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Self Assessments for fieldwork supervisors Identifying entry-level competencies Remediating deficits in student skills Fieldwork Performance Evaluation Contact USA Fieldwork Clinical Supervisor
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The University of South Alabama Department of Occupational Therapy
Forms This section of the website helps you select useful forms to guide you in the process of supervision. There are several different ones for you to select from. Consider looking at each of them and then select the ones that would be most helpful in your setting. Supervision Checklist Week 1 This form contains a checklist for orientation activities and a box to write in experiences. It is very helpful for week one on fieldwork. Click here to go to the checklist for week 1 Supervision Checklist Weeks 2-12 This form contains information about experiences provided to the student as well as feedback provided to the student. This is very useful to use weekly on fieldwork. Click here to go to the checklist for weeks 2-12 Weekly Feedback Form This form allows you both to track the learning opportunities and experiences provided to the student each week as well as feedback on performance, judgment, and attitude. Click here to go to the weekly feedback form Weekly Tracking Sheet Click here to go to the weekly tracking sheet Learning Contract This form is useful to help students understand their responsibilities and commitments to make changes to promote more success while on level II fieldwork. It includes objectives and timelines to have them participate in measuring their progress towards self-improvement. Click here to go to the learning contract Fieldwork Data Form Click here for the Fieldwork Data Form
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