USU Direct Observation Form

This form should be completed to document directly observed behaviors from a clinical encounter. Rate only observed domains (unchecked items will be hidden).
  • No overall grade required
  • Completion time <5 minutes
Your narrative comments are very useful to the students. To speed the process, simply click on the microphone on your phone or tablet and record your verbal comments to the student!

The behavioral anchors on the form are developmental in nature. The behaviors are categorized into:

  • EL: Entrustable learner
  • LD: Late developing
  • ED: Early developing
  • RC: Requires correction



Student LAST Name begins with:(Required.)