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This paper describes and analysies the use of a delphi research methodology to assess faculty perceptions of institutional needs and goals in an osteopathic medical education program. Use of the delphi to educate faculty in the administrative and political functioning of the institution as well as to involve all faculty in the refinement of specific needs and goals is discussed. Full-time clinical and basic science faculty of the New Jersey School of Osteopathic Medicine provided an example of the varied uses of the delphi research methodology in higher education and specifically in on the following institutional variable items: (a) the philosophical and functional orientation of the curriculum; (b) location and design of the physical campus facilities and environment; (c) faculty issues of tenure, promotion, salary and merit; (d) teaching, and the evaluation of teaching; (e) student characteristics and admissions policies; and (f) administrative structure and communication networks.

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In the crafting of therapeutic intervention, pediatric occupational therapists are challenged to provide therapeutic modalities that are as stimulating and imaginative as the child's world, while offering appropriate and meaningful solutions to the child's problems. Storytelling, coupled with the visual, auditory, and kinesthetic stimulation of guided affective imagery, offers a stimulating treatment approach for both the child or adolescent and the occupational therapist. This paper provides an overview of the use of storytelling, metaphorical forms and expressions, and guided affective imagery in occupational therapy with children.

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