Cumulative assessment tool pain clinics – Candidate’s name: Assessment timeframe: Name(s) of assessor(s) and designation: Practice context area: Pain clinic ELEMENTS AND PERFORMANCE CRITERIA Performance Recommended Indicate Methods work (RR)(indicate) ROLE Rating Scale Assessment Of Assessment Did the candidate provide evidence of the following? (Ax) Used role Self-assessment (SA) RELEVANCE Dependent Marginal Assisted Supervised Independent Written responses (WR) The candidate must be rated as independent in all performance criteria to achieve * Oral appraisal (OA) competency. Documentary evidence (DE) Workplace observation (M) (A) (WO) (D) (S) Case-based presentation (I) (CBP) Qualification/training record (Q/T) Portfolio (PF) Performance appraisal (PA) PROFESSIONAL BEHAVIOURS 1. Operate within scope of practice 1.1 Identify and act within own knowledge base and of practice OA, WO 1.2 Work towards the full extent of the role PF, PA 2. Display accountability 2.1 Demonstrate responsibility for own actions as it applies to the practice context SA, PA LIFELONG LEARNING 3. Demonstrate a commitment to lifelong learning 3.1 Engage in lifelong learning practices to maintain and extend professional PF, SA competence 3.2 Identify own professional development needs and implement strategies for achieving PF, SA them 3.3 Engage in both self-directed and practice-based learning PF, PA 3.4 Reflect on clinical practice to identify strengths and areas requiring further CBP, SA, PA development COMMUNICATION
Cumulative assessment tool – pain clinics Candidate’s name: Assessment timeframe: Name(s) of assessor(s) and designation: Practice context area: Pain clinic ELEMENTS AND PERFORMANCE CRITERIA Did the candidate provide evidence of the following? * The candidate must be rated as independent in all performance criteria to achieve competency. ROLE RELEVANCE (RR)(indicate) work role Performance Rating Scale Recommended Assessment (Ax) Indicate Methods Of Assessment Used Dependent (D) Marginal (M) Assisted (A) Supervised (S) Independent (I) Self-assessment (SA) Written responses (WR) Oral appraisal (OA) Documentary evidence (DE) Workplace observation (WO) Case-based presentation (CBP) Qualification/training record (Q/T) Portfolio (PF) Performance appraisal (PA) PROFESSIONAL BEHAVIOURS 1. Operate within scope of practice 1.1 Identify and act within own knowledge base and of practice OA, WO 1.2 Work towards the full extent of the role PF, PA 2. Display accountability 2.1 Demonstrate responsibility for own actions as it applies to the practice context SA, PA LIFELONG LEARNING 3. Demonstrate a commitment to lifelong learning 3.1 Engage in lifelong learning practices to maintain and extend professional competence PF, SA 3.2 Identify own professional development needs and implement strategies for achieving them PF, SA 3.3 Engage in both self-directed and practice-based learning PF, PA 3.4 Reflect on clinical practice to identify strengths and areas requiring further development CBP, SA, PA COMMUNICATION
pain-workbook.docx