Interim Competency Evaluation Application
The Nova Scotia College of Physiotherapists has developed an Interim Competency Evaluation process that will be utilized whenever a national clinical evaluation is unavailable for a period of 12 months or more. Application resources for the Interim Competency Evaluation process are listed below. Click on the links to download.
Please complete all forms in the electronic format provided and submit completed applications via email with supporting documents to Joan Ross, Registrar at firstname.lastname@example.org. Sponsors and Employers/Managers should send their reports/letters independently to the Registrar and include the name of the PT Resident applying.
|Application Guide||Detailed instructions for applicants (PDF)|
|Application Checklist||Criteria and document checklist (MSWord), (PDF)|
|Application Form||Application form in MSExcel.|
|Self Reflection - Learning Needs||Self-reflection assessment on process for identifying learning needs (MSWord)|
|Self Reflection - Patient Care||Self-reflection on patient care experience to submit with chart notes (personal identifiers redacted) (MSWord)|
|Self Reflection - Professional||Self-reflection on professional behaviours (MS Word)|
|Final Sponsor Report||3-part report including Sponsor Questionairre, Feedback Form and Professional Behaviour Rubric (MSWord)|
|Directions for letter of support||A support letter from the Manager (or Employer if there is no manager) in each of the applicant's practice sites must be provided. The letter should include a statement regarding potential or realized professional or practice issues along with explanation and resolution.|
I sponsored a resident in the past year but I'm not currently their sponsor. Do they need me to complete the final sponsor report or is it just their current sponsor that completes that form?
I work for NSH; what is the process for releasing the required chart notes to the committee?
- Requesting Physiotherapy Resident's information:
- NSCP License number
- Patient's information:
- First and Last name
- Health Card Number or Date of Birth (or both is great)
- Location or Hospital Site where the visit happened
- Date(s) of assessment, or date range.
- Include details of records required (initial assessment to discharge and all relevant physiotherapy progress notes/supporting documents).
The estimated turnaround time for the request is approximately 3 weeks depending on workload.