Student’s Name: Placement Dates: From: To: Placement Contact Details (address, telephone and email): Brief Description of caseload and setting: Total sessions completed: Educator(s) Name(s): (Print) Designation: Professional Registration (HCPC) number: Date of last practice educator update: RECORD OF SIGNATURES
For completion by the Key Practice Educator: Number of completed sessions for this placement are: Recommended final grade: PASS / FAIL (delete as appropriate) For completion by the University: The University agrees: YES / NO Comments: Final outcome grade: PASS / FAIL (delete as appropriate) Key Practice Educator signature and date: Placement Lead signature and date: Module Ref. HCPC references CO Evidence to demonstrate competence Formative Assessment (enter initials and date) Summative Assessment (enter initials and date) Working towards Not Met Pass Fail MSLHA4SLT MSLHA4BSS MSLHA4PSH MSLHA4DCD MSLHA4ACD MSLHA4PDT 2.5 2.8 15.1 15.2 15.3 15.4 15.5 1 Consistently works within the local and national policies and procedures relevant to the placement setting and the legal and ethical standards of the SLT profession. Understands the need to establish and maintain a safe practice environment Student’s evidence: Educator’s evidence:
Educator’s evidence: MSLHA4SLT MSLHA4BSS MSLHA4PSH MSLHA4DCD MSLHA4AC MSLHA4PDT 2.6 5 Understands and demonstrates where appropriate, the importance of obtaining informed consent. Student’s evidence: Educator’s evidence: MSLHA4SLT MSLHA4BSS MSLHA4PSH MSLHA4DCD MSLHA4AC MSLHA4PDT 2.7 15.1 6 Consistently demonstrates a professional duty of care at the relevant stage of therapeutic involvement. Student’s evidence: Educator’s evidence: MSLHA4SLT MSLHA4BSS MSLHA4PSH 1.1 4.1 4.2 4.3 7 Is demonstrating with increasing consistency, an ability to practise as an
MSLHA4DCD MSLHA4AC MSLHA4PDT 4.4 4.5 11.1 14.8 autonomous professional exercising their own professional judgement Student’s evidence: Educator’s evidence: MSLHA4SLT MSLHA4BSS MSLHA4PSH MSLHA4DCD MSLHA4AC MSLHA4PDT 1.2 8 Is able to effectively manage the required work load and resources, appropriate to the placement, and practise accordingly, with reduced levels of supervision. Student’s evidence: Educator’s evidence: MSLHA4SLT MSLHA4BSS MSLHA4PSH MSLHA4DCD MSLHA4AC MSLHA4PDT 3.1 3.2 3.3 13.1 13.2 13.5 13.6 13.7 13.8 13.9 13.10 13.11 13.12 13.13 9 Demonstrates an understanding of the need for career-long learning and is able to apply the relevant taught knowledge and theoretical basis of communication and swallowing disorders, to practice. Student’s evidence:
Educator’s evidence: MSLHA4SLT MSLHA4BSS MSLHA4PSH MSLHA4DCD MSLHA4AC MSLHA4PDT 9.1 9.2 9.3 9.4 9.5 9.6 9.7 8.1 8.2 8.3 8.4 8.5 8.6 8.7 8.8 9.5 13.3 13.4 14.17 10 Consistently demonstrates an ability to contribute to and work effectively as a member of a multi-disciplinary team and effectively communicates information, opinions and advice to colleagues, patients, their relatives and carers. Student’s evidence: Educator’s evidence: MSLHA4SLT MSLHA4BSS MSLHA4PSH MSLHA4DCD MSLHA4AC MSLHA4PDT 7.1 10.1 10.2 11 Consistently demonstrates that clinical records are being appropriately maintained. Student’s evidence: Educator’s evidence:
MSLHA4SLT MSLHA4BSS MSLHA4PSH MSLHA4DCD MSLHA4AC MSLHA4PDT 14.15 14.21 12 Is safely and independently able to draw on appropriate knowledge and skills in order to gather information, carry out appropriate assessments and make professional judgements, which relate to a range of communication and swallowing disorders. . Is able to use research, reasoning and skills to determine appropriate actions. Student’s evidence: Educator’s evidence: MSLHA4SLT MSLHA4BSS MSLHA4PSH MSLHA4DCD MSLHA4AC MSLHA4PDT 11.2 12.6 13 Demonstrates an ability to review the on-going effectiveness of planned interventions and modify accordingly. Student’s evidence: Educator’s evidence: MSLHA4SLT MSLHA4BSS MSLHA4PSH MSLHA4DCD MSLHA4AC MSLHA4PDT 12.1 12.2 12.3 12.4 12.5 12.7 14 Understands the principles of quality control and quality assurance in practice. Student’s evidence:
What? Describe your ‘what’ eg group session/ assessment/ case history taking/ intervention/ communication with others/ implementation of policy (care pathways, consent, confidentiality, infection control) etc. What did you learn? Why is this important? Relevance? What literature might link to this issue? How does it link to academic learning? What went well? What didn’t go well? How does it link to other experiences? How will this change my practice in future? What action do I need to take next? What do I need to help me make these changes? E.g.: people, resources, literature, environments? Mapping Identify an APT competency/competencies for which your reflection can act as evidence. (Also maps to HCPC standard) Student Mid Placement Review Form Student name: Cohort: Placement number: