Preceptor Evaluation of the Internship Program

Please complete this survey to provide feedback on the Internship Program. A 1-5 scale has been provided for you to use in answering the questions. 1 = strongly disagree, 2 = disagree, 3= unsure, 4 = agree, 5 = strongly agree. Please be sure to add comments and/or recommendations for any items that score high or low. Please enter your Preceptor ID below before proceeding. Thank you.

Question Title

* This program allowed me to:

  Strongly disagree Disagree Unsure Agree Strongly agree
1. Teach the intern to work effectively with co-workers
2. Teach the intern to polish interviewing techniques
3. Teach skills in proper discharge management
4. Teach documentation skills
5. Teach procedures
6. Teach efficient time management skills
7. Teach pragmatic judgment in clinical management of care
8. Teach the intern to develop clinical problems solving skills
9. Expand the critical thinking capability of the intern
10. Gradually let the intern assume responsibility for complete patient care
11. Model how to do a multi-patient assignment effectively
12. Teach the patho-physiology of normal/disease states
13. Expand my understanding of the preceptor role
14. Tailor experiences to meet the intern's learning needs
15. Evaluate the intern's capability and competency objectively
16. Provide constructive feedback to the intern

Question Title

* The program:

  Strongly disagree Disagree Unsure Agree Strongly agree
17. Provided orientation to my role as a preceptor
18. Included organized/efficient teaching methods and resources
19. Provided the opportunity for becoming a recognized preceptor
20. Included and ensured support from co-workers/colleagues
21. Is valued by the nursing leadership in my organization
22. Is valued by my immediate supervisor
23. Is easy to implement in my clinical setting
24. Is worth the time I have given to it
25. I would recommend this program to others interested in precepting

Question Title

* Please list any barrier to success that you experienced. (include possible solutions you'd recommend)

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