| Planning |
Clinical Skills |
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3 |
2 |
1 |
N/A |
| A. Read folder and knew contents |
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| B. Did background reading in disorder area |
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| C. Read and learned tests needed |
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| D. Determined areas to be evaluated |
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| E. Determined formal and informal tests to use |
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| F. Determined additional information to obtain from client |
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| G. Had materials, room, etc. prepared in advance |
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| H. Plans incorporated logical sequence |
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| Testing |
A. Administered formal tests appropriately |
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| B. Scored formal tests appropriately |
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| C. Interpreted formal tests appropriately |
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| D. Recorded informal test data |
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| E. Interpreted informal results appropriately |
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| F. Presented tests in logical order |
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| G. All relevant areas were tapped |
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| Therapy |
A. Reinforcement and structure kept client attentive, involved, and succeeding |
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| B. Tasks sequenced from simple to complex |
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| C. Pretest-teach-retest paradigm was used |
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| D. Conveyed to client an understanding of what he was working on and why |
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| E. Feedback was descriptive (i.e. led client to an understanding of the desired response) |
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| F. Materials were appropriate |
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| Objectives |
A. Goals chosen were appropriate (no glaring omissions) |
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| B. Objectives were well sequenced |
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| Conference |
A. Conference topics were discussed with supervisor in advance |
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| B. Arrangements were made for care of client |
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| C. Used questioning appropriate for obtaining unbiased opinions |
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| D. Kept the conference "on the track" |
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| E. Presented information in logical sequence |
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| F. Used language the listener understood |
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| G. Made frequent checks of listener's interpretation of information given |
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| H. Answered questions appropriately |
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| Report Writing |
A. Conference reports, evaluation reports and letters were written |
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| B. Grammar was correct and professional |
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| C. Content was accurate and appropriate |
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| D. Organization conveyed information in the most efficient and effective manner |
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| E. Neatness and spelling acceptable |
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| Procedures |
A. All time limits were met |
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| B. Client information was not removed clinic |
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| Personal Skills |
A. Established good rapport with client and family |
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| B. Was perceptive of client failure, frustration, needs, etc. |
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| C. Was prompt |
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| D. Communicated in cooperative way with supervisor |
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| E. Was appropriately dressed |
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Total Points of Each Column |
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Grand Total of Points |
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