Student Clinical Experience Update Evaluation
INSTRUCTIONS: In the spaces provided, please write a summary of your learning experiences during the past five weeks. You are to print a copy of this page once its completed and electronically submitt it to the ATEP Director. Thank you for your time.
Clinical Supervisor: Charles Davis Gary Morin Emily Pindar Art Roy Don Bagnall Bridgett Stiles Shelly Welch Marc Aceto Peter Anderson Kelly Copperthite Kristin Underkofler Clinical Site: Branford East Haven Choate Rosemary Hall Hopkins School STAR Physical Therapy Granoff Health Center Housatonic Physical Therapy Southern Connecticut
Season: Fall Winter Spring Year: 2002 2003 2004 2005 2006 2007 Level: Sophomore Junior Senior
Briefly describe techniques or skills learned during your experience:
Briefly describe techniques or skills utilized during your experience:
List the of goals you have met during the first five weeks of this clinical experience.
1. 2. 3. 4. 5.
Briefly describe problems or difficulties encountered during your experience and how/if they were resolved:
Has this update been discussed with your clinical instructor Yes No
Students Electronic Signature: Date:
