PEER EVALUATION FORM FOR PRACTICUM

Date: 04/07/15
Session: MED ASSESSMENT
Physician: L. HAHN
Observer: K. DELANEY
Brief Description of Session:
INSTRUCTION AND PRACTICE OF MEDICAL ASSESSMENT FOR NYS EMT-BASIC CLASS.

CT

NQ

CT

NQ

Demonstrated ability to communicate orally

Answered questions clearly and in a helpful manner

Used appropriate methods for the activities presented

Used appropriate instructional materials

Implemented activities and information in a logical

sequence
Provided audience with opportunities to participate

X
X

Communicated content/information that was

technically accurate
Established rapport with audience

X
X

Used the visual aids effectively

The instructional materials/handouts were interesting and

easy to understand

Personal Skills

Showed respect for all in the audience

Spoke clearly and enthusiastically

Demonstrated professional/ethical behavior

Developed by Kadriye O Lewis, Ed.D

Online Masters Program for Healthcare Professionals
Cincinnati Childrens Hospital Medical Center

Judge

NA

Not Qualified to

Couldn't Tell

Poor

this SituationNot Applicable to

Identified objectives at the beginning of the session

Fair

Good

Presentation Skills

Excellent

EVALUATION CRITERIA

Outstanding

Please rate the following statements that represent your appraisal of the issue.

NA

Demonstrated self-confidence

Demonstrated a sense of humor

Body Language (Maintained eye contact)

Voice (Varied rate, pitch, volume for emphasis)

Organizational Skills

The presenter was prepared to take charge.

There was a clearly stated introduction.

The sequencing of the subject material was logical.

The presenter demonstrated ability to work with groups.

NA

CT

NQ

NA

CT

NQ

NA

CT

NQ

X
O

The topics covered were relevant to audience work.

The topic was treated in sufficient depth.

Terms were clearly explained.

Facility/Equipment

The time was used effectively.

Content

The room was comfortable.

The room was free from distractions.

The computer equipment, including hardware, was set up

correctly and worked correctly.

THINGS THAT WORKED

ALL STUDENTS LED ASSESSMENT AT
LEAST ONCE
RELEVANT MATERIALS COVERED
STRONG KNOWLEDGE OF PROTOCOLS
PERSONABLE AND ENGAGING
Other Comments:

Developed by Kadriye O Lewis, Ed.D

Online Masters Program for Healthcare Professionals
Cincinnati Childrens Hospital Medical Center

X
QUESTIONS AND SUGGESTIONS
NOISE INTERFERENCE FROM OTHER
GROUP IN ROOM, CONTROL GROUP NOISE