Final Evaluation Guidelines Level I



Final Evaluation Guidelines Level ILevel IASSOCIATION FOR CLINICAL PASTORAL EDUCATION1549 Clairmont Road, Suite 103Decatur, Georgia 30033UC Davis Medical Center,2315 Stockton Boulevard, Sacramento, California, 95817PERSONAL CONFIDENTIAL TRAINING REPORTSTUDENT: UNIT OF TRAINING: FAITH GROUP: SUPERVISOR:Rev. Samuel C.M. Brown-Dawson Final Self-EvaluationLevel I CPEUse the headings below as the major headings to guide your self-evaluation. Please do not use the questions as subheadings but instead, use the questions and ACPE Outcomes to guide you. All margins should be one inch. Make one copy for each peer including supervisor. Turn in a clean copy to Karen Anderson for your files. All copies are due on the Monday of the week of evaluation. Please include the cover page.A Brief personal history. If this is your first unit here at UC Davis, please provide brief info about you, your family (of origin and of choice), spiritual development and call to ministry and reason for participating in CPE. If this is not your first unit at UC Davis, please provide an update/addendum or insight to your personal history since your last evaluation (or this unit) Self-Awareness as Spiritual Caregiver ACPE Level I Outcomes 311.2, 311.3.Describe your clinical area and setting in a brief paragraph.What insights have you gained about yourself as a pastor to patients, families, and staff?Describe the skills you have developed this unit or since you have been here. How do you use those skills differently than before (previous unit or before CPE)?What are your major strengths and limitations for pastoral care and interpersonal relationship? How do your cultural values influence how you relate as a spiritual care giver?What pastoral issues have been important for you?Utilization of the Action/Reflection ModelACPE Level I Outcomes 311.6, 311.8 State your learning goals and discuss each goal in terms of your progress or lack of progress.How open have you been to the learning process? How have you resisted learning this unit? What have you learned? How have you learned?Give a candid description of your learning process. How did you work on your learning goals? What has been most and least helpful in your learning process?Given your exploration of your learning process, what strengths and weaknesses do you plan to address after this CPE unit?. Utilization of the Peer GroupACPE Level I Outcomes 311.3, 311.4, 311.5, 311.9 Share and evaluate your feelings about the group experience and your participation in it. What dynamics do you see in the group?How have you allowed your peers to participate in your growth? Evaluate the group process and your participation in it.Write a personal and candid paragraph about your relationship with each peer. Evaluate each peer’s level of involvement in the CPE process.Interdisciplinary RelationshipsACPE Level I Outcomes 311.3Describe your relationships with hospital staff.What does the quality of these relationships tell you about yourself?How do you plan to strengthen and build these relationships in your next CPE unit?Utilization of SupervisionACPE Level I Outcomes 311.4, 311.7, 311.8How have you utilized supervision?Describe your feelings about the relationship you had with your supervisor.Share and evaluate how you have worked with the current medical center or CPE center’s structures and with persons in authority?Theological IntegrationACPE Level I Outcomes 311.1, 311.7Discuss your ministry statement. How has your ministry and the CPE process affected it this unit of CPE?What pastoral/spiritual/theological themes have you discovered in your ministry this unit?How did your psychological understanding of yourself and others develop in relationship to your theology and ministry statement?Where is God in all this? Who is God for you? What theological issues have been raised in your learning process? What ways of thinking theologically have been stimulated for you?Continued Pastoral Formation: If this is mid-unit evaluation, formulate your learning goals for the rest of the unit. What are your learning needs and how do you plan to accomplish them? If this is your final unit, what are your goals for your continued pastoral formation? ................
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