Clinical Skills Self-Assessment Form
|Desired Clinical Skills for Students to Achieve||Confident (Can complete independently)||Mostly confident (Can complete with supervision)||Beginning (Have performed with supervision or need supervision to feel confident)||New (Have never performed or does not apply)|
|Comprehensive psychiatric evaluation skills in:|
|Recognizing clinical signs and symptoms of psychiatric illness||Confident|
|Differentiating between pathophysiological and psychopathological conditions||Confident|
|Performing and interpreting a comprehensive and interval history and physical examination (including laboratory and diagnostic studies)||Confident|
|Performing and interpreting a mental status examination||Mostly Confident|
|Performing and interpreting a psychosocial assessment and family psychiatric history||Mostly Confident|
|Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational).||Mostly confident|
|Diagnostic reasoning skill in:|
|Demonstrate knowledge of the psychopathology of mental illnesses through discussion for different age groups and mental illnesses||Confident|
|Developing and prioritizing a differential diagnoses list||Confident|
|Formulating diagnoses according to DSM 5 based on assessment data||Mostly Confident|
|Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes||Confident|
|Psycho-therapeutic Treatment Planning:|
|Provide psycho-education to individuals and any caregivers.||Beginning|
|Promote health and disease prevention techniques.||Beginning|
|Self Assessment skill:|
|Develop SMART goals for practicum experiences||Confident|
|Evaluating outcomes of practicum goals and modifying plan as necessary||Confident|
|Documenting and reflecting on learning experiences||Confident|
|Maintains professional boundaries and therapeutic relationships with clients and staff||Confident|
|Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings.||Confident|
|Identifies ethical and legal dilemmas with possible resolutions||Confident|
|Demonstrates non-judgmental practice approach and empathy||Confident|
|Practices within the scope of practice||Confident|
|Selecting and implementing appropriate screening instrument(s) and interpreting results:|
|Demonstrates selecting the correct screening instrument appropriate for the clinical situation||Confident|
|Implements the screening instrument efficiently and effectively with the clients||Confident|
|Interprets results for screening instruments accurately||Confident|
|Identifies the need to refer to another specialty provider when applicable||Confident|
|Accurately documents recommendations for psychiatric consultations when applicable.||Confident|
Summary of strengths:
|The practical experiences in diagnostic reasoning skills and the psycho-therapeutic management plan design are my strengths. These components are considered significant in the realization of better clinical outcomes. I can independently discuss the psychopathology of various mental disorders. Additionally, I can accurately list the differential diagnosis for various mental disorders.|
Opportunities for growth:
|Opportunities for growth are centered around psycho-therapeutic treatment planning, psychiatric evaluation and diagnostics. I want to be able to independently provide psycho-education to individuals who need it, as well as to my fellow caregivers. Additionally, I want to have the necessary knowledge of the techniques utilized in health promotion and psychiatric disease prevention. In diagnostics, I want to independently be able to formulate diagnoses per the DSM 5 manual. Some mental disorders have overlapping symptoms. Whereas these symptoms are outlined in the DSM 5 diagnostic tool, establishing an accurate diagnosis may sometimes present considerable difficulties (Guloksuz et al., 2017).
An example of this is evident in the distinction between schizophrenia and schizophreniform disorder. I also want to sharpen my skills in performing and interpreting a comprehensive mental and functional examination of psychiatric patients. These components of patient evaluation are critical in the accurate diagnosis of various mental disorders.
Now, write three to four (3–4) possible goals and objectives for this practicum experience. Ensure that they follow the SMART Strategy, as described in the Learning Resources.
|1. Goal: Possess adequate knowledge in performing and interpreting mental and functional examination of psych patients.
Objective: To be able to independently perform and interpret mental and functional examinations of people presenting with various mental disorders. Functional and mental examinations are important as they provide information that aids in the accurate diagnosis of various mental disorders. Functional assessment interrogates the person’s routine as well as their social, recreational, and educational aspects. Evaluation of this objective will be based on the ability to independently interrogate the functional and mental aspects of an individual and their nexus to the presenting disorders or symptoms.
2. Goal: Possess adequate diagnostic reasoning skills in formulating diagnosis per DSM 5
Objective: To be able to accurately perform a diagnosis using the DSM 5 tool. DSM 5 lists the various mental disorders and aids clinicians in diagnosing the various mental disorders. Accurate diagnosis ensures better clinical outcomes by enabling the selection of specific and appropriate management plans. Evaluation of this objective will be based on the ability to utilize the DSM 5 diagnostic manual to accurately diagnose mental disorders.
3. Goal: Possess adequate knowledge in the psycho-therapeutic treatment planning of various mental disorders
a. Objective: To be able to identify the appropriate therapeutic plan for each psychiatric condition. Therapeutic interventions vary with the presenting disorder. Better clinical outcomes will only be attained if the selected interventions are effective against the disorder present Woo, S. M., & Keatinge, C. (2016). Evaluation of this outcome will be based on the ability to accurately select an effective treatment plan for the various mental conditions.
Guloksuz, S., Pries, L., & van Os, J. (2017). Application of network methods for understanding mental disorders: pitfalls and promise. Psychological Medicine, 47(16), 2743-2752. https://doi.org/10.1017/s0033291717001350
Lewis, C., Nurgalieva, Z., Sturgis, E., Lai, S., & Weber, R. (2016). Improving patient outcomes through multidisciplinary treatment planning conference. Head & Neck, 38(S1), E1820-E1825. https://doi.org/10.1002/hed.24325
Skoog, I. (2016). Psychiatric Disorders in the Elderly. The Canadian Journal Of Psychiatry, 56(7), 387-397. https://doi.org/10.1177/070674371105600702
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For this Assignment, you assess where you are now in your clinical skill development and make plans for this practicum. Specifically, you will identify strengths and opportunities for improvement regarding the required practicum skills. In this practicum experience, when developing your goals and objectives, be sure to keep assessment and diagnostic reasoning in mind.
Review the clinical skills in the PRAC 6635 Clinical Skills List document. It is recommended that you print out this document to serve as a guide throughout your practicum.
Review the “Developing SMART Goals” resource on how to develop goals and objectives that follow the SMART framework.
Download the PRAC 6635 Clinical Skills Self-Assessment Form to complete this Assignment.
Use the PRAC 6635 Clinical Skills Self-Assessment Form to complete the following:
Rate yourself according to your confidence level in performing the procedures identified on the Clinical Skills Self-Assessment Form.
Based on your ratings, summarize your strengths and opportunities for improvement.
Based on your self-assessment and theory of nursing practice, develop three to four (3–4) measurable goals and objectives for this practicum experience. Include them in the designated area of the form.
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