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My Performance

Subject: Kelsey Puliafico


Activity: OT OCCT 630A
Time Period: 04/27/2015 to 05/22/2015
Time Period Type: Time Frame End
Report Date: 08/26/2015
Expanded View To Trainee Comments To Time Series
Question
Question
ID

Zero Applicable
Mean Scale Std
Count Answers

Organization
Organization
1568346 Consider ability to set priorities, be
dependable, be organized, follow through
with responsibilities

4.00 1 to 4 0.00

Engagement in the Fieldwork


Experience
Engagement in the Fieldwork
Experience
Consider the students apparent level of
1568348
interest, level of active participation while
on site; investment in individuals and
treatment outcomes; seeks ways to
improve self-performance; follows safety
precautions

4.00 1 to 4 0.00

Self-Directed Learning
Self-Directed Learning
Consider ability to take responsibility for
1568350
own learning; demonstrate motivation;
aware of own strengths and areas for
improvement

3.00 1 to 4 0.00

Reasoning/Problem Solving
Reasoning/Problem Solving
Consider ability to use self-reflection,
willingness to ask questions; ability to
1568352 analyze, synthesize and interpret
information; understand the OT process;
demonstrates inquiry skills appropriate to
the students stage of education and
training

3.00 1 to 4 0.00

Written Communication
Written Communication
1568354 Consider grammar, spelling, legibility,
successful completion of written
assignments, documentation skills

3.00 1 to 4 0.00

Initiative
Initiative
1568356 Consider initiative, ability to seek and
acquire information from a variety of
sources

3.00 1 to 4 0.00

Observation Skills
Observation Skills
Consider ability to observe relevant
1568358
behaviors for performance areas and
performance components and to verbalize
perceptions and observations

3.00 1 to 4 0.00

Verbal Communication and


Interpersonal Skills
Verbal Communication and
Interpersonal Skills
Consider ability to interact appropriately
1568360 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 nonverbal communication; exhibits confidence

3.00 1 to 4 0.00

Professional and Personal Boundaries


Professional and Personal Boundaries
Consider ability to recognize/handle
personal/professional frustrations; balance
1568362 personal/professional obligations; handle
responsibilities; work with others
cooperatively, considerately, effectively;
responsiveness to social cues; adheres to
AOTA Code of Ethics

3.00 1 to 4 0.00

Use of Professional Terminology


Use of Professional Terminology
Consider ability to respect confidentiality;
1568364
appropriately apply professional
terminology (Practice Framework) in written
and oral communication

3.00 1 to 4 0.00

Attitude and Professional Appearance


Attitude and Professional Appearance
Consider ability to manage stressors in
1568366
constructive ways; demonstrates flexibility
as required; follows program guidelines for
dress and hygiene

3.00 1 to 4 0.00

Time Management Skills


Time Management Skills
1568368
Consider ability to be prompt, arrive on
time, complete assignments on time

3.00 1 to 4 0.00

Participation in the Supervisory Process


Participation in the Supervisory Process
1568370 Consider ability to give, receive and
respond to feedback; seek guidance when
necessary; follow proper channels
Question
Question
ID
1568255

Type of Fieldwork: (Specialty/Practice


Area)

We have both reviewed the Educator


Evaluation of Student, Student
1568379
Evaluation of Educator, and Student
Evaluation of Facility.

Hide Comments
Fieldwork Educator:

3.00 1 to 4 0.00

Option

1.1 In-Patient Acute

1.2 In-Patient Rehab

1.3 SNF/ Sub-Acute/ Acute LongTerm 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)

Yes

No

Subject: Kelsey Puliafico, Level I

Audrey Lloyd-Davies,
OTL/CHT

Organization - Comments
Organization Consider ability to set priorities, be dependable, be organized, follow through
with responsibilities
Subject: Kelsey Puliafico, Level I

very orgamized and


resourceful

Engagement in the Fieldwork Experience - Comments


Engagement in the Fieldwork ExperienceConsider 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
Subject: Kelsey Puliafico, Level I

eagerly approached her


projects with great
enthusiasm

Self-Directed Learning - Comments


Self-Directed LearningConsider ability to take responsibility for own learning; demonstrate
motivation; aware of own strengths and areas for improvement
Subject: Kelsey Puliafico, Level I

completed all assignments in


first week

Reasoning/Problem Solving - Comments


Reasoning/Problem SolvingConsider 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
Subject: Kelsey Puliafico, Level I

very friendly with clients and


staff and comfortable asking
questions

Written Communication - Comments


Written CommunicationConsider grammar, spelling, legibility, successful completion of
written assignments, documentation skills
Subject: Kelsey Puliafico, Level I

wrote appropriate subjective


note

Initiative - Comments
InitiativeConsider initiative, ability to seek and acquire information from a variety of
sources

Subject: Kelsey Puliafico, Level I

resourceful and comfortable


to approach staff

Observation Skills - Comments


Observation SkillsConsider ability to observe relevant behaviors for performance areas
and performance components and to verbalize perceptions and observations
Subject: Kelsey Puliafico, Level I

interested in all client aspects

Verbal Communication and Interpersonal Skills - Comments


Verbal Communication and Interpersonal SkillsConsider 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
Subject: Kelsey Puliafico, Level I

very comfortable in our


facility

Professional and Personal Boundaries - Comments


Professional and Personal BoundariesConsider 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
Subject: Kelsey Puliafico, Level I

acts very professional and


adhers to all ethics and
safety measures

Attitude and Professional Appearance - Comments


Attitude and Professional AppearanceConsider ability to manage stressors in constructive
ways; demonstrates flexibility as required; follows program guidelines for dress and
hygiene
Subject: Kelsey Puliafico, Level I

yes

Time Management Skills - Comments


Time Management SkillsConsider ability to be prompt, arrive on time, complete
assignments on time
Subject: Kelsey Puliafico, Level I

complete assignments ear;u

Participation in the Supervisory Process - Comments


Participation in the Supervisory ProcessConsider ability to give, receive and respond to
feedback; seek guidance when necessary; follow proper channels
Subject: Kelsey Puliafico, Level I

very open to feedback

Date Completed - 1
1.
Subject: Kelsey Puliafico, Level I

Subjective note

Student Learning Objectives - 1


1.
Subject: Kelsey Puliafico, Level I

documentation

Date Completed - 2
2.
Subject: Kelsey Puliafico, Level I

mallet finger splint

Student Learning Objectives - 2


2.
Subject: Kelsey Puliafico, Level I

fabrication and application

Date Completed - 3
3.
Subject: Kelsey Puliafico, Level I

Client interview

Student Learning Objectives - 3


3.
Subject: Kelsey Puliafico, Level I

history and treatment goals

Fieldwork Educator Comments:


Subject: Kelsey Puliafico, Level I

Kelsey was very friendly and


willing to learn about hand
therapy and hand injuries.
Our patients and staff
enjoyed her. She was very
professional and will make a
great therapist due to her
caring nature.
End of comment report.

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