Faculty of Health & Life Sciences

FACULTY OF HEALTH & LIFE SCIENCES

MSc Physiotherapy

FULL-TIME PROGRAMME

MPS012 – 4th PROFESSIONAL PRACTICE ASSESSMENT

HAND IN CHECKLIST

Please complete this checklist to ensure all required forms are completed.
Failure to do so may delay or compromise result ratification. / Tick to
confirm
complete
Assessment Forms to Submit (must submit following placement) / Submit via Moodle
1. / MPS012 Front Sheet
2. / Official Record of Clinical Hours Completed
Details fully completed and signed
3. / Section IV: Assessment of Clinical Practice (1-7)
4. / Final Stage Student Evaluation of Placement
5. / Final Stage Practice Educator(s) Evaluation of Placement
Details fully completed and signed
6. / Sections VI, VIII, IX and X (where applicable)
7. / Section XI: Placement Activity Record
8. / MPS012 Halfway Visit Report
9. / Either a printed on-line receipt (PPQA website) or
the Student Feedback & Evaluation form (where no on-line profile exists)
Travel & Expenses Claims (must be claimed within 6 months) /  Post to/drop-off in DG/006
1. / Bar coded front sheet available when logged in to your NHS Student Bursaries account online.
2. / Practice Placement Expenses Form
Completed current year form and signed.
3. / Receipts Attached for Accommodation, Petrol, Etc (if applicable)

Faculty of Health and Life Sciences

YorkSt JohnUniversity

Lord Mayor’s Walk

York

YO31 7EX

CLINICAL ASSESSMENT DOCUMENT

LEVEL 2MSc Physiotherapy (Pre-registration) Programme

Module Code MPS012

STUDENT NAME: ...... PLACEMENT DATES: ......

PLACEMENT LOCATION:......

Trust & Site

AREA:......

Eg Acute/Intermediate

MAIN AREA OF PRACTICE:......

Eg Medical wards

PRACTICE EDUCATOR(S):......

Name(s) and contact details

......

VISITING TUTOR:......

HOURS COMPLETED:......

TARGET HOURS:210

Students are expected to:

Complete a minimum of 35 hours per week
Act responsibly and professionally
Demonstrate safe practice and take responsibility for the safety of themselves and others in the workplace in accordance with CSP and HPC standards
Show sensitivity to an individual’s rights and demonstrate non-discriminatory practice

OFFICIAL RECORD OF CLINICAL HOURS COMPLETED

We expect students to attend placement for a minimum of 35 hours per week, the majority of which is with service users. The daily hours will be in negotiation with the practice educator, taking into account travel and the normal working patterns of the unit/department/practice educator over a minimum period of six weeks. Preparation time for any planned activity (e.g. presentation/case study) may be taken into account as long as evidence of work is provided.

Please note:

Lunch breaks are not normally included in the total hours
Please ‘round-up’ times to nearest half hour
Please insert number of hours each day, NOT working times

Week / Week 1 / Week 2 / Week 3 / Week 4 / Week 5 / Week 6
Week
Beginning / ___/___/___ / ___/___/___ / ___/___/___ / ___/___/___ / ___/___/___ / ___/___/___
Monday
Tuesday
Wednesday
Thursday
Friday
Total

Placement Total:...... (To be inserted onto front cover)

I confirm that this is an accurate record of the hours completed by the student:

Practice educator(s) name(s): ......

Signature(s): ......

TABLE OF CONTENTS / Page

(I)How to complete the clinical placement assessment form4

(II)Factors to consider when identifying learning outcomes5

(III)Factors to consider when awarding a grade or mark5

(IV)Assessment of clinical practice6 -19

(V)Final stage student evaluation of placement20

(VI)Final stage practice educator(s) evaluation of placement21

(VII)Professional conduct on clinical placement22

(VIII)Procedure to be implemented when a student is not performing23

at the required standard

(IX)Record of clinical performance that is not meeting a pass standard24-25

and Follow Up Review

(X)Incident Report Form26

(XI)Placement Activity Record27

If you have a query please do not hesitate to contact:

Course LeaderMSc Physiotherapy (Pre-reg) Programme:Jill Wickham

Tel: 01904 876992

Physiotherapy Subject Director:Toni Bailey

Tel: 01904 876420

Placement Co-ordinator:Judy Purton

01904 876345

More general placement queries should be directed to:

Professional Practice Placements Administration:

Tel: 01904 876821

(I)HOW TO: COMPLETE THE CLINICAL PLACEMENT ASSESSMENT FORM

STUDENT RESPONSIBILITIES

Week 1:

Contact the placement office to confirm Practice Educator(s) contact details
Complete the “Student details” and “Placement details” sections on the front page of the form
Discuss learning outcomes with the Practice Educator(s) identifying any specific strengths, needs and areas that you would like to develop in relation to previous placement experiences

Each week:

Review your progress and continued areas for development. Document, in the appropriate section of the Clinical Assessment Document, your planned weekly learning outcomes to meet the final learning outcomes and be prepared to discuss these with your Practice Educator(s)
Complete appropriate reflection on assessment documentation including experience gained whilst on placement
Complete the hours sheet on page 2
Identify a maximum of 3 learning outcomes relating to each of the 7 core assessment areas to accomplish each week in order to achieve the final learning outcomes set

Mid-way:

Complete reflection for mid-way placement report – this may be recorded

Discuss progress with the visiting tutor at the mid-way stage and establish agreement for the mid-way placement report written by the Visiting Tutor

Final week:

Read the evaluation of the final learning outcomes and discuss the comments with your Practice Educator(s)`
age appraisals to indicate that you have discussed the comments and marks allocated by the Practice Educator(s)

Following the placement:

Return the assessment document (and placement evaluation form) to the placement office at your own University
Complete the healthcare placements website electronic feedback form to evaluate the placement at

PRACTICE EDUCATOR RESPONSIBILITIES

Week 1:

Complete student induction
Read through assessment form. Discuss and complete with the student the learning contract/clinical targets and any strengths, areas to develop and any identified specific needs

Each week:

Discuss progress and learning outcome setting with the student, agreeing action plans for continued development of practice in each of the 7 marked assessment sections
Complete weekly feedback for all 7 assessment sections providing feedback comments in accordance with how the student is meeting the learning outcomes

Discuss feedback comments with the student weekly and visiting tutor when present

Mid-way:

Discuss progress with the student and visiting tutor at the mid-way stage and establish agreement for the mid-way placement report written by the visiting tutor providing feedback comments in accordance with how the student is meeting the learning outcomes

Final week:

Complete ‘Professional Conduct on Clinical Placement‘ Section
Complete the final placement assessment providing feedback comments and assigning final mark for each section
Discuss feedback comments and assessment, including the student self-assessment, with the student

VISITING TUTOR RESPONSIBILITIES

Complete appropriate documentation (involvement in assessment is specific to each HEI)
Complete the mid-way placement report through discussion with the student and Practice Educator(s)
Discuss the student’s performance and document any areas of concern highlighted in the weekly feedback sections
Provide support for student and Practice Educator(s) as appropriate
Discuss any areas of concern with the Head of Programme

(II)FACTORS TO CONSIDER WHEN IDENTIFYING LEARNING OUTCOMES

Are the outcomes set achievable in a week?
Are the outcomes appropriate to the level of the student?
Are the weekly learning outcomes working towards the overall final learning outcomes?
Are the outcomes appropriate to the week in which they are set?
Are the outcomes SMART (Specific, Measurable, Achievable, Realistic, Timed)?

Please note that the student is responsible for preparing, in advance of a pre-arranged formal supervision session, the learning outcomes negotiated with the Practice Educator(s) for the forthcoming week.

Only a maximum of 3 learning outcomes, related to each of the 7 core assessment areas, need to be set each week.

The Practice Educator(s) is/are responsible for giving the student advance notice of the formal supervision session and assisting the student to set appropriate learning outcomes.

(III)FACTORS TO CONSIDER WHEN AWARDING A MARK

Atthe mid-way stage the student is undergoing formative (i.e. feedback to inform progress) assessment where an indication of ability is given.

At the final assessment a mark needs to be allocated in order to provide summative (end point) data regarding the student’s performance on that placement.

The professional practice placement is assessed on a pass/fail system. ALL final learning outcomes must be achieved to be awarded a pass.

Pass:Awarded if a student is competent in ALL the final learning outcomes

Fail:Awarded if a student is unable to reach a level of competency in ANY ONE OR MORE of the final learning outcome sections

Whilst the placement mark does not contribute per se to the grade of the degree, placement learning can and does contribute to the academic work associated with the University based modules. All placements must be passed successfully for the student to be awarded their degree. Only one placement can be repeated during a student’s programme of study.

(IV)ASSESSMENT OF CLINICAL PRACTICE

By the end of the placement the student is able to meet the following learning outcomes:

Section 1: PATIENT INTERVENTION
1a)Plan and carry out a subjective assessment demonstrating initiative and selecting relevant information from a variety of sources
1b)Plan and carry out an objective assessment of a patient with less complex problems, showing consideration of structure, appropriate assessment tools and documentation of findings
Weekly SMART outcomes in order to meet
final learning outcomes above
To be completed by Student / Evidence & Formative Feedback
of weekly achievement
To be completed by Practice Educator
Planning week 1: / Week 1:
Planning week 2: / Week 2:
Planning week 3: / Week 3:
Weekly SMART outcomes in order to meet
final learning outcomes above
To be completed by Student / Evidence & Formative Feedback
of weekly achievement
To be completed by Practice Educator
Planning week 4: / Week 4:
Planning week 5: / Week 5:
Planning week 6: / Week 6:
Final overall reflections by Student: / Final appraisal & overall attainment of learning outcomes - completed by Practice Educator(s):
CRITERIA / Midwaymark / Date / Finalmark / Date
Pass / Awarded if a student is competent in achieving all the final learning outcome above
Fail / Awarded if a student is unable to reach a level of competency in any one or more of the final learning outcome sections

By the end of the placement the student is able to meet the following learning outcomes:

SECTION 2: CLINICAL REASONING
2a)Relate patient problems to underpinning theory
2b)Identify an appropriate patient centred problem list following discussion
2c)Justify a range of appropriate treatment modalities after discussion of assessment findings with educator
Weekly SMART outcomes in order to meet
final learning outcomes above
To be completed by Student / Evidence & Formative Feedback
of weekly achievement
To be completed by Practice Educator
Planning week 1: / Week 1:
Planning week 2: / Week 2:
Planning week 3: / Week 3:
Weekly SMART outcomes in order to meet
final learning outcomes above
To be completed by Student / Evidence & Formative Feedback
of weekly achievement
To be completed by Practice Educator
Planning week 4: / Week 4:
Planning week 5: / Week 5:
Planning week 6: / Week 6:
Final overall reflections by Student: / Final appraisal & overall attainment of learning outcomes - completed by Practice Educator(s):
CRITERIA / Midwaymark / Date / Finalmark / Date
Pass / Awarded if a student is competent in achieving all the final learning outcome above
Fail / Awarded if a student is unable to reach a level of competency in any one or more of the final learning outcome sections

By the end of the placement the student is able to meet the following learning outcomes:

SECTION 3: PATIENT MANAGEMENT
3a)Plan and carry out safe and appropriate physiotherapy interventions
3b)Manage data and record interventions accurately
3c)Identify long and short term goals showing consideration of a patient centred approach
3d) Begin to evaluate, modify and record treatment using appropriate outcome measures
3e) Show consideration to the patient’s cultural, social and psychological circumstances when carrying out physiotherapy interventions
Weekly SMART outcomes in order to meet
final learning outcomes above
To be completed by Student / Evidence & Formative Feedback
of weekly achievement
To be completed by Practice Educator
Planning week 1: / Week 1:
Planning week 2: / Week 2:
Planning week 3: / Week 3:
Weekly SMART outcomes in order to meet
final learning outcomes above
To be completed by Student / Evidence & Formative Feedback
of weekly achievement
To be completed by Practice Educator
Planning week 4: / Week 4:
Planning week 5: / Week 5:
Planning week 6: / Week 6:
Final overall reflections by Student: / Final appraisal & overall attainment of learning outcomes - completed by Practice Educator(s):
CRITERIA / Midwaymark / Date / Finalmark / Date
Pass / Awarded if a student is competent in achieving all the final learning outcome above
Fail / Awarded if a student is unable to reach a level of competency in any one or more of the final learning outcome sections

By the end of the placement the student is able to meet the following learning outcomes:

SECTION 4: EVALUATION AND REFLECTION
4a)Evaluate effects of treatment on a patient’s lifestyle, physical and mental health
4b)Reflect on your professionalism within the practice setting
Weekly SMART outcomes in order to meet
final learning outcomes above
To be completed by Student / Evidence & Formative Feedback
of weekly achievement
To be completed by Practice Educator
Planning week 1: / Week 1:
Planning week 2: / Week 2:
Planning week 3: / Week 3:
Weekly SMART outcomes in order to meet
final learning outcomes above
To be completed by Student / Evidence & Formative Feedback
of weekly achievement
To be completed by Practice Educator
Planning week 4: / Week 4:
Planning week 5: / Week 5:
Planning week 6: / Week 6:
Final overall reflections by Student: / Final appraisal & overall attainment of learning outcomes - completed by Practice Educator(s):
CRITERIA / Midwaymark / Date / Finalmark / Date
Pass / Awarded if a student is competent in achieving all the final learning outcome above
Fail / Awarded if a student is unable to reach a level of competency in any one or more of the final learning outcome sections

By the end of the placement the student is able to meet the following learning outcomes:

SECTION 5: INTERPERSONAL SKILLS
5a)Effectively communicate verbally with patients, carers and the wider inter-disciplinary team
5b)Complete appropriate written physiotherapy and inter-disciplinary communication with supervision
5c)Demonstrate consideration of cultural, sociological and psychological factors
5d)Work safely and within the Health Professions Council and Chartered Society of Physiotherapy current rules of professional conduct
Weekly SMART outcomes in order to meet
final learning outcomes above
To be completed by Student / Evidence & Formative Feedback
of weekly achievement
To be completed by Practice Educator
Planning week 1: / Week 1:
Planning week 2: / Week 2:
Planning week 3: / Week 3:
Weekly SMART outcomes in order to meet
final learning outcomes above
To be completed by Student / Evidence & Formative Feedback
of weekly achievement
To be completed by Practice Educator
Planning week 4: / Week 4:
Planning week 5: / Week 5:
Planning week 6: / Week 6:
Final overall reflections by Student: / Final appraisal & overall attainment of learning outcomes - completed by Practice Educator(s):
CRITERIA / Midwaymark / Date / Finalmark / Date
Pass / Awarded if a student is competent in achieving all the final learning outcome above
Fail / Awarded if a student is unable to reach a level of competency in any one or more of the final learning outcome sections

By the end of the placement the student is able to meet the following learning outcomes:

SECTION 6: ORGANISATION AND PLANNING
6a)Complete tasks and manage workload within an agreed time frame
6b)Begin to prioritise own workload
6c)Demonstrate a flexible approach to working practice in relation to others and the needs of the service
Weekly SMART outcomes in order to meet
final learning outcomes above
To be completed by Student / Evidence & Formative Feedback
of weekly achievement
To be completed by Practice Educator
Planning week 1: / Week 1:
Planning week 2: / Week 2:
Planning week 3: / Week 3:
Weekly SMART outcomes in order to meet
final learning outcomes above
To be completed by Student / Evidence & Formative Feedback
of weekly achievement
To be completed by Practice Educator
Planning week 4: / Week 4:
Planning week 5: / Week 5:
Planning week 6: / Week 6:
Final overall reflections by Student: / Final appraisal & overall attainment of learning outcomes - completed by Practice Educator(s):
CRITERIA / Midwaymark / Date / Finalmark / Date
Pass / Awarded if a student is competent in achieving all the final learning outcome above
Fail / Awarded if a student is unable to reach a level of competency in any one or more of the final learning outcome sections

By the end of the placement the student is able to meet the following learning outcomes:

SECTION 7: COLLABORATION AND TEAM WORKING
This could include uniprofessional as well as multiprofessional collaboration and non-clinical staff.
7a)Demonstrate interaction between own role and those of others in health care delivery
7b)Collaborate with others including patients, carers and service user groups to optimise patient care
Weekly SMART outcomes in order to meet
final learning outcomes above
To be completed by Student / Evidence & Formative Feedback
of weekly achievement
To be completed by Practice Educator
Planning week 1: / Week 1:
Planning week 2: / Week 2:
Planning week 3: / Week 3:
Weekly SMART outcomes in order to meet
final learning outcomes above
To be completed by Student / Evidence & Formative Feedback
of weekly achievement
To be completed by Practice Educator
Planning week 4: / Week 4:
Planning week 5: / Week 5:
Planning week 6: / Week 6:
Final overall reflections by Student: / Final appraisal & overall attainment of learning outcomes - completed by Practice Educator(s):
CRITERIA / Midwaymark / Date / Finalmark / Date
Pass / Awarded if a student is competent in achieving all the final learning outcome above
Fail / Awarded if a student is unable to reach a level of competency in any one or more of the final learning outcome sections

(V)FINAL STAGE STUDENT EVALUATION OF PLACEMENT

Overall reflections regarding your placement experience. This will provide useful information for your Practice Educator(s) in relation to future placement planning.

(VI)FINAL STAGE PRACTICE EDUCATOR(S) EVALUATION OF PLACEMENT

Overall comments and recommendations for future placements. Please add comments regarding the student’s strengths and weaknesses which will help to inform their future learning needs. These comments inform the end of programme reference written by the student’s academic tutor.

Status at end of placement – must be completed for all students: