Evaluation of Clinician’s Performance –
Minot State University
Communication Disorders Department
Clinician
Supervisor:
Semester
Undergraduate Graduate
# of Semesters in Clinic
Client:
I. PROFESSIONALISM
These requirements are expected of every student clinician. An unsatisfactory rating will
result in lowering the overall grade by at least one full letter grade.
Professionalism Scale: E = excellent/exceeds expectations; S = satisfactory/adequate; I = improving/emerging; U =
unsatisfactory; NA = Not Applicable
Midterm Final
Listens, ask questions, participates with supervisor
Attendance at clinician’s class
Semester professional goal
Honest, trustworthy, reliable, punctual
Initiative and advocacy for client
Personal appearance appropriate for setting and maintenance of credibility
Maintenance of ethical standards
Organization, preparation, and time management
Appropriate relationship with client
Demonstrates awareness and sensitivity to cultural differences
PROFESSIONALISM RATING
Midterm Areas for Improvement:
Final Areas for Improvement:
GRADING SCALE – Sections II-VI: (based on each student’s level of training)
A+
Exceptional clinical skills
Exceeds all mandated requirements
Functions at a successful independent level
A
Excellent clinical skills
Shows minimal need for direct or prescriptive instruction to perform effectively
Majority of clinical competencies meet the quality and expectations for students at this level of training
Demonstrates excellent ability applying previous coursework and experiences to present clinical assignment
Takes initiative; makes changes when appropriate
B
Satisfactory clinical skills
Needs direction from supervisor to perform effectively
Emerging ability to integrate and apply previous coursework and/or experiences when applicable
Demonstrates steady growth in clinical competencies
Learns quickly from mistakes (shown ability to revise and edit from previous mistakes)
C
Marginal clinical skills
Shows minimal growth in clinical competencies
Requires repeated directions or prescriptive instruction from supervisor
Minimal integration and application of previous coursework and/or experiences
Occasionally recognizes need for change
D
Requires specific direction from supervisor
Does not alter unsatisfactory performance
Unsatisfactory completion of clinic competencies
F
Minimum requirements for clinical practicum were not met
Convert letter grades to numbers based on the following scale:
A+ A
11 10
A9
B+
8
B
7
B6
C+
5
C
4
C3
D+
2
D
1
F
0
II. VERBAL LANGUAGE
Midterm
Final
Presentation of information during case planner meeting
Parent/family contacts
Therapy intake interview
Client/clinician exchanges
Supervisory exchanges
Semester tx plan conference (M) Semester therapy conference (F)
Average (sum of total points/# of skills with comments)
VERBAL LANGUAGE GRADE
Midterm Areas for Improvement:
Final Areas for Improvement:
III. ASSESSMENT
Midterm
Final
Analysis and synthesis of information in case planner
Communication sample summary
Baseline data/pretesting (M) Post testing (F)
Determination of current level of functioning (M) Analysis of client’s
semester progress (F)
Data collection
Objective data reporting in SOAP notes
Clinical assessments in SOAP notes
Observation of nontarget behaviors
Clinical judgment during session
Self-assessment
Average (sum of total points/# of skills with comments)
ASSESSMENT GRADE
Midterm Areas for Improvement:
Final Areas for Improvement:
IV. PROGRAM DEVELOPMENT
Midterm
Final
Design semester therapy plan (M) Develop final recommendations (F)
Formulate daily objective based on previous performance
Consult additional resources
Design home programming and suggestions
Average (sum of total points/# of skills with comments)
PROGRAM DEVELOPMENT GRADE
Midterm Areas for Improvement:
Final Areas for Improvement:
V. INTERVENTION
Midterm
Final
Selection of stimulus materials
Strategies for maintaining on-task behavior (including structuring the
teaching environment and setting behavioral limits)
Instructions when presenting materials and activities
Instructions for eliciting target behaviors
Flexibility in modifying teaching/intervention
Meaningful feedback and/or reinforcement
Counseling when appropriate
FM/SO training as appropriate
Average (sum of total points/# of skills with comments)
INTERVENTION GRADE
Midterm Areas for Improvement:
Final Areas for Improvement:
VI. WRITTEN LANGUAGE (Professional Writing)
Midterm
Final
Communication sample and analysis
Lesson plans: objectives, description of activities, and intervention
Reflection log
SOAP notes
Semester therapy plan (M) Semester Therapy Report (F)
Other written assignments
Average (sum of total points/# of skills with comments)
WRITTEN LANGUAGE GRADES
Midterm Areas for Improvement:
Final Areas for Improvement:
SUMMARY
Midterm
I.
Final
Professionalism
Midterm
Letter
II.
III.
IV.
V.
VI.
Final
#
Letter
Verbal Language
Assessment
Program Development
Intervention
Written Language
Total
Divide by 5 to average
Grade
Convert letter grades to numbers based on the following scale:
A+ A
11 10
A9
B+
8
B
7
B6
C+
5
C
4
C3
D+
2
D
1
F
0
#