Occupational therapists (OT) must have a broad range of knowledge, skills, and insight to provide services required for effective clinical practice. To do this effectively, the development of clinical reasoning in OT students is essential. It is also mandated by the Accreditation Council of Occupational Therapy Education (ACOTE, 2018), and it is an essential component of OT education. However, Clinical reasoning can be challenging for students to master. Coker (2010) explains that as the healthcare system becomes more complex with clients having increased health needs with multiple co-morbidities, it is essential that OT students not only understand the medical conditions, relevant theories, and evidence-based interventions, but also have clinical reasoning to appropriately develop and implement the necessary interventions. This project is the development of an evidence-based, theory-driven, and easily replicable Level I fieldwork (FW) program using non-traditional FW experiences with under-served populations. This FW program provides rich experiential learning opportunities for the development of clinical reasoning in OT students. This innovative educational program has significant potential to improve OT student performance on Level II FW as well as in clinical practice. This non-traditional Level I FW program is specifically designed to enhance student's clinical reasoning through a variety evidence-based method. By improving student clinical reasoning, client outcomes will also be improved. Over time, and as this program's information is disseminated, this program could be incorporated by OT programs across the country to improve student performance on Level II FW pass rates as well as client outcomes. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://bibliotheek.ehb.be:2222/en-US/products/dissertations/individuals.shtml.]