Fieldwork Performance Evaluation
For The Occupational Therapy Student
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‘SIGNATURE OF RATER #2 (F APPLICABLE)
PRINT NANEICREDENTALS POSTION
oc: has gteat COMMUNI Cation ckil\s- both verbal
fd written, ac well as occupation based teeta
That are patient coocittc. ess was able +o
with nawdnack a variety of aiff arent
BES, nd will be q qoeat entry-level practitioner.Fieldwork Performance Evaluation
For The Occupational ‘Therapy Student
‘ris evaluation i a revision ofthe 1987 American Oouptional Therapy
association, Inc. Fieldwork Evaluation Form for the Occupational
‘Therapist and was produced by a committee of the Commission on
Education.
PURPOSE
@ ofthe Fieldwork Periormance Evaluation forthe
‘Student is to measure entry-level competence of
py student. The evaluation is designed to diferen-
it from the incompetent student and is not
levels cove entry level competence. For further
‘competency refer fo the Standards of Practice
ed to measure the performance ofthe occupa
‘and was not designed to measure the specific
i nisolation. This evaluation reflects the 1296
Hor Occupational Therapy Education Standards
dior Certication in Qocupaional Therapy, nc.
‘and challenges in relation to their pe
therapist
PERFORMANCE EVALUATION
ation is intended to provide the student
competence for entry-level prac+
galor shoud recognize that
final evaluation scores will
‘compstence, ste
‘The Fieldwork Educator must contact the Academic Fieldwoxk
CCoortnalor when: 1) a student exits unsastaciory behavior in @
‘Substantial numberof tasks or 2) 2 students potential for achieving
entry-level competence by the end of the afaton i in queston.
DIRECTIONS FOR RATING STUDENT PERFORMANCE
‘There are 42 performance items.
+ Every ter must be scored, using the one to fou point rating scale (see
belon)
+The rating scales should be carefully studied prior to using this
evaluation. Defntions ofthe scales are given at the top ofeach page.
‘Circle the number that coresponds to the description that best
describes the studants performance.
‘The ratings fr the Ethics and Safety items must be scored at 3 or
‘above on the final evaluation forthe student to pass the fieldwork
‘experience, if the ratings are below 3, continue to complete the
Freldwork Performance Evaluation to provide feedback to the student
on hers perlomance.
‘+ Record midterm and final ratings onthe Performance Rating Summary,
Sheet
* Compare overall midterm and final score to the scale below,
OVERALL MIDTERM SCORE
‘Satisfactory Performance
Unsatisactoy Performance.
OVERALL FINAL SCORE
Pass 122 points and above
No Pass 424 points and below
RATING SCALE FOR STUDENT PERFORMANCE.
4— Exceeds Standards: Perormance i highly silled and seltniiated.
‘This ang is rarely given and would represent the top 5% ofall the
students you hae supenised,
‘3 — Meets Standards: Perormarce Is consistent with entry-level practice.
TR ag nkequety genet ite andi sto rato at
2—Needs improvement: Pomrance is progressing but sl needs
Improvement rent eel practoe Tiss a realist rating of
Perfomance at micterm, and some rings of 2 maybe reasonable at
the fra,
Unsaistactory: Periomance is below standards and requires
pment for entry evel pracce. This raingis gh
ere = ngis gen when there isRATING SCALE FOR STUDENT PERFORMANCE
4+~ Brews andar: Parone i hp sae wl a lo
Tiga may given ant would represent the top 8% oa the
students you have supervised,
‘3 —Meats Standards: Perirmanco fs consent wh, practice.
Thay Itoquety ven at mtr ais evong hing at
Needs Improvement: Puommaee Is progressing but tl needs
{rovement ern pacoe. This realie ral of
performance at midterm, and some rags of 2 may ba resanal at
foal
1 Unsatsactory:Petrmance a blow standards an eqies
inlent rey rcs. Tagen tn ea
* concer abou performance
PRACTICE:
Imust be scored at a 43 or above on the final
pass feldwork
heres consistently tothe American
"Association Code of Ethics (4) and sto's
dues including wien relevant, those related to
tions: Adheres consistently to salty
oentialy hazardous situations and takes
4. BASIC TENETS:
‘Clay a cory seta he values and bets fhe
ripatonal arepy pression to cans tas, siicant om.
(1, coleaguas,sarica ronders, and the pute
Collaborates with cen, aly, and sigiicant chers troughout
the occupational therapy process.
Mido 40), a
Final 1 2 a 4
Comments on strengths and areas foFImprovement:
* Midterm
Good explaining what oT doesto
patients/farnilies, our combinue
Gplaining value ah oyantinae
Sw yu ain,
on eval fas necessary on OF does]
Ahe value & oFj ‘RATING SCALE FOR STUDENT PERFORMANCE
— Exceeds Standards: Peormance is hy sled an slated.
‘Tas retng i rarely ven ard would represent the lop 5% fal the
students youhave sensed.
3 Meets Standards: Pertamance fs consistent with entry-level pace.
“Tis ng nkequenty given at miter ai strong ag at
fina.
2 Neds improvement: Pedornancs Is progressing but sil needs
movement x ey eve pace. This a reali ratng of
performance at mater, and some rags ol 2 may be easnable at
te fa.
1 Unsatisfactory: Peformance is below standards andr.
sega oho cst ag a
2 concer about pererance
JON AND SCREENING:
| lear end logical rationale for the evaluation
ereening and assessment methods while
ch facios as cients pris, contexts) theories,
jens occupetional profile and perornance
fp assessment methods.
15, Interprets valuation results to determine clans cccupatonal
perfomance srenghs and changes.
Miterm 4 ied
Final fomeginm g
Establishes an accurate and appropriate pian based on the
‘evaluation resuls, trough integrating muti factors such as
clients prirtes, contexts), theories, and evidence-based practice
ween 1 @) 3 4
min 1 OG
Documents the results ofthe evaluation process that dermon-
strates objective measurement of cients cccupatonal perform
ance,
cece eee,
rat i
Comments on strengths and arses fr Improvement