Clinical Instructor's Evaluation of the Athletic Training Student

DIRECTIONS: Please complete this form for each student you supervised at the end of the field experience. Please answering the questions below to evaluate the student's skills and abilities as compared to other students at their competency level. Once you have completed this form, print a copy for your records and share your evaluation with the student. Also, please submit this form electronically to Charles Davis, who will place a copy in the studnet's file.

Student's Name:  Clinical Supervisor:

Season:  Year:  

Level: Sophomore    Junior     Senior   

Rate the Athletic Training Student's performance objectively in the following catagories compared to other students at the appropriate competency level.

Management Skills:
 
The student appropriately prepares pre-event courtside/field equipment.
The student is courteous, efficient, and thorough in management of athletes
The student is attentive and professional while covering practices and events.
The student follows athletic training room policies and procedures.
The student uses supplies efficiently.
The student maintains a current and accurate daily practice log.
The student maintains properly stocked medical kit and splint bags
The student performed Post-practice/event tasks appropriately.
Clinical Skills:
 
The student administers proper first aid procedures.
The student performs appropriate injury evaluations.
The student possesses adequate knowledge of surface anatomy.
The student applies dressings and bandages appropriately
The student uses proper body substance isolation procedures
The student uses universal precautions for biohazardous waste removal
The student maintains current and accurate SOAP notes and charts.
The student uses correct medical abbreviations/terminology in documentation
The student makes appropriate and timely referrals
The student uses appropriate therapeutic modalities when treating injuries
The student selects and understands the use of therapeutic exercise techniques
The student sets goals during treatment and rehabilitation
The student understands indications and contraindications
The student uses the appropriate principles to treat acute injuries effectively
Instructor Summative Student Assessment:
 
The student has demonstrated supervisory potential
The student has demonstrated administrative potential
The student has demonstrated improvement in clinical skills.
The students overall clinical experience was

 

Student's Personality Traits:

Student's Personality Trait
Excellent
Good
Fair
Poor
Assumes responsibility
Interest
Punctuality
Appearance and Dress
Organization
Enthusiasm
Initiative
Dependability
Patience
Self-discipline
Self-confidence
Accepts criticism
Uses moral and ethical judgement
Is effecient
Willingness to learn
Thinks Critically
Shares knowledge
Rapport with peers
Rapport with athletes
Rapport with coaches
Apparent Knowledge


Students goals accomplished during this field experience.

Problems encountered during this field experience

Student’s strengths during this field experience

Areas this student needs improvement

Goals/objectives to be accomplished during the next clinical experience

This evaluations has been discussed with the student  Yes   No


Clinical instructors Electronic Signature:  Date: