ADDITION TO CBFE Student Name: OT Name: Facility: OT Name: All OT students must meet expectations in each of these self-identified competencies by final in order to pass the placement. (please check) Not Meeting Expectations Meeting Expectations Practices in a safe manner that minimizes risk to client, self & others. Examples of behaviours: Requests assistance when necessary Uses acceptable techniques for safe handling of clients Maintains a safe working environment Practices health & safety regulations Midterm Final Presents self in a professional manner. Is punctual and dependable Attire is consistent with expectations of the practice setting Maintains confidentiality Abides by policies and procedures of the setting Midterm Final Demonstrates acceptable communication behaviours during interactions with others. Uses non-verbal communication appropriately and effectively in a consistent manner Speaks clearly and appropriately Listens and speaks respectfully Accepts feedback in an appropriate manner Midterm Final Adheres to ethical practice standards. Understands and abides by relevant ethical codes and practice standards guidelines Adheres to institutional policy and procedures Reports violations of ethical practice Midterm Final Demonstrates professional responsibility. Accepts responsibility for own actions Is able to establish a therapeutic relationship Demonstrates self-direction/initiative Acts with integrity Midterm Final FINAL: Pass: Fail:
Has the theoretical knowledge and technical expertise to serve clients/client groups, colleagues, the agency, and the profession Utilizes evidence based knowledge Knows the parameters of the profession and its role within the agency Understands the core values and vision of the profession Stages Score Developing 1 1 - Low 1 competencies 2 - Rudimentary Stage 1 competencies 3 - Mastery of 1 competencies/ Transition to Stage 2 2 3 - Transition to 2 4 - Rudimentary Stage 2 competencies 5 - Intermediate 2 competencies 6 - Mastery of Stage 2 competencies/ Transition to Stage 3 3 6 - Transition to Stage 3 7 - Rudimentary Stage 3 competencies 8 - Mastery of Stage 3 competencies/ ready to enter clinical practice The Competency Rating Scale Unacceptable Developing Exceptional Grade Midterm U 1 2 3 4 5 6 7 8 E Final U 1 2 3 4 5 6 7 8 E Please indicate the level of performance Entry-Level Student Entry-Level Clinician Comments: Midterm Final
Student’s Learning Objective(s) - Practice Knowledge Objective(s) Resource(s) Required to Meet the Objective(s) Evidence Validation The Learning Objective Rating Scale Midterm Final Please place a vertical bar ( | ) on the rating scale for midterm and final (use the space bar to move through the box) Doesn’t Meet Objectives Meets All Objectives Very Well
Student’s Learning Objective(s) – Clinical Reasoning Objective(s) Resource(s) Required to Meet the Objective(s) Evidence Validation The Learning Objective Rating Scale Midterm Final Please a vertical bar ( | ) on the rating scale for midterm and final (use the space bar to move through the box) Doesn’t Meet Objectives All Objectives Very Well
FACILITATING CHANGE WITH A PRACTICE PROCESS Facilitates and manages change in others Establishes a therapeutic relationship Practices in a safe manner Collaboratively identifies goals Advocates and consults Practices in a client-centered manner Based on sound theory and good evidence, appropriately: assesses needs reports assessment results makes referrals and plans intervention that are outcome based carries out the intervention plan monitors and modifies the intervention plans and enacts the closure of the intervention discharge and follow up Stages Score Developing 1 1 - Low Stage 1 competencies 2 - Rudimentary Stage 1 competencies 3 - Mastery Stage 1 competencies/ Transition to Stage 2 2 3 - Transition to Stage 2 4 - Rudimentary Stage 2 competencies 5 - Intermediate Stage 2 competencies 6 - Mastery of Stage 2 competencies/ Transition to Stage 3 3 6 - Transition to 3 7 - Rudimentary Stage 3 competencies 8 - Mastery of Stage 3 competencies/ ready to enter clinical practice The Competency Rating Unacceptable Developing Exceptional Midterm U 1 2 3 4 5 6 7 8 E Final U 1 2 3 4 5 6 7 8 E Please indicate the level of performance Student Entry-Level Clinician Comments: Midterm
Student’s Learning Objective(s) – Facilitating Change with a Practice Process Objective(s) Resource(s) Required to Meet the Objective(s) Evidence Validation The Learning Objective Rating Scale Midterm Please place a vertical bar ( | ) on the rating scale for midterm and final (use the space bar to move through the box) Meet Objectives Meets All Objectives Very Well
Student’s Learning Objective(s) – Professional Interactions and Responsibility Objective(s) Resource(s) Required to Meet the Objective(s) Evidence Validation The Learning Objective Rating Midterm Final Please a vertical bar ( | ) on the rating scale for midterm and final (use the space bar to move through the box) Doesn’t Meet Objectives Meets All Objectives Very Well
professional development Demonstrates self-directed learning Integrates new learning into practice Student tries to identify areas for future growth and sets new levels for personal best Adapts to change Demonstrates commitment to the profession Upholds the core values of the profession Demonstrates skills of self-appraisal Stages Score Developing 1 1 - Low Stage 1 competencies 2 - Rudimentary Stage 1 competencies 3 - Mastery of Stage 1 competencies/ Transition to Stage 2 2 3 - Transition to Stage 2 4 - Rudimentary Stage 2 competencies 5 - Intermediate Stage 2 competencies 6 - Mastery of Stage 2 competencies/ Transition to Stage 3 3 6 - Transition to Stage 3 7 - Rudimentary 3 competencies 8 - Mastery of Stage 3 competencies/ ready to enter clinical practice The Competency Rating Scale Unacceptable Developing Exceptional Grade Midterm U 1 2 3 4 5 6 7 8 E Final U 1 2 3 4 5 6 7 8 E Please indicate the level of performance Entry-Level Student Entry-Level Clinician Comments: Midterm Final