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Recognizing
that many fieldwork educators consistently excel in the
fieldwork education of students, yet are rarely recognized,
the Occupational Therapy Department at UND has established
an Outstanding Fieldwork Educator Award. Please take a few
minutes to recognize these worthy individuals by filling
out the nomination below. Please submit your nomination
to Jacque Jones, UND fieldwork assistant at jjones@medicine.nodak.edu
by the due dates indicated on the department website.
IN RECOGNITION
of outstanding leadership, mentorship and teaching abilities,
in providing fieldwork education to UND occupational therapy
students, I nominate the following fieldwork educator for
the Outstanding Fieldwork Educator Award:
Nominee’s
Name ___________________________________________________________________
Nominee’s
Address _____________________________________ Phone
______________________
Name
of Facility/Practice Center _____________________________________________________
Please briefly describe the practice setting and
job responsibilities of the nominee:
Using a rating scale of 1-5 (with 5 being the highest),
please rate the nominee on the following characteristics:
| Modeling
occupation –based practice |
1 |
2 |
3 |
4 |
5 |
| Modeling
client-centered practice |
1 |
2 |
3 |
4 |
5 |
| Communication
skills |
1 |
2 |
3 |
4 |
5 |
| Use
of research evidence in practice |
1 |
2 |
3 |
4 |
5 |
| Articulation
of professional identity in practice setting |
1 |
2 |
3 |
4 |
5 |
| Teaching/mentoring
skills |
1 |
2 |
3 |
4 |
5 |
Please
attach a narrative supporting statement of why the nominee
is deserving of the OUTSTANDING FIELDWORK EDUCATOR AWARD
for supervising UND students. In this statement, please
address the following selection criteria:
- Takes
initiative to update knowledge concerning best-practice
standards of the profession through self-study, and/or
attendance at workshops, seminars, etc.
-
Is a positive role model for students, demonstrating competency
in area of expertise and application of research evidence
to occupation-based and client centered practice.
-
Is able to communicate effectively with students at varying
levels of experience and skill and adapts his/her leadership
style to meet student needs.
-
Takes initiative to acquire knowledge of teaching/mentoring
strategies and consistently applies information to fieldwork
education of occupational therapy students.
-
Serves as a role model for professionalism through involvement
in local, state or national associations and leadership
within place of employment.
Supporting
Statement: (or attach separately)
Nominator’s
Name: ___________________________________ Date:
___________
Nominator’s Address/Box #: _____________________________
Phone: ___________
Nominator’s Signature _______________________________________________
Email your response to Jacque Jones, Fieldwork Assistant
at jjones@medicine.nodak.edu,
Fax
response to (701)777-2212, or send hard copy to the University
of North Dakota, Department of Occupational Therapy, Hyslop
Sport Center Room 210, 2751 2nd Avenue North Stop 7126,
Grand Forks, ND 58202-7126. Thank you for your participation
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