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CI’S REVIEW OF THE WEEK When completing this form consider the five (5) performance dimensions: quality of care, supervision/ guidance required, consistency of performance, complexity of tasks/environment, and efficiency of performance. GOALS FOR THE UPCOMING WEEK OF________________ Student’s Signature CI Signature     Adapted from: APTA Clinical Instructor Education and Credentialing Program, American Physical Therapy Association, Alexandria, Va, September 2005: Section IV-7. 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