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IMPORTANT:Please mark whether this is the Midterm or Final evaluation of your student. Additionally, please keep whether this is a Midterm or Final evaluation in
mind as you completethe rest of this evaluation.
NOTE: At the end of this evaluation, you will be asked to provide a total score for your student. Itwill be helpful to keep track of the points you give your student on
a spare piece of paper or on a calculatoras you ll-out the evaluation.
Midterm
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4/23/2017 Typhon Group: EASI - Evaluation & Survey Instrument
I. FUNDAMENTALS OF PRACTICE:
All items in this area must be scored at a #3 or above on the nal evaluation in order to pass eldwork.
4 Exceeds Standards: Performance is highly skilled and self-initiated. This rating is rarely given and would represent the top 5% of all the students you have
supervised.
3 Meets Standards: Performance is consistent with entry-level practice. This rating is infrequently given at midterm and is a strong rating at nal.
2 Needs Improvement: Performance is progressing but still needs improvement for entry-level practice. This is a realistic rating of performance at midterm, and
some ratings of 2 may be reasonable at the nal.
1 Unsatisfactory: Performance is below standards and requires development for entry-level practice. This rating is given when there is a concern about
performance.
Adheres to ethics: Adheres consistently to the American Occupational Therapy Association Code of Ethics and sites policies and procedures
including, when relevant, those related to human subject research. - 3[3 pts]
Adheres to safety regulations: Adheres consistently to safety regulations. Anticipates potentially hazardous situations and takes steps to
prevent accidents. - 3[3 pts]
Uses judgement in safety: Uses sound judgement in regard to safety of self and others during all eldwork-related activities. - 3[3 pts]
Strengths: Brianna consistently demonstrates awareness of safety issues and ethical issues related to treatment. Goals: Continue to
demonstrate good awareness of ethical concerns and safety issues, including group appropriateness, and convey relevant observations with
the treatment team.
II.BASIC TENETS:
4 Exceeds Standards: Performance is highly skilled and self-initiated. This rating is rarely given and would represent the top 5% of all the students you have
supervised.
3 Meets Standards: Performance is consistent with entry-level practice. This rating is infrequently given at midterm and is a strong rating at nal.
2 Needs Improvement: Performance is progressing but still needs improvement for entry-level practice. This is a realistic rating of performance at midterm, and
some ratings of 2 may be reasonable at the nal.
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4/23/2017 Typhon Group: EASI - Evaluation & Survey Instrument
1 Unsatisfactory: Performance is below standards and requires development for entry-level practice. This rating is given when there is a concern about
performance.
Clearly and con dently articulates the values and beliefs of the occupational therapy profession to clients, families, signi cant others,
colleagues, service providers, and the public. - 2[2 pts]
Clearly, con dently, and accurately articulates the value of occupation as a method and desired outcome of occupational therapy to clients,
families, signi cant others, colleagues, service providers, and the public. - 2[2 pts]
Clearly, con dently, and accurately communicates the roles of the occupational therapist and occupational therapy assistant to clients,
families, signi cant others, colleagues, service providers, and the public. - 2[2 pts]
Collaborates with client, family, and signi cant others throughout the occupational therapy process. - 3[3 pts]
Strengths: Brianna demonstrates good knowledge of Occupational Therapy theories and values. She also actively collaborates with patients
throughout the course of their treatment. Goals: More actively educate patients and members of the treatment team on the roles and values of
Occupational Therapy in Mental Health during patient interviews and treatment interventions, as well as during multidisciplinary treatment team
meetings.
4 Exceeds Standards: Performance is highly skilled and self-initiated. This rating is rarely given and would represent the top 5% of all the students you have
supervised.
3 Meets Standards: Performance is consistent with entry-level practice. This rating is infrequently given at midterm and is a strong rating at nal.
2 Needs Improvement: Performance is progressing but still needs improvement for entry-level practice. This is a realistic rating of performance at midterm, and
some ratings of 2 may be reasonable at the nal.
1 Unsatisfactory: Performance is below standards and requires development for entry-level practice. This rating is given when there is a concern about
performance.
Articulates a clear and logical rationale for the evaluation process. - 2[2 pts]
Selects relevant screening and assessment methods while considering such factors as clients priorities, context(s), theories, and evidence-
based practice. - 2[2 pts]
Determines clients occupational pro le and performance through appropriate assessment methods. - 2[2 pts]
Assesses client factors and context(s) that support or hinder occupational performance. - 2[2 pts]
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4/23/2017 Typhon Group: EASI - Evaluation & Survey Instrument
Obtains su cient and necessary information from relevant resources such as client, families, signi cant others, service providers, and records
prior to and during the evaluation process. - 3[3 pts]
Administers assessments in a uniform manner to ensure ndings are valid and reliable. - 2[2 pts]
Adjusts/modi es the assessment procedures based on clients needs, behaviors, and culture. - 2[2 pts]
Interprets evaluation results to determine clients occupational performance strengths and challenges. - 2[2 pts]
Establishes an accurate and appropriate plan based on the evaluation results, through integrating multiple factors such as clients priorities,
context(s), theories, and evidence-based practice. - 2[2 pts]
Documents the results of the evaluation process that demonstrates objective measurement of clients occupational performance. - 2[2 pts]
Strengths: Brianna consistently utilizes multiple sources to obtain relevant data for initial evaluations. She provides clear, concise
documentation and modi es her approach based on patient response. Goals: -To demonstrate improved pro ciency in interpreting patient data
to establish a clearer picture of patient functioning. - To further incorporate the interpretation of functioning into treatment interventions by
addressing speci c areas of impairment.
IV. INTERVENTION:
4 Exceeds Standards: Performance is highly skilled and self-initiated. This rating is rarely given and would represent the top 5% of all the students you have
supervised.
3 Meets Standards: Performance is consistent with entry-level practice. This rating is infrequently given at midterm and is a strong rating at nal.
2 Needs Improvement: Performance is progressing but still needs improvement for entry-level practice. This is a realistic rating of performance at midterm, and
some ratings of 2 may be reasonable at the nal.
1 Unsatisfactory: Performance is below standards and requires development for entry-level practice. This rating is given when there is a concern about
performance.
Articulates a clear and logical rationale for the evaluation process. - 2[2 pts]
Utilizes evidence from published research and relevant resources to make informed intervention decisions. - 2[2 pts]
Chooses occupations that motivate and challenge clients. - 2[2 pts]
Selects relevant occupations to facilitate clients meeting established goals. - 2[2 pts]
Implements intervention plans that are client centered. - 2[2 pts]
Implements intervention plans that are occupation-based. - 2[2 pts]
Modi es task approach, occupations, and the environment to maximize client performance. - 2[2 pts]
Updates, modi es, or terminates the intervention plan based upon careful monitoring of the clients status. - 3[3 pts]
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4/23/2017 Typhon Group: EASI - Evaluation & Survey Instrument
Documents clients response to services in a manner that demonstrates the e cacy of interventions. - 2[2 pts]
Strengths: Brianna demonstrates awareness of the e cacy of treatment interventions through good clinical observations of patient response.
She shows good exibility in selecting and modifying treatment interventions. Goals: -To further articulate the purposes of group interventions
to improve patients understanding and retention of the skills taught.
4 Exceeds Standards: Performance is highly skilled and self-initiated. This rating is rarely given and would represent the top 5% of all the students you have
supervised.
3 Meets Standards: Performance is consistent with entry-level practice. This rating is infrequently given at midterm and is a strong rating at nal.
2 Needs Improvement: Performance is progressing but still needs improvement for entry-level practice. This is a realistic rating of performance at midterm, and
some ratings of 2 may be reasonable at the nal.
1 Unsatisfactory: Performance is below standards and requires development for entry-level practice. This rating is given when there is a concern about
performance.
Demonstrates through practice or discussion the ability to assign appropriate responsibilities to the to the occupational therapy assistant and
occupational therapy aide. - 2[2 pts]
Demonstrates through practice or discussion the ability to actively collaborate with the occupational therapy assistant. - 2[2 pts]
Demonstrates understanding of the costs and funding related to occupational therapy services at this site. - 2[2 pts]
Accomplishes organizational goals by establishing priorities, developing strategies, and meeting deadlines. - 2[2 pts]
Produces the volume of work required in the expected time frame. - 3[3 pts]
Comments on strengths and areas for improvement in MANAGEMENT OF OCCUPATIONAL THERAPY SERVICES:
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4/23/2017 Typhon Group: EASI - Evaluation & Survey Instrument
Strengths: Brianna consistently completes documentation in a timely manner and frequently seeks out increased responsibilities. She also
collaborates well with peer Occupational Therapy students and Occupational Therapy staff. Goals: To increase the volume of work to re ect a
typical entry-level Occupational Therapist work load (1-3 evaluations per day as census allows, in addition to daily groups and documentation).
VI. COMMUNICATION:
4 Exceeds Standards: Performance is highly skilled and self-initiated. This rating is rarely given and would represent the top 5% of all the students you have
supervised.
3 Meets Standards: Performance is consistent with entry-level practice. This rating is infrequently given at midterm and is a strong rating at nal.
2 Needs Improvement: Performance is progressing but still needs improvement for entry-level practice. This is a realistic rating of performance at midterm, and
some ratings of 2 may be reasonable at the nal.
1 Unsatisfactory: Performance is below standards and requires development for entry-level practice. This rating is given when there is a concern about
performance.
Clearly and effectively communicates verbally and nonverbally with clients, families, signi cant others, colleagues, service providers, and the
public. - 3[3 pts]
Produces clear and accurate documentation according to site requirements. - 2[2 pts]
All written communication is legible, using proper spelling, punctuation, and grammar. - 2[2 pts]
Uses language appropriate to the recipient of the information, including but not limited to funding agencies and regulatory agencies. - 2[2
pts]
Strengths: Brianna communicates effectively with patients and colleagues, and demonstrates good rapport-building skills. Her documentation
is clear and well-written. Goals: To demonstrate increased initiative in team discussions by further contributing clinical observations and
recommendations.
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4/23/2017 Typhon Group: EASI - Evaluation & Survey Instrument
4 Exceeds Standards: Performance is highly skilled and self-initiated. This rating is rarely given and would represent the top 5% of all the students you have
supervised.
3 Meets Standards: Performance is consistent with entry-level practice. This rating is infrequently given at midterm and is a strong rating at nal.
2 Needs Improvement: Performance is progressing but still needs improvement for entry-level practice. This is a realistic rating of performance at midterm, and
some ratings of 2 may be reasonable at the nal.
1 Unsatisfactory: Performance is below standards and requires development for entry-level practice. This rating is given when there is a concern about
performance.
Strengths: Brianna consistently shows a positive, professional attitude. She is diligent and demonstrates good time management. She seeks
out and utilizes constructive feedback well, and shows a strong sense of respect and empathy. Goals: To further develop autonomy as a
clinician in terms of group planning/facilitating and in implementing individualized treatment interventions.
Please add up your student's total number of points (for MIDTERM andFINAL)and provide a pass or no pass rating (for FINAL ONLY)based on the following scoring
guidelines:
Total Score - 96
Pass or No Pass - Pass
SUMMARY COMMENTS:
Brianna demonstrates a good clinical competence overall. She is a motivated, intelligent student and consistently utilizes constructive
feedback. She makes good clinical observations and has made progress in developing clinical reasoning in preparation of implementing
interventions.
Signature Validated
No additional comments
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