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Background and Aims: A developing international literature on population-based occupational intervention provides limited evidence of the ways in which the associated occupational therapy roles are developed among entry-level practitioners. This paper aims to explore the development of an occupational therapy role in a fieldwork placement from the perspective of a student and the off-site supervisor and to explore the use of Organisational Role Analysis in this process. Methods: Systems psychodynamics and an occupational perspective of health provided the theoretical framework for this participant observation case study. Data from the reflective diaries of a fourth-year student and her supervisor were analysed with respect to role development in an organisation where occupational therapy was welcome, but not completely understood. Results: This study provides insight into the challenges for students and supervisors in the development of an occupationally oriented role where the client is an organisation. Organisational Role Analysis was perceived to be helpful in focusing attention on the organisational context of role development. Conclusions: The application of the Organisational Role Analysis as an approach to student supervision in other settings, with more than one student and to facilitate professionally development warrants further investigation. [ABSTRACT FROM AUTHOR]