Notification of Referral
CLINICAL SPECIALTY: NM
STUDENT:XXXXXXXX
HOSPITAL/UNIT: XXXXXXX
CLINICAL EDUCATOR: XXXXXX
DATE: XXXXX
UNIVERSITY TUTOR: XXXXXX
COMMENTS:
1. Areas of Concern:
Problem 1: Patient examination and assessment and problem identification
Problem 2: Professionalism - time keeping
2. Specific Recommendations:
Problem 1:
- To split the assessment process up to allow time for discussion of problem identification and solving
- To improve underpinning knowledge to assist the clinical reasoning process
Problem 2:
- To be on time
3. Objectives to be met (with timescales):
Patient Examination and Assessment and problem identification
1 To be able to identify relevant information from the subjective assessment
2 To use the relevant information in order to plan an appropriate objective assessment
3 To use the relevant information from the objective assessment with the knowledge base to identify an appropriate
problem list
Professionalism
1 To be on day every day for the rest of the placement (unless there is a valid reason)
4. Review Date: Telephone update on Monday 14th March with clinical visit planned for Friday 18th March 2011.
Additional documentation can be copied from : http://www3.shu.ac.uk/HWB/placements/Physiotherapy
Placement team: Sue Green 0114 225 5575: Myles Butler 0114 225 2231: Jo Adams 0114 225 2490: Kathie Moore 0114 225 2404
© SHEFFIELD HALLAM UNIVERSITY 2011
ADDITIONAL COMMENTS:
Telephone update: Monday 14/03/11 (Kath Moore and Kerry Anderson)
Problem 1:
- unfortunately not really improving
- still needing a lot of prompting re assessment, problem solving and clinical reasoning
Problem 2:
- time keeping still an issue
Recommendations:
Problem 1:
- continue to support development of clinical reasoning process by guided reading and questioning
Problem 2:
- keep a close eye on time keeping
Review of objectives: Friday 18/03/11
Kath and Charli met first:
Problem 1:
- Charli felt things were improving and she was more focussed now on her placement since university course work was
handed in on Wednesday
- she is getting more used to being questioned and is doing the preparatory reading prior to practising a couple of
assessments
- she feels her problem identification and clinical reasoning is improving
Problem 2:
- there was one time keeping issue but she felt that was because of a misunderstanding / miscommunication issue
Kath Moore, Kerry Anderson, Amy Bird and Charli Jackson:
Problem 1:
- there is a definite improvement. There has been a couple of assessments which have been supported with guided
reading prior to the assessment and questioning following the subjective to allow for problem identification and clinical
reasoning. These have been much better and questions have been answered appropriately. However, it was noted that
they were very straight forward assessments.
Problem 2:
- there was an issue when Charli was a few minutes late when meeting up with another student to work on a case study
presentation; the could be put down to a communication not being very clear. However, there have been other occasions
when Charli is running down the drive to get in on the dot of 8.30am!
Recommendations:
Problem 1:
- there will be more assessments for Charli to practice and the next patients will be more complex
- Charli needs to show consistency and progress by successfully assessing these patients; she will be told patient details
prior to the assessments so she can prepare
Problem 2:
- it was reinforced that she should be changed and ready for work at 8.30am and not just getting through the door at that
time
- continue to keep a close eye on time keeping and if there is another incident of lateness Charli will FAIL the placement
Follow up:
Kath to telephone again on Wednesday 23/03/11 to check on progress in the final week of placement
Additional documentation can be copied from : http://www3.shu.ac.uk/HWB/placements/Physiotherapy
Placement team: Sue Green 0114 225 5575: Myles Butler 0114 225 2231: Jo Adams 0114 225 2490: Kathie Moore 0114 225 2404
© SHEFFIELD HALLAM UNIVERSITY 2011
ADDITIONAL COMMENTS:
Telephone update: Wednesday 23/03/11 (Kath Moore and Amy Bird)
Problem 1:
- unfortunately there have been no new patients for Charli to assess since the last review so progress with the objectives
around this problem hasn't been possible
Problem 2:
- has been early every day since last review so is now meeting this objective
Recommendations:
Problem 1:
- by Friday morning there should have been the opportunity to assess three new patients
- Charli will be told about each new patient prior to her assessment so she has the chance to read up and prepare for each
of the assessments
- she needs to be successful in meeting the objectives around this problem in order to demonstrate consistency of her
assessment, problem identification and clinical reasoning skills in order to pass this Level 6 placement
Problem 2:
- monitor time keeping until the end of the placement
Note: Clinical educator to ring me on Friday 25th March lunchtime for update as to Charli's progress
Telephone update: Friday 25/03/11 (Kath Moore and Amy Bird)
Problem 1:
- unfortunately Charli has failed to improve on the additional assessments she has had to do this week and in fact was
deemed to be unsafe by assessing a patient with Parkisnson's disease with the patient in sitting but with her feet not on
the floor. She also made a patient cry by assessing straight leg raise with a patient with severe sciatica. She has therefore
not met the set objectives she needed to meet in order to pass the placement.
Additional documentation can be copied from : http://www3.shu.ac.uk/HWB/placements/Physiotherapy
Placement team: Sue Green 0114 225 5575: Myles Butler 0114 225 2231: Jo Adams 0114 225 2490: Kathie Moore 0114 225 2404
© SHEFFIELD HALLAM UNIVERSITY 2011