PRAC 6635 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
Y
Differentiating between
pathophysiological and
psychopathological
conditions
Y
Performing and interpreting a
comprehensive and/or
interval history and physical
examination (including
laboratory and diagnostic
studies)
Y
Performing and interpreting a
mental status examination
y
Performing and interpreting a
psychosocial assessment and
family psychiatric history
y
Performing and interpreting a
functional assessment
(activities of daily living,
occupational, social, leisure,
educational).
y
Diagnostic reasoning skill in:
Demonstrate knowledge of
psychopathology of mental
illnesses through discussion
for different age groups and
mental illnesses
y
Developing and prioritizing a
differential diagnoses list
y
Formulating diagnoses
according to DSM 5 based on
assessment data
y
Differentiating between
normal/abnormal age-related
physiological and
y
psychological
symptoms/changes
Psychotherapeutic
Treatment Planning:
Provide psychoeducation to
individuals and/or any
caregivers
y
Promote health and disease
prevention techniques
y
Self Assessment skill:
Develop SMART goals for
practicum experiences
y
Evaluating outcomes of
practicum goals and modify
plan as necessary
y
Documenting and reflecting
on learning experiences
y
Professional skills:
Maintains professional
boundaries and therapeutic
relationship with clients and
staff
y
Collaborate with multidisciplinary teams to improve
clinical practice in mental
health settings
y
Identifies ethical and legal
dilemmas with possible
resolutions
y
Demonstrates nonjudgmental practice approach
and empathy
y
Practices within scope of
practice
y
Selecting and implementing
appropriate screening
instrument(s) and
interpreting results:
y
Demonstrates selecting the
correct screening instrument
appropriate for the clinical
situation
y
Implements the screening
instrument efficiently and
effectively with the clients
y
Interprets results for
screening instruments
y
accurately
Identifies the need to refer to
another specialty provider
when applicable
y
Accurately documents
recommendations for
psychiatric consultations
when applicable
y
Summary of strengths:
Some of my strengths are but not limited to Ability to accept and learn
from mistakes. I am open to learning new things and new experience.
I follow instructions and I am honest, and I have creative thinking skills
Opportunities for growth:
I will set my own goals. Accepting feedbacks.
need to grow in confidence can encourage
Time management
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:
a. Objective: Following the weekly timetabling meeting I will document my additional tasks so
that I can effectively divide up my time to manage all my duties. This will help me to
improve my time management.
b. Objective: As soon as I leave a patient, I will chart all my notes about our interaction while
they’re still fresh in my mind
c. Objective: By the end of course I want to attend three-day workshops geared towards my
current specialty
2. Goal:
a. Objective: I will work harder so that my chances of getting 80 patients at the end of
this course would be higher.
Objective:
b. Objective:
3. Goal:
a. Objective:
b. Objective:
c. Objective:
4. Goal:
a. Objective:
b. Objective:
c. Objective:
