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Tell us what you think!
Tell us what you think!


Clinical Program Evaluation

We would like to know about your clinical experiences. Your feedback will help us improve our programs. Thank you for taking the time to complete the survey.

  1. Discipline
      Medicine
      Nurse
      Physical Therapy
      Occupational Therapy
      Pharmacy
      Social Work
      Other:

  2. Location
      Philadelphia Senior Center
      New Castle Senior Center
      Wilmington Senior Center
      Other:

  3. Estimate the total number of hours at the clinical site
      0 - 39 Hours
      40 - 160 Hours
      Greater than 160 hours
Please rate your level of agreement for the statements below:
  1. By participating in this clinical experience, I have acquired new knowledge and skills in working with the geriatric population.
      Strongly Disagree
      Disagree
      Neutral
      Agree
      Strongly Agree

  2. This clinical experience has created a new interest for me in geriatrics.
      Strongly Disagree
      Disagree
      Neutral
      Agree
      Strongly Agree

  3. I had opportunities to interact with other disciplines. (i.e. medicine,nurse,pt,ot,sw, pharm)
      Strongly Disagree
      Disagree
      Neutral
      Agree
      Strongly Agree

  4. I had opportunities to work as a member of an interprofessional (process by which two or more health professions learn from, with and about each other to improve collaboration, practice and quality patient care, D'Amour & Oandasan, 2005) team.
      Strongly Disagree
      Disagree
      Neutral
      Agree
      Strongly Agree

  5. Teaching by the clinical instructors increased my knowledge of geriatrics.
      Strongly Disagree
      Disagree
      Neutral
      Agree
      Strongly Agree
Please let us know what was helpful, valuable and what we can improve on regarding your clinical education.
  1. The following clinical activities were helpful to me (check all that apply):
      Shadowing preceptor/clinical instructor
      Skilled observation
      Administering assessments/evaluation
      Interviewing patients
      Discussion with interprofessional team
      Direct care/providing treatment
      Other:

  2. The most valuable part of this clinical experience is/was?


  3. What suggestions do you have that would improve your learning at this clinical site?
Sending data...

(D'Amour & Oandasan, 2005, Center for the Advancement of Interprofessional Education (CAIPE), (UK) rev. 2002)