UWSP Athletic Training Education Program Learning Over Time Experiences Injury Evaluation and Assessment Name____________________________________ Date______________________ Body part evaluated and assessment:_________________________________________________ Definitions and explanation of assessment: Skill: ability to perform the exercise with expertise and sound judgment Accuracy: ability to perform the exercise carefully without error Efficiency: ability to perform the exercise effectively and in sufficient time 5 = Performance exceeds expectations at this level. Independent and consistent in identifying issues and problem solving. Required no intervention of clinical instructor. 4 = Performance above required standards at this level. Identified and problem‐solved most of the clinical issues. Required no hands‐on intervention of clinical instructor; only verbal guidance resulting in correct answer. 3 = Performance meets general required standards at this level. Identified and problem‐solved some of the clinical issues, but with minimal hands‐on or verbal guidance by the clinical instructor. 2 = Certain shortcomings in performance at this level. Maximum intervention and guidance needed for student to initiate and problem‐solving skills. 1 = Clinical skills are inadequate even with maximum intervention and guidance from the clinical instructor. Student does not have the clinical skills or knowledge for independent problem‐solving. History Skill Accuracy
Efficiency 1 2 3 4 5 1 2 3 4 5
1 2 3 4 5
Observation and Inspection/Palpation Skill Accuracy
Efficiency 1 2 3 4 5 1 2 3 4 5
1 2 3 4 5
Range of motion/muscle testing Skill Accuracy
Efficiency 1 2 3 4 5 1 2 3 4 5
1 2 3 4 5
Special tests/Ligamentous testing Skill Accuracy
Efficiency 1 2 3 4 5 1 2 3 4 5
1 2 3 4 5
Neurological/Circulatory testing Skill Accuracy
Efficiency 1 2 3 4 5 1 2 3 4 5
1 2 3 4 5
Assessment – discusses findings with patient Skill Accuracy
Efficiency 1 2 3 4 5 1 2 3 4 5
1 2 3 4 5
Comments/suggestions: (use other side if necessary) __________________________________ ________________________________ ACI signature Student signature