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Integrating contextual competency frameworks into health social work education and practice can bolster student training and staff supervision strategies. This article describes the iterative development of a Health Social Work Competency Rating Scale (HSWCRS), generated using a competency framework tested through simulation and an iterative research process with healthcare social workers. A modified Delphi method consisting of an e-mail questionnaire, two discussion meetings, and two rounds of classroom-based testing were employed to develop and refine the scale with the participation of clinicians, students, and researchers. The HSWCRS is designed to convey the core competencies required for single-session social work consultations in a healthcare setting by assessing formal elements (such as introduction, validation, cultural inclusiveness, client centredness), use of self (such as self-awareness, positionality), and an overall assessment of knowledge and skills. This scale adds to the competency-based education literature in social work by offering a guide to assess and measure key healthcare social work competencies in a range of educational environments, and has the potential to guide practice in educational and practice settings.
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