Professional Behaviors Assessment

Physical Therapy Program

Central Michigan University, Mount Pleasant, MI

Student Name Madison Pedlar Clinical Experience Facility Mary Free Bed at Munson Healthcare - Cadillac

Clinical Instructor(s) Gerald Frappier, DPT Course & Dates of Clinical Experience PTH 634: 05/15/2023 – 06/23/2023

Clinical Instructor(s) _______________________________________

Directions: 1. Read the description of each Professional Behavior.

2. Review the behavioral criteria described in each of the levels (Beginning, Intermediate, Entry, Post-Entry) for each behavior.

3. Self assess your performance continually, relative to the Professional Behaviors, using the behavioral criteria.

4. At midterm and at the end of the clinical experience, complete this form.
a) Using a Highlighter Pen, highlight all criteria that describe behaviors you demonstrate in Beginning (column 1), Intermediate
(column 2), Entry Level (column 3) or Post-Entry Level (column 4) Professional Behaviors. Use different color pens to denote
midterm vs. final.
b) For each behavior, identify the level within which you predominately function at midterm and again at final.
c) Document specific examples of when you demonstrated behaviors from the highest level highlighted.
d) For each Professional Behavior, list the areas in which you wish to improve.

5. Share your self-assessment with your clinical instructor at midterm and final, specifically seeking his/her feedback on your
professional behaviors.

6. Have your CI sign that they have read and discussed your self-assessment (last page); sign and return to the DCE/RCC at the
conclusion of the experience.

**Professional Behaviors were developed by Warren May, Laurie Kontney and Annette Iglarsh (2010) as an update to the Generic Abilities.

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1. Critical Thinking - The ability to question logically; identify, generate and evaluate elements of logical argument; recognize and differentiate facts, appropriate
or faulty inferences, and assumptions; and distinguish relevant from irrelevant information. The ability to appropriately utilize, analyze, and critically evaluate
scientific evidence to develop a logical argument, and to identify and determine the impact of bias on the decision making process.
Beginning Level: Intermediate Level: Entry Level: Post-Entry Level:
 Raises relevant questions  Feels challenged to examine  Distinguishes relevant from  Develops new knowledge
 Considers all available ideas irrelevant patient data through research, professional
information  Critically analyzes the  Readily formulates and writing and/or professional
 Articulates ideas literature and applies it to critiques alternative presentations
 Understands the scientific patient management hypotheses and ideas  Thoroughly critiques
method  Utilizes didactic knowledge,  Infers applicability of hypotheses and ideas often
 States the results of scientific research evidence, and information across crossing disciplines in thought
literature but has not developed clinical experience to populations process
the consistent ability to critically formulate new ideas  Exhibits openness to  Weighs information value
appraise findings (i.e.  Seeks alternative ideas contradictory ideas based on source and level of
methodology and conclusion)  Formulates alternative  Identifies appropriate evidence
 Recognizes holes in knowledge hypotheses measures and determines  Identifies complex patterns of
base  Critiques hypotheses and effectiveness of applied associations
 Demonstrates acceptance of ideas at a level consistent solutions efficiently  Distinguishes when to think
limited knowledge and with knowledge base  Justifies solutions selected intuitively vs. analytically
experience in knowledge base  Acknowledges presence of  Recognizes own biases and
contradictions suspends judgmental thinking
 Challenges others to think
critically

Midterm: I function predominantly in the beginning/intermediate/entry/post entry level (Highlight one)

.
Examples of behaviors to support my self-assessment: I feel that I am able to come up with relevant and appropriate questions regarding a specific case. I make
sure to look over all of the available information I have at my disposal, so I know the general and important information regarding a patient. I do recognize that
there are some things that I am not confident in so that is when I ask for help or advice about an idea I may or may not have. However, I try to come up with all of
the possible ideas I can regarding a patient case so I can be prepared for any case scenario.

Regarding this Professional Behavior, I would like to improve in the following ways: I would like to be more aware of the scientific literature and research that
supports treatment or examination questions/exercises. This would benefit me because I could apply it to a patient case if I had read up on a similar case report or
evidence-based research paper.

Final: I function predominantly in the beginning/intermediate/entry/post entry level (Highlight one)

.
Examples of behaviors to support my self assessment: I have gained the confidence to be able to analyze data gathered from the patient history and examination
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and apply it to their treatments. I combine what I have learned with my didactic knowledge, evidence-based research, and clinical experiences to create new ideas
based on the patient case. I am open to new ideas while working with the patient and modify the treatment as needed.

Regarding this Professional Behavior, I would like to improve in the following ways: I would like to be able to come up with alternative ways the treatment could go,
or patient could present. I have realized that the patient could present in a completely different way each session and would need to be prepared for their
treatment.

2. Communication - The ability to communicate effectively (i.e. verbal, non-verbal, reading, writing, and listening) for varied audiences and purposes.
Beginning Level:
 Demonstrates understanding of
the English language (verbal
and written): uses correct
grammar, accurate spelling and
expression, legible handwriting
 Recognizes impact of non-
verbal communication in self
and others
 Recognizes the verbal and non-
verbal characteristics that
portray confidence
 Utilizes electronic
communication appropriately
Intermediate Level:
 Utilizes and modifies
communication (verbal, non-
verbal, written and electronic)
to meet the needs of different
audiences
 Restates, reflects and
clarifies message(s)
 Communicates collaboratively
with both individuals and
groups
 Collects necessary
information from all pertinent
individuals in the patient/client
management process
 Provides effective education
(verbal, non-verbal, written
and electronic)
Entry Level:
 Demonstrates the ability to
maintain appropriate control
of the communication
exchange with individuals
and groups
 Presents persuasive and
explanatory verbal, written
or electronic messages with
logical organization and
sequencing
 Maintains open and
constructive communication
 Utilizes communication
technology effectively and
efficiently
Post Entry Level:
 Adapts messages to
address needs,
expectations, and prior
knowledge of the audience
to maximize learning
 Effectively delivers
messages capable of
influencing patients, the
community and society
 Provides education locally,
regionally and/or nationally
 Mediates conflict

Midterm: I function predominantly in the beginning/intermediate/entry/post entry level (Highlight one)

.
Examples of behaviors to support my self-assessment: It is important to have legible handwriting and full sentences with accurate spelling especially when
other audiences will need to read and understand my work. I understand that non-verbal communication is just as important as verbal communication
because facial expressions can sometimes say more than words. Showing that I am confident will allow a trusting relationship to be formed between me and
my patient and colleagues. I also understand that having professionalism with electronic communication is important especially when speaking to other
healthcare professionals. Working collaboratively with others is important because we can share ideas and talk through those that we are uncertain with.

Regarding this Professional Behavior, I would like to improve in the following ways: I would like to be able to collect all of the necessary information from
patients in a smooth process, whereas right now I feel that I struggle with the flow of my subjective portion. I also need to work on providing effective
education while asking questions so I can be more efficient in my time with the patient.
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Final: I function predominantly in the beginning/intermediate/entry/post entry level (Highlight one)
.
Examples of behaviors to support my self assessment: I feel that I have gained a better understanding of what information is necessary to gather while taking
a subjective evaluation. Since there is only a certain amount of time I have with a patient, I need to make sure to focus on the pertinent information for their
case. I have also gotten more efficient in terms of writing down the important information they relay to me during the evaluation. When they seem to get off
track, I do my best to get the conversation back on the topic of why they are here.

Regarding this Professional Behavior, I would like to improve in the following ways: While I am able to steer the patient in the right direction during
conversations in an evaluation, I would like to improve on changing topics and keeping the important information being talked about first. I find it difficult
sometimes when the patient wants to talk about things other than their diagnosis and have to reel them back into the conversation so I am able to receive all
of the information I need.

3. Problem Solving – The ability to recognize and define problems, analyze data, develop and implement solutions, and evaluate outcomes.
Beginning Level:
 Recognizes problems
 States problems clearly
 Describes known solutions to
problems
 Identifies resources needed to
develop solutions
 Uses technology to search for
and locate resources
 Identifies possible solutions and
probable outcomes
Intermediate Level:
 Prioritizes problems
 Identifies contributors to
problems
 Consults with others to clarify
problems
 Appropriately seeks input or
guidance
 Prioritizes resources (analysis
and critique of resources)
 Considers consequences of
possible solutions
Entry Level:
 Independently locates,
prioritizes and uses
resources to solve
problems
 Accepts responsibility for
implementing solutions
 Implements solutions
 Reassesses solutions
 Evaluates outcomes
 Modifies solutions based on
the outcome and current
evidence
 Evaluates generalizability of
current evidence to a
particular problem
Post Entry Level:
 Weighs advantages and
disadvantages of a solution
to a problem
 Participates in outcome
studies
 Participates in formal
quality assessment in work
environment
 Seeks solutions to
community health-related
problems
 Considers second and third
order effects of solutions
chosen

Midterm: I function predominantly in the beginning/intermediate/entry/post entry level (Highlight one)

.
Examples of behaviors to support my self-assessment: When a problem arises, it is important to state it clearly when talking about it with a patient or
colleague, so you are able to work together on coming up with solutions to that problem. I use outside resources to the best of my ability when I am stuck on a
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problem and find the best way to solve it. I make sure to prioritize problems and talk with others to figure out what could be the cause and how to address the
situation effectively and efficiently.

Regarding this Professional Behavior, I would like to improve in the following ways: I would like to improve on being able to expand my knowledge to come up
with many possible solutions or causes of the problem so I can have different directions to go. I would also like to be able to utilize resources (research
articles, case studies) and come up with consequences that could occur so I can be ready for whatever could happen.

Final: I function predominantly in the beginning/intermediate/entry/post entry level (Highlight one)

.
Examples of behaviors to support my self assessment: While the patient is talking about their diagnosis, I mentally come up with ideas or ways I could treat
them and what tests or measures to perform. I try to identify other factors that could be taking place and discuss them with the patient to see if they are
related. While the patient is relaying this information, I try my best to come up with possible solutions and ways we can go about their treatment, so they are
aware of what to expect during their sessions.

Regarding this Professional Behavior, I would like to improve in the following ways: I would like to improve on being more comfortable with mentally thinking
about their diagnosis and information they are telling me so I can easily relay information to the patient. There have been times when the patient is unsure of
why they are in therapy and what the outcomes could be so I want to be able to tell them the benefits and what outcomes they will see and expect to go
through during their therapy sessions.

4. Interpersonal Skills – The ability to interact effectively with patients, families, colleagues, other health care professionals, and the community in a
culturally aware manner.
Beginning Level:
 Maintains professional
demeanor in all
interactions
 Demonstrates interest in
patients as individuals
 Communicates with others
in a respectful and
confident manner
 Respects differences in
personality, lifestyle and
learning styles during
interactions with all
Intermediate Level:
 Recognizes the non-verbal
communication and emotions
that others bring to
professional interactions
 Establishes trust
 Seeks to gain input from
others
 Respects role of others
 Accommodates differences in
learning styles as appropriate
Entry Level:
 Demonstrates active
listening skills and reflects
back to original concern to
determine course of action
 Responds effectively to
unexpected situations
 Demonstrates ability to
build partnerships
 Applies conflict
management strategies
when dealing with
challenging interactions
Post Entry Level:
 Establishes mentor
relationships
 Recognizes the impact that
non-verbal communication
and the emotions of self
and others have during
interactions and
demonstrates the ability to
modify the behaviors of self
and others during the
interaction
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 persons  Recognizes the impact of
 Maintains confidentiality in non-verbal communication
all interactions and emotional responses
 Recognizes the emotions during interactions and
and bias that one brings to modifies own behaviors
all professional interactions based on them

Midterm: I function predominantly in the beginning/intermediate/entry/post entry level (Highlight one)

.
Examples of behaviors to support my self-assessment: I feel that my interpersonal skills are what I am most comfortable with because I love having good
interactions with patients during their session. I demonstrate interest and respect to patients during conversations and try my best to establish trust within
the first interaction.

Regarding this Professional Behavior, I would like to improve in the following ways: I would like to become more familiar with others’ emotions and non-
verbal communications when they are talking with me. Sometimes I find it difficult to know when a patient is joking around or being serious about certain
topics, but I want to be able to have a better understanding of the point they are trying to get at. Since everyone has a different definition of verbal and
non-verbal expressions, I want to improve on knowing what to look for when interacting with different patients.

Final: I function predominantly in the beginning/intermediate/entry/post entry level (Highlight one)

.
Examples of behaviors to support my self assessment: I feel that I have gotten more confident and comfortable in terms of reading a patient’s body
language and non-verbal communication. This has been beneficial especially during an exercise because I am able to tell if the patient is pushing
themselves too hard or if they are able to continue. I have been able to build connections with the patients, which has allowed the treatment sessions to
run smoothly and allowed for me to accurately tell how the patient is responding to treatment.

Regarding this Professional Behavior, I would like to improve in the following ways: While I have not experienced many challenging or unexpected
situations or interactions, I would like to be able to know how to be prepared to handle this type of situation when I come across it. I want to know how to
handle a patient during a challenging time and what is expected of me so I respond carefully and professionally.

5. Responsibility – The ability to be accountable for the outcomes of personal and professional actions and to follow through on commitments that
encompass the profession within the scope of work, community and social responsibilities.
Beginning Level: Intermediate Level: Entry Level: Post Entry Level:
 Demonstrates punctuality  Displays awareness of and  Educates patients as  Recognizes role as a leader
 Provides a safe and sensitivity to diverse consumers of health care  Encourages and displays
secure environment for populations services leadership
patients  Completes projects without  Encourages patient  Facilitates program
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  Assumes responsibility for
actions
 Follows through on
commitments
 Articulates limitations and
readiness to learn
 Abides by all policies of
academic program and
clinical facility
prompting
 Delegates tasks as needed
 Collaborates with team
members, patients and
families
 Provides evidence-based
patient care
accountability
 Directs patients to other
health care professionals
as needed
 Acts as a patient advocate
 Promotes evidence-based
practice in health care
settings
 Accepts responsibility for
implementing solutions
 Demonstrates
accountability for all
decisions and behaviors in
academic and clinical
settings
development and
modification
 Promotes clinical training
for students and coworkers
 Monitors and adapts to
changes in the health care
system
 Promotes service to the
community

Midterm: I function predominantly in the beginning/intermediate/entry/post entry level (Highlight one)

.
Examples of behaviors to support my self-assessment: I am always sure to be on time, take responsibility for my actions, and show my willingness to
learn and be open to new ideas. Taking responsibility is not always easy, but I have always known that taking responsibility is one of the most important
tasks, especially in the career field. I also make sure to be aware of sensitive topics or populations when working with patients, to which I collaborate with
other team members or families in some instances.

Regarding this Professional Behavior, I would like to improve in the following ways: Since I have not been given projects, I cannot say one way or
another that I would not need prompting. However, if I were to be given a project, I would try to get it done/work on it without needing to be prompted. I
also find it difficult to delegate tasks since I am still learning myself, so I would like to improve on that in the future as well.

Final: I function predominantly in the beginning/intermediate/entry/post entry level (Highlight one)

.
Examples of behaviors to support my self assessment: I feel that I have gotten better in terms of preparing for patient cases and documenting in a timely
manner without being prompted to do so. I have also found ways to ensure patient accountability to their treatments since there are people who do not
always want to come. I encourage them to continue with their sessions and home programs, so they continue to see progress.

Regarding this Professional Behavior, I would like to improve in the following ways: I would like to be able to know when to refer a patient to other health
care providers and how to do so. While it is not in my power yet, I would like to be aware of what to look out for and how to properly talk to the patient
and their healthcare provider in the best way possible.

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6. Professionalism – The ability to exhibit appropriate professional conduct and to represent the profession effectively while promoting the
growth/development of the Physical Therapy profession.
Beginning Level: Intermediate Level:
 Abides by all aspects of
the academic program
honor code and the APTA
Code of Ethics
 Demonstrates awareness
of state licensure
regulations
 Projects professional
image
 Attends professional
meetings
 Demonstrates
cultural/generational
awareness, ethical values,
respect, and continuous
regard for all classmates,
academic and clinical
faculty/staff, patients,
families, and other
healthcare providers
6. Professionalism (cont.) – The ability to exhibit appropriate professional conduct and to represent the profession effectively while promoting the
Entry Level:
 Identifies positive
professional role models
within the academic and
clinical settings
 Acts on moral commitment
during all academic and
clinical activities
 Identifies when the input of
classmates, co-workers and
other healthcare
professionals will result in
optimal outcome and acts
accordingly to attain such
input and share decision
making
 Discusses societal
expectations of the profession
Post Entry Level:
 Demonstrates  Actively promotes and
understanding of scope of advocates for the
practice as evidenced by profession
treatment of patients within  Pursues leadership roles
scope of practice, referring  Supports research
to other healthcare  Participates in program
professionals as necessary development
 Provides patient/family  Participates in education of
centered care at all times the community
as evidenced by provision  Demonstrates the ability to
of patient/family education, practice effectively in
seeking patient input and multiple settings
informed consent for all  Acts as a clinical instructor
aspects of care and  Advocates for the patient,
maintenance of patient the community and society
dignity
 Seeks excellence in
professional practice by
participation in professional
organizations and
attendance at sessions or
participation in activities
that further
education/professional
development
 Utilizes evidence to guide
clinical decision making and
the provision of patient
care, following guidelines
for best practices
 Discusses role of physical
therapy within the
healthcare system and in
population health
 Demonstrates leadership in
collaboration with both
individuals and groups
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growth/development of the Physical Therapy profession.

Midterm: I function predominantly in the beginning/intermediate/entry/post entry level (Highlight one)

.
Examples of behaviors to support my self-assessment: Professionalism is something that is extremely important, especially in the health field and I have
been sure to be as professional as possible since starting this program. There have been a lot of new things that I have been exposed to since starting
this clinical rotation, and I have made sure to maintain my professional image to ensure that I am putting in all of my effort and commitment to this field. I
also am aware of others around me and take note on their professionalism and apply it to my own.

Regarding this Professional Behavior, I would like to improve in the following ways: I would like to improve on knowing when professional decision
making would require the help of others since I have not been involved in many professional decisions. I would also like to learn more about the societal
expectations of this profession to ensure that I am aware of them and could discuss in the future with co-workers or classmates.

Final: I function predominantly in the beginning/intermediate/entry/post entry level (Highlight one)

.
Examples of behaviors to support my self assessment: I feel that I have gotten more comfortable collaborating with other people of the team to ensure
the patient is receiving the best possible care. Since the patient is seeing other therapists, I have learned that talking with them about their progress is
equally as important as seeing it yourself. By collaborating with others, it allows new ideas to form, and we can continue to progress the patient.

Regarding this Professional Behavior, I would like to improve in the following ways: I would like to improve on expanding my scope of practice and
collaborating with other healthcare professionals and those in professional practice to ensure the patient is being provided with the best and proper care
to their diagnosis.

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7. Use of Constructive Feedback – The ability to seek out and identify quality sources of feedback, reflect on and integrate the feedback, and provide
meaningful feedback to others.
Beginning Level:
 Demonstrates active
listening skills
 Assesses own
performance
 Actively seeks feedback
from appropriate sources
 Demonstrates receptive
behavior and positive
attitude toward feedback
 Incorporates specific
feedback into behaviors
 Maintains two-way
communication without
defensiveness
Intermediate Level:
 Critiques own performance
accurately
 Responds effectively to
constructive feedback
 Utilizes feedback when
establishing professional and
patient related goals
 Develops and implements a
plan of action in response to
feedback
 Provides constructive and
timely feedback
Entry Level:
 Independently engages in a
continual process of self
evaluation of skills,
knowledge and abilities
 Seeks feedback from
patients/clients and
peers/mentors
 Readily integrates feedback
provided from a variety of
sources to improve skills,
knowledge and abilities
 Uses multiple approaches
when responding to
feedback
 Reconciles differences with
sensitivity
 Modifies feedback given to
patients/clients according to
their learning styles
Post Entry Level:
 Engages in non-
judgmental, constructive
problem-solving
discussions
 Acts as conduit for
feedback between multiple
sources
 Seeks feedback from a
variety of sources to
include
students/supervisees/
peers/supervisors/patients
 Utilizes feedback when
analyzing and updating
professional goals

Midterm: I function predominantly in the beginning/intermediate/entry/post entry level (Highlight one)

.
Examples of behaviors to support my self-assessment: I feel that constructive feedback is important because I have found that I learn best from my
mistakes. When I receive constructive feedback, I am sure to take it into consideration and try my best to improve on it the next time, to which I ask for
feedback again. I always make sure to demonstrate receptive behavior to ensure that I am listening and will be developing a new way to go about the
task I previously completed. I also make sure to critique my own performance to know what to improve on for the next time.

Regarding this Professional Behavior, I would like to improve in the following ways: I would like to be able to come up with goals on my own with minimal
critiques. I would also like to improve on the amount of time it takes for me to fix something that was given constructive feedback on to help with my
efficiency.

Final: I function predominantly in the beginning/intermediate/entry/post entry level (Highlight one)

.
Examples of behaviors to support my self assessment: I feel that I have utilized constructive feedback as I have been going in terms of treatment ideas,
documentation, and overall care to the patient. I have been able to seek feedback from others and modifying the ways I go about treatments or
evaluations to ensure I am being as effective and efficient as possible, while providing the best care.
10
Regarding this Professional Behavior, I would like to improve in the following ways: I would like to improve in terms of coming up with new ways to
respond to constructive feedback in a timely manner. Once I receive feedback, I would like to already be thinking of ways to improve.

8. Effective Use of Time and Resources – The ability to manage time and resources effectively to obtain the maximum possible benefit.
Beginning Level: Intermediate Level: Entry Level: Post Entry Level:
 Comes prepared for the  Utilizes effective methods of  Uses current best evidence  Advances profession by
day’s searching for evidence for  Collaborates with members contributing to the body of
activities/responsibilities practice decisions of the team to maximize knowledge (outcomes, case
 Identifies resource  Recognizes own resource the impact of treatment studies, etc)
limitations (i.e. information, contributions available  Applies best evidence
time, experience)  Shares knowledge and  Has the ability to set considering available
 Determines when and how collaborates with staff to boundaries, negotiate, resources and constraints
much help/assistance is utilize best current evidence compromise, and set  Organizes and prioritizes
needed  Discusses and implements realistic expectations effectively
 Accesses current evidence strategies for meeting  Gathers data and  Prioritizes multiple demands
in a timely manner productivity standards effectively interprets and and situations that arise on
 Verbalizes productivity  Identifies need for and seeks assimilates the data to a given day
standards and identifies referrals to other disciplines determine plan of care  Mentors peers and
barriers to meeting  Utilizes community supervisees in increasing
productivity standards resources in discharge productivity and/or
 Self-identifies and initiates planning effectiveness without
learning opportunities  Adjusts plans, schedule decrement in quality of care
during unscheduled time etc. as patient needs and
circumstances dictate
 Meets productivity
standards of facility while
providing quality care and
completing non-productive
work activities
Midterm: I function predominantly in the beginning/intermediate/entry/post entry level (Highlight one)
.
Examples of behaviors to support my self-assessment: I always make sure to come as prepared as possible and ask for help when needed. I make sure
to talk with others when I am stuck on a problem and share ideas that I have come up with to ensure I am providing the best possible care. I try to use as
much evidence and effective methods as I can, as well as trying to progress previously used ideas to challenge the patient in their treatments.

Regarding this Professional Behavior, I would like to improve in the following ways: I would like to improve on initiating learning opportunities outside of
my scheduled time as well as come up with strategies I can discuss with my colleagues. I would also like to improve on talking with other disciplines or
how to properly seek referrals without being hesitant.

11
Final: I function predominantly in the beginning/intermediate/entry/post entry level (Highlight one)
.
Examples of behaviors to support my self assessment: I feel that I was able to take time out of my scheduled clinical time to seek ideas on how to treat
more complex patient cases and read more about the McKenzie method. I was provided with books regarding the McKenzie method and was able to
learn more about it as I went along in this rotation. I feel that I have also realized when a good time would be to seek out other disciplines for a patient
(ex: SLP or OT).

Regarding this Professional Behavior, I would like to improve in the following ways: While I feel like I am gaining more confidence in terms of knowing
when a patient would benefit from other disciplines, I would like to improve in terms of talking with the patient and other healthcare professionals as to
why and what they could gain from it.

9. Stress Management – The ability to identify sources of stress and to develop and implement effective coping behaviors; this applies for interactions
for: self, patient/clients and their families, members of the health care team and in work/life scenarios.
Beginning Level: Intermediate Level: Entry Level: Post Entry Level:
 Recognizes own stressors  Actively employs stress  Demonstrates appropriate  Recognizes when problems
 Recognizes distress or management techniques affective responses in all are unsolvable
problems in others  Reconciles inconsistencies in situations  Assists others in
 Seeks assistance as the educational process  Responds calmly to urgent recognizing and managing
needed  Maintains balance between situations with reflection stressors
 Maintains professional professional and personal life and debriefing as needed  Demonstrates preventative
demeanor in all situations  Accepts constructive  Prioritizes multiple approach to stress
feedback and clarifies commitments management
expectations  Reconciles inconsistencies  Establishes support
 Establishes outlets to cope within professional, networks for self and others
with stressors personal and work/life  Offers solutions to the
environments reduction of stress
 Demonstrates ability to  Models work/life balance
defuse potential stressors through health/wellness
with self and others behaviors in professional
and personal life

Midterm: I function predominantly in the beginning/intermediate/entry/post entry level (Highlight one)

.
Examples of behaviors to support my self-assessment: I have learned it is important to recognize my own stressors because I need to be able to handle
them in the best/healthiest way possible. I make sure to seek assistance but also maintain a professional demeanor at all times. Maintaining a balance
between my professional and personal life was something that I struggled with previously, but I feel that I am getting a better handle on it, as well as
establishing ways to cope with my stress.
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Regarding this Professional Behavior, I would like to improve in the following ways: I would like to improve on knowing how to actively employ stress
management techniques in any environment or situation. I would also like to be able to differentiate and understand inconsistencies in the educational
process and know how to handle them in a given time.

Final: I function predominantly in the beginning/intermediate/entry/post entry level (Highlight one)

.
Examples of behaviors to support my self assessment: I feel that I was able to manage my stress throughout this clinical in a better way and make it
more of a learning experience. While there are many times it would be easy for me to feel overwhelmed, I was able to take a step back and understand
what is most important and take it one step at a time.

Regarding this Professional Behavior, I would like to improve in the following ways: While I have not undergone an emergent situation, I would like to
become familiar in terms of how to properly handle a situation like that. I feel that it would be very easy to become overwhelmed in an emergency
situation, but I would like to be able to be as calm as can be and know exactly the right steps to take in terms of how to handle it.

10. Commitment to Learning – The ability to self direct learning to include the identification of needs and sources of learning; and to continually seek
and apply new knowledge, behaviors, and skills.
Beginning Level: Intermediate Level:
 Prioritizes information  Researches and studies
needs areas where own knowledge
 Analyzes and subdivides base is lacking in order to
large questions into augment learning and
components practice
 Identifies own learning  Applies new information and
needs based on previous re-evaluates performance
experiences  Accepts that there may be
 Welcomes and/or seeks more than one answer to a
new learning opportunities problem
 Seeks out professional  Recognizes the need to and
literature is able to verify solutions to
 Plans and presents an in- problems
service, research or cases  Reads articles critically and
studies understands limits of
application to professional
practice
Entry Level: Post Entry Level:
 Respectfully questions
conventional wisdom
 Formulates and re-
evaluates position based
on available evidence
 Demonstrates confidence
in sharing new knowledge
with all staff levels
 Modifies programs and
treatments based on
newly-learned skills and
considerations
 Consults with other health
professionals and physical
therapists for treatment
ideas
 Acts as a mentor not only to
other PT’s, but to other
health professionals
 Utilizes mentors who have
knowledge available to
them
 Continues to seek and
review relevant literature
 Works towards clinical
specialty certifications
 Seeks specialty training
 Is committed to
understanding the PT’s role
in the health care
environment today (i.e.
wellness clinics, massage
therapy, holistic medicine)
 Pursues participation in
clinical education as an
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 educational opportunity
Midterm: I function predominantly in the beginning/intermediate/entry/post entry level (Highlight one)
.
Examples of behaviors to support my self-assessment: I feel that I am able to prioritize more important information and develop smaller components for
large questions, so it is easier to comprehend and take into consideration in pieces rather than as a whole. I also am always willing to take on new
learning opportunities and compare my own learning based on the previous experiences that I have been faced with. I try to always apply new
information whenever possible and know that there is most likely never one answer to a problem, to which I need to be open to finding as many solutions
as possible.

Regarding this Professional Behavior, I would like to improve in the following ways: I would like to improve on using literature and research articles to
support my ideas and come up with new solutions to problems. I would also like to be more involved with research and case studies so I can become
more interested and utilize those resources more often.

Final: I function predominantly in the beginning/intermediate/entry/post entry level (Highlight one)

.
Examples of behaviors to support my self assessment: I feel that I have been able to seek outside literature in terms of coming up with new ways to go
about a treatment session. There have been some patient cases that I do not feel as comfortable in, which I turn to outside literature and the skills I have
learned throughout my time in this rotation.

Regarding this Professional Behavior, I would like to improve in the following ways: While I have utilized some outside sources, I would like to continue to
expand my thoughts and read up on more articles that are similar to patient cases.

Professional Development Plan:

Based on my MIDTERM self-assessment of my Professional Behaviors and the areas I have identified for improvement, I am setting the
following goals (list at least 2):

1. I would like to utilize outside resources such as research articles or case studies more often to come up with more ideas and solutions to
problems that may arise within a specific case.
2. I will become more aware of verbal and non-verbal emotions of patients and know when it is best to seek for outside help or if I am able to help
them on my own.
To accomplish these goals, I will take the following specific actions:
I will utilize outside resources when given a patient case to try and compare other methods or ways of treatment that was already used and compare
it to the outcome of my patient. I will read up on case studies and research articles to provide myself with many solutions and possible causes to become
more aware of what a patent might be dealing with and how I can help them.
I will be more aware of how patients are responding to treatment or certain questions I ask in terms of how they are feeling or more personal
questions. I will take into consideration their body language and facial expressions to ensure that I am fully aware and if I notice anything that is unusual.

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Based on my FINAL self-assessment of my Professional Behaviors and the areas I have identified for improvement, I am setting the following
goals (list at least 2):
1. I would like to be more comfortable in terms of guiding the subjective evaluation in the direction of important and pertinent information only. I
have found it is easy for a patient to get off topic, but I want to be able to be comfortable steering the patient back in the right direction.
2. I would like to be comfortable if I come across an emergent or challenging situation with the patient.

To accomplish these goals, I will take the following specific actions:

I will become more confident in how I go about a subjective evaluation and make sure to only ask specific questions related to the case. I will allow
the patient to go off topic when applicable but will be comfortable in terms of guiding them back into the important questioning and conversation.
I will become more aware of different types of emergencies that could come about in the clinic. I will be sure to keep my BLS renewed and attend
other classes if able to ensure I am as prepared as can be in an emergency situation.

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By my signature below, I indicate that I have completed this self-assessment and sought feedback from my CI regarding my self-assessment.

Student Signature: ___________________________________________ Midterm Evaluation Date___________________________

Student Signature: ___________________________________________ Final Evaluation Date_____________________________

By my signature below, I indicate that I have reviewed this self-assessment and discussed it with the student.

CI signature: _______________________________________________ Midterm Evaluation Date_________________________

CI signature: _______________________________________________ Final Evaluation Date____________________________

CI Suggestions/Feedback:

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