Benedictine
University Dietetic Internship
Rotation
Form for Site and
Rotation Evaluation
Intern's Name:
Site:
Rotation:
First date on site: Last date on site:
Please rate the site using the
following rating scale:
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5 |
|
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4 |
Above Average (Outstanding) |
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3 |
Average (Satisfactory) |
|
2 |
Below Average (Needs Improvement) |
|
1 |
Unacceptable (Unsatisfactory) (-) |
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About The Site |
5 |
4 |
3 |
2 |
1 |
|
To what extent did
this experience contribute to your professional growth? |
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The site was able to
provide a wide variety of learning experiences? |
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You were able to
complete all required assignments at this site? |
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The site
preceptor(s) were knowledgeable? |
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The site
preceptor(s) were able to spend an adequate amount of time with you? |
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The site
preceptor(s) were supportive of your learning efforts? |
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You were allowed to
develop independent judgment and decision-making at this site? |
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About the Rotation |
5 |
4 |
3 |
2 |
1 |
|
The activities in
the rotation were beneficial? |
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You were
sufficiently prepared for the rotations through pre-work? |
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The length of the
rotation was adequate? |
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Your
responsibilities and requirements for the rotation were clear? |
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Please answer the following questions:
1.
Which
experience in this rotation was most valuable? Why?
2.
Which
experience in this rotation was the least valuable? Why?
3.
What
suggestions would you make to improve this rotation?
4.
Based
on your experience, why is a desirable site for the Dietetic Internship
Program? Explain.
5.
Additional
Comments: