Competency Evaluation Form for Provisional Kinesiologists

Competency Evaluation Form for Provisional Kinesiologists

Alberta Kinesiology Association – Practical Experience Evaluation Tool
Section A: Trainee Information
Full Name of Trainee*

First NameLast Name
AKA Membership Number (Trainee)*
Trainee Email*
example@example.com
Evaluation Type*

MidtermFinal
Date of Evaluation*

MonthDayYear
Date
Supervisor Name*

First NameLast Name
AKA Membership Number (Supervisor)*
Supervisor Email*
example@example.com
Total Hours Completed to Date*
Section B: Core Competency Domains

Instructions: Evaluate each competency using the scale below.

1 = Needs Improvement
2 = Developing
3 = Competent (Ready for Indirect Supervision)
4 = Proficient (Independent, Advanced Practice Ready)

N/A = Not Yet Observed / Not Applicable
1. Professionalism and Ethics

-Demonstrates ethical decision-making

-Maintains client confidentiality

-Communicates respectfully with clients and staff

-Seeks feedback and demonstrates accountability
Rating (1-4, Comments, or N/A)*
2. Clinical Reasoning

-Identifies client goals & needs appropriately

-Adapts plans based on assessment and client feedback

-Recognizes risk and escalates when needed
Rating (1-4, Comments, or N/A)*
3. Assessment & Data Collection

-Conducts pre-screening and PAR-Q accurately

-Collects relevant functional data (e.g. TUG, FMS, VO2, BP)

-Documents findings clearly and accurately
Rating (1-4, Comments, or N/A)*
4. Exercise Prescription

-Applies FITT principles for condition-specific programming

-Demonstrates safe cueing and technique correction

-Modifies exercises based on health status and goals
Rating (1-4, Comments, or N/A)*
5. Client Education & Communication

-Explains interventions in clear, plain language

-Motivates and engages clients in behaviour change

-Demonstrates cultural sensitivity and inclusivity
Rating (1-4, Comments, or N/A)*
6. Health Conditions & Risk Management

-Demonstrates knowledge of chronic conditions (e.g. diabetes, MSK, cardiovascular disease)

-Conducts fall risk assessments when appropriate

-Implements safe practices and infection control
Rating (1-4, Comments, or N/A)*
7. Documentation & Administration

-Completes accurate, timely progress notes

-Uses appropriate terminology & formats

-Maintains supervision and hour logs diligently
Rating (1-4, Comments, or N/A)*
Section C: Supervisor Feedback
Summary of Strengths*
E.g., "Demonstrates excellent communication with clients and adapts programs appropriately."
Areas for Continued Development*
E.g., "Needs additional exposure to cardiac rehab clients to strengthen clinical reasoning."
Recommended Supervision Level*

Continue with Direct SupervisionTransition to Indirect Supervision (Supervisor remains responsible)Not Recommended for Transition (Specify actions needed)
Comments
Section D: Final Evaluation Only
Trainee has demonstrated competency across all required domains for indirect supervisionTrainee has completed the required minimum hours (300 total, 200 direct)I recommend this trainee for full AKA accreditation as a Professional Kinesiologist
By signing below, I, the Supervising Kinesiologist, know the above statements to be accurate and true.

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Signatures
Trainee Name*

First NameLast Name
Trainee Signature*

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Date*

MonthDayYear
Date
Supervising Kinesiologist Name*

First NameLast Name
Supervising Kinesiologist Signature*

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Date*

MonthDayYear
Date
Once you click send, you will each be sent an email with a PDF attachment including a summary of your submissions. Please send a copy of this PDF in an email attachment to admin@albertakinesiology.ca for review.
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