PRAC 6635 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 need supervision to feel confident) |
New (Have never performed or does not apply) |
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Comprehensive psychiatric evaluation skills in: |
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Recognizing clinical signs and symptoms of psychiatric illness |
Yes |
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Differentiating between pathophysiological and psychopathological conditions |
Yes |
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Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) |
Yes |
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Performing and interpreting a mental status examination |
Yes |
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Performing and interpreting a psychosocial assessment and family psychiatric history |
Yes |
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Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational). |
Yes |
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Diagnostic reasoning skill in: |
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Demonstrate knowledge of psychopathology of mental illnesses through discussion for different age groups and mental illnesses |
Yes |
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Developing and prioritizing a differential diagnoses list |
Yes |
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Formulating diagnoses according to DSM 5-TR based on assessment data |
Yes |
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Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes |
Yes |
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Psychotherapeutic Treatment Planning: |
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Provide psychoeducation to individuals and/or any caregivers |
Yes |
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Promote health and disease prevention techniques |
Yes |
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Self Assessment skill: |
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Develop SMART goals for practicum experiences |
Yes |
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Evaluating outcomes of practicum goals and modify plan as necessary |
Yes |
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Documenting and reflecting on learning experiences |
Yes |
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Professional skills: |
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Maintains professional boundaries and therapeutic relationship with clients and staff |
Yes |
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Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings |
Yes |
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Identifies ethical and legal dilemmas with possible resolutions |
Yes |
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Demonstrates non-judgmental practice approach and empathy |
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Yes |
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Practices within scope of practice |
Yes |
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Selecting and implementing appropriate screening instrument(s) and interpreting results: |
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Demonstrates selecting the correct screening instrument appropriate for the clinical situation |
Yes |
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Implements the screening instrument efficiently and effectively with the clients |
Yes |
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Interprets results for screening instruments accurately |
Yes |
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Identifies the need to refer to another specialty provider when applicable |
Yes |
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Accurately documents recommendations for psychiatric consultations when applicable |
Yes |
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.
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1. a. b. c. 2. a. b. c. 3. a. b. c. 4. a. b. c. |
Signature:
Date:
Course/Section: