Forms Manager

Graduate Student Evaluation of Preceptor

This survey is a measure of preceptor effectiveness from the perspective of the student. Please complete one survey for each preceptor you encountered this term.

Student Name
Course Number
Course Number

Semester
Rate your agreement with the following statements about the preceptor identified above.
 
Strongly disagree
Disagree
Neutral
Agree
Strongly Agree
Available to student, serves as a good role model and demonstrates competent skills
Demonstrates effective rapport with clients
Utilizes student’s strength and knowledge
Assists student in identifying appropriate goals and needs for experience
Considers student’s limits according to level of training
Provides constructive feedback on student’s performance
Leads student through decision making process and facilitates differential diagnosis
Preceptor reviews/cosigns each document/note, if appropriate
Encourages questions from the student
Reviews diagnosis and differential diagnosis
Discusses alternative management with student
Allows opportunities to suggest drug of choice, calculate dosages, suggest lab and/or radiology to be ordered
Communicates clinical knowledge well with student
Rate utilization of the preceptor identified above in fostering student learning.
 
Strongly disagree
Disagree
Neutral
Agree
Strongly Agree
My preceptor had the appropriate academic preparation to be an effective preceptor
My preceptor had the appropriate professional experience to be an effective preceptor
My preceptor was effectively oriented to the course
My preceptor was excellent at communication
My preceptor aided in my achievement of the course outcomes
My preceptor provided quality learning experiences
My preceptor provided diverse learning experiences
My preceptor provided interdisciplinary learning experiences
My preceptor was an effective mentor
My preceptor effectively supervised my practice
My preceptor provided sufficient feedback on my performance
My preceptor provided appropriate resources to support my success
Overall, my preceptor met my expectations
I would recommend this preceptor for future students