ASSESSMENT TOOL FOR CMD 564 ‑ DIAGNOSTICS
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Southern Connecticut State University - Department of Communication Disorders
CMD 564 DIAGNOSTIC PRACTICUM CLINICAL GRADING SHEET
SUPERVISOR______________________ STUDENT_______________________ SEMESTER____________________ YEAR _________
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COMPETENCY INDICATORS |
RELATED ASHA STANDARDS |
MIDTERM RATING |
FINAL RATING |
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PLANNING |
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Gathers / reviews case information prior to supervised planning meeting |
III D; IV G 1-b |
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Identifies key diagnostic issues |
III B, C, D, F; IV G 1-c |
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Selects tests and procedures related to identified issues |
III B, C, D, E, G; IV G 1-a,c |
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Reviews/familiarizes self with tests prior to evaluation |
III B, C, D, E, G; IV G 1-a,c |
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INTERVIEW/COUNSELING |
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Questions are appropriate to case |
III D; IV B, G 3-a |
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Uses appropriate interview / counseling techniques |
III D; IV B, G 3-a |
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Responsive to client’s/family’s linguistic and cultural style during interview and/or post-evaluation counseling |
III D; IV B, F; G 3-a |
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EVALUATION SESSION |
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Works to establish a supportive rapport with client/family |
III D; IV B, G 3-a |
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Effectively organizes environment and materials |
IV G 1-c,d |
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Administers assessment procedures correctly |
III D; IV B, G 1-c |
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Records data accurately and unobtrusively |
III D; IV G 1-c |
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Maintains appropriate flexibility in implementing assessment tasks |
III D; IV G 1-d, 3-a |
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Engages in “on-line” analysis of emerging assessment information |
III D; IV G 1-e |
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Provides appropriate instructions and reinforcement to client during evaluation. |
III C, D; IV B, G 1-e, 3-a,c |
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Articulates initial diagnostic conclusions at end of session |
III D; IV G 1-e |
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Conveys initial findings to client in a clear and concise manner |
III D; IV B, F; G 3-a |
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Please complete reverse side
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DATA ANALYSIS / REPORT WRITING |
RELATED ASHA STANDARDS |
MIDTERM RATING |
FINAL RATING |
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Correct report format, including grammar, spelling, composition |
IV B, G 1-f |
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Appropriate use/avoidance of professional jargon |
IV B, G 1-f, 3-a |
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Succinct summary of pertinent background information and test conditions |
IV B, G 1-b,f |
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Clearly describes test procedures and their rationale |
IV B, G 1-f |
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Clearly summarizes all test scores and observational data |
IV G 1-f |
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Interprets standardized and non-standardized data accurately |
III B, C, D, E F; IV G 1–e,f |
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Integrates all assessment information to draw logical conclusions |
III A, B, C, F; IV B, G 1–e,f |
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Addresses all issues raised during evaluation |
IV G 1-e,f |
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Clearly states prognosis logically related to findings. |
III A, B, C; IV B, G 1-e,f |
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Makes appropriate recommendations based on conclusions |
III A, B, C; IV B, G 1-f,g |
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Submits written reports and relevant materials by specified due dates |
III E; IV G 1-d, f |
YES or NO |
YES or NO |
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TOTAL AVERAGE SCORE |
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Competency Rating*: 5.0 = Demonstrates behavior independently or with minimal guidance
4.0 = Demonstrates behavior with general level of 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 demonstrates behavior regardless of amount of supervision
*Decimal fractions may be used (e.g. 3.5, 4.7, etc.)
Final Grade Scale**: 4.8 - 5.0 A+ 3.9 - 3.7 B+
4.7 - 4.4 A 3.6 - 3.4 B **Final grade may be adjusted by
4.3 - 4.0 A- 3.3 - 3.0 B- supervisor based on additional
2.9 - 2.5 C factors discussed with student
< 2.5 F
Midterm Review:
Supervisor’s Signature:_____________________________ Date: __________ Student Signature: _________________________________ Date: _______
Final Review:
Supervisor’s Signature:_____________________________ Date: __________ Student Signature: _________________________________ Date: _______