This practicum report describes the development and implementation of a course focused on development of problem-solving skills within a master's program in occupational therapy in pediatrics. The 12-week course was designed to teach students the use of appropriate occupational therapy intervention strategies through the use of case studies and problem-based learning methods. The course included a didactic portion and a clinical fieldwork portion. Structured laboratory experiences occurred weekly. The 12 students in the course determined and directed some of their own learning and laboratory experiences and participated in self-assessment and peer review. Following the course, evaluation data revealed that the students felt more comfortable treating children and youth and were confident in their ability to plan appropriate therapy interventions. They were able to locate the necessary resources needed to meet the unique needs of each patient and could apply problem-solving skills to determine solutions to patient problems with more ease. Students, faculty, and clinical supervisors reported that students were more self-directed in their learning. A faculty, peer, and self-assessment form is appended. (Contains 34 references.) (DB)