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Evaluation
Student: Emma Vaitkevicius
Clinical Staff: Richard LaFave, Jacob Lippert, Jake Lippert
Site: Athletico - Lansing, MI
Evaluation Name: PTH 634 Summer 2023 Class of 2025
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All CI Self Eval
1. Professional Practice – Safety
Self Mid-Term — Emma Vaitkevicius
Self Final — Emma Vaitkevicius
CI Mid-Term — Jake R. Lipper t
CI Final — Richard LaFave
Self
Safety
CI
2. Professional Practice – Professional Behavior
Self Mid-Term — Emma Vaitkevicius
Self Final — Emma Vaitkevicius
CI Mid-Term — Jake R. Lipper t
CI Final — Richard LaFave
Professional Self
Behavior CI
3. Professional Practice – Accountability
Self Mid-Term — Emma Vaitkevicius
Self Final — Emma Vaitkevicius
CI Mid-Term — Jake R. Lipper t
CI Final — Richard LaFave
Self
Accountability
CI
4. Professional Practice – Communication
Self Mid-Term — Emma Vaitkevicius
Self Final — Emma Vaitkevicius
CI Mid-Term — Jake R. Lipper t
CI Final — Richard LaFave
Self
Communication
CI
5. Professional Practice – Cultural Competence
Self Mid-Term — Emma Vaitkevicius
Self Final — Emma Vaitkevicius
CI Mid-Term — Jake R. Lipper t
CI Final — Richard LaFave
Cultural Self
Competence CI
6. Professional Practice – Professional Development
Self Mid-Term — Emma Vaitkevicius
Self Final — Emma Vaitkevicius
CI Mid-Term — Jake R. Lipper t
CI Final — Richard LaFave
Professional Self
Development CI
7. Patient Management – Clinical Reasoning
Self Mid-Term — Emma Vaitkevicius
Self Final — Emma Vaitkevicius
CI Mid-Term — Jake R. Lipper t
CI Final — Richard LaFave
Clinical Self
Reasoning CI
8. Patient Management – Screening
Self Mid-Term — Emma Vaitkevicius
Self Final — Emma Vaitkevicius
CI Mid-Term — Jake R. Lipper t
CI Final — Richard LaFave
Self
Screening
CI
9. Patient Management – Examination
Self Mid-Term — Emma Vaitkevicius
Self Final — Emma Vaitkevicius
CI Mid-Term — Jake R. Lipper t
CI Final — Richard LaFave
Self
Examination
CI
10. Patient Management – Evaluation
Self Mid-Term — Emma Vaitkevicius
Self Final — Emma Vaitkevicius
CI Mid-Term — Jake R. Lipper t
CI Final — Richard LaFave
Self
Evaluation
CI
11. Patient Management – Diagnosis and Prognosis
Self Mid-Term — Emma Vaitkevicius
Self Final — Emma Vaitkevicius
CI Mid-Term — Jake R. Lipper t
CI Final — Richard LaFave
Diagnosis and Self
Prognosis CI
12. Patient Management – Plan of Care
Self Mid-Term — Emma Vaitkevicius
Self Final — Emma Vaitkevicius
CI Mid-Term — Jake R. Lipper t
CI Final — Richard LaFave
Self
Plan of Care
CI
13. Patient Management – Procedural Interventions
Self Mid-Term — Emma Vaitkevicius
Self Final — Emma Vaitkevicius
CI Mid-Term — Jake R. Lipper t
CI Final — Richard LaFave
Procedural Self
Interventions CI
14. Patient Management – Educational Interventions
Self Mid-Term — Emma Vaitkevicius
Self Final — Emma Vaitkevicius
CI Mid-Term — Jake R. Lipper t
CI Final — Richard LaFave
Educational Self
Interventions CI
15. Patient Management – Documentation
Self Mid-Term — Emma Vaitkevicius
Self Final — Emma Vaitkevicius
CI Mid-Term — Jake R. Lipper t
CI Final — Richard LaFave
Self
Documentation
CI
16. Patient Management – Outcomes Assessment
Self Mid-Term — Emma Vaitkevicius
Self Final — Emma Vaitkevicius
CI Mid-Term — Jake R. Lipper t
CI Final — Richard LaFave
Outcomes Self
Assessment CI
17. Patient Management – Financial Resources
Self Mid-Term — Emma Vaitkevicius
Self Final — Emma Vaitkevicius
CI Mid-Term — Jake R. Lipper t
CI Final — Richard LaFave
Financial Self
Resources CI
18. Patient Management – Direction and Supervision of Personnel
Self Mid-Term — Emma Vaitkevicius
Self Final — Emma Vaitkevicius
CI Mid-Term — Jake R. Lipper t
CI Final — Richard LaFave
Super vision of Self
Personnel CI
19. Summative Comments / Caseload / Days Absent
Areas of Strength
Self Mid-Term — Emma Vaitkevicius
Self Final — Emma Vaitkevicius
CI Mid-Term — Jake R. Lipper t
CI Final — Richard LaFave
Areas for Further Development
Self Mid-Term — Emma Vaitkevicius
Self Final — Emma Vaitkevicius
CI Mid-Term — Jake R. Lipper t
CI Final — Richard LaFave
Caseload/Other Comments
1) What is the full caseload at your clinical site for a new graduate?
2) Considering the rating anchors, what percent of a new graduate caseload is the student capable of
managing at this time?
Self Mid-Term — Emma Vaitkevicius
Self Final — Emma Vaitkevicius
CI Mid-Term — Jake R. Lipper t
CI Final — Richard LaFave
Recommendations
Self Mid-Term — Emma Vaitkevicius
Self Final — Emma Vaitkevicius
CI Mid-Term — Jake R. Lipper t
CI Final — Richard LaFave
Mid-Term Days Absent
Final Days Absent
Reason for Absence
Self Mid-Term — Emma Vaitkevicius
Self Final — Emma Vaitkevicius
CI Mid-Term — Jake R. Lipper t
CI Final — Richard LaFave
Evaluation Sign Off Dates/ Times
Self Mid-Term
[CI] Jake R. Lippert - 06/05/23 11:07 PM
[Student] Emma Vaitkevicius - 06/04/23 07:44 PM
Self Final
[CI] Richard LaFave - 06/27/23 07:50 AM
[Student] Emma Vaitkevicius - 06/23/23 11:04 PM
CI Mid-Term
[Student] Emma Vaitkevicius - 06/23/23 11:17 PM
[CI] Jake R. Lippert - 06/05/23 11:05 PM
[CI] Jake R. Lippert - 06/05/23 11:05 PM
CI Final
[Student] Emma Vaitkevicius - 06/23/23 11:17 PM
[CI] Richard LaFave - 06/22/23 08:59 PM
[CI] Richard LaFave - 06/22/23 08:57 PM
Post-Assessment Comments
Please review this Mid-Term evaluation:
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Please review this Final evaluation:
Save Comments
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APTA Clinical Performance Instruments for PT vers. 2.42. All times are set as Eastern Standard Time (EST).
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I am able to maintain a safe working environment and able to recognize changes with patients. Demonstrates
awareness of contraindications and precautions to ensure patient safety. Use proper handling techniques when
caring for patients and understands facility safety. I need to improve my quality and consistency with
comprehensive understanding of patient precautions and contraindication to ensure patient safety during
evaluation and treatment. Understand limitations in knowledge and continue to improve communication skills to
patients to ensure understanding their own limitations and safe ways of performing interventions.
I continued to provide safe environments for my patients. I always utilized gait belts when necessary, made sure
that patients were at safe heights on plinths and maintain a clean environment. I ensured that my patients felt
comfortable and able to express personal feeling and emotions as well.
Rating for performance in all components limited to 6/20 due to caseload/supervision definitions (see Caseload
Comments for additional information), however I will provide unrestricted rating for this component in the
comment below with explanation/justification. Safety is one of Emma's strongest areas, both for herself and her
patients, as should be expected of someone who has worked in a SNF. Emma does an excellent job of providing
appropriate guarding for patients; providing education on biomechanics, safe transfers, and AD utilization; as well
as doing an above average job of protecting her own body. Remember that you want to do this for 30+ years, so
make sure you're taking care of your biomechanics the same way you would when you have the body of a 60 year
old. :) Unrestricted rating: 14/20
Emma utilizes safety equipment with good understanding and in appropriate situation. She is acutely aware of her
surrounding and ensure a safe environment for the clients she worked with. She was thorough in her explaining and
education of clients.
B AB I AI E BE
+12
+12
Provide professional behaviors with each patient, making sure I maintain integrity, exhibit caring, compassion, and
empathy. I seek feedback from clinical instructors and make sure to maintain good composure and accept
feedback without defensiveness. I value patients' dignity and modesty and communicate with the patient to
understand wants and needs. I maintain consistency with professional behavior and make sure to apply it to each
patient and with fellow employees in the clinic.
I felt that I demonstrated initiative by arriving on time, offering assistance and continue to seek out learning
opportunities. I was professional toward all patient and remained professional toward staff as well. I exhibited
caring, compassion, and empathy toward all patients and contributed to positive work environment. I continued to
maintain patient privacy, modesty, and dignity. I would seek out feedback from my clinical instructor and provided
effective feedback regarding mentoring.
Rating for performance in all components limited to 6/20 due to caseload/supervision definitions (see Caseload
Comments for additional information), however I will provide unrestricted rating for this component in the
comment below with explanation/justification. Emma does an incredible job of blending professional behavior with
warm compassionate care, a difficult needle to thread. I tell students to utilize the "grandma rule", to treat all
patients the way you would want your grandma to be cared for and Emma does a wonderful job of exemplifying
that. She provides communication both verbal and nonverbal that is appropriate and for the most part confident.
She is timely and always professionally dressed, and beats me to the clinic more days than not. She also does a
wonderful job of protecting patient confidentiality and modesty and accepts feedback readily. Unrestricted rating:
15/20
Emma demonstrated good interaction with staff, colleagues and clients. She always conducted herself in a
professional manner in various situation and environments. client interactions were handled with integrity and
professionalism, especially when educating and answering of question. there wee a couple time where she was
unsure of herself, she was still able to conduct herself in a professional manner.
B AB I AI E BE
+10
+10
I am consistent with maintaining patient confidentiality, abiding by policies regarding HIPPA and OSHA, maintain
patient modesty and privacy, and continue to strive to provide exceptional standards of practice. I require
consistent supervision/guidance with responsibilities and steps to remedy and prevent errors.
I continued to place patient needs above myself and identify my error and take responsibility for then. I took steps
to increase my knowledge, whether that was researching or consulting with my CI to ensure I was providing the
best care. As I continued with my clinical experience I felt more confident in my abilities to provide care without
error while under supervision/guidance. I maintained patient confidentiality, adhering to legal practice, and
displaced generosity. I continued to strive to provide client services that I felt went beyond my expected standard
of practice.
Rating for performance in all components limited to 6/20 due to caseload/supervision definitions (see Caseload
Comments for additional information), however I will provide unrestricted rating for this component in the
comment below with explanation/justification. Emma has the accountability I would expect out of a clinician twice
her age. She is always accurate and truthful in her communication, does an excellent job of maintaining patient
confidentiality and readily takes radical responsibility for her areas of growth. This is not an area for concern.
Unrestricted rating: 18/20
Handles herself well. great communication with staff and clients, adheres to HIPAA OSH and compliance
guidelines.
B AB I AI E BE
+7
+10
I am able to communicate verbally and nonverbally with patients and initiate communication. I am developing my
skills in communicating in terms that both patients and clinical staff can understand, making sure to remain
consistent. I seek guidance with communicating more complex topics with patients and how to adjust style of
communication based on the audience. I am improving my active listening skills with patients to ensure that they
feel understood.
I felt that my communication with the patient has improved significantly. I was able to develop my skills with
communication (not using complex terminology) to ensure my patients were understanding. I would continue to
seek guidance with building my communication skills and understanding when I need assistance or education from
my CI to help. I utilized my active listening skills to ensure that the patients felt understand and to ensure that
treatment was based off of their needs/goals.
Rating for performance in all components limited to 6/20 due to caseload/supervision definitions (see Caseload
Comments for additional information), however I will provide unrestricted rating for this component in the
comment below with explanation/justification. This is probably one of Emma's biggest areas for growth, for all the
right reasons. When she's conveying black and white information to patients she is confident and ready to answer
any question that has been posed to her by a patient. Where she struggles is with communicating "in the grey".
Emma's biggest challenge with communication is her confidence with communicating her *original* ideas related
to diagnosis/prognosis and patient education/recommendations to patients. Different clinical instructors deal with
this area differently, and I err on the side of support for the student: Emma, unless you're grievously off-target, I'll
always support your communication with patients. We'll work on developing a strategy to help you with this, until
you have what my wife prays for: "Give me the confidence of a mediocre white male". Unrestricted rating: 8/20
does and excellent job with all aspect of communication with client interaction. active listensing skills body
language verbal and written.
B AB I AI E BE
+11
+12
I am consistent and maintain quality communication when discussing sensitive topics regarding patient care,
beliefs, and values. I respect patient race/ethnicity, gender, sexual orientation, and other personal factors relating to
clinic staff and patients. I suspend my own social and cultural biases and am working on understanding social and
cultural biases in order to provide better care for patients.
I continued to build my cultural competence and learning my patients views/beliefs to ensure that I was respectful
and understanding. I respected all patient race/ethnicity, gender, sexual orientation, and other personal factors
relating to clinic staff and patients. I continued to suspend my own social and cultural biases.
Rating for performance in all components limited to 6/20 due to caseload/supervision definitions (see Caseload
Comments for additional information), however I will provide unrestricted rating for this component in the
comment below with explanation/justification. Emma performs wonderfully in my rather diverse clinic when it
comes to cultural competence, especially for a student raised in the homogeneity that is the UP. I have a clinic
population that at times is minority majority, which can be a huge adjustment from the expectations of a normal
outpatient ortho clinical population. She also does well working with what are traditionally biased patient
populations like work comp. One of the things I love about Central's program is that they don't teach population
specific POC until after a student's second clinical, so students don't come with too much inherent bias with work
comp patients. Often students from other schools have been taught wrongly either implicitly or explicitly that part
of their job is to catch malingerers which teaches them it's the norm. Nothing could be further from the case, and
Emma understands that well. Unrestricted rating: 15/20
she interacted in a professional manner respect individuals of differing values or need. She would always try to
accommodate, and I was especially impressed with her active listening skills.
B AB I AI E BE
+11
+11
With guidance from my CI, I have been focusing on my ability to self-evaluate and understand my strength and
limitations. I seek supervision and guidance with limitation, including communication and treatment for high
complexity patients. I am continuing to work on and understand my limitations, including discussing clinical and
professional growth, accepting responsibility, continue professional learning, providing and receive feedback from
peers.
I felt that I had a lot of growth when it came to my professional development. I continued to utilize the guidance of
my CI to evaluate my abilities and understand my strengths and limitations. I was able to work with complex
patients with confidence and continued to research and utilize resources to understand/obtain prognosis for
patients. I would seek out additional learning experiences from other clinicians to continue to develop my
professional development with different patients. I felt comfortable discussing and providing feedback and goals
as well to ensure I was continuing to grow as a clinical.
Rating for performance in all components limited to 6/20 due to caseload/supervision definitions (see Caseload
Comments for additional information), however I will provide unrestricted rating for this component in the
comment below with explanation/justification. Emma is constantly growing in the clinic. She readily adjusts her
practice to meet the needs of the patient and incorporates new treatment ideas and strategies readily into her own
skill set. Unrestricted rating: 16/20
with the understanding this is her first rotation; work to develop her hands and manual skills. understanding of the
techniques and what and why for the treatment. Continue learning with differential diagnosis and delineation of
test and measures to execute a patient's POC
B AB I AI E BE
+8
+9
I have limitation with knowledge and education surrounding complex cases. I require supervision/guidance for
making clinical decisions, recognizing plan of care and interventions, implementing changes. I am continuing to
assess my limitations and work on my ability to develop effective plan of cares and interventions. I am working on
these skills by making sure I have a reasoning and am able to the discuss why I am choosing and intervention.
I felt that I grew in my ability to present logical rationale for clinical decision making. I gained experience, utilized
resources, and CI guidance to make clinical decisions. I recognized when aspects of plan of care and interventions
were ineffective and how to adapt/modify them to benefit the patient. I continued to select interventions based on
the best evidence and the experience that I had gained. I assessed patient responses to interventions and
understood when to adapt/progress patients. I continued to recognize my limitations in my knowledge and where I
need to continue to grow.
Rating for performance in all components limited to 6/20 due to caseload/supervision definitions (see Caseload
Comments for additional information), however I will provide unrestricted rating for each component below with
explanation/justification. Emma is performing exactly where I would expect a student in their 4th trimester to be
performing. She does incredibly well with the foundations of clinical care and progression as well as
diagnosis/assessment with simple and common conditions. She sometimes begins to struggle with reasoning
exactly where she should at her stage of learning, when patients present with multifactorial difficulties and
complex cases. She is at the stage in her program where we are still teaching students diseases and disorders as
well as prognosis and treatment in a relative vacuum. I have no doubt that this will continue to improve immensely
as she grows through this clinical and through her academic/professional career.
she is still formulating her flow for evaluations and patient's POC. I noticed the improvements made during her
rotation and she will continue to grow as she become more ingrained in the profession. She has a lot of the pieces
in place she will learn to formulate them into an ebon flow for efficiency when treating her clientele.
B AB I AI E BE
+5
+6
When it comes to patient screening, this is a skill that I feel needs the most improvement. I am confident with
reviewing patient history and gaining the proper subjective information to determine what objective measures I
need to assess. I feel that I am able to appropriately conduct test and measures but am still working on my
sequencing of taking objective measures and interpreting all of the results.
I felt that my screening abilities and skills improved. I was able to utilize more test and measures confidently to
evaluate my patients. I reviewed the patient's PMH, precautions, and interventions to have a more comprehensive
understanding. I would perform systems reviews. I continued to gain confidence in conducting test and measures
and interpreting test and measures appropriately. I feel that I need to work on my cohesiveness, sequence when
selecting appropriate tests and performing my screening.
Rating for performance in all components limited to 6/20 due to caseload/supervision definitions (see Caseload
Comments for additional information). Emma does an excellent job of selecting the appropriate anthropomorphic
tests and measures for patients based on their medical history and chief complaint. In her short time with us she
has learned to utilize a handheld dynamometer and explored several additional tools in order to best assess a
patient's needs.
overall does a good job of reviewing the material and screening each patient. She utilized FOTO and our patient
portal to review gather and implement strategies to screen patients.
B AB I AI E BE
+6
+9
The skills that I feel confident in are my ability to obtain history for patients. I am able to utilize this history and help
integrate it so that I can determine the test and measures I want to conduct. I am still gaining experience with all
the different tests and measures. The aspects I still need to work on are my sequencing of tests and measure to
optimize efficiency and choosing the appropriate test for complex patients.
I continued to develop collecting my subjective to include relevant and important information for the patient. I
continued to utilize information from history and other data when developing plans of care, interventions, and
treatments. I selected evidence based test and measure that were relevant to patients history/ chief complaint, and
screening. I felt that my sequencing improved significantly as I got to practice more and develope my skills.
Rating for performance in all components limited to 6/20 due to caseload/supervision definitions (see Caseload
Comments for additional information). Emma does a great job of using her training in PT school as well as her
experience as a CNA to quickly and effortlessly evaluate the basics of patient function and be ready to flow into
determining what she wants to examine in greater detail. She hasn't had the chance to evaluate everything in her
brief time with us, but she has had an opportunity to see how patients work with assistive devices, patients for
work reintegration, assessed most of the basic functional performance (e.g.: motor function, range of motion, pain,
etc).
Is starting to get a nice flow to her examination. I recommended continued some test and measure aren't left or
she doesn't hyper focused of specifics and could adjust based of the patient interaction data collections of testing.
B AB I AI E BE
+8
+9
After obtaining the appropriate subjecting and objective information, I feel confident in evaluating the information
and interpreting what it means. I am able to make clinical judgements based off this information and get an idea of
where I want to begin when it comes to treatment. I still need to work on my efficiency and evaluating more
complex patients.
My confidence and abilities in synthesizing examination data to identify impairments, limitation and quality of life
has improved. I improved my efficiency and evaluating complex patients. My ability to make clinical judgements
based on the data I have collected has improved. I feel that I am able to reach clinical decisions efficiently based
on the knowledge and experience I have gained.
Rating for performance in all components limited to 6/20 due to caseload/supervision definitions (see Caseload
Comments for additional information). Emma has learned in her brief time with us how to synthesize the data from
examinations for and start to parse out the important information from a sea of data. She has also grown in
figuring out where to go next, but does still require "Ok, you have X, and Y, have you checked Z?" prompting on more
complex cases to guide her decision-making. Once she has the relevant data, she benefits from a vote of
confidence to say "Ok, now that we have X, Y, and Z, what do these things all get you towards?" with complex cases,
however if she has all the relevant information, she is very capable of hoping right into diagnosis/prognosis with
simple cases.
There was nice grow throughout the clinic when conducting evaluations. she developed a more succinct flow to her
examinations while collecting data from her patient and test and measure. will continue to grow but should focus
on hypothesis and potential alternative based on her test and measures. learn to perform all testing in positions
before moving to the next. she has started to develop this and will continue as she participates in future rotations.
She has a bright future ahead of her.
B AB I AI E BE
+7
+8
I feel that my ability to develop a diagnosis and prognosis is another skill that requires more improvement. When it
comes to simple cases, I am able to integrate the information I have obtained and develop a clear and thorough
diagnosis. I am still struggling with complex cases, especially spine pathologies and neurological pathologies. I am
working on my skills of explaining prognosis to patients because I am still gaining experience and seeing what a
typical prognosis is for a patient with a specific diagnosis. I am able to identify how contributing factors affect
prognosis and use reasearch and literature to fill in my gaps of knowledge.
I felt that I have improved greatly with my ability to establish diagnosis and differential diagnosis for both complex
and simple cases. I feel that I am more able to determine a diagnosis that is congruent with pathology, impairment,
functional limitation, and disability. I have a more comprehensive understanding of prognosis for patient with
specific diagnosis and understanding rehab potential based off of patient presentation.
Rating for performance in all components limited to 6/20 due to caseload/supervision definitions (see Caseload
Comments for additional information). Emma has been building her skills with taking the comprehensive
information to arrive at a diagnosis and has become increasingly effective at it. Where she struggles is conveying
the diagnosis and prognosis to patients with confidence. The more reps you get with this, the stronger root will be.
does a nice job of formulating and differentially diagnosis low complexity cases based on data collection from test
and measures and patient reporting. with mod to higher level complexity, she will continue to grow, learn to
decipher the information to formulate different differential diagnosis.
B AB I AI E BE
+7
+8
I am confident in my ability to establish a beginning plan of care for patients, since I do not have much experience
with working with patient for a long period, I am still working on my ability to progress them through treatment. I am
able to base the plan of care off of the evidence available and patient preference. I am able to see and understand
when a patient is not able to perform a specific intervention and how they must be modified. I feel that I do a good
job at assessing risk and benefits with the patients and following up with them. I need to continue to work on my
ability to obtain goals and develop functional goals for the patients.
I feel that I have continued to improve on my ability to develop a plan of care. Since gaining more knowledge and
experience, I have a better understanding of effective intervention and plan of cares for patients. I have been able
to see outcomes and how to modify patient intervention to improve plan of care. I also feel confident in developing
a plan of care that is specific and goal oriented to the patients needs. I feel that I continue to do a good job at
assessing risk and benefits with the patients and following up with them. I have improved my ability to develop and
obtain goals that are functional and specific to the patient.
Rating for performance in all components limited to 6/20 due to caseload/supervision definitions (see Caseload
Comments for additional information). Similarly to diagnosis and prognosis, Emma's real area for growth is in
confidence with communication for patients. You know how to do this, and your interventions are well thought out.
You just have to build on consistently communicating the plan to patients with confidence.
Emma was comfortable in treating patients and keeping a good clinic flow going. this will come with time and
experience as there were a couple times the clinic became very busy and may have been a bit overwhelming.
Emma did a nice job of recognizes this and had my assistance. where she can grow is utilizing support staff. She
was able to facilitate the clients progression with good thought process.
B AB I AI E BE
+7
+11
I feel confident in performing interventions safely, effectively, and efficiently. I make sure that all interventions are
performed based off the plan of care and utilizing the patients goals when developing interventions. I use literature
and research when following guidelines and when it is safe to progress a patient. I need to work on sequencing of
treatment and making sure they are fluid for the patients. When a patient is unable to perform an intervention or
has a particular diagnosis, I am able to adjust treatment accordingly. I make sure to incorporate the concepts of
self-efficacy and am consistently considering health and wellness associated with the plan of care
I continued to improve on my ability to perform interventions safely, effectively, and efficiently. I provided
interventions that were specific to the patient and to the patients goals. I continued to research the literature, utilize
CI knowledge and experience and my own knowledge to develop and utilize interventions. I felt that my sequencing
improved significantly with treatment and making sure the treatment was fluid for the patient. I was able to modify
and adjust interventions while incorporates concept of self-efficacy to promote health and safety for the patient.
Rating for performance in all components limited to 6/20 due to caseload/supervision definitions (see Caseload
Comments for additional information). Procedural interventions is the area where Emma's direct patient care
shines brightest. She has a warm, open, and inherently trustworthy way of interacting with patients that makes
them feel heard when they're hurting. Simultaneously, she does a good job of challenging people who are further
along and able to tolerate intense exercise as they progress towards return to sport.
found ways to effectively adapt each client's treatment not only by their needs but also their level of symptoms for
each treatment session. she wasn't afraid to try new things to accommodate and make sure patient's needs are
met. this may be one of her strongest areas.
B AB I AI E BE
+7
+13
I feel confident in my abilities to identify and establish priorities when it comes to patients education. I need to
improve on my ability to assess and identify a patients learning styles and barriers to learning. I am consistently
working on applying my knowledge and skills to identify further problems and recommending solutions during
treatment.I am struggling with not talking in medical terms, which I am working on everyday to become more
consistent at. I also working on my ability to ensure the patient has an understand of the treatment and diagnosis.
My ability to provide education for the patient improved significantly. I improved on my skills of assessing and
identifying a patients learning style and barriers to learning. I continued to work and apply my knowledge and skills
to identify further problems and recommending solutions during treatment. I was able to work with complex
patients that helped me develop these skills and improve my skills at adapting. I improved at not speaking in
medical terms to ensure that my patients had complete understanding. I got more confident applying education for
the patient to promote health and wellness. I understood where my limitations were and when to utilize the help of
my CI to ensure the patient understood.
Rating for performance in all components limited to 6/20 due to caseload/supervision definitions (see Caseload
Comments for additional information). This is another area where Emma can shine when she's confident. If you ask
Lisa, I was beaming, grinning from ear to ear listening to you give education to your eval on one of your last days at
Lansing Delta. When your confidence is lacking people can definitely hear it, so that's an area for growth, but you do
know the material. You just need to work on sharing it.
did an excellent job educating patient with adaptive equipment, safety, and exercises. Her training with gait, ADLs
and IADLs. areas to improve explaining pathologies and treatment strategies fostering patient's understanding
during initial evaluations.
B AB I AI E BE
+7
+8
I am feeling confident in my ability to select the relevant information required for documenting treatment for the
day. I am still working on understanding each component required in the EHR and how to navigate it. I am able to
utilize terminology that describes the care that was provided that day. I need to improve my efficiency when
documenting so that it is done in a timely and legible matter.
I continued to develop my skills at writing cohesive notes that were completed in a timely manner. I am continuing
to understand each component required in EHR and how to navigate it. I am developing my terminology that
describes the care that was provided.
Rating for performance in all components limited to 6/20 due to caseload/supervision definitions (see Caseload
Comments for additional information). Emma has shown incredible growth in documentation in the last three
weeks. She has built her documentation up with the help of using templates to improve flow and to help synthesize
work well beyond the typical quality of a second year student. This is despite the fact that her clinical instructor is
not always the best at modeling timely documentation. Well done. If you continue to use my templates at East
Lansing, know that Rick may want you to edit your work slightly to better fit his style.
documents efficiently based on intervention and patients responds in accordance to guidelines. developed
strategies for time management in completing documentation in a timely manner.
B AB I AI E BE
+7
+11
I feel confident in my ability to assess and interpret a patients results to standardized assessment through the
course of care. I am able to asses and respond to patients responses to treatment and understand when the plan
of care needs to be changed. I am I need to work on my ability to chose correct outcome assessments for patients.
I feel confident in my ability to assess and interpret a patients results to standardized assessments through the
course of care. I got experience utilizing outcome assessment to have conversations with patients so they
understand improvements they have made throughout their course of rehab.
Rating for performance in all components limited to 6/20 due to caseload/supervision definitions (see Caseload
Comments for additional information). Emma has begun to have exposure working with various outcome
measures through our use of FOTO as well as with various assessment options in the clinic such as the FGA/DGI, 9
hole peg test, and Moberg pick up test. She has always been happy to quickly dive into anything new and figure out
how to interpret the results of a test.
Did a nice job reviewing foto she will become more efficient as she progresses through her clinicals. learn and
understand patient progress may not correlate to reported values base on functional and effort. she was able to
start to decipher some of these trends toward the end of the clinical. next step will be to become more efficient in
education and altering treatment strategies based in thesesituation.
B AB I AI E BE
+5
+8
I would like to gain more experience when it comes to scheduling patients, equipment, and space. I am still working
on the components of billing. I feel confident in my ability to promote the profession of physical therapy from
gaining experience at special events and marketing events.
I participated in financial management through billing for treatment time. I gained knowledge and experience
working with the clinic manager to understand expenses of maintaining a clinic. I was able to understand and learn
more about the components of insurance include pre-certification and more.
Rating for performance in all components limited to 6/20 due to caseload/supervision definitions (see Caseload
Comments for additional information). Emma went well above and beyond the scope of your average 2nd year
rotation with participation in outreach events at a physician's office and at a community science fair. Excellent
work.
the only relatable financial aspect we encountered was UPV. Emma was conscious in her billing for services
provided. she had a good understanding of the 8 minute rule. needs further understanding on fee for service and
incident billing.
B AB I AI E BE
+2
+11
I felt that I interacted well with fellow employees, including the PEC and rehabs techs. I felt comfortable discussing
treatment with them, answering questions, and assisting them with patients.
I felt comfortable directing and supervising rehab aides. I was able o work with them well and utilize their
assistance with patients.
For this section I ask my staff to provide input on my students' performance as I think it's important to judge
students not only by how they emulate the clinical instructor's interaction with staff but also how the student's
supervision is interpreted by the staff. As such, I have included reports from my team regarding Emma's
performance: "Emma has been great to work with so far and I am confident to say we have all benefitted from her
presence in the clinic. I appreciate how she is willing to take the time to share her knowledge with the team in the
same way Jake does. Her calm, confident demeanor along with her amazing patient care is exceptional and she
excels at explaining the how and why to both patients and other clinic staff. " "She communicates very well with
patients and is able to get her point across to them. She demonstrates great interest in physical therapy and taking
care of others. Emma is very personable and able to have an easy-going relationship with patients. I believe she will
be able to climb the ladder of success while doing her clinical rotation with Athletico. Emma is also a very quick
learner and picks up on things easily. I believe she will be a successful physical therapist and do well in any
specialties she decides to pursue. I am excited to get to know her more along her journey." "Emma's skill level and
competency was obvious from day one. I witnessed her strive for excellence in all of areas of her professional life. I
have watched Emma blossom in her confidence since she has been with us Which includes learning as much from
Jake as she could. Watching and listing to everything around her While maintaining the highest quality of care.
Emma has the ability to multitask without becoming over whelmed. In addition, she will reach out for assistance
when needed. Counting on your P.E.C. to assist you so you can focus on the clients is not something students
usually find easy. I offered my assistance and Emma was able to work easily with me for betterment of the clients
and the facility. Emma will be a valuable asset to Athletico." Emma, you did a wonderful job working with my team.
I'm very proud of the work you accomplished here and how you always treated every member of the team with
respect and dignity.
Worked well with front office staff and utilized appropriately for relevant information in treatment patient managing
insurance and staying attuned to precertification. she could utilize aide more efficiently in time of high volume.
B AB I AI E BE
+6
+13
I feel that my strength include interacting with patients and ensuring patient safety. I feel confident with conducting
objective measures such as MMT and goniometry. I feel that I did a good job developing patient care plans are
interventions based on patient pathology. I feel confident when evaluating, treating, and assessing simple cases
and pathologies.
ensuring patient safety, developing plan of care, collecting objective measures, implementing interventions,
working with both complex and simple patients.
Emma does a wonderful job of treating both patients and staff with respect and dignity. I like to emphasize the
importance of treating patients with *unconditional positive regard* and Emma needed no introduction to that
concept. Her clinical care is on par with that of a student in a terminal rotation and her testing/synthesis is
approaching that point as well. I look forward to seeing her grow and cannot wait to see how she shapes the
profession around her and all the incredible impacts she will have on the lives of patients.
I feel Emma has a bright future ahead of her as she has a passion for the profession. interacts well with all clientele
with excellent communication skills. More importantly you can tell Emma really care about her clients. with
continued education she will continue to flourish as a therapist. She attended alll days help support and treat a
busier than usual caseload. She would put in extra hour to learn manual techniques. she has grown in her
confidence and has taking the lead on several of the clients incorporating and progressing their POC, addressing
needs and concerns. this is done in a positive professional manner with respect.
I need to work evaluating, treating, and assessing complex cases. I need to work on my sequencing of interventions
and evaluations to make sure they are efficient and concise. I need to improve my ability to assess patient when it
comes to performing special test and outcome assessments.
I need to continue to improve my general knowledge, cohesiveness and sequencing of evaluation, patient
understanding, selecting appropriate tests and measures, and discussing prognosis with patients.
Emma's biggest area for development is in confidence with communication. Remember Emma, you know this stuff
like the back of your hand. If Michael Barnes can have confidence in writing a prescription, you can have
confidence in providing a PT diagnosis and exercise prescription. Don't let them see you sweat, fake it till you make
it, whatever mantra you want to use, the truth is, you know the material, you know the patient care, you just need to
have faith in yourself and the patients will have faith in you. I am already so proud of the progress you've made here
and look forward to hearing how you grow in East Lansing.
flow of evaluation confidence in explaining pathology and POC delineation of moderate to complex casess
considering their co morbidities and effects on therapy
I was supervised for each patient.
I was under supervision when treating patients.
1. Caseload is variable throughout the year with a yearly average weekly caseload of 55 visits being considered a
goal caseload. 2. Emma is performing well above the Advanced Beginner expectations of the clinical rotation. She
has nearly achieved the caseload requirement for Intermediate and is working towards those requirements with
regard to supervision. Emma is capable of managing ~46% caseload of a new graduate with ~86% supervision
with simple cases and ~87% supervision with new/complex cases at this time. Absolutely incredible performance,
especially for only being in her 4th trimester.
did a masterful job engraining herself into a busier than normal caseload. She met many of these cases head on
facility patient's progress and experience. She was handling ~ 50% of the caseload, supervision to her digression
but we always discussed. well beyond the normal first clinical rotation student.
I do not have any recommendations
I do not have any recommendations.
I recommend that Emma get plenty of time working with the various clinical experts at our East Lansing clinic over
the next three weeks. I wish I could continue to offer further direction on her clinical development.
continue to learn all you can during your rotations as there are no better resources than those you learn from. take
in all you can.
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