TNA Clinical Program Weekly Eval Form Lesson 300 - 400 Student's Name First Last FacilityDate MM slash DD slash YYYY During this period the student should be able to measure and mark, scrub, and place the electrodes on your patients. Take the patient history, and enter it into the machine with minimal assistance. Start performing the entire study from start to finish with minimal assistance.What did the student do great?What does the student need to work on?How is the student's appearance? (1 is the lowest, 5 is the highest) 1 2 3 4 5 How is the student's enthusiasm? (1 is the lowest, 5 is the highest) 1 2 3 4 5 How is the student's professionalism with the team? (1 is the lowest, 5 is the highest) 1 2 3 4 5 How is the student's professionalism with patients? (1 is the lowest, 5 is the highest) 1 2 3 4 5 How is the student's knowledge based on where they should be? 1 2 3 4 5 How is the student's skill level based on where they should be? 1 2 3 4 5 A: Student was professional, on time, eager to participate and learn; B: Student was professional, was on time, was not very eager to participate; C: Student was could be more professional, needs to work on their appearance, or was not on time/left early, was not eager to participate; F: There is A LOT of room for improvement What do you feel your student's grade should be for this week's clinical?(Required)Please take into account their enthusiasm, professionalism, motivation to learn and take correction.Additional commentsPreceptor's Name First Last Preceptor's Email CAPTCHA
