FCT Facilitator Assessment of Student Performance
Please use this form to provide feedback on the student’s performance specifically as it relates to your
FCT small group for the period.
1) Prepared for sessions: e.g., uses a variety of references; supports statements with appropriate
references; makes concise summaries.
High
Medium
Low
Unacceptable (explain)
2) Responsible for Own Learning: e.g., accepts responsibility for own professional development;
actively works to improve; demonstrates initiative; takes on additional work willingly.
High
Medium
Low
Unacceptable (explain)
3) Participation in Group Learning: E.g., participates in discussions; contributes substantively to group
efforts.
High
Medium
Low
Unacceptable (explain)
4) Group Skills/Awareness: E.g., takes the lead or intervenes appropriately; demonstrates respect for
colleagues; supports efforts of others to grow and learn; helps to resolve misunderstandings and conflicts.
High
Medium
Low
Unacceptable (explain)
5) Communications with Peers: E.g., listens and responds respectfully; sensitive to non-verbal and
emotional messages.
High
Medium
Low
Unacceptable (explain)
6) Professional Behavior: E.g., arrives on time; accepts constructive feedback; completes assignments
and professional responsibilities on time.
High
Medium
Low
Unacceptable (explain)
7) Self-awareness: E.g., acknowledges limits of own knowledge or ability; demonstrates humility.
High
Medium
Low
Unacceptable (explain)
8) Critical Thinking: E.g., demonstrates skill in performing key tasks such as generating hypotheses,
applying knowledge of FCT cases, critically appraising information, making sound deduction, explaining
reasoning process.
High
Medium
Low
Unacceptable (explain)
9) Teaching Skills: E.g., presents learning issue report at appropriate level, related to the case and in an
organized fashion.
High
Medium
Low
Unacceptable (explain)
10)
Global (“big picture”) summary: Please provide your opinion of the student’s overall FCT
performance.
a)
b)
c)
Outstanding performance
Progressing as expected
Remediation recommended