Family Health - Week 2 Individual Success Plan

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082922_IndividualSuccessPlanForm_Final.docx

South University

Individual Success Plan

Name: _______________________Course/Section: _______________ Session: _____________

Your Certification Predictor Exam results have identified your areas of strength and challenge areas/opportunities for your enhancement.

Based on your results, an active success plan is required to best support your preparation for the certification exam. Certification examination success requires a strategic plan.

You will partner with your professor to develop and execute an individualized, prescriptive, results-based plan for the specific topics/concepts that need improvement.

I. Student Overall Assessment ( Completed by Student)

My overall impression of why I performed below standard is/are: (Check all that apply)

Test Taking Errors: Knowledge Deficit:

__I misunderstood the questions. __I did not remember/know subject content.

__I read into the question. __I did not read/engage in the assigned materials.

__I missed important keywords. __I did not understand/comprehend subject content.

__I changed the answer. __I did not apply a rationale for the answer.

__I marked the answer incorrectly. Other (specify): ___________________________________

__I ran out of time. ________________________________________________

__I did not read all the responses carefully. ________________________________________________

II. Areas of Opportunity based on Pre-Predictor Results ( Completed by Faculty)

Faculty and student will meet to discuss specifics

1._______________________________________________________________________________________

2._______________________________________________________________________________________

3._______________________________________________________________________________________

4._______________________________________________________________________________________

5._______________________________________________________________________________________

6.________________________________________________________________________________________

7.________________________________________________________________________________________

8._______ _________________________________________________________________________________

9.________________________________________________________________________________________

10._______________________________________________________________________________________

III. Prescriptive Success Plan ( Completed by Faculty)

Recommended Individualized Student Plan with specific details

__Develop a Calendar/Schedule for Weekly Review ________________________________________

__Focus area or System-specific Modules _________________________________________________

__Specific Practicum experiential learning with Preceptor (Short Form attached) _________________

__Reading list (i.e. Textbook/chapter, other resources) _______________________________________

__Review Evidence Based Practice Guidelines _____________________________________________

__Test taking Strategies, specific resources used (i.e. test item keywords, etc.) ____________________

__MyQBank questions, specific systems/populations ________________________________________

__Case Studies (focus area specific, across the lifespan) ______________________________________

__Subject specific online CE modules ____________________________________________________

__Live Review Course (South University or other) __________________________________________

__Apps with Review questions _________________________________________________________

__Other resources: ___________________________________________________________________

___________________________________________________________________________________

IV. Student Outcome for each identified area of Opportunity- topic/concept ( Completed by Student) ( see attached)

Students should document their activities based on the area identified above in II. Areas of Opportunity

Date

Area of Focus

Detailed Description of Activity of Review

Time spent

V. Completion of Individual Success Plan (Completed by Faculty with Student) DUE Week 10

Satisfactory Completion of the Success Plan:

__ Yes, all specific areas of opportunity were completed

__ No, success plan was not completed

Comments: _____________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

Faculty Signature: ___________________________________________Date: _________________

Student Signature: ___________________________________________Date: _________________

IV. Student Outcome for each area of focus/topic/concept ( Completed by Student) Use a separate sheet as needed. Students should document their detailed review activities as identified above.

Date

Area of Focus

Detailed Description of Activity of Review

Time spent

Preceptor and Practicum Support Form

Name: ____________________________________________ Course/Section: __________________________

Preceptor Name: ___________________________Practicum Site Name: ______________________________

Location: _____________________________________Course Faculty: _______________________________

Your recent Certification Predictor Exam results identify areas of strength and areas that need strategic focus necessary for certification exam success. Based on your results, an active success plan is required to best support your preparation for the certification exam. You will partner with you professor and preceptor to formulate an individualized, prescriptive, results-based plan for the specific topics/concepts that need improvement.

Date

Area of Focus

Description of In-depth Review (please be specific)

Preceptor Signature: ________________________________________________________Date: ___________

Student Signature: __________________________________________________________Date: ___________

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