Professional Documents
Culture Documents
Clinical Skills
Clinical Skills
1
This survey is used to document the graduate student’s performance of specific clinical skills. Using the rating scale, the
student will be rated at midterm and final. This information will be used, in part, to determine a semester grade. Refer to the
Handbook for Graduate Students and course syllabus for more information on grading policies.
Please use the following scale to rate each competency/skill in the area of EVALUATION:
1: Unacceptable: Demonstrates unacceptable performance: unresponsive and/or unable to make changes given extensive
feedback.
3: Emerging/Developing
4: Developing: Competency/skill is present, but needs further developing. Requires intermittent supervisory monitoring and
infrequent supervisory instruction.
5: Developing/Refining
6: Refining: Competency/skill is developed, but needs refinement and/or consistency. Requires infrequent supervisory
monitoring.
7: Independent: Competency/skill is well developed and consistent for entry level clinician. Requires minimal guidance and/or
consultation.
Matrix
3- 5-
Statistical Mode in 1-U 2-E E/D 4-D D/R 6-R 7-I Additional Mean Total Percentage
BOLD N/A [1] [2] [3] [4] [5] [6] [7] Comment [1-7] Points Score
*Demonstrates ability 0.0% 0.0% 0.0% 16.7% 16.7% 16.7% 16.7% 33.3% 3 5.33 32 76.2%
to accurately conduct (0) (0) (0) (1) (1) (1) (1) (2)
screening and
prevention
procedures.
*Collects case history 0.0% 0.0% 0.0% 0.0% 20.0% 20.0% 20.0% 40.0% 2 5.80 29 82.9%
information and (0) (0) (0) (0) (1) (1) (1) (2)
integrates information
from clients/patients,
family, caregivers,
teachers, relevant
others, and other
professionals.
*Selects appropriate 0.0% 0.0% 0.0% 20.0% 20.0% 20.0% 0.0% 40.0% 3 5.20 26 74.3%
evaluation procedures (0) (0) (0) (1) (1) (1) (0) (2)
and materials.
3- 5-
Statistical Mode in 1-U 2-E E/D 4-D D/R 6-R 7-I Additional Mean Total Percentage
BOLD N/A [1] [2] [3] [4] [5] [6] [7] Comment [1-7] Points Score
*Appropriately 0.0% 0.0% 0.0% 20.0% 20.0% 20.0% 0.0% 40.0% 3 5.20 26 74.3%
administers evaluation (0) (0) (0) (1) (1) (1) (0) (2)
procedures (non-
standardized tests,
standardized tests,
and instrumental
procedures).
Organizes/manages 0.0% 0.0% 0.0% 20.0% 20.0% 20.0% 0.0% 40.0% 3 5.20 26 74.3%
session; *adapts (0) (0) (0) (1) (1) (1) (0) (2)
evaluation procedures
to meet client/patient
needs.
*Scores, analyzes, and 0.0% 0.0% 0.0% 20.0% 20.0% 0.0% 20.0% 40.0% 3 5.40 27 77.1%
interprets all (0) (0) (0) (1) (1) (0) (1) (2)
diagnostic data,
including behavioral
observations, to
develop diagnoses.
*Provides organized, 0.0% 0.0% 0.0% 0.0% 20.0% 40.0% 20.0% 20.0% 2 5.40 27 77.1%
effective presentation (0) (0) (0) (0) (1) (2) (1) (1)
of information with
appropriate
recommendations for
intervention and/or
referral.
Respondents 6 Skipped 2
2
For each evaluation competency rated (6) "Refining" or (7) "Independent", please check the area(s). You only need complete
the competencies rated as either "6" or "7".
Articulation 1
Fluency 1
Hearing 2
Swallowing 1
Articulation 20.0% 1
Fluency 20.0% 1
Hearing 40.0% 2
Swallowing 20.0% 1
Respondents 5 Skipped 3
3
*Collects case history information and integrates information from clients/patients, family, caregivers, teachers, relevant others,
and other professionals.
Articulation 2
Fluency 1
Swallowing 1
Articulation 50.0% 2
Fluency 25.0% 1
Swallowing 25.0% 1
Respondents 4 Skipped 4
4
*Selects appropriate evaluation procedures and materials.
Articulation 1
Fluency 1
Swallowing 1
Articulation 25.0% 1
Fluency 25.0% 1
Swallowing 25.0% 1
Respondents 4 Skipped 4
5
*Appropriately administers evaluation procedures (non-standardized tests, standardized tests, and instrumental procedures).
Articulation 1
Fluency 1
Swallowing 1
Articulation 25.0% 1
Fluency 25.0% 1
Swallowing 25.0% 1
Respondents 4 Skipped 4
6
Organizes/manages session; *adapts evaluation procedures to meet client/patient needs.
Articulation 1
Fluency 1
Swallowing 1
Articulation 25.0% 1
Fluency 25.0% 1
Swallowing 25.0% 1
Respondents 4 Skipped 4
7
*Scores, analyzes, and interprets all diagnostic data, including behavioral observations, to develop diagnoses.
Articulation 2
Fluency 1
Swallowing 1
Articulation 40.0% 2
Fluency 20.0% 1
Swallowing 20.0% 1
Respondents 5 Skipped 3
8
*Provides organized, effective presentation of information with appropriate recommendations for intervention and/or referral.
Articulation 1
Fluency 1
Swallowing 1
Articulation 25.0% 1
Fluency 25.0% 1
Swallowing 25.0% 1
Respondents 4 Skipped 4
9
Please use the following scale to rate each competency/skill in the area of INTERVENTION:
1: Unacceptable: Demonstrates unacceptable performance: unresponsive and/or unable to make changes given extensive
feedback.
3: Emerging/Developing
4: Developing: Competency/skill is present, but needs further developing. Requires intermittent supervisory monitoring and
infrequent supervisory instruction.
5: Developing/Refining
6: Refining: Competency/skill is developed, but needs refinement and/or consistency. Requires infrequent supervisory
monitoring.
7: Independent: Competency/skill is well developed and consistent for entry level clinician. Requires minimal guidance and/or
consultation only.
Matrix
3- 5-
Statistical Mode in 1-U 2-E E/D 4-D D/R 6-R 7-I Additional Mean Total Percentage
BOLD N/A [1] [2] [3] [4] [5] [6] [7] Comment [1-7] Points Score
Thoroughly reviews 0.0% 0.0% 0.0% 20.0% 20.0% 20.0% 0.0% 40.0% 2 5.20 26 74.3%
client’s file and (0) (0) (0) (1) (1) (1) (0) (2)
identifies pertinent
information. Makes
contacts as
appropriate to secure
and update
necessary
information.
*Develops 0.0% 0.0% 0.0% 20.0% 20.0% 20.0% 0.0% 40.0% 2 5.20 26 74.3%
intervention plans (0) (0) (0) (1) (1) (1) (0) (2)
with appropriate
measurable and
achievable goals.
*Collaborates with 0.0% 0.0% 0.0% 0.0% 20.0% 20.0% 20.0% 40.0% 3 5.80 29 82.9%
clients and relevant (0) (0) (0) (0) (1) (1) (1) (2)
others in the planning
and treatment
processes
(interprofessional
practice).
*Implements 0.0% 0.0% 0.0% 0.0% 40.0% 20.0% 0.0% 40.0% 2 5.40 27 77.1%
intervention plans, (0) (0) (0) (0) (2) (1) (0) (2)
using a variety of
materials, strategies,
and instrumentation.
3- 5-
Statistical Mode in 1-U 2-E E/D 4-D D/R 6-R 7-I Additional Mean Total Percentage
BOLD N/A [1] [2] [3] [4] [5] [6] [7] Comment [1-7] Points Score
*Measures and 0.0% 0.0% 0.0% 20.0% 20.0% 20.0% 0.0% 40.0% 2 5.20 26 74.3%
evaluates client’s (0) (0) (0) (1) (1) (1) (0) (2)
performance and
progress by
accurately collecting
data.
*Accurately 0.0% 0.0% 0.0% 20.0% 0.0% 40.0% 0.0% 40.0% 2 5.40 27 77.1%
completes required (0) (0) (0) (1) (0) (2) (0) (2)
documentation of
intervention results
(i.e. soap notes,
summarization and
interpretation of
data).
*Modifies intervention 0.0% 0.0% 0.0% 20.0% 20.0% 20.0% 20.0% 20.0% 2 5.00 25 71.4%
plans, strategies, (0) (0) (0) (1) (1) (1) (1) (1)
materials, or
instrumentation as
appropriate to meet
the needs of clients.
Identifies and/or 20.0% 0.0% 0.0% 20.0% 0.0% 0.0% 40.0% 20.0% 2 5.50 22 78.6%
provides appropriate (1) (0) (0) (1) (0) (0) (2) (1)
suggestions for
carry-over activities
to client/caregivers to
encourage skill
generalization.
*Refers for additional
services as
appropriate.
Respondents 5 Skipped 3
10
For each intervention competency rated (6) "Refining" or (7) "Independent", please check the area(s). You only need
complete the compentencies rated as either "6" or "7".
Thoroughly reviews client’s file and identifies pertinent information. Makes contacts as appropriate to secure and update
necessary information.
Articulation 1
Fluency 1
Swallowing 1
Articulation 33.3% 1
Fluency 33.3% 1
Swallowing 33.3% 1
Respondents 3 Skipped 5
11
*Develops intervention plans with appropriate measurable and achievable goals.
Articulation 1
Fluency 1
Swallowing 1
Articulation 33.3% 1
Fluency 33.3% 1
Swallowing 33.3% 1
Respondents 3 Skipped 5
12
*Collaborates with clients and relevant others in the planning and treatment processes (interprofessional practice).
Articulation 2
Fluency 1
Swallowing 1
Articulation 50.0% 2
Fluency 25.0% 1
Swallowing 25.0% 1
Respondents 4 Skipped 4
13
*Implements intervention plans, using a variety of materials, strategies, and instrumentation.
Articulation 1
Fluency 1
Swallowing 1
Articulation 33.3% 1
Fluency 33.3% 1
Swallowing 33.3% 1
Respondents 3 Skipped 5
14
*Measures and evaluates client’s performance and progress by accurately collecting data.
Articulation 1
Fluency 1
Swallowing 1
Articulation 33.3% 1
Fluency 33.3% 1
Swallowing 33.3% 1
Respondents 3 Skipped 5
15
*Accurately completes required documentation of intervention results (i.e. soap notes, summarization and interpretation of
data).
Articulation 1
Fluency 1
Swallowing 1
Articulation 33.3% 1
Fluency 33.3% 1
Swallowing 33.3% 1
Respondents 3 Skipped 5
16
*Modifies intervention plans, strategies, materials, or instrumentation as appropriate to meet the needs of clients.
Articulation 1
Fluency 1
Swallowing 1
Articulation 33.3% 1
Fluency 33.3% 1
Swallowing 33.3% 1
Respondents 3 Skipped 5
17
Identifies and/or provides appropriate suggestions for carry-over activities to client/caregivers to encourage skill
generalization. *Refers for additional services as appropriate.
Articulation 2
Fluency 1
Swallowing 1
Articulation 40.0% 2
Fluency 20.0% 1
Swallowing 20.0% 1
Respondents 5 Skipped 3
18
Please use the following scale to rate each competency/skill in the area of PROFESSIONALISM:
1: Unacceptable: Demonstrates unacceptable performance: unresponsive and/or unable to make changes given extensive
feedback.
3: Emerging/Developing
4: Developing: Competency/skill is present, but needs further developing. Requires intermittent supervisory monitoring and
infrequent supervisory instruction.
5: Developing/Refining
6: Refining: Competency/skill is developed, but needs refinement and/or consistency. Requires infrequent supervisory
monitoring.
7: Independent: Competency/skill is well developed and consistent for entry level clinician. Requires minimal guidance
and/or consultation only.
Matrix
3- 5-
1-U 2-E E/D 4-D D/R 6-R 7-I Additional Mean Total Percentage
Statistical Mode in BOLD N/A [1] [2] [3] [4] [5] [6] [7] Comments [1-7] Points Score
*Communicates 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 60.0% 40.0% 2 6.40 32 91.4%
respectfully, recognizing (0) (0) (0) (0) (0) (0) (3) (2)
the needs, values,
preferred mode of
communication, and
cultural/linguistic
background of the client,
family, caregivers, and
relevant others.
*Collaborates with other 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 60.0% 40.0% 3 6.40 32 91.4%
professionals in case (0) (0) (0) (0) (0) (0) (3) (2)
management.
Demonstrates initiative in 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 80.0% 20.0% 2 6.20 31 88.6%
clinical management and (0) (0) (0) (0) (0) (0) (4) (1)
independently seeks
information and
resources.
*Articulates education 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 60.0% 40.0% 2 6.40 32 91.4%
within SLP scope of (0) (0) (0) (0) (0) (0) (3) (2)
practice to clients, family,
caregivers, and relevant
others.
*Adheres to the ASHA 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 60.0% 40.0% 2 6.40 32 91.4%
Code of Ethics; HIPAA, (0) (0) (0) (0) (0) (0) (3) (2)
FERPA, and site specific
policies and procedures.
3- 5-
1-U 2-E E/D 4-D D/R 6-R 7-I Additional Mean Total Percentage
Statistical Mode in BOLD N/A [1] [2] [3] [4] [5] [6] [7] Comments [1-7] Points Score
Completes all clinical 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 60.0% 40.0% 3 6.40 32 91.4%
practica responsibilities (0) (0) (0) (0) (0) (0) (3) (2)
and paperwork by due
dates and follows
prescribed clinical
procedures. Prepared and
on-time for all clinical
assignments and
meetings.
*Maintains appropriate 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 40.0% 60.0% 2 6.60 33 94.3%
professional demeanor (0) (0) (0) (0) (0) (0) (2) (3)
(professional image,
dress, and behavior).
Is approachable and 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 60.0% 40.0% 2 6.40 32 91.4%
responsive to supervisor; (0) (0) (0) (0) (0) (0) (3) (2)
communicates with the
supervisor in an
appropriate and non-
defensive manner.
Carefully edits and 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 60.0% 40.0% 2 6.40 32 91.4%
proofreads written (0) (0) (0) (0) (0) (0) (3) (2)
documentation and
reports before
submission.
Responds to and 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 60.0% 40.0% 2 6.40 32 91.4%
integrates supervisor (0) (0) (0) (0) (0) (0) (3) (2)
feedback in all clinical
areas (evaluation,
intervention, and written
documentation).
Respondents 5 Skipped 3
19
Please rate the student's overall performance:
Performance has not met expectations. An improvement plan will be established immediately. 0.0% 0
Respondents 5 Skipped 3
20
Please comment on the student's Strengths and on Areas to Improve.