IPE DPT/SLP Feedback Sheet: Date of PEactiity: MY(2Q Erma Pose —— Please rate the following and provide to Laurie Bahlke at the end of the day. These forms will be shared with DPT students, SLP students, MCE, SSC Director and Dr. Haines for review as needed. 1= Did not meet expectations ‘2emet expectations 3= exceeded expectations Presentation of activity by DPT students i 3 & Activity Idea and appropriateness 1 2 é Affect of DPT students and interaction with children 1. @ Interaction with SL students 2 2 6 Evidence of planning and preparation 2 2 &@ mments: ifectt . comment 2 Ceo ee Sere feom matenalS and 1 ef it te the acHutf » energeHicExpectations: Activity presented and led by DPT students was developmentally appropriate and DPT students were engaged, interactive and responsive ta students. Made attempts to communicate with tthe child(ren) and showed evidence of implementing strategies or ideas shared by the SLP team, through resources provided or 2s part of team meetings. DPT student showed respect for collaborative partners (SLP), were open to suggestions in spirit of collaboration and were able to seek support from SLP colleagues when need or opportunity arose. DPT students appeared to be having fun and were engaged with the children and classroom as @ whole. Assigned SLP clinicians are asked to sign off as indicator that they. assisted in planning the activity through collaboration about classroom routine, needs of children in classroom, communication skills and that they contributed to the OPT activity by way of team meetings, email exchanges, webex meetings, etc. SLP (assigned to DPT presenter's group) DPT student comment and feedback regarding SLP role and participation: - Caveat pmnmunication Pew BP's Sak APT's! -“Aiay Were Very ied 19 Ow erercins Se Yulee een Has earners 07 17006 Vem yet expenence Qa!