Name of student: Period of clinical placement: Name of home institution: Name of clinical placement institution:
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1 Evaluation of clinical placement Name of student: Period of clinical placement: Name of home institution: Name of clinical placement institution: The evaluation is completed at the end of the clinical placement and is based on the student s overall experiences at the clinical placement and with the clinical counsellor. If the student is in clinical placement at two different institutions, two evaluations must be completed. Definition of gradings: EXCELLENT displaying high level of command of all aspects of the relevant material, with no or only a few minor weaknesses VERY GOOD displaying a high level of command of most aspects of the relevant material with only minor weaknesses GOOD displaying good command of the relevant material but also some weaknesses FAIR displaying some command of the relevant material but also some major weaknesses ACCEPTABLE performance meeting only the minimum requirements for acceptance NOT ACCEPTABLE performance not meeting the minimum requirements for acceptance THE STUDENT S EVALUATION OF OWN PROFORMANCE AT CLINICAL PLACEMENT Own clinical performance The student s own evaluation of successfully achieving learning objectives in clinical placement.
2 STUDENT COUNSELLOR/S INTERACTION Does the counsellor show commitment and empathy? How is the collaboration between student and counsellor? Is the collaboration characterised by mutual respect? STUDENT STAFF INTERACTION Does staff show commitment and empathy? Does the student feel welcomed by the staff and is the atmosphere positive? Is the interaction characterised by dialogue and cooperation? Does the student feel included in professional discussions? INTERACTION WITH DANISH STUDENTS Do other students show commitment and empathy? Does the student feel welcomed? Is interaction characterised by dialogue and cooperation? Does the student feel included in professional discussions? Overall outcome of collaborating with Danish students.
3 LEARNING ENVIRONMENT Did the student have access to literature? How was the outcome of joint learning sessions? What it offered to make e.g. individual study plans and diary notes? EVALUATION OF COUNSELLING Time and accessibility. What was the outcome of knowing the counsellor(s)? What was the outcome of working with reflection as a learning tool? CHALLENGES/BARRIERS AT THE CLINICAL PLACEMENT Cultural and language challenges. Although the student has faced cultural and language barriers, how do you evaluated your learing outcome in clinical placement?
4 STUDY VISIT DURING CLINICAL PLACEMENT HAS THE CLINICAL PLACEMENT MET THE STUDENT S EXPECTATIONS? Other comments:
5 SIGNATURES: Student Signature Date Clinical counsellor Signature Date
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