This form has a list of student expectations and list of expected tasks to accomplish as part of their time with your facility. Please make comments on this form as you feel are appropriate. Once you send the form it will be recieved by Kirk and become a permanant copy of the student's file. We ask that you complete this online form or the form the student presents at the beginning of their clinical experience to enable us to fully evaluate the student and their progress.
Should the student not present themselves appropriately or should act inappropriately please send them home, at your discretion. If you have a student that falls into this category, please indicate as such on this form. The students are required to either have an online form or a hard copy turned in to recieve credit for the clinical experience. This allows us to see the comments, good or bad, that you make. If you choose feel free to print this form and place it in a sealed envelope and mail to me at the address above.
If you see skill areas you feel our students are lacking, please let us know and we will make the appropriate corrections to our teaching. My email is Kirk.Mittelman@hsc.utah.edu or call me at (801) 581-8486 or (801) 372-0928.
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Thank you for your time in filling out this evaluation, without input our program and our students cannot improve. Our program could not exist without your participation as a preceptor. Please let Kirk or Joey know if you have any suggestions that would improve our program or if you would like to teach in the program.
