Assignment Prompt & Instructions
– ## WEEK1PRAC66656675ClinicalSkillsSelfAssessmentFormfinal1.docx
**## WEEK1PRAC66656675ClinicalSkillsSelfAssessmentFormfinal1.docx**
**_PRAC 6665/6675 Clinical Skills_**
**_Self-Assessment Form_**
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| **Desired Clinical Skills for Students to Achieve** | **Confident**(Can complete independently) | **Mostly confident**(Can complete with supervision) | **Beginning**(Have performed with supervision or needs supervision to feel confident) | **New**(Have never performed or does not apply) |
| **Comprehensive psychiatric evaluation skills in:** |
| Recognizing clinical signs and symptoms of psychiatric illness across the lifespan | | **Mostly confident**(Can complete with supervision) | | |
| Differentiating between pathophysiological and psychopathological conditions | | | **Beginning**(Have performed with supervision or needs supervision to feel confident | |
| Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) | | | **Beginning**(Have performed with supervision or needs supervision to feel confident | |
| Performing and interpreting a mental status examination | | **Mostly confident**(Can complete with supervision) | | |
| Performing and interpreting a psychosocial assessment and family psychiatric history | | **Mostly confident**(Can complete with supervision) | | |
| Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational). | | **Mostly confident**(Can complete with supervision) | | |
| **Diagnostic reasoning skill in:** |
| Developing and prioritizing a differential diagnoses list | | **Mostly confident**(Can complete with supervision) | | |
| Formulating diagnoses according to DSM 5-TR based on assessment data | | **Mostly confident**(Can complete with supervision) | | |
| Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes | | **Mostly confident**(Can complete with supervision) | | |
| **Pharmacotherapeutic skills in:** |
| Selecting appropriate evidence based clinical practice guidelines for medication plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management) | | **Mostly confident**(Can complete with supervision) | | |
| Evaluating patient response and modify plan as necessary | | **Mostly confident**(Can complete with supervision) | | |
| Documenting (e.g., adverse reaction, the patient response, changes to the plan of care) | | **Mostly confident**(Can complete with supervision) | | |
| **Psychotherapeutic Treatment Planning:** |
| Recognizes concepts of therapeutic modalities across the lifespan | | **Mostly confident**(Can complete with supervision) | | |
| Selecting appropriate evidence based clinical practice guidelines for psychotherapeutic plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management, modality appropriate for situation) | | | **Beginning**(Have performed with supervision or needs supervision to feel confident | |
| Applies age appropriate psychotherapeutic counseling techniques with individuals and/or any caregivers | | **Mostly confident**(Can complete with supervision) | | |
| Develop an age appropriate individualized plan of care | | **Mostly confident**(Can complete with supervision) | | |
| Provide psychoeducation to individuals and/or any caregivers | | **Mostly confident**(Can complete with supervision) | | |
| Promote health and disease prevention techniques | | **Mostly confident**(Can complete with supervision) | | |
| **Self-assessment skill:** |
| Develop SMART goals for practicum experiences | | **Mostly confident**(Can complete with supervision) | | |
| Evaluating outcomes of practicum goals and modify plan as necessary | | **Mostly confident**(Can complete with supervision) | | |
| Documenting and reflecting on learning experiences | | **Mostly confident**(Can complete with supervision) | | |
| **Professional skills:** |
| Maintains professional boundaries and therapeutic relationship with clients and staff | | **Mostly confident**(Can complete with supervision) | | |
| Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings | | **Mostly confident**(Can complete with supervision) | | |
| Identifies ethical and legal dilemmas with possible resolutions | | **Mostly confident**(Can complete with supervision) | | |
| Demonstrates non-judgmental practice approach and empathy | | **Mostly confident**(Can complete with supervision) | | |
| Practices within scope of practice | | **Mostly confident**(Can complete with supervision) | | |
| **Selecting and implementing appropriate screening instrument(s), interpreting results, and making recommendations and referrals:** |
| Demonstrates selecting the correct screening instrument appropriate for the clinical situation | | **Mostly confident**(Can complete with supervision) | | |
| Implements the screening instrument efficiently and effectively with the clients | | **Mostly confident**(Can complete with supervision) | | |
| Interprets results for screening instruments accurately | | **Mostly confident**(Can complete with supervision) | | |
| Develops an appropriate plan of care based upon screening instruments response | | **Mostly confident**(Can complete with supervision) | | |
| Identifies the need to refer to another specialty provider when applicable | | **Mostly confident**(Can complete with supervision) | | |
| Accurately documents recommendations for psychiatric consultations when applicable | | **Mostly confident**(Can complete with supervision) | | |
**Summary of strengths:**
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**Opportunities for growth:**
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**Now, write three to four (3–4) possible goals and objectives for this practicum experience. Ensure that they follow the SMART Strategy, as described in the Learning Resources.**
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| 1. <br>**Goal:**<br>a. <br>**Objective:**<br>b. <br>**Objective:**<br>c. <br>**Objective:**<br>2. <br>**Goal:**<br>a. <br>**Objective:**<br>b. <br>**Objective:**<br>c. <br>**Objective:**<br>3. <br>**Goal:**<br>a. <br>**Objective:**<br>b. <br>**Objective:**<br>c. <br>**Objective:**<br>4. <br>**Goal:**<br>a. <br>**Objective:**<br>b. <br>**Objective:**<br>c. <br>**Objective:** |
**Signature:**
**Date:**
**Course/Section:**
**## WEEK1PRAC66656675ClinicalSkillsSelfAssessmentFormfinal1.docx**
**_PRAC 6665/6675 Clinical Skills_**
**_Self-Assessment Form_**
| | | | | |
| — | — | — | — | — |
| **Desired Clinical Skills for Students to Achieve** | **Confident**(Can complete independently) | **Mostly confident**(Can complete with supervision) | **Beginning**(Have performed with supervision or needs supervision to feel confident) | **New**(Have never performed or does not apply) |
| **Comprehensive psychiatric evaluation skills in:** |
| Recognizing clinical signs and symptoms of psychiatric illness across the lifespan | | **Mostly confident**(Can complete with supervision) | | |
| Differentiating between pathophysiological and psychopathological conditions | | | **Beginning**(Have performed with supervision or needs supervision to feel confident | |
| Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) | | | **Beginning**(Have performed with supervision or needs supervision to feel confident | |
| Performing and interpreting a mental status examination | | **Mostly confident**(Can complete with supervision) | | |
| Performing and interpreting a psychosocial assessment and family psychiatric history | | **Mostly confident**(Can complete with supervision) | | |
| Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational). | | **Mostly confident**(Can complete with supervision) | | |
| **Diagnostic reasoning skill in:** |
| Developing and prioritizing a differential diagnoses list | | **Mostly confident**(Can complete with supervision) | | |
| Formulating diagnoses according to DSM 5-TR based on assessment data | | **Mostly confident**(Can complete with supervision) | | |
| Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes | | **Mostly confident**(Can complete with supervision) | | |
| **Pharmacotherapeutic skills in:** |
| Selecting appropriate evidence based clinical practice guidelines for medication plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management) | | **Mostly confident**(Can complete with supervision) | | |
| Evaluating patient response and modify plan as necessary | | **Mostly confident**(Can complete with supervision) | | |
| Documenting (e.g., adverse reaction, the patient response, changes to the plan of care) | | **Mostly confident**(Can complete with supervision) | | |
| **Psychotherapeutic Treatment Planning:** |
| Recognizes concepts of therapeutic modalities across the lifespan | | **Mostly confident**(Can complete with supervision) | | |
| Selecting appropriate evidence based clinical practice guidelines for psychotherapeutic plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management, modality appropriate for situation) | | | **Beginning**(Have performed with supervision or needs supervision to feel confident | |
| Applies age appropriate psychotherapeutic counseling techniques with individuals and/or any caregivers | | **Mostly confident**(Can complete with supervision) | | |
| Develop an age appropriate individualized plan of care | | **Mostly confident**(Can complete with supervision) | | |
| Provide psychoeducation to individuals and/or any caregivers | | **Mostly confident**(Can complete with supervision) | | |
| Promote health and disease prevention techniques | | **Mostly confident**(Can complete with supervision) | | |
| **Self-assessment skill:** |
| Develop SMART goals for practicum experiences | | **Mostly confident**(Can complete with supervision) | | |
| Evaluating outcomes of practicum goals and modify plan as necessary | | **Mostly confident**(Can complete with supervision) | | |
| Documenting and reflecting on learning experiences | | **Mostly confident**(Can complete with supervision) | | |
| **Professional skills:** |
| Maintains professional boundaries and therapeutic relationship with clients and staff | | **Mostly confident**(Can complete with supervision) | | |
| Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings | | **Mostly confident**(Can complete with supervision) | | |
| Identifies ethical and legal dilemmas with possible resolutions | | **Mostly confident**(Can complete with supervision) | | |
| Demonstrates non-judgmental practice approach and empathy | | **Mostly confident**(Can complete with supervision) | | |
| Practices within scope of practice | | **Mostly confident**(Can complete with supervision) | | |
| **Selecting and implementing appropriate screening instrument(s), interpreting results, and making recommendations and referrals:** |
| Demonstrates selecting the correct screening instrument appropriate for the clinical situation | | **Mostly confident**(Can complete with supervision) | | |
| Implements the screening instrument efficiently and effectively with the clients | | **Mostly confident**(Can complete with supervision) | | |
| Interprets results for screening instruments accurately | | **Mostly confident**(Can complete with supervision) | | |
| Develops an appropriate plan of care based upon screening instruments response | | **Mostly confident**(Can complete with supervision) | | |
| Identifies the need to refer to another specialty provider when applicable | | **Mostly confident**(Can complete with supervision) | | |
| Accurately documents recommendations for psychiatric consultations when applicable | | **Mostly confident**(Can complete with supervision) | | |
**Summary of strengths:**
| |
| — |
| |
**Opportunities for growth:**
| |
| — |
| |
**Now, write three to four (3–4) possible goals and objectives for this practicum experience. Ensure that they follow the SMART Strategy, as described in the Learning Resources.**
| |
| — |
| 1. <br>**Goal:**<br>a. <br>**Objective:**<br>b. <br>**Objective:**<br>c. <br>**Objective:**<br>2. <br>**Goal:**<br>a. <br>**Objective:**<br>b. <br>**Objective:**<br>c. <br>**Objective:**<br>3. <br>**Goal:**<br>a. <br>**Objective:**<br>b. <br>**Objective:**<br>c. <br>**Objective:**<br>4. <br>**Goal:**<br>a. <br>**Objective:**<br>b. <br>**Objective:**<br>c. <br>**Objective:** |
**Signature:**
**Date:**
**Course/Section:**