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APTA Clinical Performance Instruments for PT

Evaluation
Student: Amber Clees

Clinical Staff: Jerilyn Strong

Site: MyMichigan Medical Center - Gratiot - Alma - OP

Evaluation Name: PTH 634 Summer 2021 - Class of 2023

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CI

Self Eval

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B AB I AI E BE
Self +1
Safety
CI +1

B AB I AI E BE

Professional Self +1
Behavior CI +1

B AB I AI E BE
Self +1
Accountability
CI +1

B AB I AI E BE
Self +1
Communication
CI +1

B AB I AI E BE

Cultural Self +1
Competence CI +1

B AB I AI E BE

Professional Self +1
Development CI +1

B AB I AI E BE

Clinical Self +1
Reasoning CI +2

B AB I AI E BE
Self +1
Screening
CI +3
B AB I AI E BE
Self +2
Examination
CI +3

B AB I AI E BE
Self +1
Evaluation
CI +3

B AB I AI E BE

Diagnosis and Self +1


Prognosis CI +3

B AB I AI E BE
Self +2
Plan of Care
CI +3

B AB I AI E BE

Procedural Self +1
Interventions CI +3

B AB I AI E BE

Educational Self +2
Interventions CI +3

B AB I AI E BE
Self +1
Documentation
CI +3

B AB I AI E BE

Outcomes Self +1
Assessment CI +3

B AB I AI E BE

Financial Self +1
Resources CI +3

B AB I AI E BE

Supervision of Self +2
Personnel CI +4

Evaluation Sign Off Dates/Times

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