PENNSYLVANIA COLLEGE OF TECHNOLOGY OCCUPATIONAL THERAPY ASSISTANT PROGRAM
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1 Level I Fieldwork Evaluation: INTRODUCTION: The purpose of level I fieldwork is to provide the students with observation and guided application (e.g. hands-on experience) of the occupational therapy process in settings serving developmentally, physically, and psychosocially challenged children and adults. This evaluation is designed to monitor and evaluate the progress each student is making towards working as a health care professional. The program recognizes that the opportunities each student experiences will vary from site to site, however, the expectation for professional behaviors remains the same. The Level I Fieldwork Evaluation document outlines ten categories of professional behavior. Each category identifies specific behaviors/skills that the program feels are imperative to being a successful student and occupational therapy practitioner. Each behavior/skill is scored on a Likert scale with Yes indicating the student exhibits the behavior/skill a minimum of 90% of the time; Needs Improvement indicating the student exhibits the behavior/skill 50-89% of the time; No indicating the student exhibits the behavior/skill less than 50% of the time; and N/A the behavior/skill has not been observed or demonstrated during this fieldwork experience. (Please note, if the student receives an N/A score, he/she is not penalized as that behavior/skill is not included in the final score calculation.) For each behavior/skill rated Needs Improvement or No, the supervisor must provide an objective example of how the behavior/skill has not been met and a recommendation(s) for how the student can improve his/her performance. The evaluation and recommendation(s) should be reviewed with the student by the supervisor at midterm and the end of the fieldwork experience. All remarks will also be reviewed by the Clinical Director and when needed, be followed by a discussion with the student and/or supervisor. (Please note, only those evaluations in which the student has received a No or Needs improvement and the supervisor is concerned with the student s ability to remediate those concerns by the end of the semester need to be sent to the Clinical Director at midterm. All other evaluations can be sent to the Clinical Director upon completion of the fieldwork experience.) Student name: Facility name: Facility supervisor: Semester: fall spring year Evaluation: midterm final Number of absences: Days made up: Reason: 1
2 Professional Behaviors/Skills The student Yes Needs improvement No Integrity: Is consistently honest Applies ethical guidelines/understands Code of Conduct Maintains strict confidentiality Protects and respects customer s dignity Empathy: Demonstrates compassion for others Demonstrates respect for others Responds appropriately to the emotional response of customers/family members Is supportive and reassuring of others Self-motivation Takes initiative to complete assignments Independently seeks guidance when needed Takes on/follows through on tasks without constant supervision Actively interacts with the environment and demonstrates interest and enthusiasm in the learning process Strives for excellence in all aspects of patient care Strives for excellence in all professional activities Accepts constructive feedback in a positive manner Takes initiative to improve and/or correct behavior Expresses educational curiosity through demonstration of enthusiasm, relevant questioning, and initiation to pursue learning opportunities Self-confidence Demonstrates ability to trust own professional judgment Is appropriately aware of own strengths and limitations/challenges Exercises good personal judgment Communication Speaks clearly N/A 2
3 Uses proper grammar in verbal Writes legibly Uses proper grammar, spelling, punctuation, etc. in written Appropriately applies professional terminology and O.T. practice language within the limitations of where the student is in the course curriculum Actively listens Utilizes professional judgment in Adjusts strategies to various situations Consistently practices positive verbal Consistently practices positive nonverbal Is aware of her/his verbal reaction to situations/others Is aware of her/his non-verbal reaction to situations/other Recognizes and responds appropriately to social cues Demonstrates ability to interact appropriately with others Time management Is punctual Adheres to attendance guidelines Is prepared for clinical prior to expected start time Is responsible and accountable for deadlines Demonstrates ability to balance personal/academic/professional obligations Able to recognize and handle personal/academic/professional frustrations Teamwork/Diplomacy Places needs/success of team above self-interest Supports other team members, students, staff Shows respect for all team members Remains flexible and open to change Communicates with others in order to resolve problems 3
4 Demonstrates ability to work with others collaboratively, cooperatively, and effectively Respect Is polite to others Follows proper chain of command Avoids using derogatory or demeaning terms Avoids personal bias when interacting with team members, students, staff Demonstrates respect for others diversity Behaves in a manner that brings credit to the profession Consumer advocacy Avoids personal bias when interacting with customers, family members, caregivers Places needs of the customers above self-interest O.T. service delivery Works towards master of skills Recognizes and follows formal and informal policies, procedures, and protocols Demonstrates care and maintenance of equipment and supplies Articulates and practices adequate safety and emergency practices Utilizes sound judgment in practical application Demonstrates the ability to observe relevant customer behaviors for performance, and to verbalize perceptions and observations of how those behaviors are affecting the customer s performance Asks appropriate questions and demonstrates the ability to analyze, problem solve and understand the therapeutic process involved Student s strengths: 4
5 Student s opportunities for growth: Category concern 1: Category concern 2: Category concern 3: Category concern 4: Student s comments/recommendations (optional): If a student exhibits more than 4 categories with concerns, please continue on a blank page. Student s signature: Date: Supervisor s signature: Date: Supervisor s signature: Date: For Penn College Use: To be completed by Clinical Director. Total number of points earned Total number of points available Calculated score 5
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