Question

Zero Count

Applicable Mea
Answers
n

Scal
e

Std

Organization
Organization
1568346 Consider ability to set priorities, be
dependable, be organized, follow through with
responsibilities

4.00

1
to
4

0.0
0

Engagement in the Fieldwork Experience

Engagement in the Fieldwork Experience
Consider the students apparent level of
1568348 interest, level of active participation while on
site; investment in individuals and treatment
outcomes; seeks ways to improve selfperformance; follows safety precautions

4.00

1
to
4

0.0
0

0.0
0

Self-Directed Learning
Self-Directed Learning
1568350 Consider ability to take responsibility for own
learning; demonstrate motivation; aware of
own strengths and areas for improvement

4.00

1
to
4

Reasoning/Problem Solving
Reasoning/Problem Solving
Consider ability to use self-reflection,
willingness to ask questions; ability to analyze,
1568352
synthesize and interpret information;
understand the OT process; demonstrates
inquiry skills appropriate to the students stage
of education and training

4.00

1
to
4

0.0
0

Written Communication
Written Communication
1568354 Consider grammar, spelling, legibility,
successful completion of written assignments,
documentation skills

4.00

1
to
4

0.0
0

0.0
0

0.0
0

Initiative
Initiative
1568356
Consider initiative, ability to seek and acquire
information from a variety of sources

4.00

1
to
4

Observation Skills
Observation Skills
Consider ability to observe relevant behaviors
1568358
for performance areas and performance
components and to verbalize perceptions and
observations

4.00

1
to
4

4.00

1568360 Verbal Communication and Interpersonal

Skills
Verbal Communication and Interpersonal

1
to
4

0.0
0

Skills
Consider ability to interact appropriately with
individuals (patients/clients/staff/ caregivers)
such as eye contact, empathy, limit setting,
respectfulness, use of authority;
degree/quality of verbal interactions; use of
body language and non-verbal
communication; exhibits confidence
Professional and Personal Boundaries
Professional and Personal Boundaries
Consider ability to recognize/handle
personal/professional frustrations; balance
1568362 personal/professional obligations; handle
responsibilities; work with others
cooperatively, considerately, effectively;
responsiveness to social cues; adheres to
AOTA Code of Ethics

4.00

1
to
4

0.0
0

Use of Professional Terminology

Use of Professional Terminology
Consider ability to respect confidentiality;
1568364
appropriately apply professional terminology
(Practice Framework) in written and oral
communication

4.00

1
to
4

0.0
0

Attitude and Professional Appearance

Attitude and Professional Appearance
Consider ability to manage stressors in
1568366
constructive ways; demonstrates flexibility as
required; follows program guidelines for dress
and hygiene

4.00

1
to
4

0.0
0

Time Management Skills

Time Management Skills
1568368
Consider ability to be prompt, arrive on time,
complete assignments on time

4.00

1
to
4

0.0
0

Participation in the Supervisory Process

Participation in the Supervisory Process
1568370 Consider ability to give, receive and respond
to feedback; seek guidance when necessary;
follow proper channels

4.00

1
to
4

0.0
0

Question
Question
ID
1568255

Type of Fieldwork: (Specialty/Practice

Area)

Option

1.1 In-Patient Acute

1.2 In-Patient Rehab

1.3 SNF/ Sub-Acute/ Acute

Long-Term Care

We have both reviewed the Educator

Evaluation of Student, Student Evaluation
1568379
of Educator, and Student Evaluation of
Facility.

1.4 General Rehab Outpatient

1.5 Outpatient Hands

1.6 Pediatric Hospital/Unit

1.7 Pediatric Hospital

Outpatient

1.8 In-Patient Psych

2.1 Pediatric Community

2.2 Behavioral Health

Community

2.3 Older Adult Community

Living

2.4 Older Adult Day Program

2.5 Outpatient/hand private

practice

2.6 Adult Day Program for DD

2.7 Home Health

2.8 Pediatric Outpatient Clinic

3.1 Early Intervention

3.2 School

Other (see below)

Yes

No

Hide Comments
Other
If Other was selected for Type of Fieldwork, please specify:
Subject: Marissa Elder, Level I

ICF-ID Campus for Desert Regional Center

Fieldwork Educator:
Subject: Marissa Elder, Level I

Irene Burke Mental Health Counselor II

Date Completed - 1
1.
Subject: Marissa Elder, Level I

05/11/15

Student Learning Objectives - 1

1.
Subject: Marissa Elder, Level I

Observean assessment (Motivation

Assessment completed)

Date Completed - 2
2.
Subject: Marissa Elder, Level I

05/11/15

Student Learning Objectives - 2

2.
Subject: Marissa Elder, Level I

Observe and intervention and complete a

SOAP note.

Date Completed - 3
3.
Subject: Marissa Elder, Level I

05/25/15

Student Learning Objectives - 3

3.
Subject: Marissa Elder, Level I

research one article about occupational

therapy and adults with ID and write a short
summary.

Fieldwork Educator Comments:

Subject: Marissa Elder, Level I

Marissa was a delight to have on our

campus. She demonstrated kindness,
compassion, and empathy for the complex
individuals we serve here at DRC. Marissa

was eager to learn and to recommend

suggestions for OT service for our
underserved population. She was always
professional, yet passionate about her
professional field, which is an ideal
combination. It was truly a pleasure to have
her as an intern.
End of comment report.