Get the free Mid-Clerkship Preceptor Feedback Form

MSU College of Human Medicine Psychiatry Clerkship Preceptor Feedback Student: Evaluator Name: Date: Campus: Evaluator SIGNATURE: STUDENT: Please have preceptor complete this form. All completed forms

How to fill out mid-clerkship preceptor feedback form

How to fill out mid-clerkship preceptor feedback form:

1. Begin by carefully reading the instructions provided on the form. Familiarize yourself with the criteria and guidelines for completing the feedback.
2. Provide your personal information, such as your name, student ID, and contact details, as requested on the form. This ensures that the feedback is correctly attributed to you.
3. Indicate the specific clerkship or rotation for which you are providing feedback. This helps ensure that the feedback is targeted and relevant.
4. Evaluate the preceptor's communication skills. Consider aspects such as their ability to clearly explain concepts, responsiveness to questions, and their overall approachability.
5. Assess the preceptor's knowledge and expertise in the specific field. Reflect on their ability to provide accurate and up-to-date information, as well as their proficiency in teaching and guiding you during the clerkship or rotation.
6. Evaluate the preceptor's professionalism and interpersonal skills. Consider aspects such as their respect for boundaries, their ability to work well with a diverse team, and their ethical conduct.
7. Provide specific examples and anecdotes to support your feedback. This helps to convey the impact of the preceptor's actions or behaviors on your learning experience.
8. Offer constructive criticism if necessary. Highlight areas where the preceptor could improve or suggestions for enhancing the learning environment.
9. Finally, sign and date the form to confirm its accuracy and completeness.

Who needs mid-clerkship preceptor feedback form?

1. Students or trainees participating in a mid-clerkship or rotation program require the mid-clerkship preceptor feedback form.
2. Medical or healthcare institutions that provide clinical training programs typically utilize this form to gather feedback on preceptors.
3. Program coordinators, administrators, or evaluators responsible for assessing the effectiveness of preceptorship programs may also require this form.

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