UWSP Athletic Training Education Program Learning Over Time Experiences Modalities Name_____________________________ Date______________________ Treatment used:__________________________________________________________________ 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. Discusses Indications and Contraindications Skill Accuracy
Efficiency 1 2 3 4 5 1 2 3 4 5
1 2 3 4 5
Explanation of modality to patient/understanding of equipment Skill Accuracy
Efficiency 1 2 3 4 5 1 2 3 4 5
1 2 3 4 5
Patient preparation Skill Accuracy
Efficiency 1 2 3 4 5 1 2 3 4 5
1 2 3 4 5
Treatment Skill Accuracy
Efficiency 1 2 3 4 5 1 2 3 4 5
1 2 3 4 5
Ending treatment and follow‐up treatment/instructions to patient Skill Accuracy
Efficiency 1 2 3 4 5 1 2 3 4 5
1 2 3 4 5
Comments/suggestions: __________________________________ ________________________________ ACI signature Student signature