Q1.

Dietetic Intern Evaluation: Community Nutrition/Business

To better align our evaluation with the "Career Development Guide" from the Academy of Nutrition and
Dietetics, the Ball State Dietetic Internship has adjusted the terminology that is used. Please note the
following:
Definition of Performance Standards:
1. Proficient: Demonstrates additional knowledge, skills, and experience in a focus area of dietetics
practice; above entry-level practice
2. Competent*: Demonstrates sound knowledge, confidence, and effective use of entry level skills;
seeks assistance after investigating potential solutions
3. Beginner: Requires supportive or directive cues occasionally; applies principles accurately with
occasional cues; works at acceptable standards
4. Novice: Requires frequent supportive and occasional directive cues: identifies principles but needs
direction to identify application
5. Not applicable: not observed/not applicable
*The goal of the Ball State Dietetic Internship is to have 80% or more of interns attain a level of
competent for each ACEND competency.
Directions: Using the ratings above, please evaluate the intern on the following competencies:
NOTE: The online forms cannot be saved or edited after submission. Please e-mail ljballenger@bsu.edu
if you would like a copy e-mailed to you.

Q2. Please fill out the following information:

Intern name (First and Last):

Samantha McInverney

Facility:

Marion County Public Health Dept.

Preceptor Name (First and

Last):

Pamela Desir

Preceptor E-mail:

pdesir@marionhealth.org

Date:

8/9/2016

Q3. Name of person completing the form (if different from the preceptor):

Q4. Based on the ratings on the first page, please evaluate the intern on the following competencies
related to Professional Attributes:
Novice Beginner Beginner
Proficient
_____ (6 ___ (7
___ (8 Competent Competent __ (10
Not
pts)
pts)
pts)
__ (9 pts) __ (10 pts)
pts)
applicable
Prepare appropriately
for rotation
Demonstrate
collaboration/teamwork
Demonstrate proactive
problem-solving skills
Demonstrate customer
focus
Demonstrate risk-taking
Demonstrate critical
thinking
Demonstrate flexibility
Demonstrate time
management
Demonstrate work
prioritization
Demonstrate advocacy
Demonstrate work ethic
Develop goals and
objectives
Respect life
experiences, culture
diversity, educational
background
Demonstrate negotiation
skills
Demonstrate
assertiveness
Develop effective oral
communication skills
Develop effective written
communication skills
Use informatics
technology
Dress is appropriate for
given work setting

Q5. Please list any additional comments about the intern's Professional Attributes:
It has been a pleasure to work with Samantha. She will gain proficiency in oral and written communication with experience. She is
very reliable and proficient with her work ethic and flexibility. She is amazing with her computer skills and gets work assignments
done at amazing speed and accuracy. I am pleased to share that she has already been offered a position with the Marion County
Public Health Dept. I look forward to working with her in some capacity in the near future!

Q12. Please comment on any of the BSU-Assigned Projects (if applicable):

N/A

Q6.
Please comment on the interns areas of strength:
flexibility; work ethic; proficient in informatics; demonstrates team work; does not hesitate to ask for advice or direction; sionhe
definitely knows how to research a project for information;

Q7. Please comment on the interns areas for improvement:

public speaking and written communication will come with experience;

Q9. Please answer the following questions about the intern's attendance:
Please specify the number of
days the intern was late during
the rotation:

Please specify the number of

days the intern was absent
during the rotation:

Did the intern make up all if

the days days/hours he/she
was absent? (yes/no)

yes

If late or absent, the intern

contacted me ahead of time
to explain the situation?
(yes/no)

yes

Q10. Final Comments:

Please see previous

Q11. Would you hire this intern for employment? (yes/no) Any comments?
Definitely! Samantha has already been offered a position with the Marion County Public Health Dept.

Location Data
Location: (39.790100097656, -86.209899902344)
Source: GeoIP Estimation