Professional Documents
Culture Documents
Student Name Taylor Mills Internship Facility Norlite Nursing Center (UP Rehab Services)
Clinical Instructor(s) Nicole O’Brien Course & Dates of Internship January 20th, 2020 - April 24th, 2020
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.
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.
MIDTERM OF CLINICAL
END OF CLINICAL
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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 based
appraise findings (i.e. Seeks alternative ideas contradictory ideas on source and level of evidence
methodology and conclusion) Formulates alternative Identifies appropriate Identifies complex patterns of
Recognizes holes in knowledge hypotheses measures and determines associations
base Critiques hypotheses and effectiveness of applied Distinguishes when to think
Demonstrates acceptance of ideas at a level consistent solutions efficiently intuitively vs. analytically
limited knowledge and with knowledge base Justifies solutions selected Recognizes own biases and
experience in knowledge base Acknowledges presence of suspends judgmental thinking
contradictions Challenges others to think
critically
Examples of behaviors to support my self-assessment: I am able to provide an appropriate rationale for my clinical decisions and specifically fit these decisions to
the resident's needs and abilities. I have tried to focus on the whole person and use appropriate tests and measures as indicated. I also recognize the limits of my
knowledge, and I'm not afraid to look something up or ask others questions to help expand my reasoning. I have also been able to distinguish relevant to irrelevant
data when reading through resident’s medical chart notes or therapy daily notes.
Regarding this Professional Behavior, I would like to improve in the following ways: I would like to turn to the evidence to further expand my knowledge when it
comes to medical conditions, interventions, and other tests & measures. I typically goggle something to refresh myself of the topic, but I could do more and use
stronger and more reliable sources to gather information.
Regarding this Professional Behavior, I would like to improve in the following ways: I would like to be able to challenge others to think critically by asking questions
and educating them. I would also like to continue looking at the literature as I begin practicing as a licensed physical therapist.
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2. Communication - The ability to communicate effectively (i.e. verbal, non-verbal, reading, writing, and listening) for varied audiences and purposes.
Beginning Level: Intermediate Level: Entry Level: Post Entry Level:
Demonstrates understanding of Utilizes and modifies Demonstrates the ability to Adapts messages to
the English language (verbal communication (verbal, non- maintain appropriate control address needs,
and written): uses correct verbal, written and electronic) of the communication expectations, and prior
grammar, accurate spelling and to meet the needs of different exchange with individuals knowledge of the audience
expression, legible handwriting audiences and groups to maximize learning
Recognizes impact of non- Restates, reflects and Presents persuasive and Effectively delivers
verbal communication in self clarifies message(s) explanatory verbal, written messages capable of
and others Communicates collaboratively or electronic messages with influencing patients, the
Recognizes the verbal and non- with both individuals and logical organization and community and society
verbal characteristics that groups sequencing Provides education locally,
portray confidence Collects necessary Maintains open and regionally and/or nationally
Utilizes electronic information from all pertinent constructive communication Mediates conflict
communication appropriately individuals in the patient/client Utilizes communication
management process technology effectively and
Provides effective education efficiently
(verbal, non-verbal, written
and electronic)
Regarding this Professional Behavior, I would like to improve in the following ways: I would like to get better at maintaining control of the communication
exchange to keep a treatment session or evaluation on track when a resident is extremely verbal and likes to talk. I also need more experience with conflict
management and speaking at intradisciplinary and interdisciplinary meetings.
Regarding this Professional Behavior, I would like to improve in the following ways: To move to a post-entry level, I can provide more presentations to various
audience groups to improve my delivery, communication, and way to maximize the audience’s learning. This can be done for groups, such as my peers, staff
members, residents, or community members. I feel that I need more experience with mediating conflicts and this experience will come as conflicts arise
further into my career.
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3. Problem Solving – The ability to recognize and define problems, analyze data, develop and implement solutions, and evaluate outcomes.
Beginning Level: Intermediate Level: Entry Level: Post Entry Level:
Recognizes problems Prioritizes problems Independently locates, Weighs advantages and
States problems clearly Identifies contributors to prioritizes and uses disadvantages of a solution
Describes known solutions to problems resources to solve to a problem
problems Consults with others to clarify problems Participates in outcome
Identifies resources needed to problems Accepts responsibility for studies
develop solutions Appropriately seeks input or implementing solutions Participates in formal
Uses technology to search for guidance Implements solutions quality assessment in work
and locate resources Prioritizes resources (analysis Reassesses solutions environment
Identifies possible solutions and and critique of resources) Evaluates outcomes Seeks solutions to
probable outcomes Considers consequences of Modifies solutions based on community health-related
possible solutions the outcome and current problems
evidence Considers second and third
Evaluates generalizability of order effects of solutions
current evidence to a chosen
particular problem
Regarding this Professional Behavior, I would like to improve in the following ways: To reach entry level, I should use and heavily weigh solutions by
considering current literature. With this, I should consider the consequences of the solution and be able to modify the intervention to fit an individual’s needs
and current presentation. At this point of my clinical, I should also try to independently locate resources and ways to solve problems.
Regarding this Professional Behavior, I would like to improve in the following ways: To get better outcomes and understand the reasoning behind why
solutions worked or did not work, I can participate in formal quality assessments and outcome studies within the facility that I work at. This will further advance
my problem-solving abilities.
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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: Intermediate Level: Entry Level: Post Entry Level:
Maintains professional Recognizes the non-verbal Demonstrates active Establishes mentor
demeanor in all communication and emotions listening skills and reflects relationships
interactions that others bring to back to original concern to Recognizes the impact that
Demonstrates interest in professional interactions determine course of action non-verbal communication
patients as individuals Establishes trust Responds effectively to and the emotions of self and
Communicates with others Seeks to gain input from unexpected situations others have during
in a respectful and others Demonstrates ability to interactions and
confident manner Respects role of others build partnerships demonstrates the ability to
Respects differences in Accommodates differences in Applies conflict modify the behaviors of self
personality, lifestyle and learning styles as appropriate management strategies and others during the
learning styles during when dealing with interaction
interactions with all challenging interactions
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
Regarding this Professional Behavior, I would like to improve in the following ways: I need to continue gaining experiences with difficult conversations
and conflict management strategies. I also hope to continue building strong relationships and mentorships with the therapists for the remainder of this
clinical, continuing into when I become a licensed physical therapist.
Examples of behaviors to support my self-assessment: One of my goals was to work on conflict management and having difficult conversations with
residents when they came up. I was seeing one resident who frequently got upset and would talk very negatively about her life to the point that she would
get off topic, was not focused on her therapy tasks, and I was concerned with her safety. I would consistently have to redirect her, use positive
reinforcement, and/or help to diffuse the conversation and attend to her emotional state to keep her calm while offering support.
Regarding this Professional Behavior, I would like to improve in the following ways: I can further develop my professional behavior of interpersonal skills
by being more mindful and self-reflecting on my non-verbal communication during various interactions within the professional setting. Then with this
reflection, I can practice modifying my behavior to better suit the conversation and situation.
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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
Assumes responsibility for prompting accountability development and
actions Delegates tasks as needed Directs patients to other modification
Follows through on Collaborates with team health care professionals Promotes clinical training for
commitments members, patients and as needed students and coworkers
Articulates limitations and families Acts as a patient advocate Monitors and adapts to
readiness to learn Provides evidence-based Promotes evidence-based changes in the health care
Abides by all policies of patient care practice in health care system
academic program and settings Promotes service to the
clinical facility Accepts responsibility for community
implementing solutions
Demonstrates
accountability for all
decisions and behaviors in
academic and clinical
settings
Midterm: I function predominantly in the beginning/intermediate/entry/post entry level (Highlight one)
Examples of behaviors to support my self-assessment: I strive to show up early, prepare to start each day by making the schedule for the day and to
prepare by reading through previous notes prior to starting treatments. I have collaborated with members of the team, including my clinical instructor,
physical therapist assistants, occupational therapists, and certified occupational therapist assistants, and been able to direct and delegate tasks. I have
been accountable for my actions and interventions I have implemented.
Regarding this Professional Behavior, I would like to improve in the following ways: I have needed guidance to remember completing all tasks after
finishing my evaluation, such as putting in the orders into different databases. I want to become independent with this and remember to complete all
components like the orders and daily treatment notes. I also want to further act as a patient advocate during interdisciplinary meetings and care
conferences. I want to provide more resident and family/caregiver education.
Regarding this Professional Behavior, I would like to improve in the following ways: To improve on the professional behavior of responsibility, I can build
in my confidence and grow as a leader within the facility where I work, become a clinical instructor to educate others, and promote community services.
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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: Entry Level: Post Entry Level:
Abides by all aspects of Identifies positive Demonstrates Actively promotes and
the academic program professional role models understanding of scope of advocates for the
honor code and the APTA within the academic and practice as evidenced by profession
Code of Ethics clinical settings treatment of patients within Pursues leadership roles
Demonstrates awareness Acts on moral commitment scope of practice, referring Supports research
of state licensure during all academic and to other healthcare Participates in program
regulations clinical activities professionals as necessary development
Projects professional Identifies when the input of Provides patient/family Participates in education of
image classmates, co-workers and centered care at all times the community
Attends professional other healthcare as evidenced by provision Demonstrates the ability to
meetings professionals will result in of patient/family education, practice effectively in
Demonstrates optimal outcome and acts seeking patient input and multiple settings
cultural/generational accordingly to attain such informed consent for all Acts as a clinical instructor
awareness, ethical values, input and share decision aspects of care and Advocates for the patient,
respect, and continuous making maintenance of patient the community and society
regard for all classmates, Discusses societal dignity
academic and clinical expectations of the profession Seeks excellence in
faculty/staff, patients, professional practice by
families, and other participation in professional
healthcare providers 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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6. Professionalism (cont.) – The ability to exhibit appropriate professional conduct and to represent the profession effectively while promoting the
growth/development of the Physical Therapy profession.
Regarding this Professional Behavior, I would like to improve in the following ways: I will not be attending a professional meeting ( a state or national
conference) while on this clinical rotation, but I hope to attend one this year and become a more active member of the profession. I also need to improve
my willingness to dive deeper into the evidence and use this to guide the way I practice.
Regarding this Professional Behavior, I would like to improve in the following ways: I can improve in my professionalism by participating in the APTA and
by attending professional conferences for continuing education opportunities. I can also take on leadership roles and further advocate for patients and my
community.
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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: Intermediate Level: Entry Level: Post Entry Level:
Demonstrates active Critiques own performance Independently engages in a Engages in non-
listening skills accurately continual process of self judgmental, constructive
Assesses own Responds effectively to evaluation of skills, problem-solving
performance constructive feedback knowledge and abilities discussions
Actively seeks feedback Utilizes feedback when Seeks feedback from Acts as conduit for
from appropriate sources establishing professional and patients/clients and feedback between multiple
Demonstrates receptive patient related goals peers/mentors sources
behavior and positive Develops and implements a Readily integrates feedback Seeks feedback from a
attitude toward feedback plan of action in response to provided from a variety of variety of sources to
Incorporates specific feedback sources to improve skills, include
feedback into behaviors Provides constructive and knowledge and abilities students/supervisees/
Maintains two-way timely feedback Uses multiple approaches peers/supervisors/patients
communication without when responding to Utilizes feedback when
defensiveness feedback analyzing and updating
Reconciles differences with professional goals
sensitivity
Modifies feedback given to
patients/clients according to
their learning styles
Regarding this Professional Behavior, I would like to improve in the following ways: Over the next 7 weeks, I can further progress toward entry level by
seeking more feedback, providing feedback to others in a professional manner, and ensuring that I incorporate this feedback into my performance. I can
also be mindful of how I accept feedback and unsure that I’m monitoring my verbal and non-verbal responses.
Regarding this Professional Behavior, I would like to improve in the following ways: I can improve in this professional behavior by learning to use multiple
approaches to respond to feedback and being involved in more constructive conversations with others.
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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 have been using my time wisely and effectively to perform treatments, evaluations, and
completing documentation, such as daily notes, initial evaluations, discharge notes, and progress notes. I have been able to ask others for assistance for
both my safety and the resident’s safety, along with seeking out other healthcare providers when needed.
Regarding this Professional Behavior, I would like to improve in the following ways: I want to improve my knowledge on productivity standards within this
setting and expand my knowledge on local, community resources. I think I can achieve this by viewing my clinical instructor’s productivity each week and
reflect upon why I did or did not meet the standard. Then I can think of ways to reach this consistently.
Regarding this Professional Behavior, I would like to improve in the following ways: I need to learn more about productivity standards, so that I am able to
discuss and form strategies to further meet standards. I also need more experiences with prioritizing multiple demands throughout the day, so that I can
be productive and meet these set standards.
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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
Regarding this Professional Behavior, I would like to improve in the following ways: I need more experience with managing and prioritizing multiple
commitments. I also need to seek out more constructive feedback. I need to improve on ways to help others not only recognize their stressors, but
manage them and allow the resident to be more successful and focused in therapy.
Regarding this Professional Behavior, I would like to improve in the following ways: I need more experience with prioritizing multiple
tasks/responsibilities, so that I can improve in this area. I can also further educate others on ways to reduce stress and offer management solutions when
needed.
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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: Entry Level: Post Entry Level:
Prioritizes information Researches and studies Respectfully questions Acts as a mentor not only to
needs areas where own knowledge conventional wisdom other PT’s, but to other
Analyzes and subdivides base is lacking in order to Formulates and re- health professionals
large questions into augment learning and evaluates position based Utilizes mentors who have
components practice on available evidence knowledge available to
Identifies own learning Applies new information and Demonstrates confidence them
needs based on previous re-evaluates performance in sharing new knowledge Continues to seek and
experiences Accepts that there may be with all staff levels review relevant literature
Welcomes and/or seeks more than one answer to a Modifies programs and Works towards clinical
new learning opportunities problem treatments based on specialty certifications
Seeks out professional Recognizes the need to and newly-learned skills and Seeks specialty training
literature is able to verify solutions to considerations Is committed to
Plans and presents an in- problems Consults with other health understanding the PT’s role
service, research or cases Reads articles critically and professionals and physical in the health care
studies understands limits of therapists for treatment environment today (i.e.
application to professional ideas wellness clinics, massage
practice therapy, holistic medicine)
Pursues participation in
clinical education as an
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 am currently studying for my National Physical Therapy Examination, and I have been able to
read up on areas where my knowledge is lacking, along with applying new information that I have learned. I have really noticed this when understanding
the pathophysiology and signs/symptoms involved with a medical diagnosis involving the musculoskeletal, neuromuscular, integumentary, and
cardiopulmonary systems. I have also been seeking new learning opportunities with other healthcare providers, and I want to continue this for the
remainder of my clinical rotation.
Regarding this Professional Behavior, I would like to improve in the following ways: Again, I can do a better job of seeking out and critically analyzing
professional literature. I also plan to conduct my in-service presentation for the rehab staff at this site, and this will help me gain confidence in sharing
knowledge and speaking with staff.
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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):
-I want to improve my professional behaviors involving my commitment to learning, professionalism, and problem solving by reviewing 1article per week
that has a high level of evidence and is pertinent to a resident on my caseload for the next 7 weeks to advance my knowledge within the field of physical
therapy.
-I want to improve my professional behavior involving the use of constructive feedback by seeking out verbal feedback from at least one resident, one of
their family members, and multiple rehab staff at the facility over the next 7 weeks to allow me to self-reflect and become a better physical therapist.
-Over the next 7 weeks, I want to improve my professional behavior involving problem solving by being independently able to complete 100% of the
documentation in a day by successfully completing all the initial evaluations, daily notes, and therapy orders without needing any verbal reminders or
cues.
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):
- I want to improve my professional behaviors involving my commitment to learning, professionalism, and problem solving by reviewing 1article per week
that is considered a high level of evidence and is pertinent to a patient who is on my caseload to advance my knowledge within the field of physical
therapy and allow me to continue developing as a young professional.
- I want to improve my professional behaviors involving stress management and the effective use of time and resources by being able to better prioritize
multiple commitments throughout my day to stay productive by making to-do lists and arranging items from most to least importance.
- I want to improve my professional behaviors involving communication and interpersonal skills by self-reflecting through journaling one time each month
on how I felt a difficult situation or conflict went with a patient, their family, and/or another other staff member(s) to allow me to be more prepared and
improve my response if a similar situation occurs later in my career.
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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.
By my signature below, I indicate that I have reviewed this self-assessment and discussed it with the student.
CI Suggestions/Feedback:
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