PROFESSIONAL DEVELOPMENT EVALUATION Site: Talking Diabetes Support Group
Completed by intern or preceptor Intern name: Claudia Gumina Date: 7/15/2014 Please assess the interns professionalism and performance as observed in your facility. If not applicable to the site please select NA. Comments and examples may be added at the end of each section. Use the following rating system.
NA= Did not have the opportunity to observe 1= Beginning: Does not show or needs improvement in this behavior/attitude/skill 2= Developing: Shows some ability in this behavior/attitude/skill 3= Accomplished: Regularly demonstrates competence in this behavior/attitude/skill 4= Exemplary: Consistently excels in this behavior/attitude/skill
PROFESSIONAL BEHAVIOR/ATTITUDES. WAS THE INTERN
1. Ethical, respectful and professional in her/his work performance including confidentiality, attendance, timeliness, sick policy and attire? .. NA.... 1.. 2.. 3.. 4
2. Flexible with the demands of the work environment, supervisor and coworkers? .. NA.... 1.. 2.. 3.. 4
3. Consistent with expected timelines and goals and able to complete projects by deadlines? .. NA.... 1.. 2.. 3.. 4
4. Self directed, able to work independently, and took initiative for own learning? .. NA.... 1.. 2.. 3.. 4
5. Open to new ideas and feedback? .. NA.... 1.. 2.. 3.. 4
6. Willing to take a leadership role to achieve desired outcomes? .. NA.... 1.. 2.. 3.. 4
7. Able to understand and effectively solve problems encountered at the site. .. NA.... 1.. 2.. 3.. 4 8. Responsible in their use of resources including money, time, staff, food, and disposable goods. .. NA.... 1.. 2.. 3.. 4
Comments on professional behavior and attitudes: You were professional in your interactions with this group and with Patti. You were able to adjust your schedule because of the cancelations and also to take a leadership role in completing the presentation with Laura. document1 COMMUNICATION SKILLS. WAS THE INTERN 9. Effective in communications with preceptors and other professionals at the site? .. NA.... 1.. 2.. 3.. 4
10. Effective in group presentations at this site? Were class objectives met? .. NA.... 1.. 2.. 3.. 4
11. An active and positive contributor to team meetings and projects? .. NA.... 1.. 2.. 3.. 4
12. Respectful of life experiences, cultural diversity, and educational background in all communications? .. NA.... 1.. 2.. 3.. 4 COMMENTS ON COMMUNICATION SKILLS: You were respectful of the group but learned a bit about the importance of predicting their knowledge base and making sure the activities were challenging enough. In retrospect it would have been good to have more conversations with Patti about their background and what you planned to present. I think your educational objectives were partially met but could have been better tailored to the group. Admittedly this is hard to predict.
WORK QUALITY. DID THE INTERN 13. Create clear, concise, accurate and neat written work: reports, articles, chart notes, etc? .. NA.... 1.. 2.. 3.. 4
14. Meet expectations for professional, well researched, and high quality work? .. NA.... 1.. 2.. 3.. 4
15. Assess, address and (if appropriate) advocate for the needs of the organization and/or clients appropriately and effectively? .. NA.... 1.. 2.. 3.. 4
Comments on work quality: The group challenged you with some questions but in general your presentations were well received. As usual your documented work quality is very well done and your Powerpt was excellent. Other comments and suggestions for improvement: You did a good job with this group. I think the challenges were knowledge related and illustrate the need for background research on what questions might be asked - though even with careful preparation there will always be suprises. It is probably a better group to work with after the clinical rotation.
Intern signature: _______________________________________ Date Preceptor name (please print) Preceptor signature: Karen Balnis Date 7/15/2014