The student should complete this form, including setting goals for upcoming weeks, prior to meeting with the CI to discuss it each week. The student must return a signed weekly planning form for each week to the ACCE at the end of the clinical rotation.

Each student has been provided a Clinical Skills Check List which will be utilized during all clinical rotations. The student is responsible for reviewing this list periodically with the CI. The CI is responsible for initialing and dating skills that the student has demonstrated entry level competency in. This form must be returned to the ACCE at the end of each clinical rotation.

Students are responsible for completing this self-assessment prior to the end of the clinical rotation.

Students are responsible for completing this assessment of the ACCE during PTA 295. Return the completed assessment to either the ACCE or Program Director.