Clinical Skills Portfolio

Clinical Skills
1.
Professional Practice Safety
CI Mid-Term Ron Zachariah

Alex demonstrates safe practices while working patient by using a gait belt when necessary
and providing adequate assist when required while performing balance tasks and
strengthening exercises with LE orthopedic practices.
CI Mid-Term Shailly Prabhakar
He is developing his skills to modify/ adjusting testing or exercises in accordance to patient
condition, acuity, and comorbid conditions.
CI Final
Ron
Zachariah
Alex consistently ensures Safety of patient by using gait belts when necessary and providing
appropriate assistance during balance exercises.
AB
AI
Self
Safety
CI
2.
Professional Practice Professional Behavior

Alex demonstrates initiative, offers assistance and seeks learning opportunities, wears attire
consistent with expectation of the practice setting, demonstrates integrity in all interactions, is
compassionate, caring and provides empathy in providing services to patients, and accepts
feed back without defensiveness.
CI Final Ron Zachariah
Alex is careful to maintain patient privacy and modesty, is dependable with the tasks entrusted
to his care, consistently exhibits caring, compassion and empathy, and accepts feed back
without defensiveness, provides feedback to CI.
B
Professional
Self
AB
AI
Behavior
3.
CI
Professional Practice Accountability

Alex maintains patient privacy and modesty, abides by policies and procedures of the practice
setting, displays generosity in the use of time and efforts to meet patient needs.
Alex consistently maintains patient confidentiality, consistently places patient's needs above
self needs, strives to provide patient/client service that go beyond expected standards of
practice.
AB
AI
Self
Accountability
CI
4.
Professional Practice Communication

Alex uses simple language explaining exercises to patient with adequate D/U, verbal and
tactile cues as necessary. He demonstrates good verbal and non verbal communication skills
with patients. He listens actively and attentively to what is being communicated by others.
Alex consistently listens actively and attentively to understand what the writer or patients are
communicating. He demonstrates good written communication with SOAP notes, and is polite
and courteous with his interactions with patients and colleagues both verbally and nonverbally.
Communicatio
n
5.
AB
AI
Self
CI
Professional Practice Cultural Competence

Alex communicated with sensitivity and was respectful while asking personal questions to a
patient helping her fill out her Lymphedema Life Impact Scale.

Alex has a good awareness of socio-cultural, psychological influences on patients and clients
and is able to communicate those with the CI and respond appropriately with patients.
Cultural
Competence
6.
AB
AI
Self
CI
Professional Practice Professional Development

Alex established realistic long term and short term goals with the writer during his first clinical
experience, provides current Knowledge and theory especially with the Adhesive Capsulitis
management, sought CI's help actively in learning more manual Therapy skills, identifies
strengths and weaknesses with respect to current level of Knowledge and skills.
Alex is good at identifying his own strengths and limitation n clinical performance and was
willing to try less familiar topics .for taking an in-service of Cervicogenic Dizziness. He did a
good job presenting it clearly and concisely.
Professional
Development
7.
AB
AI
Self
CI
Patient Management Clinical Reasoning

Alex demonstrates logical clinical reasoning skills and is able to verbalize why the patient
performs a certain movement a certain way and has a keen eye for observation of patient
postures and consequent musculoskeletal compensations, is able to provide appropriate verbal
and tactile cues to limit compensations effectively.
Alex demonstrates good clinical reasoning skills arriving at Diagnoses with musculoskeletal
conditions and for analyzing gait and patient movement patterns to ascertain why they move
they do and helps provide tactile and visual cues to recruit appropriate muscles to limit trick
movements.
Clinical
Reasoning
8.
AB
AI
Self
CI
Patient Management Screening

Patient is able to obtain history satisfactorily during his evaluation and use appropriate special
tests for diagnosing Thoracic Outlet Syndrome and musculoskeletal conditions involving the
Low back, Knee joint and Shoulder joint conditions that he has been exposed to in our setting.
Alex is able to consistently perform medical history review, is able to use appropriate tests and
measures during evaluations of Shoulder and Knee conditions. He has not missed any system
red flag during his evaluations during clinical rotation time at our facility
AB
AI
Self
Screening
CI
9.
Patient Management Examination

Alex is able to obtain a good history and use tests and measures as needed with few verbal
cues for time management and sequencing during an evaluation.
Alex continues to obtain a good history and use tests and measures appropriately during initial
evaluations. He can be relied upon for taking AROM measurements, manual muscle testing and
assessing increased resting muscle tension in soft tissues.
AB
Self
Examination
CI
10.
Patient Management Evaluation
AI

Alex makes clinical judgments based on data from examination with knowledge of patient
specific history, patient's description of postures that bring on symptoms and appropriate
clinical tests such as in the case of Thoracic Outlet Syndrome.
Alex is able to synthesize examination data and identify pertinent impairments and functional
limitations of patients, in addition of comments stated during the mid term assessment.
AB
AI
Self
Evaluation
CI
11.
Patient Management Diagnosis and Prognosis

Alex is able to determine a diagnosis that is congruent with pathology, impairment, functional
limitation and disability with respect to Shoulder Conditions he has had the opportunity to
treat, able to make decisions on re-evaluations based on patient findings.
Alex is able to effectively integrate data and arrive at accurate prognosis with regard to
continuation of care or discharge status. He is also able to take into account contributing
factors such as pre-existing health conditions and health behaviors with decision making with
patients.
Diagnosis and
Prognosis
12.
AB
Self
CI
Patient Management Plan of Care

Alex is able to establish a plan of care consistent with examination and evaluation and
establish appropriate goals that specify expected time durations.
AI
Alex is able to establish appropriate goals and establish a plan of care consistent with
examination and evaluation with minimal cues from the CI. Is able to appropriately recommend
the need for an assistive device such as a rolling walker for a patient scenario that came up.
AB
AI
Self
Plan of Care
CI
13.
Patient Management Procedural Interventions

Patient is able to provide good feed back to patient regarding posture, consistently gives
verbal cues to limit compensations, is able to perform manual therapy interventions with
supervision satisfactorily and is consistently cordial to patients.
Alex can be relied upon for manual Rx intervention with respect to Scapular mobilization,
manual muscle stretching of cervical and lower extremity musculature, soft tissue
manipulations, muscle tone assessment and Rx, and is able to adjust his tactile pressures to
patient satisfaction with very few cues and even independently intermittently.
Procedural
Interventions
14.
AB
AI
Self
CI
Patient Management Educational Interventions

Alex consistently provides education regarding maintenance of optimal posture during various
tasks, is able to educate patient on the performance of home management program.
Alex is able to provide good education of home management program, posture and for the
maintenance of optimal form during exercises, with appropriate verbal and tactile cues. He
conducted an in-service for staff members on cervicogenic dizziness answering questions
appropriately
Educational
Interventions
15.
AB
AI
Self
CI
Patient Management Documentation

Alex produces appropriate documentation that follows guidelines required by the EMR such as
EPIC, selects relevant information to document the delivery of physical therapy care. He uses
documentation that justifies physical therapy services.
Alex is able to document consistent with guidelines and requirements of third-party payers
using EMR. He is able to document all aspects of physical therapy care. He demonstrate
improvement with his SOAP notes with respect to patient responses with therapeutic
assessments/interventions justifying the need for skilled physical therapy services.
Documentatio
n
16.
AB
AI
Self
CI
Patient Management Outcomes Assessment

Alex collects data and analyzes results for the data to decide if there has been significant
improvement especially with AROM gains with other objective measures.
Alex is able to consistently respond to patient and family satisfaction with delivery of physical
therapy care.
Outcomes
Assessment
17.
AB
Self
CI
Patient Management Financial Resources
AI

Alex adheres to reimbursement guidelines and has submitted billing charges on time under
supervision.
Alex is able to bill for the time spent with the patient ethically and appropriately.
Financial
Resources
18.
AB
AI
Self
CI
Patient Management Direction and Supervision of Personnel

Alex demonstrates effective inter personnel skills including regular feed back in
communicating patient specific findings to physical therapy assistant, has reviewed with CI,
physical therapy assistant's documentation for clarity and accuracy.
Alex is able to give constructive feed back and offer suggestions to PTA regarding patient care.
He demonstrates respect for the contributions of other support personnel.
Supervision
of Personnel
19.
AB
AI
Self
CI
Summative Comments / Caseload / Days Absent
Areas of Strength
Alex demonstrates good interpersonal skills, polite and cordial with patients, poses a keen eye
for proper observation of posture, and subsequent musculoskeletal compensations and is able
to provide cues to correct them. He is able to work with 15% to 20% at a max level. He has
demonstrated improvement with asking open ended questions, is willing to learn and be more
engaged with manual therapy and is working on sequencing of tests and measures and time
management during an evaluation. He demonstrates adequate knowledge of musculoskeletal
conditions consistent with the level of exposure to them in his syllabi. He demonstrates good
clinical reasoning skills, is able to determine the current functional level of LE musculoskeletal
conditions that he has had an opportunity to Rx and progress patients with appropriate
exercises. He is actively involved with the upkeep of the patient treatment areas, is eager to
learn and is polite and teachable.
Alex continues to demonstrate good interpersonal skills, is a good listener, can be relied upon
with patient care with regarding to safety and administering care. He is able to work with 50%
of the writers case load with few cues intermittently. He is quick to respond to the CI
suggestions. He has efficiently delivered interventions consistent with his level of exposure and
training. His patients are fond of him, and love to work with him and have appreciated their
recovery as a result of the services rendered by him. He demonstrates good clinical reasoning
and is a thinker . He demonstrated integrity during his clinical rotation. He is a keen observer
and has good tactile sense. He was confident and composed while his in-service presentation,
handling questions professionally. He understands his strength's and limitations in terms of skill
and knowledge content and is not hesitant to work to improve them. It has been a pleasure to
work with Alex during his clinical rotation time. He has had good interpersonal relationship with
colleagues and has always been mindful of the department upkeep and others during his
internship.
Areas for Further Development

n/a
Caseload/Other Comments
1) What is the full caseload at your clinical site for a new graduate?
2) Considering the rating anchors, what percent of a new graduate caseload
is the student capable of managing at this time?
Recommendations
Mid-Term Days Absent
CI: 0 days
Final Days Absent

CI: days
Reason for Absence

Evaluation Sign Off Dates/Times
Self Mid-Term
[Student] Alexander Gentile - 06/06/16 07:02 PM
Self Final
[Student] Alexander Gentile - 06/24/16 11:57 AM
CI Mid-Term
[CI] Ron Zachariah - 06/06/16 03:48 PM
CI Final
[CI] Ron Zachariah - 06/24/16 11:55 AM
Post-Assessment Comments
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Clinical Skills

Professional Practice Safety

CI Mid-Term Ron Zachariah

Professional Practice Professional Behavior

CI Mid-Term Ron Zachariah

Professional Practice Accountability

CI Mid-Term Ron Zachariah

Professional Practice Communication

CI Mid-Term Ron Zachariah

Professional Practice Cultural Competence

CI Mid-Term Ron Zachariah

CI Final Ron Zachariah

Professional Practice Professional Development

CI Mid-Term Ron Zachariah

Patient Management Clinical Reasoning

CI Mid-Term Ron Zachariah

Patient Management Screening

CI Mid-Term Ron Zachariah

Patient Management Examination

CI Mid-Term Ron Zachariah

Patient Management Evaluation

CI Mid-Term Ron Zachariah

Patient Management Diagnosis and Prognosis

CI Mid-Term Ron Zachariah

Patient Management Plan of Care

CI Mid-Term Ron Zachariah

Patient Management Procedural Interventions

CI Mid-Term Ron Zachariah

Patient Management Educational Interventions

CI Mid-Term Ron Zachariah

Patient Management Documentation

CI Mid-Term Ron Zachariah

Patient Management Outcomes Assessment

CI Mid-Term Ron Zachariah

Patient Management Financial Resources

CI Mid-Term Ron Zachariah

Patient Management Direction and Supervision of Personnel

CI Mid-Term Ron Zachariah

Summative Comments / Caseload / Days Absent

Areas for Further Development

Final Days Absent

Reason for Absence

[Student] Alexander Gentile - 06/06/16 07:02 PM

[Student] Alexander Gentile - 06/24/16 11:57 AM

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