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CSI PARAMEDIC PROGRAM INTERNSHIP PRECEPTOR EVALUATION FORM Preceptor: STUDENT NAME: Area: Date: Please rate the CLINICAL/PRECEPTOR in the following categories at the end of the shift GRADING SCALE
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How to fill out preceptor internship evaluation form

01
To fill out a preceptor internship evaluation form, start by reviewing the evaluation criteria outlined on the form. Familiarize yourself with the different categories and the specific areas that will be assessed.
02
Provide honest and objective feedback by evaluating the preceptor's performance based on your personal experience during the internship. Consider factors like their knowledge, teaching ability, availability, and communication skills.
03
Use specific examples and anecdotes to support your evaluation. Instead of simply stating that the preceptor was knowledgeable, provide specific instances where their expertise was evident or how they helped you improve your skills.
04
Be detailed in your comments, both positive and negative. If you have any criticisms or concerns, make sure to provide constructive feedback. This will help the preceptor understand areas where they can improve and enhance the internship experience for future students.
05
Ensure that your evaluation is balanced and fair. Avoid subjective opinions or personal biases that may cloud your judgment. Focus on providing objective feedback based on the preceptor's adherence to professional standards and their ability to meet the expectations of the internship.
06
Before submitting the evaluation form, carefully proofread your responses. Check for any spelling or grammatical errors to ensure that your feedback is clear and easy to understand.
Who needs a preceptor internship evaluation form?
01
Preceptor: The primary audience for the preceptor internship evaluation form is the individual serving as a preceptor. The form allows them to receive feedback on their performance and make improvements where needed. It helps them gauge their effectiveness in providing guidance and support to interns.
02
Interns/Students: Interns or students who have completed an internship program may also need to fill out a preceptor internship evaluation form. This allows them to reflect on their experience and provide feedback on the preceptor's performance. It serves as an opportunity for interns to voice their opinions and gain closure on their internship experience.
03
Educational Institutions/Organizations: Educational institutions or organizations that offer internship programs may require preceptor internship evaluation forms to gather feedback from both preceptors and interns. This feedback helps them assess the effectiveness of their internship programs and make necessary improvements.
04
Accreditation Bodies: Accreditation bodies that review and accredit internship programs may request preceptor internship evaluation forms as a part of their evaluation process. The feedback received from preceptors and interns can contribute to the accreditation decision and quality improvement efforts of the internship program.
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What is preceptor internship evaluation form?
The preceptor internship evaluation form is a document used to assess the performance of the preceptor during an internship program.
Who is required to file preceptor internship evaluation form?
Both the preceptor and the intern are required to fill out and submit the preceptor internship evaluation form.
How to fill out preceptor internship evaluation form?
To fill out the preceptor internship evaluation form, simply provide honest feedback and assessment of the preceptor's performance during the internship.
What is the purpose of preceptor internship evaluation form?
The purpose of the preceptor internship evaluation form is to evaluate the effectiveness of the preceptor in guiding and mentoring the intern during the internship program.
What information must be reported on preceptor internship evaluation form?
The preceptor internship evaluation form typically requires information on the preceptor's communication skills, knowledge, guidance, and overall performance as a mentor.
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