Student Name
Facility/Experience
Note: a rating of 0 or 1 indicates that minimum acceptable competency has not been achieved.
A total score of 50% or greater is required to pass each Learning Outcome (grey headings)
LO 1. Professional Behaviour
Select/Tick one number only
1.
Demonstrates an understanding of client rights and consent
0 1 2 3 4 not assessed
2. Demonstrates commitment to learning 0 1 2 3 4 not assessed
3.
Demonstrates ethical, legal & culturally responsive practice
0 1 2 3 4 not assessed
4.
Demonstrates collaborative practice
0 1 2 3 4 not assessed
LO 2. Communication
5. Communicates effectively and appropriately - Verbal/non-verbal 0 1 2 3 4 not assessed
6. Demonstrates clear and accurate documentation 0 1 2 3 4 not assessed
LO 3. Assessment
7.
Conducts an appropriate client-centred interview
0 1 2 3 4 not assessed
8. Selects and measures relevant health indicators and outcomes 0 1 2 3 4 not assessed
9. Performs appropriate physical assessment procedures 0 1 2 3 4 not assessed
LO 4. Analysis & Planning
10. Appropriately interprets assessment findings 0 1 2 3 4 not assessed
11.
Identifies and prioritises client's problems
0 1 2 3 4 not assessed
12.
Sets realistic short and long term client-centred goals
0 1 2 3 4 not assessed
13.
Selects appropriate intervention in collaboration with the client
0 1 2 3 4 not assessed
LO 5. Intervention
14. Performs interventions appropriately 0 1 2 3 4 not assessed
15. Is an effective educator 0 1 2 3 4 not assessed
16. Monitors the effect of intervention 0 1 2 3 4 not assessed
17. Progresses intervention appropriately 0 1 2 3 4 not assessed
18. Undertakes discharge planning 0 1 2 3 4 not assessed
LO 6. Evidence-based Practice
19.
Applies evidence based practice in client-centred care
0 1 2 3 4 not assessed
LO 7. Risk Management
20. Identifies adverse events/near misses and minimises risk 0 1 2 3 4 not assessed
associated withassessment and interventions
In your opinion as a clinical supervisor, the overall performance of this student in the clinical unit was:
Scoring rules:
Select/Tick only one number for each item
Select/Tick not assessed only if the student has not had an opportunity to demonstrate the behaviour
If an item is not assessed it is not scored and the total APP score is adjusted for the missed item.
Evaluate the student's performance against the minimum competency level expected for an entry level physiotherapist
Not adequate Adequate Good Excellent
4 Demonstrates most performance indicators to an excellent standard
not assessed = item was not assessed
Assessment of Physiotherapy Practice
FINAL
0 Infrequently demonstrates performance indicators
1 Demonstrates few performance indicators to an adequate standard
2 Demonstrates most performance indicators to an adequate standard
3 Demonstrates most performance indicators to a good standard
FINAL Written Feedback (Optional)
It is optional to provide feedback under the following headings on areas that have been done well or require particular
attention at the end of the placement.
LO 1. Professional Behaviour
LO 2. Communication
LO 3. Assessment
LO 4. Analysis & Planning
LO 5. Intervention
LO 6. Evidence-based Practice
LO 7. Risk Management
Clinical Supervisor Feedback - End of the Placement Summary
Student strengths
Areas of practice to work on during next placement
Areas of practice where student has shown specific improvement
Supervisor's Signature (Enter primary supervisor's firstname, then second name)
Declaration: By signing above I am stating that
I have discussed this FINAL APP with the student
Date (Enter date as dd/mm/yyyy)
requires the written permission of Dr Megan Dalton. Email:Megan.Dalton@monash.edu
eAPP Assessment of Physiotherapy Practice is licensed by Erik Dombroski under a Creative Commons
Attribution-NonCommercial-ShareAlike 3.0 Unported License.
To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/3.0/
Copyright (c) Megan Dalton, Jenny Keating, Megan Davidson 2009.This work is Copyright. It may be reproduced in
whole or part for study or training purposes. Subject to an acknowledgement of the source, reproduction for
purposes other than those indicated above, or not inaccordance with the provisions of the Copyright Act 1968,
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