Self‐AssessmentToolforFieldworkEducatorCompetency
ADMINISTRATION COMPETENCIES
KEY DEFINITION STATEMENT: The fieldwork educator develops
and/or implements an organized fieldwork program in keeping with
legal and professional standards and environmental factors (physical,
social, and cultural).
The fieldwork educator:
CIRCLE ONE
Low High
Proficient Proficient
COMMENTS
1. Communicates and collaborates with academic programs to integrate the academic
curriculum design during fieldwork.
1 2 3 4 5
2. Implements a model FW program that supports the curriculum of the academic program. 1 2 3 4 5
3. Seeks support from fieldwork site administration and staff to develop and implement the
student fieldwork program.
1 2 3 4 5
4. Designs and implements the fieldwork program in collaboration with the academic
programs served and in accordance to ACOTE standards for Level I and Level II fieldwork
(2008) (e.g., academic and fieldwork setting requirements, Standards of Practice, Code of
Ethics, etc.).
1 2 3 4 5
5. Ensures that the fieldwork program is sensitive to diversity and multi-cultural issues. 1 2 3 4 5
6. Documents an organized, systematic fieldwork program (e.g., fieldwork manual, student
expectations, weekly sequence of expectations, etc.).
1 2 3 4 5
7. Schedules formal and informal meetings with the student to guide the fieldwork experience. 1 2 3 4 5
8. Collaborates with the student to develop student learning objectives.
9. Documents behavioral objectives to achieve fieldwork objectives and learning experiences
appropriate for entry-level practice.
1 2 3 4 5
10. Is knowledgeable in legal and health care policies that directly influence FW. 1 2 3 4 5
11. Defines essential functions and roles of a fieldwork student, in compliance with legal and
accreditation standards (e.g., ADA, Family Education Rights and Privacy Act, Joint
Commission, fieldwork agreement, reimbursement mechanism, state regulations, etc.).
1 2 3 4 5
12. Provides student work areas appropriate to fieldwork site (e.g., student safety, accessibility,
supplies, etc.).
1 2 3 4 5
13. Provides a complete orientation for student to fieldwork site (e.g., policies, procedures,
student expectations, and responsibilities, etc.).
1 2 3 4 5
14. Requires student compliance with the fieldwork site policies and procedures (HIPAA,
OSHA regulations), mission, goals, philosophy, and safety standards.
1 2 3 4 5
15. Submits required fieldwork documents to academic program in a timely manner to ensure
current data is available (e.g., fieldwork evaluation, fieldwork agreements, fieldwork data
form, etc.).
1 2 3 4 5
16. Conducts ongoing fieldwork program evaluations and monitors changes in the program with
student and staff input (e.g., Student Evaluation of Fieldwork Experience, Self-Assessment
Tool for Fieldwork Competencies, etc.).
1 2 3 4 5