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How to use or fill out the NCBRTL Clinical Performance Appraisal Reference Summary Form
- Click ‘Get Form’ to open it in the editor.
- Begin by filling in the personal details such as your role (Intern/Therapist/Fellow), college/university, and supervisor information. Ensure accuracy for proper identification.
- Input the placement dates and calculate total hours worked by multiplying the number of weeks by hours per week.
- In the Individual Performance Results section, rate each performance area from 1 to 5 based on your assessment. Average these ratings for an overall performance score.
- For Behavioral Performance Results, evaluate traits like judgment and teamwork. Provide ratings that reflect your observations during the internship.
- List treatment interventions you demonstrated, specifying their levels (introductory, intermediate, advanced).
- Complete the Development Plan by identifying competencies you aim to develop further.
- Finally, confirm whether you would consider this person for a vacant position and provide signatures with dates for both the intern and supervisor.
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See more who completes the ncbrtl clinical performance appraisal reference summary form versions
| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2013 | 4.6 Satisfied (51 Votes) |
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