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3/26/2016

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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