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PCC Radiography Program CLINICAL ROTATION EVALUATION FORM Student: Term Number: 1 2 3 4 5 6 7 8 Room / Rotation: Technologist: Key: SATISFACTORY Frequently meets learning outcomes with safe & ethical
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How to Fill Out Clinical Rotation Evaluation Form:

01
Begin by carefully reading the instructions provided on the form. Make sure you understand the purpose and criteria for evaluation.
02
Start by providing your personal information such as your name, student ID, the name of the school or program, and the date of the rotation.
03
Evaluate the different aspects of the clinical rotation, such as the quality of supervision, patient interactions, and educational opportunities. Use a rating scale or provide specific comments to express your thoughts and experiences.
04
Assess your own performance during the rotation. Reflect on your strengths and areas for improvement. Be honest and constructive in your self-evaluation.
05
Consider the overall organization and management of the rotation. Comment on factors like scheduling, resources availability, and administrative support.
06
Share any positive or negative experiences you had during the rotation. Provide examples and suggestions for improvement if applicable.
07
Offer feedback on the communication and teamwork within the clinical setting. Comment on the effectiveness of interprofessional collaboration and any challenges faced.
08
Evaluate the learning environment and the extent to which it promoted your professional growth. Discuss the opportunities for hands-on experience, exposure to diverse patient populations, and the utilization of modern technologies.
09
Express any additional comments or concerns you may have regarding the clinical rotation. This can include suggestions for future improvements, recommendations for further training, or any other relevant thoughts.

Who Needs Clinical Rotation Evaluation Form:

01
Students undergoing clinical rotations: This form is primarily intended for students who are engaged in clinical rotations as part of their educational program, such as medical, nursing, or allied health students. It allows them to provide feedback on their experiences and contribute to the improvement of the educational process.
02
Clinical instructors and supervisors: The evaluation form is also relevant for clinical instructors and supervisors who oversee the students during their rotations. It provides them with insights into the strengths and weaknesses of the rotation program, helping them address any concerns raised by students and enhance the quality of education and training.
03
Program coordinators and administrators: Program coordinators and administrators use the clinical rotation evaluation form to assess the overall effectiveness of the rotation program. They can identify areas of improvement, gauge the satisfaction of both students and clinical instructors, and make necessary adjustments to ensure the program meets its objectives.
Overall, the clinical rotation evaluation form is essential for gathering comprehensive feedback from all stakeholders involved in the rotation process. It plays a vital role in improving the quality of education and training provided during clinical rotations.
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Clinical rotation evaluation form is a document used to assess the performance and progress of students during their clinical rotations.
Students participating in clinical rotations are required to file the clinical rotation evaluation form.
To fill out the form, students need to provide accurate and detailed information about their clinical experience, skills, and feedback from preceptors.
The purpose of the clinical rotation evaluation form is to evaluate the student's performance during clinical rotations and provide constructive feedback for improvement.
Information such as clinical skills, professionalism, communication, teamwork, problem-solving abilities, and overall performance must be reported on the form.
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