ࡱ > { ^ bjbjzz 8< =Q f " " " " " + b d d d d d d $ I J 3 o X 3 3 " " M 3 " " b 3 b N z l v " p57 I " 0 N 0 R $ E r E ` v v E 3 3 3 3 3 3 3 , 3 3 3 3 3 3 3 E 3 3 3 3 3 3 3 3 3 : SCHOOL OF SOCIAL WORK 1ST YEAR MSW BLOCK SEMESTER OF FIELD PRACTICUM MID TERM & FINAL EVALUATION ________________________________________________________________________________________ Date: _______________________Student Name: _______________________________________________ Field Consultant: _________________________________________________________________________ Agency Name: ___________________________________________________________________________ Agency Instructor(s):______________________________________________________________________ There are (10) Competency Sections. Students must demonstrate proficiency by meeting the practice behaviors within each Competency Section. Refer to the practice activities developed by the student in the learning contract to best determine if the practice behaviors have been met. Using the rating scale below as a reference, circle the number that best describes the students proficiency level for each practice behavior at mid-term and at final evaluation. A rating of (N/O) No Opportunity, is used when there has been no opportunity to observe/demonstrate the practice behavior. Evaluation must be completed prior to field consultant visit. MSW PERFORMANCE RATING SCALE BASED ON THE (10) COMPETENCIES N/O NO OPPORTUNITY TO MEET PERFORMANCE EXPECTATIONS1 = F DOES NOT MEET PERFORMANCE EXPECTATIONS 2 = D MINIMALLY MEETS PERFORMANCE EXPECTATIONS 3 = C INCONSISTENTLY MEETS PERFORMANCE EXPECTATIONS4 = BCONSISTENTLY MEETS PERFORMANCE EXPECTATIONS5 = A EXCEEDS PERFORMANCE EXPECTATIONS On the midterm signature page, provide a rating for the students progress at midterm. Student evaluations that indicate a C or less at midterm must be discussed with the field consultant immediately. Do not submit the evaluation at mid-term, only submit the signature page. Keep a copy of the midterm signature page as it will be factored into the final evaluation cumulative grade. On the Final grade signature page, provide an Overall Rating (mid-term/final) cumulative score for the students performance for the semester. A grade that is lower than a C is considered a failing grade. The final evaluation with original signatures must be submitted to the Field Consultant, who will then submit it to the Field Education Office with all required signatures. Student must keep a copy of the final evaluation for their records. Using the scale below, CIRCLE the rating that most accurately reflects the students mastery of each practice behavior. RATING SCALE FOR EACH PRACTICE BEHAVIOR (N/O) NO OPPORTUNITY 1 = F 2 = D 3 = C 4 = B 5 = A PRACTICE BEHAVIORSMID-TERM RATINGTOTALFINAL RATINGTOTALUnderstands the concept of advocacy and demonstrates ability to advocate for client access to services.N/O 1 2 3 4 5N/O 1 2 3 4 5Understands and demonstrates professional roles, boundaries, behaviors and communication. N/O 1 2 3 4 5N/O 1 2 3 4 5Understands and demonstrates the relevance of personal reflection and self correction through effective use of supervision and understands the importance of career long learning. N/O 1 2 3 4 5 N/O 1 2 3 4 5 TOTALSTOTALS Please provide comments and a brief narrative describing the method of evaluation used to rate proficiency for this competency at mid-term and final evaluation. Include other comments as needed. Examples of evaluation methods: process recordings, written reports, presentations, direct/indirect observation of student interactions, participation in practicum meetings with staff, and self-reflection in supervision. Using the scale below, CIRCLE the rating that most accurately reflects the students mastery of each practice behavior. RATING SCALE FOR EACH PRACTICE BEHAVIOR (N/O) NO OPPORTUNITY 1 = F 2 = D 3 = C 4 = B 5 = A PRACTICE BEHAVIORMID-TERM RATINGTOTALFINAL RATINGTOTALRecognizes personal and professional values, and understands the role of uncertainty in ethical decision making and applies strategies of ethical reasoning to arrive at principled decisions.N/O 1 2 3 4 5N/O 1 2 3 4 5 Please provide comments and a brief narrative describing the method of evaluation used to rate proficiency for this competency at mid-term and final evaluation. Include other comments as needed. Examples of evaluation methods: process recordings, written reports, presentations, direct/indirect observation of student interactions, participation in practicum meetings with staff, and self-reflection in supervision. Using the scale below, CIRCLE the rating that most accurately reflects the students mastery of each practice behavior. RATING SCALE FOR EACH PRACTICE BEHAVIOR (N/O) NO OPPORTUNITY 1 = F 2 = D 3 = C 4 = B 5 = A PRACTICE BEHAVIORSMID-TERM RATINGTOTALFINAL RATINGTOTALApplies critical thinking skills within the context of professional social work practice and distinguishes multiple sources of knowledge including research based knowledge and practice wisdom, in the assessment process. N/O 1 2 3 4 5N/O 1 2 3 4 5Learns and demonstrates effective oral and written communication with various systems levels. N/O 1 2 3 4 5N/O 1 2 3 4 5TOTALSTOTALS Please provide comments and a brief narrative describing the method of evaluation used to rate proficiency for this competency at mid-term and final evaluation. Include other comments as needed. Examples of evaluation methods: process recordings, written reports, presentations, direct/indirect observation of student interactions, participation in practicum meetings with staff, and self-reflection in supervision. Using the scale below, CIRCLE the rating that most accurately reflects the students mastery of each practice behavior. RATING SCALE FOR EACH PRACTICE BEHAVIOR (N/O) NO OPPORTUNITY 1 = F 2 = D 3 = C 4 = B 5 = A PRACTICE BEHAVIORMID-TERM RATINGTOTALFINAL RATINGTOTALRecognizes and manages personal biases and values in engaging with diverse clients to understand their life experiences and perspectives and applies understanding of the ways in which culture and diversity shape lives and influence power, privilege, and oppression. N/O 1 2 3 4 5N/O 1 2 3 4 5 Please provide comments and a brief narrative describing the method of evaluation used to rate proficiency for this competency at mid-term and final evaluation. Include other comments as needed. Examples of evaluation methods: process recordings, written reports, presentations, direct/indirect observation of student interactions, participation in practicum meetings with staff, and self-reflection in supervision. Using the scale below, CIRCLE the rating that most accurately reflects the students mastery of each practice behavior. RATING SCALE FOR EACH PRACTICE BEHAVIOR (N/O) NO OPPORTUNITY 1 = F 2 = D 3 = C 4 = B 5 = A PRACTICE BEHAVIORMID-TERM RATINGTOTALFINAL RATINGTOTALUnderstands how oppression and discrimination affect social and economic justice and practices in ways that advance human rights and justice. N/O 1 2 3 4 5N/O 1 2 3 4 5 Please provide comments and a brief narrative describing the method of evaluation used to rate proficiency for this competency at mid-term and final evaluation. Include other comments as needed. Examples of evaluation methods: process recordings, written reports, presentations, direct/indirect observation of student interactions, participation in practicum meetings with staff, and self-reflection in supervision. Using the scale below, CIRCLE the rating that most accurately reflects the students mastery of each practice behavior. RATING SCALE FOR EACH PRACTICE BEHAVIOR (N/O) NO OPPORTUNITY 1 = F 2 = D 3 = C 4 = B 5 = A PRACTICE BEHAVIORMID-TERM RATINGTOTALFINAL RATINGTOTALCritically understands how practice informs research and research informs practice and Integrates research studies that are relevant to client population. N/O 1 2 3 4 5N/O 1 2 3 4 5 Please provide comments and a brief narrative describing the method of evaluation used to rate proficiency for this competency at mid-term and final evaluation. Include other comments as needed. Examples of evaluation methods: process recordings, written reports, presentations, direct/indirect observation of student interactions, participation in practicum meetings with staff, and self-reflection in supervision. Using the scale below, CIRCLE the rating that most accurately reflects the students mastery of each practice behavior. RATING SCALE FOR EACH PRACTICE BEHAVIOR (N/O) NO OPPORTUNITY 1 = F 2 = D 3 = C 4 = B 5 = A PRACTICE BEHAVIORMID-TERM RATINGTOTALFINAL RATINGTOTALCritically identifies and uses theoretical frameworks for assessment, intervention, and evaluation of person-in-environment. N/O 1 2 3 4 5N/O 1 2 3 4 5 Please provide comments and a brief narrative describing the method of evaluation used to rate proficiency for this competency at mid-term and final evaluation. Include other comments as needed. Examples of evaluation methods: process recordings, written reports, presentations, direct/indirect observation of student interactions, participation in practicum meetings with staff, and self-reflection in supervision. Using the scale below, CIRCLE the rating that most accurately reflects the students mastery of each practice behavior. RATING SCALE FOR EACH PRACTICE BEHAVIOR (N/O) NO OPPORTUNITY 1 = F 2 = D 3 = C 4 = B 5 = A PRACTICE BEHAVIORMID-TERM RATINGTOTALFINAL RATINGTOTALUnderstands policy processes that advance social well being and demonstrates awareness of the impact of social policy on practice. N/O 1 2 3 4 5N/O 1 2 3 4 5 Please provide comments and a brief narrative describing the method of evaluation used to rate proficiency for this competency at mid-term and final evaluation. Include other comments as needed. Examples of evaluation methods: process recordings, written reports, presentations, direct/indirect observation of student interactions, participation in practicum meetings with staff, and self-reflection in supervision. Using the scale below, CIRCLE the rating that most accurately reflects the students mastery of each practice behavior. RATING SCALE FOR EACH PRACTICE BEHAVIOR (N/O) NO OPPORTUNITY 1 = F 2 = D 3 = C 4 = B 5 = A PRACTICE BEHAVIORMID-TERM RATINGTOTALFINAL RATINGTOTALIdentifies the ways in which agency workers influence the development of policies and programs that impact clients and uses organizational and contextual knowledge to promote practices that improve services.N/O 1 2 3 4 5N/O 1 2 3 4 5 Please provide comments and a brief narrative describing the method of evaluation used to rate proficiency for this competency at mid-term and final evaluation. Include other comments as needed. Examples of evaluation methods: process recordings, written reports, presentations, direct/indirect observation of student interactions, participation in practicum meetings with staff, and self-reflection in supervision. Using the scale below, CIRCLE the rating that most accurately reflects the students mastery of each practice behavior. RATING SCALE FOR EACH PRACTICE BEHAVIOR (N/O) NO OPPORTUNITY 1 = F 2 = D 3 = C 4 = B 5 = A PRACTICE BEHAVIORSMID-TERM RATINGTOTALFINAL RATINGTOTALENGAGEMENT Understands the role of empathy and interpersonal skills in collaborating with client groups/modalities to prepare for action and demonstrates empathy and interpersonal skills when working with clients to develop mutually agreed-on focus of work. N/O 1 2 3 4 5N/O 1 2 3 4 5ASSESSMENT Recognizes and demonstrates the importance of collaborating with clients to develop intervention goals and objectives. N/O 1 2 3 4 5N/O 1 2 3 4 5 INTERVENTION Comprehends organizational goals and develops skills to help clients resolve problems and initiate actions to achieve goals. N/O 1 2 3 4 5N/O 1 2 3 4 5Understands prevention concepts and the social work roles of mediation, negotiation and advocacy for clients and demonstrates ability to implement prevention efforts and negotiate, mediate, and advocate for clients. N/O 1 2 3 4 5N/O 1 2 3 4 5Understands and demonstrates the ability to facilitate and transition endings. N/O 1 2 3 4 5N/O 1 2 3 4 5EVALUATION Understands evaluation process and demonstrates ability to analyze and evaluate interventions. N/O 1 2 3 4 5N/O 1 2 3 4 5TOTALSTOTALSTOTAL POINTS FOR ALL COMPETENCY AREASTOTAL POINTS FOR ALL COMPETENCY AREAS Please provide comments and a brief narrative describing the method of evaluation used to rate proficiency for this competency at mid-term and final evaluation. Include other comments as needed. Examples of evaluation methods: process recordings, written reports, presentations, direct/indirect observation of student interactions, participation in practicum meetings with staff, and self-reflection in supervision. Student Name: _____________________________________________ Date: __________________________________ Field Consultant: _____________________________ Agency Name: ________________________________________ Agency Instructor(s):_______________________________________________________________________________ Note: Please keep a copy of this page. The mid-term points will be factored into the final grade computation. Example of Mid-term Grade Computation: Step 1: There are a total of 18 practice behaviors. The student had an opportunity to meet 15 of those practice behaviors. Multiply the total amount of practice behaviors that were met by 5. (15 x 5 = 75) Step 2: Of the practice behaviors that were met, how many points did the student earn? 63 Step 3: To calculate the score, divide points from (Step 2) 63 by points from (Step 1) 75 which = 84 %. Based on the scale below, 84 % = a grade of B for the mid-term grade. Mid-term Grade Computation: Step 1: There are a total of 18 practice behaviors. The student had an opportunity to meet ____ of those practice behaviors. Multiply the total amount of practice behaviors that were met by 5. (_____ x 5 = _____) Step 2: Of the practice behaviors that were met, how many points did the student earn? ______ Step 3: To calculate the score, divide points from (Step 2) ____ by points from (Step 1) ____ which = ____ %. Based on the scale below, ____ % = a grade of ____ for the mid-term grade. 85 100 = A 70 84 = B 55 69 = C54 and below = F AGENCY INSTRUCTOR SECTION Provide a statement to justify the grade. Identify the students major strengths and limitations, as well as a concrete plan for growth & development for the remainder of the semester. Agency Instructor Signature: Date: Co-Agency Instructor Signature (if applicable): Date: FIELD CONSULTANT SECTION Grade assigned: ______ (I) support ______ do not support ______the grade recommendation. Comments: Field Consultant Signature: Date: STUDENT SECTION (I) agree ______ disagree ______with the evaluation. Comments: Student Signature: __________________________________Date:___________________________________________ Example of Final Grade Computation: Step 1: There are a total of 18 practice behaviors. The student had an opportunity to meet 17 of those practice behaviors. Multiply the total amount of practice behaviors that were met by 5. (17 x 5 = 85) Step 2: Of the practice behaviors that were met, how many points did the student earn? 66 Step 3: To calculate the percent, divide points earned (Step 2) 66 by points from (Step 1) 85 which = 78 %. Step 4: Take the MID-TERM score 84 add to the Score from (Step 3) 78 which = 162 Divide by 2 which = 81%. Based on the scale below, 81% = a grade of B for the final semester grade. Final Grade Computation: Step 1: There are a total of 18 practice behaviors. The student had an opportunity to meet ____ of those practice behaviors. Multiply the total amount of practice behaviors that were met by 5. (_____ x 5 = _____) Step 2: Of the practice behaviors that were met, how many points did the student earn? ______ Step 3: To calculate the percent, divide points earned (Step 2) ______ by points from (Step 1) ___ which is ____ %. Step 4: Take the MID-TERM score ______ add to the Score from (Step 3) ______ which = _____. Divide by 2 which = ____%. Based on the scale below, _____% = a grade of ____ for the final semester grade. 85 100 = A 70 84 = B 55 69 = C54 and below = F Provide a statement to justify the grade. Identify the students major strengths and limitations and create a concrete plan for growth and development in the second semester. Agency Instructor Signature: Date: Co-Agency Instructor Signature (if applicable): Date: FIELD CONSULTANT SECTION Grade assigned: ______ (I) support ______ do not support ______the grade recommendation. Comments: Field Consultant Signature: Date: STUDENT SECTION (I) agree ______ disagree ______with the evaluation. Comments: REV 1/2013 GUIDELINES FOR COMPLETION OF MID-TERM AND FINAL EVALUATIONS BY AGENCY INSTRUCTOR MID-TERM FINAL EVALUATION COMPETENCY 1 IDENTIFY AS A PROFESSIONAL SOCIAL WORKER AND CONDUCT ONE-SELF ACCORDINGLY. MIDTERM FINAL COMPETENCY 2 APPLY SOCIAL WORK ETHICAL PRINCIPLES TO GUIDE PROFESSIONAL PRACTICE. MIDTERM FINAL COMPETENCY 3 APPLY CRITICAL THINKING TO INFORM AND COMMUNICATE PROFESSIONAL JUDGMENTS. MIDTERM FINAL COMPETENCY 4 ENGAGE DIVERSITY AND DIFFERENCE IN PRACTICE. MIDTERM FINAL COMPETENCY 5 ADVANCE HUMAN RIGHTS AND SOCIAL AND ECONOMIC JUSTICE. MIDTERM FINAL COMPETENCY 6 ENGAGE IN RESEARCH-INFORMED PRACTICE AND PRACTICE-INFORMED RESEARCH. MIDTERM FINAL COMPETENCY 7 APPLY KNOWLEDGE OF HUMAN BEHAVIOR AND THE SOCIAL ENVIRONMENT. MIDTERM FINAL COMPETENCY 8 ENGAGE IN POLICY PRACTICE TO ADVANCE SOCIAL AND ECONOMIC WELL-BEING AND TO DELIVER EFFECTIVE SOCIAL WORK SERVICES. MIDTERM FINAL COMPETENCY 9 RESPOND TO CONTEXTS THAT SHAPE PRACTICE. MIDTERM FINAL COMPETENCY 10 ENGAGE, ASSESS, INTERVENE, AND EVALUATE WITH INDIVIDUALS, FAMILIES, GROUPS, ORGANIZATIONS AND COMMUNITIES. 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