COMPETENCIES	INDIVIDUAL RATING
	Below Expected	At Expected	Above Expected
Collaboration Establishes collaborative relationships Integration of perspectives Ensures shared information	1	2	3
Roles and Responsibilities Describes roles and responsibilities Shares knowledge with others Accepts accountability	1	2	3
Collaborative Patient/Family Centered Approach Seeks input from patient and family Shares with patient and family Advocates for patient and family	1	2	3
Conflict Management /Resolution Demonstrates active listening Respectful of different perspectives Works with others to prevent conflict	1	2	3