|
Formative Evaluation is a type of evaluation that occurs throughout the course. Its intent is to assess ongoing class activities and provide information to monitor and improve the class. It is done at several points in the developmental life of a course and its activities. According to evaluation theorist Bob Stake,
"When the cook tastes the soup, that's formative;
When the guests taste the soup, that's summative."
The following is an evaluation form used by Physical Therapy faculty.
The University of Findlay
WEC Physical Therapy Program
CEEER Results (3rd Affiliation)
CLINICAL EDUCATION EXPERIENCE EVALUATION REPORT
Course:
Term:
I. EVALUATION OF THE CLINICAL INSTRUCTOR(S)
Please use the following scale to identify the frequency in which your clinical instructor(s) displayed the following behaviors:
A: Nearly always
MT: Most of the time
ST: Some of the time
R: Rarely
N: Never
NA: Not applicable
1. Professional Behavior
|
A |
MT |
ST |
R |
N |
NA |
- Demonstrated effective time management skills
|
|
|
|
|
|
|
- Adapted to change/unexpected events easily
|
|
|
|
|
|
|
- Managed conflict in constructive ways
|
|
|
|
|
|
|
- Contributed to a positive work environment
|
|
|
|
|
|
|
Comments:
2. Interpersonal Skills
|
A |
MT |
ST |
R |
N |
NA |
- Promoted the student as a professional to others
|
|
|
|
|
|
|
- Displayed a sense of humor
|
|
|
|
|
|
|
- Was approachable by the student
|
|
|
|
|
|
|
- Exhibited sensitivity to multicultural differences
|
|
|
|
|
|
|
Comments:
3. Communication Skills
| |
A |
MT |
ST |
R |
N |
NA |
- Communicated thoughts and expectations clearly
|
|
|
|
|
|
|
- Demonstrated active/reflective listening
|
|
|
|
|
|
|
- Initiated communication at times of concern
|
|
|
|
|
|
|
- Was receptive to discussing viewpoints of others
|
|
|
|
|
|
|
Comments :
4. Teaching/Instructional Skills
| |
A |
MT |
ST |
R |
N |
NA |
- Encouraged discussions of concepts and ideas
|
|
|
|
|
|
|
- Utilized planned/unplanned experiences to enhance learning
|
|
|
|
|
|
|
- Integrated knowledge of learning styles into instruction methods
|
|
|
|
|
|
|
- Sequenced learning experiences
|
|
|
|
|
|
|
Comments:
5. Evaluative/Supervisory Skills
| |
A |
MT |
ST |
R |
N |
NA |
- Evaluated student progress on clinical/program goals objectively
|
|
|
|
|
|
|
- Discussed preferred supervision style/methods with student
|
|
|
|
|
|
|
- Provided formal and informal feedback in a timely and effective manner
|
|
|
|
|
|
|
- Encouraged/solicited constructive feedback from the student
|
|
|
|
|
|
|
Comments:
II. EVALUATION OF THE CLINICAL EDUCATION PROGRAM
Please use the following scale to describe your agreement with the following statements:
SA: Strongly Agree
A: Agree
D: Disagree
SD: Strongly Disagree
NA: Not Applicable
1. Orientation
| |
SA |
A |
D |
SD |
NA |
- The facility was prepared for student arrival
|
|
|
|
|
|
- Provided opportunity to become familiar with the physical facilities and equipment
|
|
|
|
|
|
- Introduced student to personnel
|
|
|
|
|
|
- Policies and procedures were reviewed to ensure a safe and effective working environment
|
|
|
|
|
|
Comments:
2. Physical Facilities
| |
SA |
A |
D |
SD |
NA |
- Space provided was sufficient and conducive to delivery of safe, effective patient care
|
|
|
|
|
|
- Sufficient treatment materials were available to you
|
|
|
|
|
|
- Sufficient administrative and clerical materials were available to you
|
|
|
|
|
|
Comments:
3. Interpersonal Relationships
| |
SA |
A |
D |
SD |
NA |
- Desirable and harmonious intra-departmental interpersonal relationships existed
|
|
|
|
|
|
- Desirable and harmonious interpersonal relationships were established between yourself and the departmental personnel
|
|
|
|
|
|
Comments:
4. Supervisory Environment
| |
SA |
A |
D |
SD |
NA |
- The supervising therapist(s) were clearly identified to you
|
|
|
|
|
|
- Supervision was appropriately available on a regular basis throughout the affiliation period
|
|
|
|
|
|
- Additional professional staff were made available to help with supervision in appropriate instances
|
|
|
|
|
|
Comments:
5. Professional Learning Opportunities
| |
SA |
A |
D |
SD |
NA |
- The facility provided you with an active, stimulating environment conducive to learning
|
|
|
|
|
|
- A variety of patients and diagnoses were available for learning opportunities
|
|
|
|
|
|
- A variety of professional growth opportunities were available that were educational and informative
|
|
|
|
|
|
- Expertise of various staff members were shared with you when appropriate
|
|
|
|
|
|
Comments:
III. COMMENTS
1. In what ways did this clinical experience allow you to identify and achieve your goals and learning needs?
2. What were the overall strengths of this facility and staff?
3. What constructive recommendations would you make to improve this affiliation?
4. Rate the clinical education experience by checking one of the following:
a. _______ Excellent, a positive learning experience
b. _______ Good, time well spent
c. _______ Fair, some good learning experiences with othes of limited value
d. _______ Poor, a negative learning experience
IV. EVALUATION OF ACADEMIC PREPARATION AND CURRICULM
1. What academic coursework do you believe most prepared you for this clinical education experience?
2. What academic coursework do you believe least prepared you for this clinical education experience?
3. What new information that you did not have in your academic preparation was introduced to you during this clinical education experience?
4. What curricular changes would you suggest that would better prepare you for this clinical education experience?
(Please base your answers on the information provided above)
Clinical Faculty Questions (optional for CI to fill out):
1. How well was this student prepared for the clinical education experience compared to your expectations for students at this level?
2. What curricular changes would you suggest that would better prepare the student for this clinical education experience?
__________________________________________
Student Signature
__________________________________________
Clinical Instructor(s) Signature
__________________________________________
Date
|
