Doc Nic. Psychology, neuroscience, translational research.
Mark Nicolas

Educational and supervisory decision aid

Supervised Participant Support Observation Record

Some questions describe useful behavior and others describe concerns. Interpret the narrative evidence in context; these responses are not a score.

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Record context

Participant interaction

Does the learner tolerate silence?

Current observation or determination

○ Observed ○ Not observed ○ Not yet assessed ○ Concern requiring intervention
Do they interrupt unnecessarily?

Current observation or determination

○ Observed ○ Not observed ○ Not yet assessed ○ Concern requiring intervention
Do they reassure before understanding what the participant is expressing?

Current observation or determination

○ Observed ○ Not observed ○ Not yet assessed ○ Concern requiring intervention
Do they ask questions that increase understanding or questions that steer meaning?

Current observation or determination

○ Observed ○ Not observed ○ Not yet assessed ○ Concern requiring intervention
Do they over disclose personal information?

Current observation or determination

○ Observed ○ Not observed ○ Not yet assessed ○ Concern requiring intervention
Do they appear to need rapport?

Current observation or determination

○ Observed ○ Not observed ○ Not yet assessed ○ Concern requiring intervention
Can they tolerate participant disagreement?

Current observation or determination

○ Observed ○ Not observed ○ Not yet assessed ○ Concern requiring intervention
Do they remain composed around anger?

Current observation or determination

○ Observed ○ Not observed ○ Not yet assessed ○ Concern requiring intervention
Can they remain present around crying?

Current observation or determination

○ Observed ○ Not observed ○ Not yet assessed ○ Concern requiring intervention
Do they recognize fear?

Current observation or determination

○ Observed ○ Not observed ○ Not yet assessed ○ Concern requiring intervention
Do they recognize when a participant appears confused or disorganized?

Current observation or determination

○ Observed ○ Not observed ○ Not yet assessed ○ Concern requiring intervention
Do they escalate appropriately?

Current observation or determination

○ Observed ○ Not observed ○ Not yet assessed ○ Concern requiring intervention
Do they become rescuing?

Current observation or determination

○ Observed ○ Not observed ○ Not yet assessed ○ Concern requiring intervention
Do they become controlling?

Current observation or determination

○ Observed ○ Not observed ○ Not yet assessed ○ Concern requiring intervention
Do they withdraw when uncomfortable?

Current observation or determination

○ Observed ○ Not observed ○ Not yet assessed ○ Concern requiring intervention
Do they notice their own reactions?

Current observation or determination

○ Observed ○ Not observed ○ Not yet assessed ○ Concern requiring intervention
Can they discuss those reactions afterward?

Current observation or determination

○ Observed ○ Not observed ○ Not yet assessed ○ Concern requiring intervention
Do they protect participant autonomy?

Current observation or determination

○ Observed ○ Not observed ○ Not yet assessed ○ Concern requiring intervention
Do they maintain physical and interpersonal boundaries?

Current observation or determination

○ Observed ○ Not observed ○ Not yet assessed ○ Concern requiring intervention
Do they accept correction after the interaction?

Current observation or determination

○ Observed ○ Not observed ○ Not yet assessed ○ Concern requiring intervention
Do they accurately represent what happened during debrief?

Current observation or determination

○ Observed ○ Not observed ○ Not yet assessed ○ Concern requiring intervention

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