Xavier University
Radiologic Technology Program
Clinical Performance Evaluation (CPE) - First Year - First Semester
The CPE is worth 25% of the Radiographic Practicum grade. The CPE evaluation is given to the radiographer(s) to
whom the student was assigned to during the two-week rotation period. Using the CPE evaluation form, the
radiographer(s) will rate the student's clinical performance during the time the radiographer worked with the student in
the assigned room.
Grading System:
The CPE is worth 100 points:
Excellent Rating (4)
= 0 points are subtracted
Good Rating (3)
= 1/2 point is subtracted for every 3 rating.
Fair Rating (2)
= 3 points are subtracted for every 2 rating.
Poor Rating (0 or 1)
= 6 points are subtracted for every I rating.
Any grade below 85% is unacceptable in the clinical setting. The clinical instructor will counsel any student receiving
an unacceptable grade. If the student continues to receive unacceptable clinical performance evaluation, disciplinary
action will be taken.
Grading Scale: Program grading system under Section : Academic Policies
Policy Number - 4.00
Page 1 of 2
Reviewed Summer 2015
CLINICAL PERFORMANCE EVALUATION
FIRST YEAR – FIRST SEMESTER
Student: ______________________________ Room ____________ DATE
____________________
Mark an “X” in the one most appropriate square.
(P)
(Ca)
(P)
(P)
Use and Care of
Equipment:
Application of
Knowledge:
Ability to follow
directions
Industry and
energy:
Poor use and care of
equipment
Acceptable
1
4
When given directions,
seems to continue to
make errors and needs to
be told again.
1
Makes no apparent
attempt to utilize time,
space and equipment to
enhance clinical skills.
Fair use and care of
equipment
2
Unacceptable
0
When given directions
will usually follows
them with some errors
made
2
Usually makes
effective use of time,
space and equipment
to enhance clinical
skills.
3
Excellent use and care
of equipment
4
Good use and care of
equipment
3
When given directions,
always follows them
consistently and
accurately without
error.
4
Tries to organize time,
space and equipment
to enhance clinical
skills but is
unsuccessful.
2
When given directions
follows through only
occasional errors.
Always punctual 4
Unclean and untidy.
0
Demonstrates excellent
attitude and
dispositions and is very
helpful in the clinical
setting.
4
Does not accept
constructive criticism.
0
Often late of absent 0
Neat: professional
appearance
4
Demonstrates fair
attitude and
cooperation at the
clinical. Sometimes
difficult to work with. 2
Accepts constructive
criticism and
consistently attempts to
utilize suggestions. 4
Lacks confidence in
self and is hesitant in
many clinical
situations.
1
Students demonstrated
interest in clinical
education.
3
1
(A)
(A)
Punctuality:
Appearance:
((A)
Attitude and
Cooperation:
(A)
Reaction to
criticism:
(A)
Self-image:
(A)
Interest in
clinical
education:
Occasionally late
3
At times careless about
appearance.
3
Has good attitude and is
cooperative while in the
clinical setting.
3
Accepts constructive
criticism but does not
attempt to utilize
suggestions offered
1
Displays fair confidence
but at times is hesitant in
performing assigned task.
2
Student seems indifferent
to clinical education.
0
(A)
Tact and
Courtesy:
(A)
When dealing
with patients the
student:
(A)
Use and care of
personal
radiation
protective
equipment:
Good discretion and
courtesy to the patients
and staff.
3
Does not seem to
communicate well with
patients; demonstrates no
concern.
0
Students do NOT follow
the standard radiation
precautions in regards to
wearing aprons or proper
hanging of the lead
aprons.
0
Demonstrates high
confidence level and
this is evident by good
communication with
others.
4
Student is very
enthusiastic concerning
clinical education.
4
Needs to more discrete
and polite with patients
and staff; at times
inconsiderate.
0
Demonstrates empathy
and utilizes excellent
communication skills
effectively.
4
Excellent discretion
and courtesy to all
persons in the clinical
environment.
4
Communicates basic
required information’
demonstrates limited
concern.
1
3
Consistently makes
effective use of time,
space and equipment
to enhance clinical
skills.
4
Uncooperative and
demonstrates a
negative outlook.
0
Accepts constructive
criticism sometimes
attempts to utilize
suggestions offered. 2
Demonstrates good
confidence level and
projects it in
communication with
others.
3
Student demonstrates
interest in clinical
education but is not
consistent with this
attitude.
2
Tact and courtesy are
fair. Needs to be
developed.
1
Communicates well
and shows concern
for the patient.
Students do follow the
standard radiation
precautions in regards
to wearing aprons or
proper hanging of the
lead aprons. 4
Comments:
Total Score _________
Technologist Signature: _____________________________ date__________
Student Signature: _________________________________ date__________
Policy Number – 4.00
Revised Spring 2015
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