Student Clinical Education Course Evaluation

1. DCE/ADCE Evaluation

Use this form to provide feedback to the course coordinator of the clinical education course.
T. Hoppenrath coordinates Clin Ed I-II, K. Buccieri coordinates Clin Ed III-IV

1. Student Name: (Name will not appear on report to faculty)

Student Name: (Name will not appear on report to faculty)

2. Please select the course coordinator.

Please select the course coordinator. Kathleen Buccieri, DCE

Terri Hoppenrath, ADCE

3. Clinical Education Course:

Clinical Education Course: I

III

Please rate performance on each item, give the highest scores for unusually effective performance.

4. Site Selection

	Excellent	Very Good	Good	Fair	Poor	N/A
● Students were informed of the process of site matching that would be utilized in advance of the placement date.	Site Selection ● Students were informed of the process of site matching that would be utilized in advance of the placement date. Excellent	Very Good	Good	Fair	Poor	N/A
● Students were provided a list of available sites for review prior to the placement date.	● Students were provided a list of available sites for review prior to the placement date. Excellent	Very Good	Good	Fair	Poor	N/A
● The course coordinator participated in discussions with students regarding sites.	● The course coordinator participated in discussions with students regarding sites. Excellent	Very Good	Good	Fair	Poor	N/A
● The course coordinator worked effectively with students to reschedule any canceled placements.	● The course coordinator worked effectively with students to reschedule any canceled placements. Excellent	Very Good	Good	Fair	Poor	N/A
● Students were given the opportunity to give the site written feedback.	● Students were given the opportunity to give the site written feedback. Excellent	Very Good	Good	Fair	Poor	N/A
● Students were provided the opportunity to give the school written feedback about the clinical site/instructor(s).	● Students were provided the opportunity to give the school written feedback about the clinical site/instructor(s). Excellent	Very Good	Good	Fair	Poor	N/A

5. Teaching

	Excellent	Very Good	Good	Fair	Poor	N/A
● The clinical education manual contained pertinent information.	Teaching ● The clinical education manual contained pertinent information. Excellent	Very Good	Good	Fair	Poor	N/A
● Objectives for the clinical experience were appropriate for the level of preparation.	● Objectives for the clinical experience were appropriate for the level of preparation. Excellent	Very Good	Good	Fair	Poor	N/A
● The course coordinator clearly communicated expectations and criteria for acceptable performance.	● The course coordinator clearly communicated expectations and criteria for acceptable performance. Excellent	Very Good	Good	Fair	Poor	N/A
● The course coordinator demonstrated knowledge regarding the mechanism used to assess student performance.	● The course coordinator demonstrated knowledge regarding the mechanism used to assess student performance. Excellent	Very Good	Good	Fair	Poor	N/A
● The course coordinator was helpful and responsive to the student.	● The course coordinator was helpful and responsive to the student. Excellent	Very Good	Good	Fair	Poor	N/A
● The coordinator encouraged the student to identify and solve problems.	● The coordinator encouraged the student to identify and solve problems. Excellent	Very Good	Good	Fair	Poor	N/A
● Course coordinator was available to assist students.	● Course coordinator was available to assist students. Excellent	Very Good	Good	Fair	Poor	N/A
● The course coordinator was willing to listen to students' questions and opinions.	● The course coordinator was willing to listen to students' questions and opinions. Excellent	Very Good	Good	Fair	Poor	N/A
● The course coordinator provided demonstrated constructive verbal and written feedback.	● The course coordinator provided demonstrated constructive verbal and written feedback. Excellent	Very Good	Good	Fair	Poor	N/A
● The course coordinator demonstrated enthusiasm for subject matter.	● The course coordinator demonstrated enthusiasm for subject matter. Excellent	Very Good	Good	Fair	Poor	N/A
● The course coordinator appeared knowledgeable regarding clinical education.	● The course coordinator appeared knowledgeable regarding clinical education. Excellent	Very Good	Good	Fair	Poor	N/A
● The course coordinator was effective as a liaison between clinical and academic portions of the curriculum.	● The course coordinator was effective as a liaison between clinical and academic portions of the curriculum. Excellent	Very Good	Good	Fair	Poor	N/A
● The course coordinator facilitated student's active involvement in course.	● The course coordinator facilitated student's active involvement in course. Excellent	Very Good	Good	Fair	Poor	N/A
● Rate the course coordinator's overall performance.	● Rate the course coordinator's overall performance. Excellent	Very Good	Good	Fair	Poor	N/A

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