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This form will be used to evaluate the quality of instruction at the clinical site you have just attended. Your input is important in evaluating the quality of experiences at your clinical site to determine placement of future students at this site.

These evaluations will be utilized in such a way that anonymity of the student is maintained. Please be as objective as possible in filling out the evaluation form. Just as you would not want to be evaluated based on the performance of one bad day please select your response on the overall quality of your rotation.

Click on the appropriate response in the radio button to the left of each question. Comments are extremely welcome, especially in those areas where you selected a negative response.




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* 1. Please fill in your name and email address.

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* 2. Semester and year, IE, Spring 2010.

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* 3. Where did you perform your clinical rotation?

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* 4. The time allotted for this rotation was:

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* 5. I was busy:

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* 6. The objectives of this rotation were:

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* 7. Completing my competencies was:

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* 8. I feel my knowledge and competency level upon entering this rotation was:

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* 9. I feel that my knowledge and competency level upon completing my rotation is:

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* 10. The clinical staff I worked with were:

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* 11. Do you believe the clinical staff you worked with were knowledgeable about the current practice of Urinalysis ? If "no" please add comments.

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* 12. Did the clinical staff assist in answering questions readily and encourage more?

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* 13. If I needed help with a procedure or question clinical staff were:

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* 14. The clinical staff in charge of the rotation let me know what I would be doing:

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* 15. Personality conflicts with clinical staff were:

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* 16. The clinical staff I worked with treated me and each other with respect:

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* 17. The clinical staff I worked with created an atmosphere that encouraged me to become a clinical laboratory professional:

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* 18. The methodology used in this rotation was consistent with the theory and practice presented in the course:

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* 19. Procedures I was expected to perform were explained:

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* 20. Did the organization of this clinical rotation enhance learning?

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* 21. List two items which had a positive impact and enhanced the quality of learning at this clinical site.

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* 22. List two items which had a negative impact which decreased the quality of learning at this site. IMPORTANT: If you cannot think of anything negative just put N/A on each line.

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* 23. List any improvements which you feel are necessary at this clinical site. IMPORTANT: If you think it is fine put N/A. If you know of improvements be as specific as possible.

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* 24. Please describe how the MLAB 1311 Urinalysis/ Body Fluids course can be improved to enhance performance in this area.

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