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Eval 4th Level 1

This document provides an evaluation of an occupational therapy student, Tonya DeDera, who completed a Level I fieldwork experience at Select Physical Therapy-Durango from July 27, 2015 to August 21, 2015. The fieldwork educator, Maryanne Gonzales, rates Tonya as meeting standards in all areas evaluated. Specific comments note that Tonya had good questions and reflections regarding occupational therapy and case evaluations. The objectives set for Tonya's fieldwork were also completed. Overall, Tonya demonstrated a good understanding of incorporating occupations into the therapeutic process during her fieldwork experience.

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37 views

Eval 4th Level 1

This document provides an evaluation of an occupational therapy student, Tonya DeDera, who completed a Level I fieldwork experience at Select Physical Therapy-Durango from July 27, 2015 to August 21, 2015. The fieldwork educator, Maryanne Gonzales, rates Tonya as meeting standards in all areas evaluated. Specific comments note that Tonya had good questions and reflections regarding occupational therapy and case evaluations. The objectives set for Tonya's fieldwork were also completed. Overall, Tonya demonstrated a good understanding of incorporating occupations into the therapeutic process during her fieldwork experience.

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api-292735638
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© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Touro University Nevada

Occupational Therapy
Evaluator:

Maryanne Gonzales - Fieldwork Educator

Subject:

Tonya DeDera - Level I

Activity:

OCCT 651A

Site:

Select Physical
Therapy-Durango

Evaluation Type:

Educator Evaluation of Level I Fieldwork Student

Completion
Date:

08/14/2015

Request Date:

08/06/2015

Period:

OCCT 651A - Summer 2015

Dates of Activity:

07/27/2015 To 08/21/2015

Subject Participation
Dates:

07/27/2015 To 08/21/2015

Fieldwork Educator:

(Question1of7)

Maryanne Gonzales

Type of Fieldwork: (Specialty/Practice Area)


Selection

(Question2of7-Mandatory)

Option
1.1 In-Patient Acute
1.2 In-Patient Rehab
1.3 SNF/ Sub-Acute/ Acute Long-Term Care
1.4 General Rehab Outpatient
1.5 Outpatient Hands
1.6 Pediatric Hospital/Unit
1.7 Pediatric Hospital Outpatient
1.8 In-Patient Psych
2.1 Pediatric Community
2.2 Behavioral Health Community
2.3 Older Adult Community Living
2.4 Older Adult Day Program

2.5 Outpatient/hand private practice


2.6 Adult Day Program for DD
2.7 Home Health
2.8 Pediatric Outpatient Clinic
3.1 Early Intervention
3.2 School
Other (see below)

Other

(Question3of7)

If Other was selected for Type of Fieldwork, please specify:

Indicate the students level of performance using the scale provided

4 - Exceeds
Standards:

Frequently carries out tasks and activities that surpass requirements. At times, performance is
exceptional.

3 - Meets Standards: Carries out required tasks and activities. This rating represents good, solid performance and is
typically used more than all the other ratings.
2 - Below Standards: Opportunities for improvement exist; however, student has not demonstrated adequate response to
feedback. Work is occasionally unacceptable.
1 - Well Below
Standards:

Performance is weak in most required tasks and activities. Work is frequently unacceptable.

(Question4of7-Mandatory)
Exceeds
Meets
Below
Standards Standards Standards

Well
Below
Standards

N/A

4.0

>> X <

2.0

1.0

4.0

>> X <

2.0

1.0

4.0

>> X <

2.0

1.0

Comments

Organization
Consider ability to set priorities, be dependable,
be organized, follow through with
responsibilities

Engagement in the Fieldwork


Experience
Consider the students apparent level of
interest, level of active participation while on
site; investment in individuals and treatment
outcomes; seeks ways to improve
self-performance; follows safety precautions

Self-Directed Learning
Consider ability to take responsibility for own
learning; demonstrate motivation; aware of own
strengths and areas for improvement

Reasoning/Problem Solving
Consider ability to use self-reflection,
willingness to ask questions; ability to analyze,
synthesize and interpret information;
understand the OT process; demonstrates
inquiry skills appropriate to the students stage
of education and training

4.0

>> X <

2.0

1.0

4.0

>> X <

2.0

1.0

4.0

>> X <

2.0

1.0

4.0

>> X <

2.0

1.0

4.0

>> X <

2.0

1.0

4.0

>> X <

2.0

1.0

4.0

>> X <

2.0

1.0

4.0

>> X <

2.0

1.0

Written Communication
Consider grammar, spelling, legibility,
successful completion of written assignments,
documentation skills

Initiative
Consider initiative, ability to seek and acquire
information from a variety of sources

Observation Skills
Consider ability to observe relevant behaviors
for performance areas and performance
components and to verbalize perceptions and
observations

Verbal Communication and


Interpersonal Skills
Consider ability to interact appropriately with
individuals (patients/clients/staff/ caregivers)
such as eye contact, empathy, limit setting,
respectfulness, use of authority; degree/quality
of verbal interactions; use of body language
and non-verbal communication; exhibits
confidence

Professional and Personal


Boundaries
Consider ability to recognize/handle
personal/professional frustrations; balance
personal/professional obligations; handle
responsibilities; work with others cooperatively,
considerately, effectively; responsiveness to
social cues; adheres to AOTA Code of Ethics

Use of Professional Terminology


Consider ability to respect confidentiality;
appropriately apply professional terminology
(Practice Framework) in written and oral
communication

Attitude and Professional


Appearance
Consider ability to manage stressors in

Tonya always had


good questions
and reflections
regarding OT and
the evaluation of
cases she
observed.

constructive ways; demonstrates flexibility as


required; follows program guidelines for dress
and hygiene

Time Management Skills


Consider ability to be prompt, arrive on time,
complete assignments on time

Participation in the Supervisory


Process
Consider ability to give, receive and respond to
feedback; seek guidance when necessary;
follow proper channels

4.0

>> X <

2.0

1.0

4.0

>> X <

2.0

1.0

4.0

>> X <

2.0

1.0

Student Learning Objectives for This Fieldwork Experience:


(Question5of7-Mandatory)
Date
Completed

Student
Learning Objectives

1.

8/13/15

Assessment review

2.

8/10/15

SOAP note with STG and LTG

3.

Ongoing

Occupational Profile

Fieldwork Educator Comments:

(Question6of7)

As a level I FW, Tonya demonstrated good understanding of incorporating occupations into the therapeutic process. She also had good
and appropriate questions with good rapport with patients.

We have both reviewed the Educator Evaluation of Student, Student Evaluation of Educator, and Student Evaluation
of Facility. (Question7of7-Mandatory)
Selection Option
Yes
X
No

The purpose of a Level I Fieldwork experience is to provide an opportunity for exposure to occupational therapy intervention
and programming or, in the cases where no OT services are currently being provided, exposure to potential growth areas for
OT. We encourage as much hands on as possible and appropriate within each experience. It is expected that professional
behaviors are upheld in all settings.
Thank you for your participation in our program and your assistance in the educational process of our occupational therapy
students.
Please notify the Academic Clinical Coordinator immediately if this student is not performing to the facilities expectations for
Level I Fieldwork.
Ashley Fecht OTD, OTR / L
Academic Clinical Coordinator & Assistant Professor
(702) 777-4762 Office
(702) 370-1328 Cell
[email protected]
(AdaptedfromColoradoStateUniversityLevelIStudentPerformanceEvaluation,PhiladelphiaRegionFieldworkConsortium,
WashingtonUniversitySchoolofMedicinePrograminOccupationalTherapy)

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