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This document is used to evaluate a student's performance during their clinical practicum or internship, assessing various personal and professional qualities, counseling competencies, and overall
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How to fill out Site Supervisor Evaluation of The Clinical Practicum/Internship Student

01
Gather all necessary information regarding the student intern's performance.
02
Review the evaluation criteria and the expected competencies for the practicum/internship.
03
Assess the student's skills in various areas such as communication, teamwork, and professionalism.
04
Document specific examples that demonstrate the student's strengths and areas for improvement.
05
Complete each section of the evaluation form based on your observations and the examples you gathered.
06
Provide constructive feedback and suggestions for the student's future development.
07
Sign and date the evaluation form before submitting it according to your institution's guidelines.

Who needs Site Supervisor Evaluation of The Clinical Practicum/Internship Student?

01
Site supervisors who are overseeing the clinical practicum/internship students need to complete the evaluation.
02
Educational institutions require the evaluation for assessing the student's performance.
03
Students can use the feedback for their personal and professional growth.
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EXEMPLARY: Intern is never absent, habitually punctual, sometimes stays after shift to complete work, only takes assigned breaks, is a self starter, motivated, good team player, always dresses, acts, and speaks in a professional and appropriate manner; intern is very dependable.
Practicums are field experiences that allow you to observe and document how working professionals perform their job responsibilities. You will have limited participation in performing tasks under supervision by program professors and/or on-site staff.
The Site Supervisor is a qualified public health professional who supervises a students' practicum work on a day-to-day basis and evaluates students in the practice setting throughout their practicum.
A qualified Site Supervisor must: Be willing to develop a plan, supervise and evaluate the student in the practice setting during and at the end of the practicum.
Holds weekly supervision with the students to review tasks and responsibilities; including reviewing student assignments. Evaluates student performance at midterm and at the end of each term. Meets with the assigned faculty practicum liaison to discuss assignments, review work, and recommend marks.
Evaluations of the Practicum experience are used in assessing student progress in the Practicum Seminar and, thus, are part of satisfactory completion of the Master's degree.
During the practicum experience, the student is supervised by the site preceptor and the School to develop and define the practicum experience activities, learning objectives, and final deliverables. A qualified preceptor must be willing to commit time to supervising a student and providing feedback on student's work.
The practicum trainee and supervisor establish goals and expectations at the beginning of their work together; the supervisor prepares a formal learning contract and the trainee compiles a list of training goals. At mid-semester a formative evaluation is conducted between each trainee and supervisor dyad.

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The Site Supervisor Evaluation of The Clinical Practicum/Internship Student is a formal assessment conducted by the supervisor at a clinical site to evaluate the performance, competencies, and professional development of the student intern during their practicum experience.
The site supervisor responsible for overseeing the student's internship must file the Site Supervisor Evaluation. This may include faculty members or qualified professionals who directly observe and assess the student’s work.
To fill out the Site Supervisor Evaluation, the supervisor should review the provided criteria related to the student's performance, rate each aspect on the given scale, and provide comments to support the evaluation. It is important to be honest and constructive in addressing the student’s strengths and areas for improvement.
The purpose of the Site Supervisor Evaluation is to provide feedback on the student’s clinical skills, professional behavior, and overall performance during their internship. It serves to uphold educational standards and helps in the development of the student’s competencies for future practice.
The evaluation should report specific information including the student's strengths and weaknesses, skill proficiency in various clinical tasks, adherence to professional standards, ability to work as part of a team, communication skills, and overall preparedness for clinical practice.
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