Occupational Therapy

Program Overview

At Nemours Children’s Hospital, Delaware, our goal is to provide quality care to our patients while helping students gain skills to become a competent therapist. We promote education by modeling and hands-on experiences. We encourage students to take responsibility for their own learning and to take initiative in gaining knowledge and experience.

As a student, you’ll receive guidance and tools to enhance the learning process. You may have the opportunity to observe the following:

  • Diagnostic observation (including ICU, NICU, developmental evaluations, gait lab and others) 
  • Hospital-sponsored seminars 
  • Vendor demonstrations
  • Research/applied science 
  • Specialty clinics (including Down syndrome, AMC, seating, CP, prosthetics, cleft palate and others)
  • Surgery observation

About Us

The Department of Therapeutic Services at Nemours Children’s Hospital, Delaware includes assistive technology, audiology, occupational therapy, physical therapy, rehabilitation engineering and speech-language pathology.

Our department is multidisciplinary and managed as three programs aligned with the population served (rehab, acute and outpatient). Nemours Children’s Hospital, Delaware was established in 1935 under the will of Alfred I. duPont (grandson of the founder of the E.I. duPont de Nemours Chemical Company) for the “care and treatment of crippled children, but not incurables.”

Today, under the auspices of the Nemours Foundation, we are a full-service children’s hospital that treats over 100,000 patients yearly. Originally founded as an orthopedic facility, we are now a 180-bed hospital that offers all the specialties of pediatric medicine, surgery and dentistry for both inpatients and outpatients.

Important Information

Nemours Children’s Hospital, Delaware does not accept requests for fieldwork placement directly from students. Students are required to go through their fieldwork coordinator at their school for placement in an affiliation with Nemours.


Details for Occupational Therapy

Occupational Therapy graduate students are required to have completed at least one full-time fieldwork placement prior to an affiliation at Nemours. Tests and measures you may be expected to participate in include:

  • Peabody Developmental Motor Scales PDMS-2
  • Bruininks-Oseretsky Test of Motor Proficiency BOT2
  • Beery-Buktenica Developmental Test of Visual-Motor Integration VMI — Sixth Edition
  • Motor-Free Visual Perception Test MVPT-3 — Third Edition
  • Sensory Profile SP2, Infant/Toddler/Child
  • Wold Handwriting Assessment
  • Quality of Upper Extremity Skills Test QUEST
  • Manual Ability Classification System MACS
  • Pediatric Evaluation of Disability Inventory Computer Adaptive Test PediCAT
  • Functional Independence Measure WeeFIM
  • Evaluation Tool of Children’s Handwriting ETCH
  • Range of Motion, Goniometry
  • Manual Muscle Testing, MMT
  • Modified Ashworth Scale
  • Grip Strength, Dynamometer
  • Pinch Strength, Pinch Gauge
  • ADL Equipment

Student Requirements: Therapeutic Services

The Therapeutic Services Department of Nemours Children’s Hospital, Delaware accepts students for clinical rotations in:

  • Occupational therapy
  • Physical therapy
  • Speech-language pathology

Before proceeding, please verify with your academic institution that that they are an affiliated program and then follow the instructions below carefully. You’ll need to gather a series of required screening and immunization documents and have your academic advisor certify that you have completed all steps outlined below.

Your fieldwork coordinator will receive a form to complete, sign and return to us to verify that you have obtained all required immunizations and clearances.

Gather Your Required Screening & Immunization Documents

We recommend starting to gather the required documents as early as possible — 4 to 6 months before your preferred affiliation start date.

You’ll need:

Delaware Child Abuse Screening Report


Things to Note:

  • Allow at least 15 working days for results to be processed.
  • The form must be submitted within 90 days of signature date in order to be processed.

Criminal Background Check


  • Contact the state police in each state you’ve lived in for the last 7 years. Results should go to your academic institution.
  • This report must have been completed within 12 months of placement.

OIG Sanctions Screening Report


Nemours will enter your name into the exclusions database through: The Office of the Inspector General.

Delaware Adult Abuse Screening Report


10-Panel Drug Urine Screening


  • Contact the health service department at your academic institution or the independent lab of your choice. Many students use Quest Diagnostics.
  • Results must be sent to your academic coordinator, who should sign the certification form before submitting it to us.


You must provide documentation of vaccination for:

  • COVID-19
  • Varicella
  • Measles
  • Mumps
  • Rubeola
  • Rubella
  • PPD
  • Influenza

Note: During flu season, students without proof of flu vaccination will be required to wear a mask when in patient areas.

Student Responsibilities


You will receive a photo ID taken the first day and are required to wear it at all times. You are required to return your badge to your supervisor on your last day.

Required Web-Based Training (WBT)

Students will receive an email from the clinical supervisor at Nemours approximately one week prior to affiliation. It will include a link for access to Nemours University, network login, temporary password, the courses required to complete and any additional information needed. The student should contact the clinical supervisor at Nemours via email if unable to access Nemours University.

Documentation Guidelines

The Nemours Children’s Hospital, Delaware clinical staff use an electronic medical charting system to document each patient encounter. Students will be expected to complete both computer-based learning and instructor-led training once on-site to be knowledgeable on the system. Your clinical instructor will review the expectation for timely documentation of evaluations and progress notes. The clinical instructor must co-sign all notes in the electronic medical records.

Internet & Social Media Use

Use of the internet during work hours is specifically for educationally relevant and work-related tasks. No form of social media should be used during the workday. This includes but is not limited to Facebook, Twitter, Linkedin, YouTube, Instagram and Tumblr. Personal cell phone use, including text messaging, during the work day is discouraged. To maintain confidentiality, no written or photographic information concerning a student’s affiliation at this facility will be shared on any social media.

Student Presentation

Students will be required to complete one in-depth presentation. Your topic may relate to theory, an administrative need, creation of a piece of equipment or a research project.

The project could take a variety of forms, including a research proposal, developing a new form, a book critique or protocol. A written outline is required at midterm and must be discussed with the clinical supervisor and your clinical instructor.

The completed assignment (including handouts, video, reference/bibliography) must be submitted to the clinical instructor for review 1-2 weeks prior to your presentation to staff, which is usually scheduled during the last 2 weeks of the affiliation.

About Our Hospital in Delaware

The Nemours Children’s Hospital, Delaware is a multispecialty, tertiary care teaching institution located on a 300-acre estate in the scenic Brandywine Valley in Wilmington, Del.

Among the hospital’s amenities for all staff are:

  • Free parking
  • Park-like setting
  • Gym/fitness center
  • On-site child care center for children of staff

Living in Delaware Valley

Because of our location in the tri-state area of Delaware, New Jersey and Pennsylvania, we offer unique living/working opportunities. For example, you can choose to live in the downtown Philadelphia area and easily commute to our park-like hospital campus in Wilmington.

Explore Wilmington

Nemours Children’s Hospital, Delaware is located in Wilmington, Del., about 30 minutes from center city Philadelphia, and an easy drive to Baltimore, Lancaster County, Pa. (“Amish Country”), and the beaches in Atlantic City and Delaware. There is much to do in and around the city, including mansion and garden tours, museums, breweries, wineries, fine restaurants and numerous state parks.

Learn More About Delaware:

Greater Wilmington Convention and Visitors Bureau

Delaware Tourism

Delaware’s Beaches

Explore Philadelphia

Philadelphia is the sixth largest metropolitan area in the United States and offers a wealth of historical, cultural and recreational opportunities. From world-class museums to its professional sports teams to the colorful, bustling districts of South Street, Chinatown and the Italian Market, Philadelphia has something for everyone.

Learn More About the Philadelphia Area:

New Jersey Beaches

Pennsylvania Mountains

Additional Information

Transportation and Parking

A vehicle is recommended, since limited bus service is available in this area. Wilmington Bus DART Route 28 goes from the city train to the hospital on a schedule. Students parking on the hospital grounds must register their vehicle with Security and park in the employee parking garage, not in areas reserved for visitors or patients. Parking is free.


Housing is not available on campus. Some students have been able to sublet apartments from students at the University of Delaware.


Meals are available in the hospital cafeteria and coffee kiosks during specified hours of operation, and vending machine options are available.

Hours of Operation

Therapeutic services is open: Monday–Friday, 8 a.m. to 7:30 p.m.

There are limited treatments on Saturdays and Sundays 8 a.m. to 5 p.m. for acute postsurgical and rehab patients. An individual schedule of approximately 40 hours per week will be established with your clinical instructor. Flexible scheduling is necessary due to the demands of the patient population. Staff rotate working Saturday/Sundays and students will work 1-2 Saturdays/Sundays during their affiliation at the discretion of your clinical instructor.


Each student will be assigned a clinical instructor who will be available to you throughout your affiliation. Supervision will be close at first and will lessen according to your needs, but will always be at least line-of-sight. Any questions or concerns with patient treatment, scheduling, in-services, etc., should be directed to your clinical instructor. Performance reports are delivered at mid-term and at the end of your affiliation. Verbal and/or written feedback is provided daily or as needed. The student will meet with the education coordinator prior to mid-term to provide the student the opportunity to discuss progression of fieldwork and express any concerns.


One (1) excused absence per month is allowed for illness or interviews — based on discipline and school requirements. Excessive time off must be made up before the completion of the affiliation. In the event of illness, contact your clinical instructor by 7:30 a.m. by calling the department at (302) 651-4354 or as your clinical instructor directs.


Students are to wear neat, clean, casual street clothes that are still professional. Sneakers (clean) are permitted and shoes must be close-toed (no sandals) for safety and must be worn with hosiery. No blue denim jeans, mini-skirts, shorts, capri pants, sleeveless shirts, midriff tops or t-shirts are allowed. A swimsuit will permit participation in our aquatics program, and may be required based on the discipline and clinical instructor.

No dangle earrings, bracelets, or necklaces should be worn. Nails should be short and should not have colored polish. Tattoos need to be covered. Piercings other than in the ear lobe are not to have jewelry. No skin should be exposed when bending, stooping and reaching.

Apply Today

Allison Alexander, OTD, OTR/L
Occupational Therapy