Cpi Final
Cpi Final
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Self Final — Paige Papineau I ensure pt safety by utilizing a gait belt, parallel bars, AD, or second person when necessary. I often use
flotation devices to ensure pt safety while in the pool. I am able to recognize when it may not be safe for a
patient to exercise through their vitals and listening to their subjective complaints.
CI Mid-Term — Chris Hinze Paige consistently demonstrates good safety skills for patients and self during all patient encounters. Utilizes
safety equipment (ie gait belt) appropriately and consistently to maximize patient safety. Demonstrates
improving understanding for the unique demands on patient safety in the aquatic setting.
CI Final — Chris Hinze Paige demonstrates good awareness of her patient's medical conditions and potential for changes in condition.
Paige appropriately monitors vitals, follows precautions, assesses environment for safety during sessions and
provides appropriate amount of assist to her patient's and asks for additional assist from CI or other staff when
needed. Paige also demonstrates appropriate use of cleaning equipment after resident use and use of PPE
consistent w/ facility policy.
B AB I AI E BE
Self +5
Safety
CI +2
Self Final — Paige Papineau I continue to arrive prepared and on time every day. I have significantly improved my time management and
transitions between patients to ensure starting on time for each appointment. I continue to follow my clinical
site's dress code and demonstrate professional behaviors during all patient interactions.
CI Mid-Term — Chris Hinze Paige consistently demonstrates professionalism in interactions with patients and coworkers. Accepts and
absorbs constructive feedback very well. Small area for improvement includes punctuality/time management in
regards to pt. appointment times, especially when transitioning from one area of practice to another (ie pool to
gym) - although this has improved considerably over the past 2-3 weeks.
CI Final — Chris Hinze Paige consistently demonstrates professionalism with patients, families, and other staff. She consistently arrives
early to work to prepare for her day. She treats patients with empathy/dignity yet provides appropriate
challenges to her clients to meet their goals. Paige has been receptive to constructive feedback throughout this
clinical ed experience and has accepted and utilized feedback very well.
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B AB I AI E BE
Professional Self +4
Behavior
CI +6
Self Final — Paige Papineau I continue to adhere to the policies and procedures at my clinical site and quickly acknowledge and fix my
mistakes. I am not afraid to arrive early, stay late, work through lunch in order to meet the patient's needs.
While I have gotten much better, I would like to continue to improve my ability to provide services that go
beyond the expected standards of practice to best help meet a patient's needs.
CI Mid-Term — Chris Hinze Paige consistently practices in a manner that is consistent with the policies/procedures of the Grand Traverse
Pavilions and in line with our state practice act. Paige is generous with her time and will at times stay late or
work through breaks to complete tasks to meet a patients needs.
CI Final — Chris Hinze Meets all sample behaviors consistent w/ entry level criteria.
B AB I AI E BE
Self +4
Accountability
CI +5
Self Final — Paige Papineau I am able to communicate effectively and professionally with patients. I utilize various communication
techniques including verbal, visual, written, demonstration, etc. I am able to recognize when a patient is
fatigued or painful secondary to their nonverbal communication. When one form of communication is not
effective, I am easily able to transition to other forms in order to meet the patient's need.
CI Mid-Term — Chris Hinze Paige communicates professionally 100% of the time in clinical situations, utilizes verbal and written
communication effectively, and adapts communication style to meet the individuals needs without cues or
guidance.
CI Final — Chris Hinze Paige demonstrates sound communication skills with patient's, families, and other team members. Paige has had
the opportunity to work with clients with varied moods and cognitive issues including dementia, depression,
and those with challenging personalities and demonstrates an ability to modify communication strategies to
meet the unique needs of her clients.
B AB I AI E BE
Self +4
Communication
CI +5
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Self Final — Paige Papineau I am able to remain professional and respectful of all patients regardless of their backgrounds, beliefs, etc, and
and able to provide care in a nonjudgmental manner. I am able to recognize socio-cultural, psychological, and
personal influences on a patient and adapt to meet their needs accordingly.
CI Mid-Term — Chris Hinze During this clinical education experience Paige has had the opportunity to deliver care to patients with unique
health needs including advanced age, disability, and multiple comorbidities. Paige treats each patient with
respect and incorporates their values and goals into clinical decision making.
CI Final — Chris Hinze Paige practices in a culturally competent manner independently and consistent w/ entry level criteria. Paige
seeks information regarding a patients socio-cultural, psychological, and economic factors and utilizes that
information to shape the pt's clinical experience.
B AB I AI E BE
Cultural Self +4
Competence
CI +5
Self Final — Paige Papineau Throughout the last 7 weeks, my CI and I have continued to have regular check-ins to review the achievements
and to set goals. I ask for guidance/assistance in unfamiliar situations or to address my limitations, and am
always open to feedback from my CI, patients, or other staff. I have provided an in-service for my classmates
on aquatic therapy, and provided an in-service to the rehab team on burnout in the PT field.
CI Mid-Term — Chris Hinze Paige consistently seeks out feedback regarding her performance of procedural interventions and clinical
decision making from CI or other clinicians, as appropriate. Demonstrates good insight into strengths and
limitations and self-assessment is consistent with CI assessment.
CI Final — Chris Hinze Paige has continued to seek out feedback from CI during this clinical education experience. Paige has also
provided staff education through an in-service on "Burnout in PT", which the staff thought was interesting.
Hopefully Paige will continue to value ongoing professional development and mentorship once in clinical
practice by engaging in high quality continuing education programs and seeking employment that emphasizes a
strong mentorship program for new professionals.
B AB I AI E BE
Professional Self +4
Development
CI +5
Self Final — Paige Papineau Over the final seven weeks, I have significantly improved my clinical reasoning skills. I utilize information
from various sources including class notes, textbooks, conversations with my CI and co-workers, and
occasionally discussions with professors and classmates. I am able select/alter interventions based on patient
preference. For example, a patient has recently c/o of bruised ribs which were aggravated by prone positioning;
therefore, I modified the exercises to different positions that were not as aggravating. I recognize my limits as I
remain inexperienced compared to other members of the rehab team, and am not afraid to seek guidance or
assistance with things that are unfamiliar to ambiguous.
CI Mid-Term — Chris Hinze Makes simple clinical decisions independently. Requires minimal to moderate guidance for more complex
clinical decision making.
CI Final — Chris Hinze Paige has achieved entry level performance for this performance criterion. As Paige continues to acquire
clinical experience with a variety of patients, her ability to make sound clinical decisions with commensurately
sound rationale will continue to improve.
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B AB I AI E BE
Clinical Self +6
Reasoning
CI +6
Self Final — Paige Papineau I continue to complete a comprehensive chart review while prepping for a new patient. I will often ask my CI to
review nursing notes from cottage residents. I have observed a screening in the inpatient setting to determine if
the patient required further PT evaluation.
CI Mid-Term — Chris Hinze Paige routinely reviews medical history from patient intake forms and through subjective examination. Student
can further grow in this domain by consistently reviewing EHR (when available) for ALF patients; and/or
screening for consultation with other disciplines (OT, SLP, etc).
CI Final — Chris Hinze Paige has demonstrated improvement in this area by more consistently reviewing the EMR prior to a patient
encounter and by coordinating with the MDT, when appropriate. Paige has also demonstrated improved ability
to screen for referral to other disciplines, eg to orthotist for consultation for unloading knee orthosis on a pt. w/
advanced knee OA.
B AB I AI E BE
Self +4
Screening
CI +5
Self Final — Paige Papineau Over the past seven weeks, I have improved my examination abilities. At this time, I am nearly independent
through the whole examination process. I have improved my efficiency and am now able to complete a
thorough examination and have time to provide a few minutes of treatment. Additionally, I regularly re-examine
patients during progress notes and interim sessions to track patient progress. Can continue to improve upon my
efficiency and prioritization of exam procedures.
CI Mid-Term — Chris Hinze Level of supervision for this criterion has progression from 100% to 0-25% during this interim. For simple
patients/conditions Paige requires very little guidance. Paige does require some consultation/direction for more
complex patient presentations. Areas for improvement are prioritization of tests/measures during an initial exam
(especially for more complex presentations), efficiency of performing necessary tests/measures, and
reexamining the pt. status as indicated w/o prompting from the CI.
CI Final — Chris Hinze Paige has achieved entry level status for this performance criterion. Paige independently performs a subjective
Hx review, selects appropriate tests and measures, and interprets findings w/ accuracy.
B AB I AI E BE
Self +5
Examination
CI +6
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Self Final — Paige Papineau Over the final 7 weeks, I have improved upon my evaluation skills. I am able to identify functional limitations,
impairments, and potential participation limitations based on the information gathered through my examination.
And I have improved upon my ability to make clinical judgements on interventions, changes in AD, etc. based
on the examination.
CI Mid-Term — Chris Hinze Paige is demonstrating improved performance in all performance dimensions this interim. Ability to synthesize
clinical exam data to inform prognosis, goals, and POC has improved considerably.
CI Final — Chris Hinze Paige is demonstrating entry level performance in this area. Consistently utilizes exam info to establish well-
supported clinical decisions.
B AB I AI E BE
Self +5
Evaluation
CI +4
Self Final — Paige Papineau I have continued to improve my ability to identify a patient's prognosis and diagnosis and have significantly
improved my ability to communicate this to a patient. I am independent for simple patients and require minimal
guidance for complex patients.
CI Mid-Term — Chris Hinze Paige establishes a clear diagnosis/prognosis for simple cases with confirmation from CI. For more complex
patient presentations student requires minimal-moderate guidance from CI. Areas for improvement include
being able to clearly and efficiently summarize this information and relay it to the patient to enhance their
understanding of their condition.
CI Final — Chris Hinze Paige has demonstrated excellent progress in this area from the start of this clinical to conclusion. Since
midterm, Paige has made great strides in synthesizing personal/social/environmental factors and how they
influence the pts prognosis. Further, Paige has gained great confidence in her ability to educate patients/families
on their prognosis and how various factors will influence their prognosis.
B AB I AI E BE
Self Final — Paige Papineau I have continued to improve my ability to establish and execute a plan of care. I have also improved my ability
to adapt plan of care and transition from aquatic to land as needed. I am able to develop meaningful and
achievable goals and am able to determine need for progress note or discharge. I occasionally need guidance on
progress v. discharge for more complex patients.
CI Mid-Term — Chris Hinze Student does an excellent job of establishing meaningful, measureable, and functional goals based on
examination findings. Student establishes and modifies POC as necessary for simple patients with confirmation
or minimal guidance from CI. For complex patients, student requires minimal to moderate guidance to establish
and modify a POC.
CI Final — Chris Hinze Paige has progressed to full independence in establishing a plan of care for all patients under her care. Goal
setting continues to be a strength for Paige as she consistently incorporates the pts goals into the POC.
B AB I AI E BE
Self +5
Plan of Care
CI +2
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Self Mid-Term — Paige Papineau I ensure patient safety through utilization of a gait belt during gait or balance activities and ask my clinical
instructor for help as needed or if I am unsure of the patients level of assist. I have made significant
improvements in my ability to sequence, plan, and adapt interventions. I have made improvements in my ability
to describe exercises. I continue to require guidance for interventions for more complex patients. I often
consider prevention, health, and wellness when prescribing patients with their HEP. For example, I have created
impairment specific HEP in additional to general body HEP for interested patient's to not only prevent re-injury,
but to prevent injuries throughout their whole body and promote regular activity. I try to include self-
management tips and exercises within my POC to create autonomy and empower my patients. While I have
made great gains, I continue to need assistance and have lots of room for improvement.
Self Final — Paige Papineau Over the final 7 weeks of my rotation, I have continued to improve my ability to select and execute
interventions in a safe, effective, and fluid manner that are consistent with the POC. I have focused on
improving my ability to incorporate prevention, health, wellness, and fitness interventions and education to
improve a patients quality of life and overall health and wellness.
CI Mid-Term — Chris Hinze Student has demonstrated the ability to effectively and safely deliver manual therapy techniques (soft tissue
mobilization, joint mobilization), therapeutic exercise in both land and aquatic settings, patient/family
education, and functional training independently with consultation from CI. Student is demonstrating improving
quality and efficiency in delivering procedural interventions.
CI Final — Chris Hinze Paige effectively and efficiently delivers interventions with independence at this time. Paige has demonstrated
improved ability to explain rationale for selection of various interventions to the CI and to the patient. Paige
understands when to modify the delivery of interventions based on pt response.
B AB I AI E BE
Procedural Self +6
Interventions
CI +1
Self Final — Paige Papineau I have made great improvements in my ability to educate my patients. Over the last seven weeks I have
continued to improve my effectiveness in the previously mentioned topics at last interim, and have focused on
improving my ability to improve on more complex, whole body wellness topics including pain, sleep, and
nutrition. I have also created educational/helpful material for nursing staff regarding anterior and posterior hip
precautions.
CI Mid-Term — Chris Hinze Student demonstrates ability to provide basic patient education via demonstration or written formats, such as
home exercise program handouts, without guidance. Paige can further grow in this area by expanding the
impact their education to include education on ergonomics, lifestyle (ie diet/nutrition, sleep, stress management,
physical activity), home safety modification for fall prevention, etc.
CI Final — Chris Hinze Paige has demonstrated consistent growth in this area and is performing at or above entry level in this area.
Paige regularly provides pt education through various forms to help her pts meet their goals. Paige has also
incorporated pt education around lifestyle modification, when appropriate, to help her pts enhance their overall
health and well being.
B AB I AI E BE
Educational Self +5
Interventions
CI +6
Self Final — Paige Papineau Documentation continues to be one of my stronger areas. I am able to document accurately and succinctly in the
format required by my site. I have greatly improved my efficiency in completing evaluations, progress
notes/recertification, and discharge notes. I have been involved in writing recertification notes for further
insurance authorization. I am over 90% independent in my documentation.
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CI Mid-Term — Chris Hinze Student consistently produces thorough and complete documentation consistent with facility guidelines. Student
can grow in this area by completing documentation, especially progress reports, initial evaluations, discharge
notes in a more efficient manner.
CI Final — Chris Hinze Documentation is consistently completed in a timely and accurate fashion. Quality of documentation has been
excellent t/o this clinical experience and has continued to improve.
B AB I AI E BE
Self +3
Documentation
CI +5
Self Final — Paige Papineau Over the last 7 weeks, I have improved my ability to select and interpret several outcome assessments and have
continued to improve my efficiency and effectiveness. I utilize current research to identify age-related norms
and minimal clinically important difference to help set achievable and meaningful goals. I require
assistance/collaboration less than 25% of the time.
CI Mid-Term — Chris Hinze Student requires guidance in selecting outcome measures appropriate to the patient less than 25% of the time.
Student frequently assesses patient response during and following intervention and between visits to maximize
patient outcome
CI Final — Chris Hinze Paige has demonstrated excellent growth in this area from midterm to final. Paige demonstrated improved
understanding of selection of appropriate outcomes based on patient presentation and utilized published norms
to guide clinical decision making. She demo. above entry level skill in this area.
B AB I AI E BE
Outcomes Self +5
Assessment
CI +7
Self Final — Paige Papineau I have continued to improve my understanding of insurance, their policies, and how these impact a patients
POC. I am able to efficiently and appropriately submit billing charges. I am able to utilize the facility's
technology.
CI Mid-Term — Chris Hinze Student accurately, ethically , efficiently performs daily billing for PT charges. Supports request for payment
with delivery of skilled, medically necessary intervention and supports with sound documentation.
Demonstrating improving understanding of requirements of various 3rd party payers and how these policies
may impact service delivery.
CI Final — Chris Hinze Paige meets all criteria for entry level performance in this area. Considers pt's financial resources and third
party payer guidelines, as appropriate, when establishing a plan of care and delivering services.
B AB I AI E BE
Financial Self +4
Resources
CI +2
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Self Mid-Term — Paige Papineau Over the past 7 weeks, I have improved upon my ability to delegate tasks to my CI (acting as a rehab tech), and
have been able to experience communicating with a PTA about share patient's. I will be able to continue to
improve upon these skills over the coming weeks. I have made significant improvements in my time
management skills.
Self Final — Paige Papineau Over the final 7 weeks, I have continued to improve my ability to delegate tasks and have significantly
improved my ability to communicate with a PTA regarding shared patients. I respect and appreciate the support
provided by supporting staff including PTAs and administrative staff.
CI Mid-Term — Chris Hinze Interacts and collaborates with support personnel - PTA and administrative - efficiently and appropriately.
CI Final — Chris Hinze Directs and supervises PTA consistent with entry level performance. Paige consistently reviews and monitors
the appropriateness and effectiveness of services delivered by support personnel.
B AB I AI E BE
Supervision of Self +4
Personnel
CI +2
Self Mid-Term — Paige Papineau Documentation, interpersonal skills, safety, willingness to learn, receptive to feedback.
Self Final — Paige Papineau Current areas of strength include documentation, professionalism, willingness to learn, acceptance and quick
incorporation of feedback.
CI Mid-Term — Chris Hinze Current areas of strength for Paige include: professionalism, dependability, punctuality, documentation quality,
openness to feedback and ability to accept and translate constructive feedback, ability to empathize and
demonstrate caring for patients.
CI Final — Chris Hinze Paige has a number areas of strength that will serve her well in her career as a physical therapist. These qualities
include, but are not limited to, a caring and empathetic personality, punctuality and dependability, a sound
understanding of basic sciences and entry level exam/eval/interventions. Furthermore, Paige demonstrates
excellent documentation skills and time management in the clinic. Paige has consistently sought out, accepted
w/o defensiveness, and utilized constructive feedback. Paige practices in a safe and effective manner and
connects well 1:1 with her patients. Paige has demonstrated that she is prepared to function independently as a
practicing PT in the outpatient setting.
Self Mid-Term — Paige Papineau Confidence; clinical skills and interventions for more complex patients; efficiency during evaluations, progress
notes, and d/c; continue to improve independence with complex patients.
Self Final — Paige Papineau Continue to work on confidence, clinical reasoning skills, and incorporating whole body wellness into pt
education. Improve on my ability to be comfortable having difficult conversations.
CI Mid-Term — Chris Hinze Paige has already demonstrated considerable growth across all criterion this interim. Specific areas of focus for
continued growth and development include sharpening clinical reasoning/decision making for more complex
patient presentations, expanding scope of examination and intervention to improve patient outcomes, improve
efficiency with clinical documentation.
CI Final — Chris Hinze Like all practicing clinicians, Paige can demonstrate further growth and development through ongoing clinical
practice coupled with self/peer-assessment and reflection on performance in the clinic. This growth can be
supplemented by opportunities for clinical mentorship and seeking out high quality post-grad continuing
education based on practice setting and personal interest.
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?
Self Mid-Term — Paige Papineau A full caseload for a new grad is 7-9 patients per day, depending on whether you are working 8 or 10 hour days.
At this time, I am currently capable of managing 60-80% of the caseload with assistance.
Self Final — Paige Papineau A full caseload for an new grad is 7-9 patients per day. I am currently capable of managing 90-100% of the
caseload with minimal assistance.
CI Mid-Term — Chris Hinze A full caseload is ~36 patient visits/week. Paige is currently managing/capable of managing 75% of this
caseload.
Recommendations
Self Mid-Term — Paige Papineau Continue to work on confidence and efficiency.
Self Final — Paige Papineau Continue to work on confidence and to seek out learning experiences.
CI: 0 days
CI: 0 days
CI Mid-Term
[Student] Paige Papineau - 03/02/23 10:37 AM
[CI] Chris Hinze - 03/02/23 09:30 AM
[CI] Chris Hinze - 03/02/23 09:28 AM
CI Final
Post-Assessment Comments
Please review this Mid-Term evaluation:
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Please review this Final evaluation:
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