Student Portfolio Contents

1-Student Information and biography

2-Course specification

3-Attendance in lectures lab and practical sessions

4- Log book

5- Scientific student activities , case studies ,

Assignment (………. Clinical training sheet , quizzes ,
problem solving Self assessment and supervisor
peer assessment reflection .

6- Participation in other activities

7- Student Evaluation results clinical lab and ,

written assignment.
 Photo
Acquaintance form
Personal

student in ....... Year

(Bachelor)
Number: Code

Student Name (Arabic) :

Student Name (English) :

Date of Birth :

place of Birth :

Nationality : National number

Passport Number :

Address :

Email :

Mobile : Fax: Tel:

Registration status : New :

Remaining :

Not Passed Curricula :

Supervisor : Year Coordinator :

 Form of Attendance , Absence
And Yearly Marks

Student Name ………………………………………… Number:…………………………………………………….

Subject……………………………………………………. Year……………………………………………………………

Demonstrator /Ass Lecturer……………………………………………………………………………..

(section) …………………………………………………………………………………………………………...

Practical Attendance Attendance Absence Absence Marks

% %
Applied

Hospital

Supervisor : Year Coordinator :

Dr:
 Clinical Training Logbook

Student Supervisor
Name| Name
Telephone Qualifications
Email Email address
.

Details
Level of Supervisor
Skills Date Site Case/procedure
Competency Signature
Age& gender
Obtain and record a history ………………………….. ………………………….. ………………………………………………….. ………………………….. …………………………..
from patients and from other …………………………… …………………………… ………………………………………………….. …………………………… ……………………………
relevant sources . …………………………… …………………………… ………………………………………………….. …………………………… ……………………………
………………………….. ………………………….. ………………………………………………….. ………………………….. …………………………..
Examine patients by performing
………………………….. ………………………….. ………………………………………………….. …………………………… ……………………………
systems reviews.
………………………….. ………………………….. ………………………………………………….. …………………………… ……………………………
Select and apply test and
measures that is culturally ………………………….. ………………………….. ………………………………………………….. ………………………….. …………………………..
sensitive , appropriate to the …………………………… …………………………… ………………………………………………….. …………………………… ……………………………
patient's age, diagnosis and …………………………… …………………………… ………………………………………………….. …………………………… ……………………………
health status.
Formulate and write potential ………………………….. ………………………….. ………………………………………………….. ………………………….. …………………………..
diagnoses from history and ………………………….. ………………………….. ………………………………………………….. …………………………… ……………………………
systems review for the patient. …………………………… …………………………… ………………………………………………….. …………………………… ……………………………
Record patient goals and
………………………….. ………………………….. ………………………………………………….. ………………………….. …………………………..
outcomes and suggest length of
…………………………… …………………………… ………………………………………………….. …………………………… ……………………………
time to achieve the goals and
…………………………… …………………………… ………………………………………………….. …………………………… ……………………………
outcomes.
Design a safe and effective plan
………………………….. ………………………….. ………………………………………………….. ………………………….. …………………………..
of care in collaboration with ,
…………………………… …………………………… ………………………………………………….. …………………………… ……………………………
patients /clients, family
…………………………… …………………………… ………………………………………………….. …………………………… ……………………………
members,
*Level of competence:

1 2 3 4
Observation Pratice with direct supervision Practice with indirect supervision Independent practice
 Other professionals
Apply a physical therapy ………………………….. ………………………….. ………………………………………………….. ………………………….. …………………………..
treatment that is safe , effective …………………………… …………………………… ………………………………………………….. …………………………… ……………………………
and evidence based …………………………… …………………………… ………………………………………………….. …………………………… ……………………………
Manage and adjust the plan of ………………………….. ………………………….. ………………………………………………….. ………………………….. …………………………..
care/intervention /treatment in ………………………….. ………………………….. ………………………………………………….. …………………………… ……………………………
response to patient outcomes ………………………….. ………………………….. ………………………………………………….. …………………………… ……………………………
Consider and demonstrate legal, ………………………….. ………………………….. ………………………………………………….. ………………………….. …………………………..
ethical and professional …………………………… …………………………… ………………………………………………….. …………………………… ……………………………
obligations during applying of …………………………… …………………………… ………………………………………………….. …………………………… ……………………………
treatment.
Communicate effectively in a ………………………….. ………………………….. ………………………………………………….. ………………………….. …………………………..
culturally competent manner ………………………….. ………………………….. ………………………………………………….. …………………………… ……………………………
with patients and family …………………………… …………………………… ………………………………………………….. …………………………… ……………………………
members
Exhibit caring , compassion and ………………………….. ………………………….. ………………………………………………….. ………………………….. …………………………..
empathy during applying of …………………………… …………………………… ………………………………………………….. …………………………… ……………………………
treatment …………………………… …………………………… ………………………………………………….. …………………………… ……………………………
Promote active involvement of ………………………….. ………………………….. ………………………………………………….. ………………………….. …………………………..
the patient during treatment. …………………………… …………………………… ………………………………………………….. …………………………… ……………………………
…………………………… …………………………… ………………………………………………….. …………………………… ……………………………
Respect the patient's right to ………………………….. ………………………….. ………………………………………………….. ………………………….. …………………………..
refuse physical therapy …………………………… …………………………… ………………………………………………….. …………………………… ……………………………
treatment …………………………… …………………………… ………………………………………………….. …………………………… ……………………………
Respect patients/ comets ………………………….. ………………………….. ………………………………………………….. ………………………….. …………………………..
differences. Values , …………………………… …………………………… ………………………………………………….. …………………………… ……………………………
preferences. Beliefs …………………………… …………………………… ………………………………………………….. …………………………… ……………………………

*Level of competence:

1 2 3 4
Observation Practice with direct supervision Practice with indirect supervision Independent practice
 1-

Interact with colleagues ………………………….. ………………………….. ………………………………………………….. ………………………….. …………………………..

…………………………… …………………………… ………………………………………………….. …………………………… ……………………………
in a manner that is non- …………………………… …………………………… ………………………………………………….. …………………………… ……………………………
discriminatory and non-
oppressive
Work effectively in a ………………………….. ………………………….. ………………………………………………….. ………………………….. …………………………..
………………………….. ………………………….. ………………………………………………….. …………………………… ……………………………
team ………………………….. ………………………….. ………………………………………………….. …………………………… ……………………………
Manage time, personal ………………………….. ………………………….. ………………………………………………….. ………………………….. …………………………..
…………………………… …………………………… ………………………………………………….. …………………………… ……………………………
emotion stress, and …………………………… …………………………… ………………………………………………….. …………………………… ……………………………
prioritize work loads
Apply infection control ………………………….. ………………………….. ………………………………………………….. ………………………….. …………………………..
………………………….. ………………………….. ………………………………………………….. …………………………… ……………………………
principles and sterile …………………………… …………………………… ………………………………………………….. …………………………… ……………………………
procedures during
practice.

*Level of competence:

1 2 3 4
Observation Practice with direct supervision Practice with indirect supervision Independent practice
 Self's assessment of oral and written communication skill
Student Name:

Course:

Year:

4 (Completely agree) 3 (Agree) 2 (Disagree) 1 (Completely disagree)

I use multiple references
and chooses adequately
data
I Speak and write correctly
Paying attention , I listen
carefully
I structures and organizes
data clearly in order to
transmit it
S'I am able to put someone
in shows
Student comments (set goals of improvements) :
 Peer assessment of team work skills

Student Name:

Year:

4 (Completely agree) 3 (Agree) 2 (Disagree) 1 (Completely disagree)

Acts Avoid dominant attitudes
with tolerance
Share information from
research or experience informs
the group of everything
Integrate everyone in the group
to have full participation
Understands and values the
opinion of others in the team
Prevents working separately or
competitively with the team.
Peer assessor name:

Comments (Area of improvement) :

 A supervisor's assessment of oral and written communication skill
Student Name:
Course:
Year:
Assignment title:
Item 4 (Completely agree) 3 (Agree) 2 (Disagree) 1 (Completely disagree)
He /She uses multiple references and
chooses adequately
Speaks and writes correctly
He/ She is paying attention, and listens
carefully
He / She structures and organizes data
clearly in order to transition.
Supervisor comments (strength and weak points)

1.

2.

3.
Supervisor's name:

Qualification:

Email Address:

Signature:
 Evaluation of assignment

Check list

Student Name :

ID NO.

Email address :

Assignment Title :

Assignment Evaluation
Indicators 1 2 3

4
Content
Organization
Spelling
Vocabulary
Presentation Format
Total Score
Supervisor's Name :

Qualification :

Email Address :

Signature :
 Evaluation for oral presentation (power point)

Check list

Student Name :

ID NO.

Email address :

Assignment Title : Evaluation

Indicators 4 3 2 1 Comments
Content
Organization
Spelling
Vocabulary
Presentation Format
Total Score
Supervisor's Name :

Qualification :

Email Address :

Signature :
 Oral Presentation criteria of check list
Indicators 4 (%100) 3 (%75) 2 (%50) 1 (%25)
Uses always the adequate Uses frequently the
Users poorly the Doesn't use the
Vocabulary (scientific , adequate adequate adequate
technical , …) to the subject ) vocabulary vocabulary vocabulary (
(scientific , technical
(scientific, technical scientific, technical,
,) to the subject,…) to the subject. to the subject Its
Its language is very language very
colloquial. colloquial
Vocabulary
Speaks Speaks correctly but Speaks correctly but Speaks using a lot of
Correctly without using use sometimes posts uses a lot of postscripts and not
postscripts or filler word scripts. postscripts. correctly.
Organization The presentation has got and The presentation The presentation There is too much
adequate format organized ( has got and has got too mush text ( small letter
not too much text and adequate format but text and few size, difficult to be
enough figures) can be improved on graphics pr figures read) , and no
the text and on the to illustrate it . figures or graphics
amount of figures. to illustrate it.
 4 (%100) 3 (%75) 2(%50) 1(%25)
spelling The document is written The document is The written The written
with correct spelling written with 2 or 3 document document contains 4
spelling errors. containing 3or 4 or more
misspellings. misspellings.
Presentation The format The format present The format present
format The presentation has got and presentat least two three or four error more than four
adequate format organized ( error sin its format ( sin its format (same errors in its format
not too much text and same letter size , letter). (same letter)
enough figures) interspacing , Size , interspacing , Size, interspacing,
justification , the justification , the justification , the
figures have go title; figures have go title ; figures have go title ,
the tittles have got the tittles have got the title have got
the same format , the same format , the same format,
etc.) etd.) etc.)

Contents The document contents are Most of the A small part of the The document
structure clear and well focalized to document content is document contents contents are not
the subject clear and well is clear and well clear and are not
focalized to the focalized to the focalized to the
subject. subject. subject.
 Assignment Evaluation criteria check list
Indicator 4 (%100) 3 (%75) 2 (%50) 1 (%25)
Content The content of the document Most of the document Very little of the
is clear and focused according is clear and focuses content of the
to the subject. according to the document is clear and
subject. focused to the
subject.
Organization The work is properly The work is well The work is divided The work is poorly
structured in sections. It has structured into into sections but structured and lacks
introduction , conclusion and sections but lacks one contain only 1 of of introduction ,
bibliography. of these 3 sections : these 3 sections : conclusion and
introduction, introduction, Bibliography.
conclusions and or conclusions and or
bibliography bibliography.
Vocabulary Writer uses a proper The words selected Writer uses a limited Writer uses a limited
vocabulary. He communicates are adequate, but one vocabulary . there are vocabulary, and very
strongly or captures the word is constantly two or three words repetitive, that does
reader's interest. repeated. Repeated constantly. not communicate
strongly or capture
the reader's interest.
References :
Checklists :
And Terron B. Pizarro-saez,.MJ-Garcia,. A santander- Fernandez Assessment of Key Dkills in
Development and . MJ Lopez . Learn. High. Research Experience – An Action : Undergraduate
students . (1) 2 ; 2012 commun Res.