SUPERVISOR REPORT-FINAL
Instructions for supervisors
SECTION1-SupervisionarrangementsDate ofreport
Registrant(Supervisee)details:
IName:
Registrationnumber
Supervisordetails:
Hours of supervision received and at what level:
Level1:Directsupervision
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SECTION2-Performanceagainstcapabilitiesandlearningobjectivesspecifictothesupervisee
Pleasecopyandpaste theLearningObjectivesdocumentedinTable2,SectionTwoofyoursupervisionplaninto thefirstcolumnofthetablebelow. Only the supervisor should rate and comment on each learning goal. .
The rating scale to be used is:
1=Performsconsistentlymuchpoorerthanthelevelexpected2=Performsconsistentlypoorerthanthelevelexpected
3 = Performs consistently at the levelexpected
4=Performsconsistentlybetterthanthelevelexpected
Individual LearningObjectives(Initial/mark the box under eachcategorythat best describes the supervisee'sperformance. / 1.Performsconsistentlymuchpoorerthanthelevelexpected / 2.Performsconsistentlypoorerthanthe levelexpected / 3.Performsconsistentlyat thelevelexpected / 4.Performsconsistentlybetterthanthelevelexpected / SupervisorComment
1. (insert learning objective fromthesupervised practice plan here. Addadditional rows asrequired)
2.
3.
Section 3: Performance against set ACSOTcriteria
The Australian Minimum Competency Standards for New Graduate Occupational Therapists (ACSOT) are the measure used to assess practicein
the supervisor'sreport.
Unit1-OccupationalTherapyProfessionalAttitudesandBehaviour
Criteria:Initial/marktheboxundereachcategorythat1. Performs
consistent(
2.Performsconsistentl
3.Performs
consistent!
4.Performs
consistent!
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I
Unit2-OccupationalTherapyInformationGatheringandCollaborativeGoalSetting
Criteria: Initial/mark the box under each category thatbestdescribes the supervisee's performance. / 1.Performsconsistentlymuchnoorer / 2.Performsconsistentlypoorer thanthe / 3.Performsconsistentlyat thelevel / 4.Performsconsistentlybetter thanthe
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f
thanthelevelexpected / levelexpected / expected / levelexpected2.1 Performs a relevant comprehensive assessmentofoccupationalperformance
2.2 Engages in critical, collaborative, professionalreasoning
processestodetermineprioritiesforintervention
2.3 Develops, communicates and implements an effective and
efficient plan for occupational therapyintervention
Unit3-OccupationalTherapyInterventionandServiceImplementation
Criteria: Initial/mark the box under each category that best / 1.Performs / 2.Performs / 3.Performs / 4.Performsdescribes the supervisee's performance. / consistently / consistently / consistently / consistently
muchpoorer / poorer thanthe / atthelevel / better thanthe
than thelevel / levelexpected / expected / levelexpected
expected
3.1 Demonstrates client-centredness during intervention
3.2 Promotes client occupational performance andparticipation
3.3 Selects and implements intervention strategies andmethods
appropriatetotheclient
3.4Selectsandimplementsinterventionstrategiesandmethodsappropriate to the working environment
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3.5 Utilises available community resources, facilities andservices3.6 Respects and supports the role(s) of significant other(s)
3.7 Plans cessation/completion of services/ effective handover
Unit 4: Occupational Therapy ServiceEvaluation
Criteria:Initial/marktheboxundereachcategorythatbestdescribes the supervisee'sperformance. / 1.Performsconsistentlymuchpoorerthan thelevelexpected / 2.Performsconsistentlypoorer thanthe
levelexpected / 3.Performsconsistentlyatthelevelexpected / 4.Performsconsistentlybetter thanthelevelexpected
4.1 Incorporates perspectives of multiple stakeholders in
evaluationofoccupationaltherapyserviceprovision
4.2Demonstratesabilitytounderstandandconductmultipleevaluation methods and techniques
4.3 Demonstrates an understanding of and commitment to
principles and methods of quality improvement
4.4 Utilises evaluation outcomes to make recommendations for
futurepractice
Unit 5: Occupational Therapy ProfessionalCommunication
Criteria:Initial/marktheboxundereachcategorythatbest1. Performs
consistent!
2.Performsconsistent!
3.Performs
consistentl
4.Performsconsistent!
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describes the supervisee's performance. / muchpoorerthan thelevelexpected / poorerthan thelevelexpected / atthelevelexpected / betterthan thelevelexpected5.1 Facilitates active participation of the client in service provision
5.2 Adopts a communication approach appropriate to theworking
environment
5.3 Documents and reports relevant aspects of service provision
5.4 Shares professional informationresponsibly
Unit 6: Occupational Therapy Professional Education andDevelopment
Criteria:Initial/marktheboxundereachcategorythatbestdescribes the supervisee's performance. / 1.Performsconsistentlymuchpoorerthan thelevelexpected / 2.Performsconsistentlypoorer thanthelevelexpected / 3.Performsconsistentlyat thelevelexpected / 4.Performsconsistentlybetter thanthelevelexpected6.1Engagesinlifelonglearningprocessestomaintainprofessionalcompetence
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t
Unit 7: Occupational Therapy Professional PracticeResponsibilities
Criteria: Initial/mark the box under each category that bestdescribes the supervisee'sperformance. / 1.Performsconsistently / 2.Performsconsistently / 3.Performsconsistently / 4.Performsconsistently
much poorerthan / poorer than the / at thelevel / betterthan
thelevel / levelexpected / expected / thelevel
expected / expected
7.1 Adopts an efficient, effective and systematic approach todailyworkloadmanagement
7.2 Works effectively within the structure of the workplace
environment
7.3 Contributes to quality assurance and service development
*SupervisorsshouldcontacttheBoardassoonaspracticalifthelearningobjectivesarenotachievableand/orwherethereare
immediateconcerns
Emerging issues or problems (if applicable) / Measures to address emerging issues or problems (eg ongoingclosesupervision or further development required for regulatorypurposes)(Include additional rows or attach further information, asrequired)
Summary statement on performance during this period of supervision and ongoing recommendations for furthersupervision:
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Istheregistrant(supervisee)suitableforongoingregistrationintermsofher/hiscompetencyforindependentsafepractice?0Yes
D No. Specify any emerging problems or areas requiring ongoing I close supervision or further development required forregulatory
purposes:
Supervisor'sdeclaration
Based on my observation and knowledge of the practitioner's practice in the profession I attest to her/his competency for independent safe
practice without condition or restriction:
Signature ofsupervisor Name ofsupervisor
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Who do you send itto?
All documentation should be sent to the AHPRA office in your capital city, as listed on Contact Us sectionof the AHPRA website ( orbelow:
AHPRA
GPO Box9958
IN YOUR CAPITALCITY
You may contact the Australian Health Practitioner Regulation Agency on 1300 419 495 or you can lodgean enquiry at
Sydney NSW2001Adelaide SA5001
3001Hobart TAS 7001Brisbane
Canberra ACT2601Perth WA 6001MelbourneVIC
OLD4001Darwin NT0801
For information on the Occupational Therapy Board of Australia pleasevisit
Questions?
Please call AHPRA if your enquiry isurgent.Within Australia call 1300 419495
From outside Australia call + 61 3 87089001
Openinghours:MondaytoFriday09:00am-05.00pm(localtime)
Or complete a web enquiry form:
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