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Summary - "FINAL ASSESSMENT"

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:

(Note: Minimal clinical competencies have an asterick in front of them.)

N/A: No/Limited Opportunity: Not enough opportunities to rate student performance

1: Unacceptable: Demonstrates unacceptable performance: unresponsive and/or unable to make changes given extensive
feedback.

2: Emerging: Competency/skill is emerging. Requires consistent supervisory modeling/intervention.

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.

OVERALL 0 0 0 5 7 7 4 13 19 5.36 193 76.6%


COUNT/MEANS

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".

*Demonstrates ability to accurately conduct screening and prevention procedures.

Multiple Choice - Multiple Answer

Articulation 1

Fluency 1

Voice and Resonance 1

Receptive and Expressive Language 2

Hearing 2

Swallowing 1

Cognitive Aspects of Communication 1

Social Aspects of Communication 1

Augmentative and Alternative


1
Communication Modalities

Response Percent Response Total

Articulation 20.0% 1

Fluency 20.0% 1

Voice and Resonance 20.0% 1

Receptive and Expressive Language 40.0% 2

Hearing 40.0% 2

Swallowing 20.0% 1

Cognitive Aspects of Communication 20.0% 1

Social Aspects of Communication 20.0% 1

Augmentative and Alternative Communication Modalities 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.

Multiple Choice - Multiple Answer

Articulation 2

Fluency 1

Voice and Resonance 1

Receptive and Expressive Language 3

Swallowing 1

Cognitive Aspects of Communication 2

Social Aspects of Communication 1

Augmentative and Alternative


1
Communication Modalities

Response Percent Response Total

Articulation 50.0% 2

Fluency 25.0% 1

Voice and Resonance 25.0% 1

Receptive and Expressive Language 75.0% 3

Swallowing 25.0% 1

Cognitive Aspects of Communication 50.0% 2

Social Aspects of Communication 25.0% 1

Augmentative and Alternative Communication Modalities 25.0% 1

Respondents 4 Skipped 4
4
*Selects appropriate evaluation procedures and materials.

Multiple Choice - Multiple Answer

Articulation 1

Fluency 1

Voice and Resonance 1

Receptive and Expressive Language 2

Swallowing 1

Cognitive Aspects of Communication 2

Social Aspects of Communication 1

Augmentative and Alternative


1
Communication Modalities

Response Percent Response Total

Articulation 25.0% 1

Fluency 25.0% 1

Voice and Resonance 25.0% 1

Receptive and Expressive Language 50.0% 2

Swallowing 25.0% 1

Cognitive Aspects of Communication 50.0% 2

Social Aspects of Communication 25.0% 1

Augmentative and Alternative Communication Modalities 25.0% 1

Respondents 4 Skipped 4
5
*Appropriately administers evaluation procedures (non-standardized tests, standardized tests, and instrumental procedures).

Multiple Choice - Multiple Answer

Articulation 1

Fluency 1

Voice and Resonance 1

Receptive and Expressive Language 2

Swallowing 1

Cognitive Aspects of Communication 2

Social Aspects of Communication 1

Augmentative and Alternative


1
Communication Modalities

Response Percent Response Total

Articulation 25.0% 1

Fluency 25.0% 1

Voice and Resonance 25.0% 1

Receptive and Expressive Language 50.0% 2

Swallowing 25.0% 1

Cognitive Aspects of Communication 50.0% 2

Social Aspects of Communication 25.0% 1

Augmentative and Alternative Communication Modalities 25.0% 1

Respondents 4 Skipped 4
6
Organizes/manages session; *adapts evaluation procedures to meet client/patient needs.

Multiple Choice - Multiple Answer

Articulation 1

Fluency 1

Voice and Resonance 1

Receptive and Expressive Language 2

Swallowing 1

Cognitive Aspects of Communication 2

Social Aspects of Communication 1

Augmentative and Alternative


1
Communication Modalities

Response Percent Response Total

Articulation 25.0% 1

Fluency 25.0% 1

Voice and Resonance 25.0% 1

Receptive and Expressive Language 50.0% 2

Swallowing 25.0% 1

Cognitive Aspects of Communication 50.0% 2

Social Aspects of Communication 25.0% 1

Augmentative and Alternative Communication Modalities 25.0% 1

Respondents 4 Skipped 4
7
*Scores, analyzes, and interprets all diagnostic data, including behavioral observations, to develop diagnoses.

Multiple Choice - Multiple Answer

Articulation 2

Fluency 1

Voice and Resonance 1

Receptive and Expressive Language 3

Swallowing 1

Cognitive Aspects of Communication 2

Social Aspects of Communication 1

Augmentative and Alternative


1
Communication Modalities

Response Percent Response Total

Articulation 40.0% 2

Fluency 20.0% 1

Voice and Resonance 20.0% 1

Receptive and Expressive Language 60.0% 3

Swallowing 20.0% 1

Cognitive Aspects of Communication 40.0% 2

Social Aspects of Communication 20.0% 1

Augmentative and Alternative Communication Modalities 20.0% 1

Respondents 5 Skipped 3
8
*Provides organized, effective presentation of information with appropriate recommendations for intervention and/or referral.

Multiple Choice - Multiple Answer

Articulation 1

Fluency 1

Voice and Resonance 1

Receptive and Expressive Language 2

Swallowing 1

Cognitive Aspects of Communication 2

Social Aspects of Communication 1

Augmentative and Alternative


1
Communication Modalities

Response Percent Response Total

Articulation 25.0% 1

Fluency 25.0% 1

Voice and Resonance 25.0% 1

Receptive and Expressive Language 50.0% 2

Swallowing 25.0% 1

Cognitive Aspects of Communication 50.0% 2

Social Aspects of Communication 25.0% 1

Augmentative and Alternative Communication Modalities 25.0% 1

Respondents 4 Skipped 4
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Please use the following scale to rate each competency/skill in the area of INTERVENTION:

(Note: Minimal clinical competencies have an asterick in front of them.)

N/A: No/Limited Opportunity: Not enough opportunities to rate student performance

1: Unacceptable: Demonstrates unacceptable performance: unresponsive and/or unable to make changes given extensive
feedback.

2: Emerging: Competency/skill is emerging. Requires consistent supervisory modeling/intervention.

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.

OVERALL 1 0 0 6 7 8 4 14 17 5.34 208 76.3%


COUNT/MEANS

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.

Multiple Choice - Multiple Answer

Articulation 1

Fluency 1

Voice and Resonance 1

Receptive and Expressive Language 2

Swallowing 1

Cognitive Aspects of Communication 2

Social Aspects of Communication 1

Augmentative and Alternative


1
Communication Modalities

Response Percent Response Total

Articulation 33.3% 1

Fluency 33.3% 1

Voice and Resonance 33.3% 1

Receptive and Expressive Language 66.7% 2

Swallowing 33.3% 1

Cognitive Aspects of Communication 66.7% 2

Social Aspects of Communication 33.3% 1

Augmentative and Alternative Communication Modalities 33.3% 1

Respondents 3 Skipped 5
11
*Develops intervention plans with appropriate measurable and achievable goals.

Multiple Choice - Multiple Answer

Articulation 1

Fluency 1

Voice and Resonance 1

Receptive and Expressive Language 2

Swallowing 1

Cognitive Aspects of Communication 2

Social Aspects of Communication 1

Augmentative and Alternative


1
Communication Modalities

Response Percent Response Total

Articulation 33.3% 1

Fluency 33.3% 1

Voice and Resonance 33.3% 1

Receptive and Expressive Language 66.7% 2

Swallowing 33.3% 1

Cognitive Aspects of Communication 66.7% 2

Social Aspects of Communication 33.3% 1

Augmentative and Alternative Communication Modalities 33.3% 1

Respondents 3 Skipped 5
12
*Collaborates with clients and relevant others in the planning and treatment processes (interprofessional practice).

Multiple Choice - Multiple Answer

Articulation 2

Fluency 1

Voice and Resonance 1

Receptive and Expressive Language 3

Swallowing 1

Cognitive Aspects of Communication 2

Social Aspects of Communication 1

Augmentative and Alternative


1
Communication Modalities

Response Percent Response Total

Articulation 50.0% 2

Fluency 25.0% 1

Voice and Resonance 25.0% 1

Receptive and Expressive Language 75.0% 3

Swallowing 25.0% 1

Cognitive Aspects of Communication 50.0% 2

Social Aspects of Communication 25.0% 1

Augmentative and Alternative Communication Modalities 25.0% 1

Respondents 4 Skipped 4
13
*Implements intervention plans, using a variety of materials, strategies, and instrumentation.

Multiple Choice - Multiple Answer

Articulation 1

Fluency 1

Voice and Resonance 1

Receptive and Expressive Language 2

Swallowing 1

Cognitive Aspects of Communication 2

Social Aspects of Communication 1

Augmentative and Alternative


1
Communication Modalities

Response Percent Response Total

Articulation 33.3% 1

Fluency 33.3% 1

Voice and Resonance 33.3% 1

Receptive and Expressive Language 66.7% 2

Swallowing 33.3% 1

Cognitive Aspects of Communication 66.7% 2

Social Aspects of Communication 33.3% 1

Augmentative and Alternative Communication Modalities 33.3% 1

Respondents 3 Skipped 5
14
*Measures and evaluates client’s performance and progress by accurately collecting data.

Multiple Choice - Multiple Answer

Articulation 1

Fluency 1

Voice and Resonance 1

Receptive and Expressive Language 2

Swallowing 1

Cognitive Aspects of Communication 2

Social Aspects of Communication 1

Augmentative and Alternative


1
Communication Modalities

Response Percent Response Total

Articulation 33.3% 1

Fluency 33.3% 1

Voice and Resonance 33.3% 1

Receptive and Expressive Language 66.7% 2

Swallowing 33.3% 1

Cognitive Aspects of Communication 66.7% 2

Social Aspects of Communication 33.3% 1

Augmentative and Alternative Communication Modalities 33.3% 1

Respondents 3 Skipped 5
15
*Accurately completes required documentation of intervention results (i.e. soap notes, summarization and interpretation of
data).

Multiple Choice - Multiple Answer

Articulation 1

Fluency 1

Voice and Resonance 1

Receptive and Expressive Language 2

Swallowing 1

Cognitive Aspects of Communication 2

Social Aspects of Communication 1

Augmentative and Alternative


1
Communication Modalities

Response Percent Response Total

Articulation 33.3% 1

Fluency 33.3% 1

Voice and Resonance 33.3% 1

Receptive and Expressive Language 66.7% 2

Swallowing 33.3% 1

Cognitive Aspects of Communication 66.7% 2

Social Aspects of Communication 33.3% 1

Augmentative and Alternative Communication Modalities 33.3% 1

Respondents 3 Skipped 5
16
*Modifies intervention plans, strategies, materials, or instrumentation as appropriate to meet the needs of clients.

Multiple Choice - Multiple Answer

Articulation 1

Fluency 1

Voice and Resonance 2

Receptive and Expressive Language 1

Swallowing 1

Cognitive Aspects of Communication 2

Social Aspects of Communication 1

Augmentative and Alternative


1
Communication Modalities

Response Percent Response Total

Articulation 33.3% 1

Fluency 33.3% 1

Voice and Resonance 66.7% 2

Receptive and Expressive Language 33.3% 1

Swallowing 33.3% 1

Cognitive Aspects of Communication 66.7% 2

Social Aspects of Communication 33.3% 1

Augmentative and Alternative Communication Modalities 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.

Multiple Choice - Multiple Answer

Articulation 2

Fluency 1

Voice and Resonance 1

Receptive and Expressive Language 3

Swallowing 1

Cognitive Aspects of Communication 1

Social Aspects of Communication 1

Augmentative and Alternative


1
Communication Modalities

Response Percent Response Total

Articulation 40.0% 2

Fluency 20.0% 1

Voice and Resonance 20.0% 1

Receptive and Expressive Language 60.0% 3

Swallowing 20.0% 1

Cognitive Aspects of Communication 20.0% 1

Social Aspects of Communication 20.0% 1

Augmentative and Alternative Communication Modalities 20.0% 1

Respondents 5 Skipped 3
18
Please use the following scale to rate each competency/skill in the area of PROFESSIONALISM:

(Note: Minimal clinical competencies have an asterick in front of them.)

N/A: No/Limited Opportunity: Not enough opportunities to rate student performance

1: Unacceptable: Demonstrates unacceptable performance: unresponsive and/or unable to make changes given extensive
feedback.

2: Emerging: Competency/skill is emerging. Requires consistent supervisory modeling/intervention.

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).

OVERALL COUNT/MEANS 0 0 0 0 0 0 30 20 22 6.40 320 91.4%

Respondents 5 Skipped 3
19
Please rate the student's overall performance:

Multiple Choice - Single Answer

100.0%: Performance has


b...

Response Percent Response Total

Performance has been above expectations. 100.0% 5

Performance has been satisfactory and met expectations. 0.0% 0

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.

Text Entry - Open Ended


Respondents 8 Skipped 0
Total points for all rating scale questions: 721 (Each main question equally weighted)
Mean percentage score for all rating scale questions: 81.4% Responses as of 4/15/2020 5:15:19 PM ET

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