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FieldInstructorAssessmentSeniorYear
FIELDINSTRUCTORASSESSMENTOFSTUDENT
COMPETENCIES
BACHELOROFSOCIALWORKSENIORYEAR
STUDENT
CaitlinA.
NAME:
DeMara
I.D.NUMBER: 004144170
FIELDPLACEMENT ResidentialHospiceVolunteer
SITE:
Department
FIELDINSTRUCTOR: LindseySheets
PLEASEANSWEREACHOFTHEFOLLOWINGQUESTIONS
1)Whatisthestudent'sroleattheagency?(Includepopulationwithwhichstudentworks)
Thestudent'sroleattheagencyconsistsofassistingthebereavementdepartmentbyplacing
bereavementphonecalls,clericalwork,surveycalls,shadowingMSWsinthefield,visitingpatients
inthefield,assistinginInterdisciplinaryGroupMeetingsandotheragencyrelatedevents.
2)Whatarethetasksthestudentperformsattheagency?
surveycalls
bereavementcalls
IDGmeeting
ShadowingMSWinfield
Workonclericalworkinbereavementdepartment
attendemployeeevents
attendcommunityevents
companionshipvisitswithpatients
Veteran'spinningceremony
3)Whataretheareas(i.e.tasks,skills)inwhichthestudentisexcellingattheagency?
Caitlinisexcellingatouragency.Caitlinisveryorganizedandcommunicative.Shealsoiseagerto
learnandgainexperienceatouragency.Caitlinhasevenstartingtakingonaprojectofherown,
basedonsomethingshesawasaneedforpatient.Caitlinisapatientadvocate,aswellasprofessional
andworkswellwithstaffandpatients.
4)Whataretheareas(i.e.tasks,skills)inwhichthestudentrequiresadditionalknowledge?
consentsignings
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informationalsessionswithpatients(howtobeginthem,whatisspecificallytalkedabout,etc)
moreinformationandpracticewithchartinginthesystem/appropriatelanguagewhencharting
vigilvolunteering(bedsidecompanionshipduringactivedyingprocesswithpatients)
visitKarmanos/hospitalsetting
FieldInstructorAssessmentofStudentCompetencies
RatingScale
Ratingsaredistinctforeachsemestertheyarenotcumulative.Undereachcompetency,specific
practicebehaviorsarelisted,alongwithspecificmeasuresforevaluatingstudentperformance.
Thisformmaybepersonalizedbyaddingcommentsaftereachsection.Ifanyitemwithinasection
hasbeenratedeitherExceeds,DoesnotmeetorMarginallymeetsExpectedCompetency,a
specificcommentmustbeincludedregardingthatitemintheareaprovided.Inaddition,strengths,
achievementsandinitiativesshownbythestudentintheperformanceofhis/herassignmentsand
workcontactsshouldbenotedinthecommentsectionsornarrativesummary.
TheRatingScaleis:
(4)ExceedsExpectedCompetency:Thestudentdemonstratesknowledgeandabilityabovethe
criteriasetforeachpracticebehavior.
(3)MeetsExpectedCompetency:Thestudentdemonstratesbothabilityandknowledgewhich
meetthebasicexpectationsaslistedinthecriteriaforeachpracticebehavior.
(2)MarginallyExpectedMinimumCompetency:Thestudentrequiresintensiveredirection.
Thestudentdemonstrateseffortbuthasdifficultyinachievingrequiredexpectationsforeach
practicebehavior.
(1)DoesNotMeetExpectedCompetency:Thestudentisunabletoperformevenminimaltasks
anddoesnotdemonstrateanunderstandingofthetheoreticalbaseofmaterials.
(0)NotApplicable/NoOpportunity:Studenthaslittleornoopportunitytoengageintask.
I.CoreCompetency:Identifyasaprofessionalsocialworkerandconductoneself
accordingly
PracticeBehavior:ProfessionalRole/DemeanorandUseofsupervision
1.Displaysappropriatebehaviorwithstaffandclients
2.Demonstratestheimportanceofappearanceandappropriatenessindress
3.Isbeginningtoconsistentlydisplayeffectivecommunication
4.Isbeginningtoconsistentlydemonstrateeffectiverecordkeepingandwritingskills
5.Isbeginningtoconsistentlydemonstratetheneedtoacceptand/orinitiateprojectsbeyond
basicacademicrequirements
6.Isbeginningtorecognizetheexpectationsofthefieldinstructor
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7.Isbeginningtoprepareforandusesupervisorysessionstoreflectonpractice
PracticeBehavior:ClientAccesstoService
8.Isbeginningtoconsistentlyfamiliarizeselfwithclient'sand/ortargetpopulationneeds
9.Isbeginningtoconsistentlyrecognizeclientand/ortargetpopulationconcernsrelatedto
receivingservices
10.Isbeginningtoconsistentlydemonstrateabilitytoaccessservicesforclients
11.Ispunctualandadherestoagreeduponattendanceschedule
PracticeBehavior:PersonalValues
12.Isbeginningtoconsistentlydisplayawarenessofpersonalvaluesandopinionsrelatedtothe
clientpopulation
13.Isbeginningtoconsistentlyrecognizetheneedtomanagepersonalvaluesandopinionsin
ordertoassistclientsorclientsystems
14.Isbeginningtoconsistentlyacknowledgesandacceptthatallindividualshavepersonal
valuesandopinionsthatneedtoberecognizedandprocessedinordertopracticeeffectively
Comments:Caitlinactsprofessionally,arrivesontime,hasbeguntoworkwithpatientsandhas
beengainingknowledgeaboutpopulationthisagencyservesandhowthesocialworkcorevalues
correlatetoit.
II.CoreCompetency:Applysocialworkprinciplestoguideprofessionalpractice
PracticeBehavior:EthicalDecisions
1.Isbeginningtobeabletoconsistentlydescribetheconceptofprofessionalcodes,suchasthe
NASWcodesofethics,inguidingethicaldecisions
2.Isbeginningtoconsistentlyacceptanddiscusswhyprofessionalcodes,suchastheNASW
codeofethics,areneeded
3.Isbeginningtoacknowledgeconsistentlytheethicalobligationsoftheprofessionalsocial
workerinfulfillinghis/herservicerolesandresponsibilitieswithclients,otherprofessional,and
thecommunity
PracticeBehavior:Roles,Boundaries,andValues
4.Isbeginningtoconsistentlyinteractinaprofessionalmannerwhileattheagency
5.Isbecomingawareofandconsistentlydemonstratestheneedforprofessionalboundaries
6.Isbeginningtoconsistentlyrecognizetheconceptandimportanceofselfreflection,self
monitoring,andselfcorrection
7.Isbeginningtoconsistentlydisplayabilitytodistinguishdifferencesamongselfreflection,
selfmonitoring,andselfcorrection
8.Isbeginningtoconsistentlyrecognizestimeswhenselfreflection,selfmonitoring,andself
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correctionareneeded
PracticeBehavior:EthicalReasoning
9.Isbeginningtoconsistentlyrecognizetheimportanceofconsideringethicalbehaviorin
decisionmaking
10.Isbeginningtoconsistentlydiscussethicaldilemmaswithappropriatestaff
Comments:Caitlinhasagoodunderstandingofthecorevaluesofsocialworkandethicaldecision
making.Shehastheabilitytoprocessethicaldilemmasappropriatelyandrespondtotheminan
appropriateway.
Caitlinunderstandstheroleoftheinternandpracticesboundarieswithpatientsandstaffmembers
insideandoutofthefield.
CommunicateseffectivelywithMSWwhenwitnesstopossibleethicaldilemmasinIDGandinthe
fieldanddebriefswithMSWaboutwaystoremedythesituationcurrentlyandinthefuture.
III.CoreCompetency:Applycriticalthinkingtoinformandcommunicate
professionaljudgments
PracticeBehavior:OrganizingKnowledge
1.Isbeginningtoconsistentlydisplayabilitytoorganizeinformationinanappropriateformat
2.Isbeginningtoconsistentlydemonstrateanabilitytoexpresscreativeideas
PracticeBehavior:AssessmentandIntervention
3.Isbeginningtoconsistentlyidentifyanddistinguishdifferentassesmenttools
4.Isbeginningtoconsistentlyidentifyanddistinguishdifferentinterventionmodels
5.Isbeginningtoconsistentlyrecognizetheimportanceofanalyzingdata
PracticeBehavior:KnowledgeIntegration
6.Isbeginningtoconsistentlydemonstrateawarenessoftheimportanceofusingdifferent
sourcesofinformation
7.Isbeginningtoconsistentlydemonstratefamiliaritywithhowresearchbasedknowledge
affectstheclientortargetpopulation
8.Isbeginningtoconsistentlydemonstratefamiliaritywithhowtoevaluatepersonalexperience
whenworkingwiththeclientortargetpopulation
PracticeBehavior:OralandWrittenCommunication
9.Isbeginningtoconsistentlydemonstrateeffectiveoralandwritingskillswhenworkingwith
differentpopulations
10.Isbeginningtoconsistentlydemonstrateabilitytoworkwithgroups
11.Isbeginningtoconsistentlyrecognizethatpracticestylesneedtochangewhenworkingwith 3
differentpopulations
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12.Isbeginningtoconsistentlydemonstrateeffectivewritingskills
Comments:Caitlindisplaysabilitytocommunicateeffectivelyanddemonstratetheabilityto
communicateverballyandinwritingtootheragencymembersandinterns.
Caitlinisabletounderstandinterventionmodelswhenworkingwithpatients.MSWandCaitlin
talkaboutassessmenttoolsandapplythemtopatientvisits.
IV.CoreCompetency:Engagediversityanddifferenceinpractice
PracticeBehavior:CulturalAwareness/Diversity
1.Isbeginningtoconsistentlydemonstrateawarenessoftheextenttowhichmainstreamculture
structuresandvaluesmayoppressothers
2.Isbeginningtoconsistentlydemonstrateawarenessofthemannerinwhichtheoppressed
recognizeandperceivemainstreamculture,structuresandvalues
PracticeBehavior:ValuesandBiases
3.Isbeginningtoconsistentlydemostrateawarenessoftheimportanceofknowingpersonal
biasesandvaluesrelatedtodifferentgroups
4.Isbeginningtoconsistentlyrecognizewhyacknowledgingpersonalbiasesandvaluesis
helpful
5.Isbeginningtoconsistentlyrecognizetheimportanceoffosteringarespectfordiversity
PracticeBehavior:RecognizeandCommunicateLifeExperiences
6.Isbeginningtoconsistentlyrecognizeanddiscusstheimpact(s)ofdifferentlifeexperiences
withothers
7.Isbeginningtoconsistentlydemonstrateawarenessofappropriatelifeexperiencestoshare
withclients,groupsandotherindividuals
8.Isbeginningtoconsistentlyacknowledgetheimportancethatlifeexperiencesplayinregards
tobehaviorsandopinions
PracticeBehavior:EngagedLearner
9.Isbeginningtoconsistentlyviewselfasalearnerwhorequiresguidance
10.Isbeginningtoconsistentlyviewandutilizestaffashelpfulsourcesofinformation
11.Isbeginningtoconsistentlyrecognizethattheprofessionrequiresallsocialworkerstobe
lifelonglearners
Comments:Caitlinhasastrongawarenessofculturaldifferencesanddiversityamongagency
membersandpatients.Shehashadtheopportunitytoworkwithadiversegroupofpatients,family
members,andcaregivers.Shehasastrongunderstandingofherownvaluesandbiases.
V.CoreCompetency:Advancehumanrightsandsocialandeconomicjustice
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PracticeBehavior:OppressionandDiscrimination
1.Isbeginningtoconsistentlyrecognizeandunderstanddifferentformsofoppressionand
discrimination
2.Isbeginningtoconsistentlydistinguishthedifferencebetweenoppressionanddiscrimination
3.Isbeginningtoconsistentlydisplaycomfortindetectingfactorsrelatedtooppressionand
discrimination
PracticeBehavior:HumanRightsandSocialandEconomicJustice
4.Isbeginningtoconsistentlyrecognizetheneedforadvocacyrelatedtohumanrightsand
socialeconomicjustice
5.Isbeginningtodiscussandunderstandthetermshumanrightsandsocialeconomicjustice
6.Isbeginningtoconsistentlydescribehowhumanrightsviolationsandsocialeconomic
injusticeshaveaffectedothers
7.Isbeginningtoconsistentlydescribetheneedforsupportingactivitieswhichadvancesocial
andeconomicjustice
8.Isbeginningtoconsistentlydemonstratehowtheymaydoeffectiveworktoadvancesocial
andeconomicjustice
Comments:Caitlinhasunderstandingofoppressionanddiscriminationandhowitaffectshospice
patientsandterminallyillpatientsspecifically.
Understandsandadvocatesforqualityoflifeandhowoppression,discrimination,and
socioeconomicstatuscanaffecttheaccesstoendoflifeandhospicecare.
Hashadfirsthandexperienceinviewingthedifferentoptionsforallsocioeconomicgroups
obtainingaccesstohealthcarefacilities.
VI.CoreCompetency:Engageinresearchinformedpracticeandpracticeinformed
research
PracticeBehavior:PracticeExperienceandScientificInquiry
1.Isbeginningtoconsistentlyrecognizewhyresearchevidenceisused
2.Isbeginningtoconsistentlyacknowledgehowresearchaffectsthetasksperformedatthe
agency
PracticeBehavior:ResearchEvidence
3.Isbeginningtoconsistentlyrecognizetheneedforongoingandexistingorevidencebased
researchandevidencerelatedtothefield
4.Isbeginningtoconsistentlyrecognizetheimportanceofpracticeexperience
Comments:Caitlinhasusedresearchcourseworktoaidinactivitiesandhelpwithcontextduring
hertimehere.Priorknowledgeaboutdeclineanddiagnosishelpsindailywork.
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VII.CoreCompetency:Applyknowledgeofhumanbehaviorandthesocial
environment
PracticeBehavior:Environment/Assessment
1.Isbeginningtoconsistentlydemonstratefamiliaritywiththeprocessesofassessment,
intervention,andevaluation
2.Isbeginningtoconsistentlyrecognizetheimportanceofunderstandingothersintheirown
environment
3.Isbeginningtoconsistentlydemonstratefamiliaritywithhowtogaininformationaboutothers 4
intheirownenvironment
Comments:CaitlinhasusedknowledgegainedfromcourseworkandIDGmeetingsandhas
appliedittounderstandingpatientandfamilyunits.
VIII.CoreCompetency:Engageinpolicypracticetoadvancesocialandeconomic
wellbeingandtodelivereffectivesocialworkservices
PracticeBehavior:PoliciesandSocietalWellBeing
1.Isbeginningtoconsistentlyrecognizetheneedtobeawareofpoliciesthatadvancesocietal
wellbeing
2.Isbeginningtoconsistentlydemonstratefamiliaritywithpoliciesaffectingclientsystemsat
theagency
3.Isbeginningtoconsistentlydisplaytheabilitytodiscusstheimpactofcollaborationsinorder
tofosterchange
4.Isbeginningtoconsistentlyacknowledgemethodstoadvocateforeffectivepolicychange
Comments:Caitlinhasgainedknowledgeonhowpolicyaffectshospiceservicesintermsof
coverage,eligibility,andhowcertainpoliciescanhelp/hinderthepatientprocess.
Caitlinhaslearnedhowtoproperlyadvocateforthetargetpopulationsoftheagency.
IX.CoreCompetency:Respondtocontextsthatshapepractice
PracticeBehaviors:SocialTrendsandRelatedServices/LeadershipRoles
1.Isbeginningtoconsistentlyrecognizetheneedtomakechangestoservicedeliverytoprovide 4
effectiveservices(i.e.differentlocation,differentpopulation,etc.)
2.Isbeginningtoconsistentlyrecognizehowsocietaltrendsaffectpersonalbiasestowards
certainservices
3.Isbeginningtoconsistentlyacknowledgetheimportanceandeffectsofsocietaltrends
4.Isbeginningtoconsistentlyrecognizetheroleofsocialworkersinprovidingleadershipto
supporteffectivechanges
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5.Isbeginningtoconsistentlydemonstrateawarenessoftheprofession'shistoryand
commitmenttoimprovingthelivesofthoseservedortheircommunities
Comments:Caitlinrecognizestheneedtounderstandhowsocietaltrends,environmentalfactors,
andsupportunitscanaffectpractice.Understandsthatsocietalviewsandstigmascandirectlyaffect
patientcare.
X.CoreCompetency:Engage,assess,interveneandevaluatewithindividuals,
families,groups,organizationsandcommunities
EngagementPracticeBehavior:EngagementwithSystems
1.Isbeginningtoconsistentlyrecognizetheneedtoactivelyprepareforclientsandworkwith
systemsofchange
2.Isbeginningtoconsistentlyrecognizetherolehe/sheplayswith
clients/groups/organizations/communities
3.Isbeginningtoconsistentlyacknowledgethatallparticipantsentertheagency/organizationat
differentstagesandwithdifferentneeds
PracticeBehavior:InterpersonalSkills
4.Isbeginningtoconsistentlyrecognizeandemploytheappropriateusesofempathy
5.Isbeginningtoconsistentlyrecognizeanddemonstrateotherinterpersonalskillsneededwhen 4
workingwithclients
Comments:
EngagementPracticeBehavior:FocusandOutcomewithFieldInstructor
6.Isbeginningtoconsistentlyrecognizeandunderstandtheimportanceofdevelopingalearning 4
planwiththefieldinstructor
7.Isbeginningtoconsistentlyrecognizetheimportanceofsupervisionandispreparedat
meetings
8.Isbeginningtoconsistentlyacknowledgewhyworkgoalsanddesiredoutcomesarecreated
andusedduringfieldwork
AssessmentPracticeBehavior:InterpretingClientData
9.Isbeginningtoconsistentlyrecognizeandunderstandmethodsforcollecting,organizing,and
interpretingclientdata
10.Isbeginningtoconsistentlyrecognizetheimportanceofcollectingaccurateclientdata
11.Isbeginningtoconsistentlyrecognizetheimportanceofrecordingorganizingingaccurate
clientdata
12.Isbeginningtoconsistentlyacknowledgehowotherserviceprovidersinterpretclientdatain
ordertoauthorizeservices
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13.Isbeginningtoconsistentlydemonstratetheabilitytoaccessandutilizeclientdata
PracticeBehavior:AssessingClients
14.Isbeginningtoconsistentlyrecognizeanddemonstratemethodsforassessingclientstrengths 3
andlimitations
15.Isbeginningtoconsistentlyrecognizeandcaninterpretwhyclientsystemspresentwith
differentstrengthsandlimitations
AssessmentPracticeBehavior:InterventionGoalsandObjectives
16.Isbeginningtoconsistentlyacknowledgetheimportanceofgoalsandobjectives
17.Isbeginningtoconsistentlydemonstrateknowledgeofhowtocreateeffectivegoalsand
objectives
Comments:
AssessmentPracticeBehavior:SelectingInterventionStrategies
18.Isbeginningtoconsistentlyrecognizeandemploythedifferenttypesofintervention
strategies
19.Isbeginningtoconsistentlyrecognizeandknowwhentouseinterventionstrategies
InterventionPracticeBehavior:Client(Individual,Group,Communities)Capacities
20.Isbeginningtoconsistentlyrecognizeanddemonstrateinterventionstrategiesthatpromoting 3
bestinterestsofclients
21.Isbeginningtoconsistentlyacknowledgehowtogaugeclientcapacities
22.Isbeginningtoconsistentlyrecognizeanddemonstratehowtoassistclientsinresolving
problems
23.Isbeginningtoconsistentlyrecognizethereasonsforclientconcerns
24.Isbeginningtoconsistentlyrecognizewhentonegotiate,mediate,andadvocateforclients
25.Isbeginningtoconsistentlydistinguishthedifferencesamongnegotiation,mediation,and
advocation
26.Isbeginningtoconsistentlyrecognizeanddemonstratetheskillsneededtonegotiate,
mediate,andadvocateforclients
PracticeBehavior:TransitionandEndings
27.Isbeginningtoconsistentlyrecognizetheimportanceoftransitionsandendings
28.Isbeginningtoconsistentlyrecognizepersonalfeelingsrelatedtotransitionsandendings
29.Isbeginningtoconsistentlyrecognizeclientfeelingsrelatedtotransitionsandendings
Comments:
EvaluationPracticeBehavior:EvaluationofWorkandServices
30.Isbeginningtoconsistentlyrecognizetheneedtoevaluateworkandservicesprovided
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31.Isbeginningtoconsistentlydemonstratetheskillsneededtoevaluateworkandservices
provided
32.Isbeginningtoconsistentlyrecognizepersonalfeelingsrelatedtotheevaluationofworkand 4
servicesprovided
33.Isbeginningtoconsistentlyrecognizetheneedtocriticallyexamineinterventions
34.Isbeginningtoconsistentlydisplaytheskillsneededtocriticallyexamineinterventions
35.Isbeginningtoconsistentlyacknowledgewhyandhowinterventionprocessesarecreated
Comments:Caitlinisabletouseinterpersonalskillstounderstandherroleinsideandoutsideof
theagency.
Showsunderstandingofclientdataandotherinformationgatheredfromfieldstafftofully
understandclientandhowtoappropriatelyassessanduseinterventionmethods.
Caitlinunderstandstheendoflifeprocessatthephysical,emotional,andmentallevels.Isableto
helpsupportteammembers,patients,andfamilymembersatendofserviceduetomanyreasons
outsideofandincludingdeath.
Caitlinhasbeenabletorecognizeanddemonstratetheneedforevaluationsandisabletocritically
examnewneedstointerventions.
XI.CoreCompetency:Analyzetheimpactoftheurbancontextonarangeofclient
systems,includingpracticeimplications
PracticeBehavior:UrbanContextandSocialWork
1.Isbeginningtoconsistentlyrecognizethechallengeswithinanurbanenvironmentandthe
impactoftheseonclientsystems
2.Isbeginningtoconsistentlyrecognizecharacteristicsoftheurbancontextandtheneedto
developeffectiveprograms,interventionsandservicesforclientsystems
Comments:Caitlinhashadexperiencewithdiversepopulationsandvaryinggeographiclocations
andhowtheyaffectobtainingresourcesandthecareofpatients.
TOTALHOURSCOMPLETEDFORTHESEMESTEROF
Semester:FallYear:2015TotalHours:230
FieldInstructor:(Sheets,Lindsey):LindseySheetsDec7,201511:01AM
StudentSignature:(Demara,Caitlin):CaitlinA.DeMaraDec7,201512:48PM
TheundersignedisresponsiblefortheassignmentofaSatisfactory(S),Marginal(M),or
Unsatisfactory(U)grade.
SEMESTERGRADE:Satisfactory
TOTALHOURS:230
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FacultyFieldLiaison:(AlohaVanCamp):AlohaVanCampLMSWPHDDec10,20156:14
PM
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