Documenti di Didattica
Documenti di Professioni
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Student: SP ID:
Case Name: Date:
Record your perceptions of the student’s behavior by evaluating the following items. Your written observations
and/or suggestions will be provided to the student.
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Revised: 10/2004
Assess the Following Does Not Meet Meets Expectations Meets Expectations, but Exceeds
Expectations with Concerns Expectations
13 Made no effort to Demonstrated concern
guard your modesty; or for your modesty;
Draping you
left you uncovered draped appropriately
unnecessarily throughout exam
14 Performing the
exam without
causing undue
pain (i.e.,
during Exhibited care not to
Brusque, uncaring,
insertion of ear cause undue discomfort,
causing pain or
speculum or or forewarned when
discomfort without
insertion of discomfort could be
warning
speculum for expected
nasal exam, or
when testing
the Babinski
reflex)
15 Appropriately Appropriately paced
Rushed or performed
pacing the exam; completed
exam too slowly; or
exam comfortably in time
did not finish exam
allowed
16 Demonstrating Inspired
Struggled, appeared Performed exam steps
confidence in confidence by
uncomfortable, or had smoothly; seldom
the exam and performing ALL
difficulty with many of struggled with
its individual exam steps
the individual techniques individual techniques
techniques smoothly
Please provide comments for any evaluation besides “meets expectations.” Also provide any other suggestions for
improving interviewing technique and professional behavior.
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Revised: 10/2004
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Revised: 10/2004