Jefferson College of Health Sciences,
Roanoke, VA

Student Evaluation of Clinical Rotation
Please submit this evaluation ONLINE by the last day of each rotation.


This evaluation provides the PA Program faculty with information concerning your clinical year training. Your input is valuable in deciding whether to continue using a site. We may also use your comments in our thank-you letter to your preceptor. Please be candid and specific. 

Name:
Rotation Type:
Date:
Site:
Full Name of all Preceptors
  1. Did the preceptor review the rotation objectives AND his or her expectations with you?
    YES              NO

  2. Did the preceptor provide feedback regarding your progress BEFORE the end of the rotation?
    YES              NO

  3. Did the preceptor discuss your final evaluation with you?
    YES              NO

  4. Do you think the preceptor's evaluation accurately reflects the strengths and weaknesses?
    YES              NO

  5. Approximately how many patients did you assess each day?

  6. Of these patients, how many were inpatients?
    How many were outpatients?

  7. How much time did you spend working in a nursing home or long-term care facility?
    Name and city of facility

  8. Do you think there was an appropriate amount of patient contact?

  9. List the 10 most frequent patient problems or disease entities you encountered during this rotation:
    a.  b.
    c.  d.
    e.  f.
    g.  h.
    i.   j.

10.  List problems or hindrances you experienced that prevented you from having a successful rotation (e.g., no hands-on, not asked to write in chart, no access to computer): 

11.  List diseases or conditions you did NOT encounter that you had expected:

12.  What did you like BEST about this rotation? Please be specific.
         

13.  What did you like LEAST about this rotation? Please be specific.
         

14. Your overall evaluation of this rotation is best described by the grade of:

15.  Practical information for future students about housing, places to eat, Internet access, helpful people, parking, etc.
         

16. Other Comments:
         


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