University of Delaware
Medical Technology Department
Senior Clinical Practicum Site Evaluation
 
Clinical Practicum Period:
One
Two
Three
Four
Clinical Education Site:
Discipline:
Blood Bank 
Chemistry 
Hematology 
Microbiology 
Urinalysis 
I. Orientation
A.  After your arrival at the department, were you given the following information?
Yes?
No?
  1. Review of UD practicum objectives    
  2. Professional expectations and grading policies    
  3. Clinical practicum schedule including daily work hours    
  4. Department structure and organization     
  5. Safety regulations and policies    
6. Protocol for reporting results and contribution to laboratory services
  7. Names of staff in the department so that you were made to feel part of the laboratory    
B.  After the orientation, did you have a clear understanding as to what was expected of you?    
C. Please give comments or suggestions in regard to the orientation, e.g. amount of information.
 
 
 
 
 
 
 
 

 

Adequate?  Inadequate?

 
  Clinical Learning Experience
A. Clinical Instruction
Yes?
Some-
what?
No?
  1. Were the learning experiences well planned and structured?      
  2. Did the learning experiences reflect the goals of the course objectives?      
  3. Was there flexibility in your rotation to provide for the level of competency you demonstrated?      
  4. Was adequate time provided to fulfill the course objectives?      
  5. In view of your background education and experiences, was the amount of responsibility given to you during the majority of your clinical experience appropriate?      
  6. Was extra time, if available, utilized appropriately for learning activities (projects, journal articles, study questions)?      
  7. At the completion of the clinical rotation were you adequately confident in your laboratory performance without any supervision?      
B. Supervision
  8. Did you have a clear understanding as to whom you were directly responsible?      
  9. Did you have adequate opportunities to communicate with your instructor(s)?      
  10. Based on your experience and skill, was the degree of supervision appropriate?      
C. Laboratory Interactions
  11. Did you have some opportunities to interact with members of the staff in sharing professional concerns?      
  12. Were you given opportunities to attend inservice education (seminars, conferences, medical rounds, case presentations)?      
  13. Were you given opportunities to participate in any inservice education programs?      
D. Evaluation Process
  14. Were you satisfied with the frequency in receiving your clinical evaluations?      
  15. Were you given an opportunity to comment on your final evaluation?      
  16. Check the statement that best describe your feelings in reference to the clinical evaluation.
a. The criteria used for evaluation reflected heavily on:
______   cognitive domain (theory, knowledge)
______   psychomotor domain (laboratory procedure performance)
______   personality trait
______   well balanced of all three above
b. The final evaluation of my performance was:
______   discussed with me prior to completion in writing
______   discussed with me after completion in writing
______   not discussed

 
 
III. Summary
A. Please rate this clinical education experience.
______   A very positive experience, wish they all were like this.
______   Time well spent
______   Could have been better
______   A very negative experience, would not recommend to other students.
B. Other comments and recommendations:
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 

IV. Academic Preparation
A. State the strengths and weaknesses of your academic preparation for this clinical experience.
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 

B. Suggestion: Topic(s) that should be considered in future academic preparation.