Record of Signatures€¦ · Web viewThe summative assessment should provide a summary of overall achievements along with constructive feedback to inform future practice. Both formatively

Canterbury Christ Church UniversityFaculty of Health & Wellbeing

Practice Assessment Document

BSc (Hons)Physiotherapy

Level 5 (Placements 2A & 2B)

Student’s Name:

1

Student Name:

Number:

Cohort:

CSP Membership number:

Personal tutor:

Submission date:

Placement Dates: From: To:

Placement Contact Details (Address, telephone and email)

Brief Description of Placement Experience Offered:

Total hours completed:

(37.5 hours per week expected, ½ day study per week is included)

Educator(s) Name(s):(Print)

Designation:

Professional Registration (HCPC) number:

Date of last practice educator update:

Final Grade:Pass

Fail(circle as appropriate)

Practice Educator(s) Signature(s)

2

CONTENTS

Record of Signatures..........................................................................................................................................4

Mandatory Requirements................................................................................................................................5

Practice Learning Expectations/Guidelines...........................................................................................6

Placement Orientation....................................................................................................................................10

Emergency contact details for the student........................................................................................11

Initial Student/Practice Educator Interview.......................................................................................13

Assessment of Practice Tool – Part 1......................................................................................................14

Placement Grade Descriptors.....................................................................................................................15

Assessment of Practice tool – Part 2......................................................................................................16

Formative Assessment by Practice Educator(s)...............................................................................25

Summative Assessment by Practice Educator(s)............................................................................25

Learning Contract/Learning log.................................................................................................................26

Supervision Log...................................................................................................................................................28

Feedback from Service Users/Carers......................................................................................................34

Feedback from other Professionals.........................................................................................................46

Reflections..............................................................................................................................................................52

Placement Visit from Academic Tutor....................................................................................................64

Record of Practice Hours...............................................................................................................................66

End of placement checklist...........................................................................................................................67

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Record of Signatures

This page should contain a record of the signatures and designation of all practitioners who initial and/or sign sections within this documentation.

Full Name (please print) Initials

Signature Designation

4

Mandatory Requirements

Each year students complete a range of mandatory requirements to ensure they are suitably prepared and ready for practice. Successful completion of these requirements is recorded on the Faculty placement electronic database. Students are issued with a ‘Readiness for Practice’ certificate, which should be printed and shown to Practice Educators as part of the placement induction process to confirm their status for commencing placement.

Mandatory requirements include: Occupational health clearance (students are cleared initially upon joining the

programme and may be referred for a medical opinion where a change of status is indicated during their studies)

Satisfactory police check via the Disclosure Barring Service (DBS) Moving and Handling Basic Life Support Universal Standard Precautions Safeguarding Information Governance Professional Code of Conduct (CSP, 2011) Health & Care Professions Council (2013), Standards of Proficiency Responding to concerns in practice Placement preparation

Additionally, all students are required to be a member of the Chartered Society which affords professional indemnity insurance and provides opportunity for access to learning resources relevant to their academic studies and practice learning experiences.

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Practice Learning Expectations/Guidelines

Roles and responsibilities:The student will:

Review and utilise feedback from previous placements to inform their learning and development needs

Take advantage of learning opportunities and review their Learning Contract regularly Provide evidence of proficiency in relation to the assessment of practice Disclose any special needs or disability in order that reasonable adjustment can be

made by the placement provider Comply with placement policies and procedures Use University procedures to inform of absence Work in a safe manner and within their scope of practice

The Practice Educator will: Verify the evidence demonstrated through the practice assessment documentation Facilitate learning opportunities and provide constructive feedback on progress Ensure the student is made aware of the placement policies, procedures and

expectations Ensure the student works safely within their scope of practice Identify a colleague who will take responsibility for the student in his / her absence and

ensure that he / she is aware of the students learning needs and that there are effective feedback mechanisms in place

In the absence of the nominated practice educator(s) the student will be supported and supervised by:

The personal tutor will: Provide ongoing support to the student

The academic link for practice will: Monitor student progression Be the contact point for the Practice Educator and student if there are concerns about

the assessment of practice Attend formal meetings with student and Practice Educator Offer advice in writing developmental action plans when concerns are raised Liaise with personal tutor.

If any difficulties arise, in the first instance the student and practice educator should try to resolve these together. In the event that this is not successful, please contact the academic placement team (Contact details page 10).In exceptional circumstances, it may be necessary to withdraw the student from the placement immediately. The academic link/placement lead will be involved in this process and keep both the student and practice educator(s) fully informed of the process and any action required in line with University guidelines.

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Assessment of practice (pages 14-25)

Placement is assessed using a criteria based grid. It is designed to assess the student’s ability to demonstrate their understanding, skills and values commensurate with the stage of training. It outlines the criteria that are required to be achieved.

All of the criteria have been mapped to academic modules and HCPC Standards of proficiency (2013). These must be passed before a student can progress to the next stage of the programme.

Failure of part 1 of the assessment of practice tool at any time during the placement means that the student will fail placement and may result in a referral to the University Fitness to Practise panel. Where this occurs the student will be required to repeat the whole placement block. . If, at the summative assessment at the end of the placement, a student fails in one or more of the proficiencies in part 2 of the assessment of practice tool, they will also be deemed to have failed placement and will be required to repeat the whole placement block. If, at the end of the placement, a student does not achieve a pass in one or more of the proficiencies in part 2 of the assessment of practice tool, they will also be deemed to have failed placement.

The formative assessment should be completed mid way through the placement and is assessed using the relevant number placement descriptor (page 15). The formative assessment should provide a clear picture of strengths and areas of development in relation to the criteria. The summative assessment is completed at the end of the placement, again using the placement descriptors. It is considered good practice for this to be completed a few days prior to the end of the placement so that the student has time to reflect upon the feedback and seek further clarification if necessary. The summative assessment should provide a summary of overall achievements along with constructive feedback to inform future practice.

Both formatively and summatively students are expected to prepare and record specific evidence for the criteria in advance of the report being given by the practice educator(s).Each criteria should be signed/initialled (not ticked) by the named practice educator(s).

Academic Module

Whilst the placement criteria are mapped against learning outcomes for the relevant academic year the Practice Placement Education module 2 specifically aims to:

Help the student prepare for and undertake their second year practice placements. The emphasis during these placements is on delivering planned physiotherapy care under supervision and in collaboration with people with common conditions, employing basic examination, assessment and reasoning skills to modify interventions appropriately, evaluating effectiveness and to consider the transferability of these skills to working with people with less common conditions.

Learning Outcomes:1. Reflect on and analyse the factors that inform and affect interactions with service

users, carers and the multidisciplinary team and apply clinical reasoning to practice. 2. Identify, use and modify effective communication skills and behaviours to meet service

user needs.3. Reflect on and compare the physical, psychological and social needs of individuals,

evaluating underpinning health behaviours and determine how people can be persuaded and supported to make changes.

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4. Plan, implement and monitor safe and effective physiotherapy interventions on identified and negotiated service user goals with limited supervision, recognising your own strengths and areas for development

5. Apply professional values, behaviours, standards of practice and ethics within the clinical context.

Learning Objective/Learning logs (page 26)

The learning objectives should be jointly negotiated by the student and practice educator(s) and are used to inform how specifically the placement proficiencies will be demonstrated and the level of achievement that is required. Learning objectives help the students structure their time during placement and assist in maximising learning opportunities in an individual and meaningful way. These should be routinely reviewed and recorded on the learning log as part of formal supervision. Learning objectives should be completed by the student in collaboration with the practice educator(s) and may be hand written (in black ink) or typed with attention to presentation, spelling, grammar etc.Learning objectives should be written in SMART format (specific, measurable, achievable, realistic, timed) with an initial and ongoing action plan to detail how the objective is to be achieved. There should be one learning objective per page.New learning objectives can be added as the placement progresses and as existing objectives are completed.

Supervision: (page 28)

Appropriate supervision of students commensurate with the stage of training is vital and may include both formal and informal supervision opportunities. Weekly formal supervision is recommended and a contemporaneous summary should be recorded by the student using the supervision forms. These may be hand written (in black ink) or typed. These should be signed by both student and practice educator(s) to confirm accuracy and agree any actions. The practice educator(s) may wish to retain a copy. Agreed dates for formal supervision sessions:- (to be completed at induction session)

Week 1 Week 2 Week 3

Week 4 Week 5 Week 6

Feedback from service users/carers (page 34)

Students will work with individuals and groups of people and their carers during their placement experiences. Feedback from them is therefore important to inform the professional development of the student and this should be routinely sought and recorded throughout placement (HCPC, 2017).

Feedback from other professionals: (page 46)

Students are required to demonstrate their ability to effectively communicate and work with other professionals and the wider team (HCPC, 2014). It is therefore important for them and their practice educator(s) to receive feedback on time spent with, and interactions with, a range of professionals and for students to reflect upon these experiences. Routinely during placement this feedback and reflections should be recorded as part of the overall evidence of achievement for placement.

Reflections: (page 52)

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Students should select significant learning events during the placement to provide evidence towards the placement proficiencies. Students should reflect on new knowledge, skills and understanding and make links to relevant theory. Students are also expected to explore each reflection in relation to specific aspects of the Chartered Society of Physiotherapists Framework (2011), the Physiotherapy Framework (CSP, 2011) and the Health & Care Professions Council Standards of Proficiency for Physiotherapists (2013). These written reflections are used by the practice educator(s) to inform ongoing discussions with the student and the assessment of the student before the end of the placement. Therefore, the practice educator(s) should read, review and sign all reflections.

Reflections may be hand written (in black ink) or typed, should be 500 words maximum, with appropriate attention to presentation, spelling, grammar and referencing.

Record of Hours: (page 66)

Students should work 37½ hours per week of placement and for this placement should accrue approximately 225 hours (a full-time week is considered equivalent to 37.5 hours per week, across variable working hour structures depending on local patterns of working). Students should have 3.75 hours per full-time working week as study leave and may if they wish, and after negotiation with the practice area, take this time as a day per fortnight. Study time is included in the overall hours for the placement. Hours should be recorded on a weekly basis and verified by the practice educator. Submission of the Placement Assessment documentation:

The submission of the Practice Assessment Document is required at the end of each placement and will be submitted as part of placement de-briefing. Incomplete, late or non-submission of the Practice Assessment Document may delay the student’s progression through the next exam board and subsequent progression through the programme. It is the student’s responsibility to ensure the Placement Assessment Document is fully completed and submitted on time.

Placement support: (page 64)

Students and Practice Educators will be contacted by a member of the academic team during the placement. Where a placement visit is indicated this will be arranged for a mutually convenient time. The purpose of the contact/visit is to:

provide support for the student and Practice Educator if required gain an interim report from the Practice Educator on the student’s progress ensure the student is on target to meet placement requirements evaluate the quality of the student’s learning experience monitor and guide the student’s personal and professional progress become more familiar with the placement and facilities for learning act as an advocate for the student to maximise learning opportunities

Contact details:

Practice Learning Unit:Placement Administrator (Physiotherapy)Telephone: Email:

Placement Lead (Physiotherapy)Telephone:

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Email: Electronic copies of this placement documentation, the placement handbook and other placement related resources can be accessed at: http://www.canterbury.ac.uk/health-and-wellbeing/practice-learning-unit/practice-learning-unit.aspx

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http://www.canterbury.ac.uk/health-and-wellbeing/practice-learning-unit/practice-learning-unit.aspx

http://www.canterbury.ac.uk/health-and-wellbeing/practice-learning-unit/practice-learning-unit.aspx

Placement Orientation (to be completed in each placement area on the first day) Standards of Education and Training Number 5 (HCPC, 2017)

Area 1 Area 2 (if applicable)This list is for guidance. Please add/amend as necessary/appropriate to the setting

Practice Educator initial/ date

Student initial/date

Practice educator initial/date

Student initial/ date

Layout of the placement environment identifying key locations and resourcesIdentification of office and other work spaces that are available for student to use Introduction to key personnel

Procedure for summoning help in the event of an emergencyLocal fire policy

Resuscitation policy and procedures explained

Moving and handling of people and equipment policy and procedures explained and demonstration completed prior to usePolicy regarding safeguarding explained

Awareness of placement policies e.g. taking messages, lone worker, accident procedure, Health and Safety, Infection Control guidelines, confidentiality, uniformRecord keeping policy and Information Governance requirements explained

Confirmation of work patterns/study time and lunch/break arrangementsArrangements for supervision & study time determined and bookedNotification of sickness procedures

Mail systems

Team meetings/handovers etc

Telephone/bleep/private calls

Access to IT and password

Library, text books, national/local policy documents identifiedReadiness for Practice Certificate seen and checkedStudent Emergency contact details shared (page 11)Other induction requirements – please detail

11

Emergency contact details for the student

This page can be removed from the Practice Assessment documentation and allows the student if they wish to share with their practice educator their personal contact details and information on who to contact in case of an emergency. Where this page is removed and given to the practice educator(s) it is their responsibility to maintain confidentiality of this at all times, shared with others only on a need to know basis and to ensure it is confidentially disposed of immediately at the end of the placement.Student Name

Placement dates

Address during placement

Telephone number (s)

Emergency contact name/relationship/numbers

Details of others who may need to be contacted (eg. schools, nurseries)

Personal Tutor at University:

Any other relevant information (eg. medical conditions)

12

This page is intentionally blank

13

Initial Student/Practice Educator Interview (discussed within first few days of placement and used to inform learning contract)

Previous placement settings/types of experiences

Student to identify personal and professional strengths

Student to identify learning and development needs (to consider previous placement experiences and/or previous work roles etc)

Identification of any academic requirements during placement, including any dates when required to return to University

Identification and discussion of special or particular support needs including where relevant, the Placement Learning Support Plan.

Agreed initial learning (to be formulated into learning objectives)

Student Signature: Date:

Practice Educator Signature: Date

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Assessment of Practice Tool – Part 1

Failure at any time during the placement in any of the criteria below means that the student will fail placement. In any instance of unsatisfactory performance, the Practice Educator should contact the University immediately.

Criteria Pass(Practice Educator initials/date)

Fail(Practice educator initials/date)

Demonstrates safe practice

Identifies and implements the CSP Code of Professional Values & Behaviour and the HCPC standards of conduct, performance and ethics within the practice settingImplements health & safety regulations as per the practice setting requirements/induction checklist

Ability to work safely and effectively with appropriate levels of supervision

Use of appropriate reasoning/clinical skills

Shows evidence of relevant specific learning prior to & throughout the placementObtains initial and ongoing consent from service users

The student fulfils the requirements of "shared responsibility" in terms of countersigning patients documentationComplies with organisational and administrative procedures appropriate to the practice setting

For any failed criteria, please outline the reasons why in the box below:

Reason(s) for failure:

Signature of practice educator:

Signature of student:

Date:

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Placement Grade Descriptors

The following descriptors are to be used to inform student self-evaluation of performance and the practice educator(s) formative and summative assessments.

PASS

Excellent 1 The student consistently performed this criterion to an exceptionally high standard once established in the placement. Required minimal ongoing guidance and supervision.

Very Good 2 The student performed this criterion to a very good standard at the mid-point discussion. For the summative assessment they sustained this throughout the placement. Required moderate guidance and minimal supervision.

Good 3 The student progressed to perform this criterion to a good standard at/from the mid-point discussion onwards. Required moderate ongoing guidance and supervision to achieve this.

Sound 4 The student progressed to perform this criterion to an acceptable standard at/from the mid-point discussion throughout most of the placement. Required moderate ongoing guidance and supervision to achieve this.

Satisfactory

5 The student performs this criterion to the minimum acceptable standard at/from the mid-point discussion onwards. Required moderate to high levels of guidance and supervision to achieve this.

FAIL F Performed this criterion at an unacceptable or unsafe standard at/from the mid-point discussion onwards, despite high levels of supervision. Cannot be left unsupervised unless given high levels of specific instruction.

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Assessment of Practice tool – Part 2

For all components of part 2 the student is expected to self assess prior to the formative and summative assessments and to prepare documented evidence for review.

Formative assessment


(Descriptor number)

CommentsStudent strengths/areas for development

Module ref (2a)

Module ref (2b) Preparation for Treatment &

examination/assessment skillsStudent

Educator

1 ACR2PP2

ACR2PP2

Obtain relevant information/analysis from all available sources prior to service user contact

2 APH2ACR2

APH2ACR2

Use appropriate questioning techniques & respond accordingly including confirmation of service user’s main problems and meeting individual needs

3 PS2 PS2 Demonstrate palpation, measurement techniques where appropriate

4 APH2PS2

APH2PS2

Appropriate selection and demonstration of effective examination/assessment skills including key markers for reassessment

5 PS2PP2

PS2PP2HWB2

Determine and agree goals of treatment in collaboration with the service user and/or carers

6 PS2PP2

PS2PP2HWB2

Plan an appropriate programme of treatment with appropriate clinical reasoning in collaboration with the service user

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(Descriptor number)


Module ref (2a)

Module ref (2b)

Implementation of Treatment Student

Educator

7 APD2PS2

APD2PS2

Adopt a systematic approach to treatment8 PS2 PS2

HWB2Educate, empower and enable the service user in line with his/her needs

9 APD2ACR2

APD2ACR2

Determine the effectiveness of treatment and reason appropriate progressions and modification of treatment

10

ACR2 Identify when physiotherapy intervention is no longer appropriate and take action accordingly

11

PP2 PP2HWB2

Involve significant others in patient management

12

PP2APD2

PP2APD2

Manage own caseload appropriate to the practice setting


(Descriptor number)


Module ref (2a)

Module ref (2b)

Recording Information Student

Educator

13

PP2 PP2 Recognise and select information involved in record keeping

14

ACR2 ACR2 Record in a clear accurate concise and logical manner using appropriate professional terminology

15

ACR2 ACR2 Maintain confidentiality and security of written and verbal information acquired in a professional capacity with due regards to disclosure of information

18


(Descriptor number)


Module ref (2a)

Module ref (2b)

Personal & Professional Attributes Student

Educator

16

PP2 PP2 Demonstrates reliability & conscientiousness

17

PP2APD2

PP2APD2

Self evaluates & recognises own strengths & areas for development and choose the appropriate health care professional from whom to seek help

18

PP2APD2

PP2APD2

Receives, accepts & acts upon valid & constructive feedback from staff/service users/carers appropriately

19

PP2 PP2HWB2

Demonstrates professional communication skills in all situations

20

PP2 PP2 Demonstrates good interpersonal skills & ability to adapt behaviour appropriately

21

PP2 PP2HWB2

Demonstrates consideration of service user needs

22

PP2 PP2HWB2

Demonstrates clinical reasoning skills

23

PP2 PP2HWB2

Reflect and analyse on the values & beliefs that inform and affect interactions with service users, carers and MDT members e.g. physical, psychological & cultural

24

PP2 PP2 Negotiates and directs own learning through implementation of learning agreement.

25

APD2PS2

APD2PS2

Shares knowledge & skills appropriately to ensure effective practice

26

PP2 PP2HWB2

Recognises, respects and actively supports diversity, expertise and experience of individuals, carers, groups and communities, and demonstrate non-discriminatory practice

27

APD2 APD2 Consistently work within local and national policies, procedures and the legal and ethical

19

standards of the profession

20

Overall Comments

21

Summative assessment


(Descriptor number)


Module ref (2a)

Module ref (2b) Preparation for Treatment &

examination/assessment skillsStudent Educato

r1 ACR2

PP2ACR2PP2

Obtain relevant information/analysis from all available sources prior to service user contact

2 APH2ACR2

APH2ACR2

Use appropriate questioning techniques & respond accordingly including confirmation of service user’s main problems and meeting individual needs

3 PS2 PS2 Demonstrate palpation, measurement techniques where appropriate

4 APH2PS2

APH2PS2

Appropriate selection and demonstration of effective examination/assessment skills including key markers for reassessment

5 PS2PP2

PS2PP2HWB2

Determine and agree goals of treatment in collaboration with the service user and/or carers

6 PS2PP2

PS2PP2HWB2

Plan an appropriate programme of treatment with appropriate clinical reasoning in collaboration with the service user

22


(Descriptor number)


Module ref (2a)

Module ref (2b)

Implementation of Treatment Student Educator

7 APD2PS2

APD2PS2

Adopt a systematic approach to treatment8 PS2 PS2

HWB2Educate, empower and enable the service user in line with his/her needs

9 APD2ACR2

APD2ACR2

Determine the effectiveness of treatment and reason appropriate progressions and modification of treatment

10

ACR2 ACR2 Identify when physiotherapy intervention is no longer appropriate and take action accordingly

11

PP2 PP2HWB2

Involve significant others in patient management

12

PP2APD2

PP2APD2

Manage own caseload appropriate to the practice setting


(Descriptor number)


Module ref (2a)

Module ref (2b) Recording Information Studen

tEducator

13

PP2 PP2 Recognise and select information involved in record keeping

14

ACR2 ACR2 Record in a clear accurate concise and logical manner using appropriate professional terminology

15

ACR2 ACR2 Maintain confidentiality and security of written and verbal information acquired in a professional capacity with due regards to disclosure of information

23


(Descriptor number)


Module ref (2a)

Module ref (2b)

Personal & Professional Attributes Student

Educator

16

PP2 PP2 Demonstrates reliability & conscientiousness

17

PP2APD2

PP2APD2

Self evaluates & recognises own strengths & areas for development and choose the appropriate health care professional from whom to seek help

18

PP2APD2

PP2APD2

Receives, accepts & acts upon valid & constructive feedback from staff/service users/carers appropriately

19

PP2 PP2HWB2

Demonstrates professional communication skills in all situations

20

PP2 PP2 Demonstrates good interpersonal skills & ability to adapt behaviour appropriately

21

PP2 PP2HWB2

Demonstrates consideration of service user needs

22

PP2 PP2HWB2

Demonstrates clinical reasoning skills

23

PP2 PP2HWB2

Reflect and analyse on the values & beliefs that inform and affect interactions with service users, carers and MDT members e.g. physical, psychological & cultural

24

PP2 PP2 Negotiates and directs own learning through implementation of learning agreement.

25

APD2PS2

APD2PS2

Shares knowledge & skills appropriately to ensure effective practice

26

PP2 PP2HWB2

Recognises, respects and actively supports diversity, expertise and experience of individuals, carers, groups and communities, and demonstrate non-discriminatory practice

27

APD2 APD2 Consistently work within local and national policies, procedures and the legal and ethical standards of the profession

24

25

Overall Comments

26

Safety and Professional conduct

Students should at all times adhere to:

Chartered Society of Physiotherapists Code of Ethics and Professional Conduct (2011)

Health & Care Professions Council Standards of Conduct, Performance and Proficiency (2013)

Local/organisational policies and procedures Faculty of Health and Wellbeing Practice Learning guidelines

At no point should student or others’ safety, health or well-being be put at risk.

A breach of any of the above could override achievement of any of the learning outcomes and could result in a referral to the Faculty Fitness for Practice panel and/or a fail of placement overall.

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Formative Assessment by Practice Educator(s)

Is student progressing satisfactorily? Yes No

If no, practice educator(s) to inform student and University immediately to ensure appropriate support can be offered.

Additional comments:

Practice Educator(s) signature:

Student Signature:

Date:

Date:

Summative Assessment by Practice Educator(s)

I confirm that (insert student’s name) HAS/HAS NOT (delete as necessary) provided sufficient evidence to demonstrate that the requirements for the placement have been achieved and that they have PASSED/FAILED (delete as necessary) the summative assessment.

Additional comments:

Practice Educator(s) signature:

Student signature

Date:

Date:

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Learning Contract/Learning log (to be reviewed and updated weekly during formal supervision)

Learning Objective (To be written in SMART format, one per page) No:

Date Agreed: Educator signature: Student Signature:

Date Completed: Educator signature: Student Signature:

Learning LogDate Action Plan Evaluation of progress Evidence of

achievement

Date Action plan Evaluation of progress Evidence of Achievement

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Supervision Log

30

This record should be used to record general progress and/or to identify areas of need. It is especially important that areas of concern are clearly documented. Practice educators may wish to retain a copy for their own records.

Week 1: Date: Duration of session:

Attendees:

Agenda (to include review/updating of learning objectives, review of service user feedback, review of feedback from other professionals)

Summary of Discussion:

Agreed Actions/Priorities:

Practice educator(s) signature: Date:


31

Week 2 Date: Duration of session:

Attendees:







32

Attendees:







Attendees:

33






34


Attendees:







35

Attendees:






Feedback from Service Users/Carers

Practice Educators/students should obtain consent

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from service users/carers who should feel able to decline to participate.Service users/carers do not need to provide their name or any other personal details.

We would like to receive your views about the way the student physiotherapist has worked with you.

Your feedback will help the student physiotherapist’s learning The feedback you give will not affect your care

Student’s Name:

Circle if you are: The Patient/Service user A carer/relative

How well did the student physiotherapist…..

Very Well Well Not sure Not well… listen to you?

…talk to you?

….understand the way you

felt?

Show respect for you?

What did the student physiotherapist do well?

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How could the student physiotherapist improve? What could they do differently next time?

Student reflection on feedback given and own action plan.

Practice Educator(s) signature: Date:



Practice Educators/students should obtain consent from service users/carers who should feel able to decline to participate.Service users/carers do not need to provide their

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name or any other personal details.



Student’s Name:




…talk to you?


felt?



39






Practice Educators/students should obtain consent from service users/carers who should feel able to decline to participate.Service users/carers do not need to provide their name or any other personal details.

40



Student’s Name:




…talk to you?


felt?



41








42


Student’s Name:




…talk to you?


felt?




43








44

Student’s Name:




…talk to you?


felt?




45








Student’s Name:

46




…talk to you?


felt?




47




48

Feedback from other Professionals

We would like to receive your views about the way the student physiotherapist has worked with you. This feedback will help the student’s learning.

Student’s name:

Name/profession: Date: Time spent with you:

Signature:

What did the student do well?






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Student’s name:


Signature:







50


Student’s name:


Signature:








51

Student’s name:


Signature:








Student’s name:

52


Signature:








Student’s name:

Name/profession: Date: Time spent with Signature:

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you:






Reflections

Reflection 1 (link to a proficiency) Date:

Chosen Evidence:

54

Developmental Needs:

Relevance/links to academic modules:

Links to HCPC Standards of Proficiency (HCPC, 2013)

Links to Physiotherapy Framework (CSP, 2011)

Practice Educator(s) Signature:

55


Chosen Evidence:


56






Chosen Evidence:

57


58






Chosen Evidence:

59


60






Chosen Evidence:

61


62






Chosen Evidence:

63



64




Placement Visit from Academic Tutor

This form is completed by the visiting tutor. The practice educator(s) may also wish to retain a copy for their own records.

Student Name & Cohort: Practice Educator(s) Name:

Placement Address:

Telephone number:Dates of placement:

Number of weeks:

Visiting tutor:

Date of visit:

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EVALUATION OF STUDENT’S PROGRESS (Please comment in each section)

Learning Contract: Has the learning contract been jointly negotiated and signed? Are objectives appropriate to the level of the student and relate to the placement proficiencies? Are they regularly updated? Is the evidence of achievement being recorded? Are they in SMART format? Is there a sufficient range of learning opportunities available to the student?

Supervision: Are weekly supervision logs being maintained? Is there evidence of formal and informal supervision opportunities? Is supervision supportive and provide constructive feedback? Does the student feel they are receiving appropriate supervision? Is there recorded evidence of service user and other professionals’ feedback?

Assessment of Practice: Has the formative report been given? Are strategies in place to address any ‘areas of concern? Is the student on target to achieve the proficiencies for this placement?

Written reflections: Are written reflections being completed? Are they shared with and read by the practiceeducator(s)? Are links being made to HCPC Standards of Proficiency, CSP Code of Ethics and academic modules? How could they be enhanced?

General: Is alternative support identified in case of the Practice Educators absence? Has induction checklist been completed? Does the student feel valued in the practice setting? Are there concerns about the professional conduct of the student? Are there any safeguarding, whistleblowing or SUI to be aware of? Are there any service changes/developments the University should be aware of?

Has the student had any absences from placement? Yes/No (If yes please determine reason and detail expected impact on achieving the placement requirements)

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Does the student have a Placement Learning Support Plan (PLSP)? Yes/No (If yes please comment on reasonable adjustments that are in place and if they are meeting the needs of the student – discuss and document further adjustments if necessary)

Has the practice educator(s) attended an educator training session within the last 12 months? Yes/No (If not please check they are familiar with all requirements of them and recommend booking a training session)

Any cause for concern? Yes/No (If yes please document and liaise with placement lead as soon as possible to discuss)

Is a further visit/contact required? Yes/No (If yes please liaise with placement lead as soon as possible to discuss)

AGREED ACTIONS:

Academic tutor signature:Practice educator(s) signature:Student signature: Date:

Record of Practice Hours

This sheet should be used to monitor hours throughout the placement. Please ensure that all hours and any absences are accurately recorded and weekly totals initialled by practice educator(s). Please note that lunch breaks are not included as placement hours. Students are expected to complete 37.5 hours each week of placement.

Total hours at end of the placement should be logged on the separate ‘Overall Record of Hours’ sheet.

Date Hours Initials Date Hours InitialsMon MonTues TuesWeds WedsThurs ThursFri Fri

67

Sat SatSun Sun

Weekly total Weekly total

Mon MonTues TuesWeds WedsThurs ThursFri FriSat SatSun Sun


Mon MonTues TuesWeds WedsThurs ThursFri FriSat SatSun Sun


TOTAL HOURS THIS PLACEMENT:

68

End of placement checklist

Student and practice educator(s) details recorded on pages 1 & 2

Sample signature completed for practice educator(s) on page 4

Formative assessment initialled and scored by practice educator(s) for each criteria page 16-19Summative assessment initialled and scored by practice educator(s) for each criteria page 20-23Practice educator(s) feedback on assessment of practice tool completed and signed page 16-23Overall pass or fail deleted as appropriate on page 25

Hours/absences recorded on page 66

Overall hours recorded onto student record of hours sheet (for passed placements only) page 66Emergency contact detail form returned to student or confidentially destroyed page 11All learning objectives/learning logs signed by student and practice educator(s) and filed in date orderAll supervision logs signed by student and practice educator(s) and filed in date orderService user/carer feedback forms signed by student and practice educator(s) and filed in date orderFeedback forms from other professionals signed by student and practice educator and filed in date order

69

Documents

Record of Signatures€¦ · Web viewThe summative assessment should provide a summary of overall achievements along with constructive feedback to inform future practice. Both formatively