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Clear career expectations are necessary to introduce and retain the OT workforce in this underrepresented yet essential practice area. This study aimed to describe OT practitioners\u2019 experiences exploring and developing careers in the W&amp;I practice area. We used an inductive thematic analysis in a multi-step, iterative process to explore experiences shared through comments and stories in response to an open-ended question in a cross-sectional online survey. Four semantic-level themes emerged, including career pathways, accumulation of expertise, professional identity, and challenges in W&amp;I practice. Novel career paths revealed in the article underlined the limited recognition of W&amp;I practice in OT. Structured career planning support is needed to promote the growth of this practice area.<\/jats:p>","DOI":"10.1177\/15394492231213253","type":"journal-article","created":{"date-parts":[[2023,11,25]],"date-time":"2023-11-25T04:21:26Z","timestamp":1700886086000},"page":"671-679","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Work and Industry Occupational Therapy Career Pathways: Understanding an Underrepresented Practice Area"],"prefix":"10.1177","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1984-9448","authenticated-orcid":false,"given":"Yiyang","family":"Fang","sequence":"first","affiliation":[{"name":"Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4202-396X","authenticated-orcid":false,"given":"Shawn C.","family":"Roll","sequence":"additional","affiliation":[{"name":"Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,11,25]]},"reference":[{"key":"bibr1-15394492231213253","doi-asserted-by":"publisher","DOI":"10.3233\/WOR-2010-1028"},{"key":"bibr2-15394492231213253","doi-asserted-by":"publisher","DOI":"10.3233\/WOR-2011-1134"},{"key":"bibr3-15394492231213253","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.48.11.1047"},{"key":"bibr4-15394492231213253","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.56.6.609"},{"key":"bibr5-15394492231213253","doi-asserted-by":"crossref","unstructured":"American Occupational Therapy Association. (2017). Occupational therapy services in facilitating work participation and performance. American Journal of Occupational Therapy, 71(Suppl. 2), 7112410040p1\u20137112410040p13. https:\/\/doi.org\/10.5014\/ajot.716S05","DOI":"10.5014\/ajot.2017.716S05"},{"key":"bibr6-15394492231213253","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2020.743003"},{"key":"bibr7-15394492231213253","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2020.74S2001"},{"key":"bibr8-15394492231213253","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2011.001628"},{"key":"bibr9-15394492231213253","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0279000"},{"key":"bibr10-15394492231213253","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"bibr11-15394492231213253","doi-asserted-by":"publisher","DOI":"10.17159\/2310-3833\/2015\/v45n3\/a9"},{"key":"bibr12-15394492231213253","first-page":"11","volume-title":"Willard & Spackman\u2019s occupational therapy","author":"Christiansen Haertl K. 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