a treatment technique that we learned 10 or more years ago We deliver an innovative or experimental technique

7.  Habits are triggered by any of the following EXCEPT: People Context/environment Preceding actions in a sequence Positive thinking

8.  A precursor is: The preceding action in a sequence leading up to a habitual behavior An exemplary behavior, a model Someone who has prior knowledge of future events A subconscious bias

9.  Identify the habit that could support a therapist in providing intentional treatment: Delivering the same technique on every patient Saving the last 10 minutes of the session for the arm bike Starting a Try-day Friday to ‘try-on’ a practice approach Submitting the supply order on the last day of every other month

10.  How is my own self-care relevant to a course on habit-driven practice? It isn’t. I’m not sure why it was included. Stress and fatigue reduce our capacity to make intentional decisions. Self-care tasks occur in a predictable sequence. Occupational therapists know how to do them without thinking.