ASSESSMENT TOOL FOR CMD 560 561 ‑ SPEECH AND LANGUAGE

PRACTICUM A AND B

 


 

Southern Connecticut State University

Center for Communication Disorders

CMD 560/561: Speech‑Language Pathology Practicum

Competency Assessment Sheet

 

Student:                                                                Supervisor:                                                                Semester:                                                                     Year:

 

 


 

Related ASHA SLP Standards

Midterm

Final

Competency Indicators

 

Rating

Rating

Session Management

 

 

 

1.  Interacts and communicates appropriately with clients and family members

Standards III B; III D IV F; IV G-3a

 

 

     across the lifespan and from culturally/linguistically diverse

 

 

 

backgrounds.

 

 

 

2. Accurately interprets baseline and/or ongoing assessment data and

Standards III D; IV G-2a

 

 

uses it appropriately to establish and modify treatment goals and

 

 

 

objectives.

 

 

 

3. Develops and implements effective and appropriate long-term goals

Standards III A, B, C„D; IV G-2b

 

 

and session objectives.

 

 

 

4. Integrates academic information/research into clinical practice;

Standards III A, B C, D, F; IV G-2a

 

 

provides rationale for selection of specific therapy methods.

 

 

 

5. Uses level of language and instruction to optimize client's responses.

 

Standards; III C, D; IV B, G-2b, 3a

 

 

6. Selects and employs appropriate stimuli to elicit type and level of

Standards III D; IV G-2c

 

 

response required.

 

 

 

7. Develops a variety of meaningful, creative, and interesting tasks to

Standards III D; IV G-2b

 

 

support objectives.

 

 

 

8. Demonstrates flexibility within session, modifying the plan as

Standards III D; IV G-2b

 

 

necessary.

 

 

 

9. Sequences and paces activities within the treatment session to

Standard III D; N G-2b

 

 

facilitate client success.

 

 

 

10. Uses appropriate reinforcement and feedback strategies.

Standard III D; IV G-2b

 

 

11. Collects and records quantitative and qualitative data in an accurate,

Standard III D; N G-2d

 

 

efficient and unobtrusive manner.

 

 

 

12. Uses qualitative and quantitative data to adjust client's program as

Standard III D; N G-2d, 2e

 

 

necessary.

 

 

 

13. Provides appropriate information regarding skill generalization,

Standards III D; IV G-3a, 3b

 

 

family /caregiver training, and home-based activities.

 

 

 

Professionalism/Self-Evaluation

 

 

 

14. Initiates and uses self-evaluation process to refine clinical skills.

 

Standard IV B

 

 

15. Actively and cooperatively engages in supervisory process; uses ,

Standard IV B

 

 

supervisory feedback to refine subsequent sessions.

 

 

 

16. Completes all case assignments by specified due dates.

 

Standard III E

 

 

17. Interacts and communicates effectively with other specialists/ professionals. as necessary.

Standards III E; IV B, G-3b, 3d

 

 

Clinical Writing

 

 

 

18. Uses correct documentation format including appropriate use of

professional language and terminology, correct grammar, spelling
and composition.

Standards IV B, G‑2f

 

 

 

19. Accurately reports assessment and treatment information in a

cohesive manner.

Standards IV B, G‑2f

 

 

 

20. Provides a succinct, accurate comparative data analysis.

Standards IV B, G‑2f

 

 

 

21. Provides an accurate summative statement based on a comparative

data analysis.

Standards IV B, G‑2f

 

 

 

22. Provides an accurate interpretive statement regarding the client's

current communicative status.

Standards IV B, G‑2f

 

 

 

23. States appropriate recommendations for subsequent treatment, additional testing, and/or referrals, as necessary.

Standards IV l3, G‑2f, 2g

 

 

 

Average Score: Divide the sum of scores by the number of competencies rated to calculate average score.

 

 

 

 

Competency Rating Code:  Rate each competency indicator from 1.0 to 5.0  Decimal fractions may be used (e.g. 3.5 4.7, etc)

 

5.0 = Demonstrates behavior independently or with minimal guidance.

4.0 = Demonstrates behavior with general guidance from supervisor.

3.0 = Demonstrates behavior with specific guidance from supervisor.

2.0 = Demonstrates behavior with excessive and repeated instruction from supervisor.

1.0 = Fails to demonstrate behavior regardless of amount of supervision.

 

Grade Scale: 4.8 – 5.0 A+;  4.7 – 4.4 A;  4.3 – 4.0 A-; 3.9 – 3.7 B+;  3.6 – 3.4 B;  3.3 – 3.0 B-;  2.9 – 2.5 C; <2.5 F

 

Recommended Midterm Letter Grade: _____________

 

Supervisor’s Signature: _______________________ Date: _________ Student Clinician’s Signature: __________________ Date: ________

 

Recommended Final Letter Grade: __________

Final grade may be adjusted by supervisor based on additional factors discussed with student.

 

Supervisor’s Signature: _______________________ Date: _________ Student Clinician’s Signature ___________________ Date: ________

Rev. 1/03


 

Southern Connecticut State University, Department of Communication Disorders

Summary of Clinical Performance

Midterm Review

 

Student:                                    Supervisor:                                    Practicurn:           Term & Year:

 

Areas of Strength / Emerging Competencies:

 

 

 

 

 

 

 

 

 

Mid‑term Formative Assessment: Goal Setting (use any of the following areas that apply)

 

Personal and Professional Competencies: Goal(s):

 

 

 

 

Foundation Knowledge: Goal(s):

 

 

 

Evaluation Skills: Goal(s):

 

 

 

Intervention Skills: Goal(s):

 

 

 

Oral Communication: Goal(s):

 

 

 

Written Communication: Goal(s):

 

 

________________________                ________      ___________________________         _________

Supervisor Signature                             Date            Student Clinician Signature                   Date

                                                                              

 


 

Southern Connecticut State University, Department of Communication Disorders

Summary of Clinical Performance

                                                          Semester End Review

Student:                                    Supervisor:                                    Practicum:            Term & Year:

 

 

Review of Midterm Goals and Emerging Competencies:

 

 

 

 

 

 

 

 

 

 

 

 

Suggestions for Continued Competency Refinement:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

____________________________                       _______                                                            ___________________________                        __________

Supervisor Signature                              Date            Student Clinician Signature                    Date