MRI Student Bi-Weekly Evaluation Form

Evaluator Given Name:

* Surname: *

Student Given Name:

* Surname: *

Your assessment of the student’s performance in the clinical setting is extremely valuable to the MRI students as he/she develops their skills. To facilitate the learning that occurs in the clinical setting, we are asking you to review the student’s progress with them. All evaluations are reviewed by program coordinator. One progress report is to be completed at the end of every 2 weeks. Thank You.

Criteria	Yes	No
A. Demonstrates professionalism and constructive use of time (Appearance,Conduct, Punctuality, Accountability,Initiative)			*
B. Demonstrates effective patient communication skills			*
C. Ensures personal safety and safety of coworkers,patients, family members and other allied professionals			*
D. Seeks out learning opportunities			*

Comments

Doing well with:

Could improve:

I have reviewed and discussed this report with the Clinical Coordinator.