Overall Review and Rational for the Rotation
The third year emergency medicine rotation is designed to provide the University of
Kentucky third year medical student an experience in the early evaluation and management of medical conditions commonly encountered in the emergency department. Many of these patients do not have an established diagnosis and we term these patients the undifferentiated patient. The student will assist in the work-up of these undifferentiated patients under the supervision of senior emergency medicine residents and faculty. The student will learn many of the tools and skills needed to evaluate patients including monitoring techniques, vascular access, wound evaluation and repair, scoring systems, directed history taking, focused physical examination as well as patient interaction skills. It is hoped that the emergency medicine skills learned in this short rotation will cross over into other potential career choices for the student and also provide an opportunity to explore emergency medicine as a career.
Bill Young MD
Associate Clinical Professor of Emergency Medicine
Clerkship Director
Emergency Medicine
In 2008, the Association of American Medical Colleges (AAMC) Project on the Clinical
Education of Medical Students published recommendations regarding standards for clinical skills in medical student education.
When fourth-year students were later queried, however, many had not performed important procedures recommended by the AAMC report, including: phlebotomy, peripheral IV catheter insertion, cardioversion, and cardiopulmonary resuscitation (CPR). Likewise, a survey of third year medical students reported similar findings.
1
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Overall Objectives:
1. The student will demonstrate understanding of the unique nature of Emergency Medicine as the safety net in the health care system.
EXPERIENCE:
Didactic lecture
EMS Ride Along
ASSESSMENT:
Written summary of EMS ride along
**New Innovations: Enter narrative
Written examination
2. The student will develop the ability to evaluate the undifferentiated patient who presents for evaluation in the emergency department.
EXPERIENCE:
Triage observation with Attending / Nursing
Side by side patient encounters with Attending / Residents
ASSESSMENT:
Observation by Attending / Resident
Written examination
3. The student will identify steps necessary to stabilize an acutely ill or injured patient including: IV
Access, Oxygen administration, Ventilation, Volume resuscitation and Monitoring Devices.
EXPERIENCE:
Vascular access lab participation
ACLS course
ASSESSMENT:
Observation by Attending / Resident
Written examination
Two IV access attempts in the ED
**New Innovations: Enter MR number and observer
4. The student will be able to: perform a directed history & physical, develop a differential diagnosis and emergency management related to the patient’s chief complaint of: Chest pain, Abdominal pain, Altered mental status, Trauma, Dyspnea, Pediatric Fever.
EXPERIENCE:
Side by side patient encounters with Attending / Residents
ASSESSMENT:
Observation by Attending / Resident
**New Innovations: Enter MR number and observer
Five completed documents
Written examination
5. The student will be able to recognize dysrhythmias: ST, SVT, A Flutter, A Fib, V Tach, MAT,
Torsades, PEA, Asystole, AV Blocks.
EXPERIENCE:
ACLS
Dysrhythmias Didactics session
ASSESSMENT:
Observation by Attending / Resident
Written examination
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6. The student will become ACLS certified.
EXPERIENCE:
ACLS course
ASSESSMENT:
Successful participation in full ACLS course
Written and practical ACLS examination
7. The student will learn basic and advanced airway maneuvers: BVM, OPA, NPA, ETT insertion.
EXPERIENCE:
Airway lab participation
ACLS course
ASSESSMENT:
Participation in Airway lab
Observation by Attending / Resident
Written examination
8. The student will recognize a STEMI (Anterior, Inferior, Lateral).
EXPERIENCE:
ACLS prep didactics
ASSESSMENT:
Written examination
9. The student will demonstrate understanding and techniques of basic wound evaluation and repair.
EXPERIENCE:
Side by side patient encounters with Attending / Residents
ASSESSMENT:
Observation by Attending / Resident
**New Innovations: Enter MR number and observer
Written examination
10. The student will understand the role of Hyperbaric Oxygen Chamber in wound repair and CO poisoning.
EXPERIENCE:
Demonstration of the HBO Chamber
ASSESSMENT:
Observation by Attending / Resident
Written examination
11. The student will demonstrate the primary evaluation of patients with trauma.
EXPERIENCE:
Side by side patient encounters with Attending / Residents
ASSESSMENT:
Observation by Attending / Resident
**New Innovations: Enter MR number and observer
Written examination
12. The student will demonstrate the NEXUS criteria for spine imaging.
EXPERIENCE:
Side by side patient encounters with Attending / Residents
ASSESSMENT:
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Observation by Attending / Resident
**New Innovations: Enter MR number and observer
Written examination
13. The student will demonstrate the NIH stroke scale and GCS.
EXPERIENCE:
Altered Mental Status: Didactic lecture
Side by side patient encounters with Attending / Residents
ASSESSMENT:
Observation by Attending / Resident
**New Innovations: Enter MR number and observer
Written examination
14. The student will demonstrate the role of ultrasound for peritoneal fluid, pericardial fluid, cardiac activity, FAST exam.
EXPERIENCE:
Ultrasound lab
Side by side patient encounters with Attending / Residents
ASSESSMENT:
Observation by Attending / Resident
Written examination
15. The student will improve oral presentation skills.
EXPERIENCE:
Side by side patient encounters with Attending / Residents
ASSESSMENT:
Observation by Attending / Resident
16. The student will demonstrate professionalism by being on time and appropriately dressed.
EXPERIENCE:
Side by side patient encounters with Attending / Residents
ASSESSMENT:
Observation by Attending / Resident
Students will sign into department the beginning of each shift
17. The student will demonstrates respect for patients, colleagues, and peers.
EXPERIENCE:
Side by side patient encounters with Attending / Residents
ASSESSMENT:
Observation by Attending / Resident
Obtain one student evaluation report card per shift worked
18. The student will demonstrate motivation by outside reading, willingness to participate and perform procedures.
EXPERIENCE:
Side by side patient encounters with Attending / Residents
ASSESSMENT:
Observation by Attending / Resident
Obtain one student evaluation report card per shift worked
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Orientation:
Dr. Young or his designee will provide an orientation session for each group of students.
The University of Kentucky has a new emergency department that houses over 60 patients. It has two dedicated CT scanners, digital radiography with multiple read stations, two ultrasound machines, a Glidescope intubator and supplies in each room. There are multiple computer stations with access to patient care information as well as online and in-house medical resources.
There is a pediatric ED, an acute care ED and a critical care area. There are separate triage areas for pediatric and adult patients. The rooms are numbers as follows: adult triage 1-2; pediatric triage 5-6; pediatric 10-21; chair centric 30-33; express care 34-39; acute care 40-59; critical care
60-69; trauma 70-80.
Schedule:
The student will be assigned a schedule of times to be present and working in the emergency department at the University of Kentucky as well as workshops in airways, ultrasound and vascular access.
All shifts are done at the home institution. Each shift is variable in duration and the shifts are scheduled such that student will be exposed to the ED at all times of the day including nights and weekends. During that time, the student will have a dedicated ED Attending / Resident to perform teaching rounds. These might involve lectures, discussion and patient care. The student is to sign in at the Attending Charting area for each shift.
The student will be assigned to one of the following A-F schedules, which is comprised of one day shift from 7a-4p, two evening shifts from 1p-11p (one of these will be in pediatrics), two weekend Friday / Saturday shifts for a total of 45 clinical hours. On Tuesday, Wednesday and
Thursdays students are assigned to work in the ED. The student will be required to attend three workshops: vascular access, ultrasound and airway. Students are invited to attend the Resident
ED conferences on Thursday from 7a-noon but participation is not required. The student will also attend seminars and group lectures on Fridays. See schedule below for further details.
In certain unforeseen circumstances, schedule trades may be granted by the course director,
Dr. Young.
“A” Student Schedule
Monday: 10 am Orientation, 1p-4p Workshop
Tuesday 7a-4p Clinical Shift (including 1p-4p Attending Rounds)
Wednesday
Thursday
Friday
OFF, You do NOT need to come to Attending Rounds
1p-11p Clinical Shift (including 1p-4p Attending Rounds)
11a-1p Workshop, 1p-3p Friday Seminar
Saturday
Sunday
Monday:
Tuesday
Wednesday
OFF
OFF
OFF
OFF
1p-11p Clinical Shift (including 1p-4p Attending Rounds)
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Thursday
Friday
Saturday
Sunday
OFF (ED Conference 7a-noon~ optional)
11a-1p Workshop, 1p-3p Friday Seminar, 11p-7a (the next morning) ED
Night Shift
11p-7a (the next morning) ED Night Shift
OFF
“B” Student Schedule
Monday: 10 am Orientation, 1p-4p Workshop
Tuesday
Wednesday
Thursday
1p-11p Clinical Shift (including 1p-4p Attending Rounds)
OFF, You do NOT need to come to Attending Rounds
7a-4p Clinical Shift (including 1p-4p Attending Rounds)
Friday
Saturday
Sunday
Monday:
Tuesday
Wednesday
Thursday
Friday
11a-1p Workshop, 1p-3p Friday Seminar
OFF
OFF
OFF
OFF
1p-11p Clinical Shift (including 1p-4p Attending Rounds)
OFF (ED Conference 7a-noon ~ optional)
11a-1p Workshop, 1p-3p Friday Seminar, 11p-7a (the next morning) ED
Night Shift
Saturday
Sunday
11p-7a (the next morning) ED Night Shift
OFF
“C” Student Schedule
Monday: 10 am Orientation, 1p-4p Workshop
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
1p-11p Clinical Shift (including 1p-4p Attending Rounds)
OFF, You do NOT need to come to Attending Rounds
1p-11p Clinical Shift (including 1p-4p Attending Rounds)
11a-1p Workshop, 1p-3p Friday Seminar
OFF
OFF
Monday:
Tuesday
Wednesday
Thursday
Friday
OFF
OFF
7a-4p Clinical Shift (including 1p-4p Attending Rounds)
OFF (ED Conference 7a-noon ~ optional)
11a-1p Workshop, 1p-3p Friday Seminar, 11p-7a (the next morning) ED
Night Shift
Saturday
Sunday
11p-7a (the next morning) ED Night Shift
OFF
“D” Student Schedule
Monday:
Tuesday
10 am Orientation, 1p-4p Workshop
OFF, You do NOT need to come to Attending Rounds
Wednesday
Thursday
7a-4p Clinical Shift (including 1p-4p Attending Rounds)
OFF (ED Conference 7a-noon~ optional)
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Friday
Saturday
Sunday
Monday:
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
11a-1p Workshop, 1p-3p Friday Seminar, 11p-7a (the next morning) ED
Night Shift
11p-7a (the next morning) ED Night Shift
OFF
OFF
1p-11p Clinical Shift (including 1p-4p Attending Rounds)
OFF
1p-11p Clinical Shift (including 1p-4p Attending Rounds)
11a-1p Workshop, 1p-3p Friday Seminar
OFF
OFF
“E” Student Schedule
Monday: 10 am Orientation, 1p-4p Workshop
Tuesday
Wednesday
OFF, You do NOT need to come to Attending Rounds)
1p-11p Clinical Shift (including 1p-4p Attending Rounds)
Thursday
Friday
Saturday
Sunday
Monday:
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
OFF (ED Conference 7a-noon~ optional)
11a-1p Workshop, 1p-3p Friday Seminar, 11p-7a (the next morning) ED
Night Shift
11p-7a (the next morning) ED Night Shift
OFF
OFF
7a-4p Clinical Shift (including 1p-4p Attending Rounds)
OFF
1p-11p Clinical Shift (including 1p-4p Attending Rounds)
11a-1p Workshop, 1p-3p Friday Seminar
OFF
OFF
“F” Student Schedule
Monday: 10 am Orientation, 1p-4p Workshop
Tuesday
Wednesday
OFF, You do NOT need to come to Attending Rounds
1p-11p Clinical Shift (including 1p-4p Attending Rounds)
Thursday
Friday
Saturday
Sunday
Monday:
Tuesday
Wednesday
OFF (ED Conference 7a-noon) optional
11a-1p Workshop, 1p-3p Friday Seminar, 11p-7a (the next morning) ED
Night Shift
11p-7a (the next morning) ED Night Shift
OFF
OFF
1p-11p Clinical Shift (including 1p-4p Attending Rounds)
OFF
Thursday
Friday
Saturday
Sunday
7a-4p Clinical Shift (including 1p-4p Attending Rounds)
11a-1p Workshop, 1p-3p Friday Seminar
OFF
OFF
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To get the best overall experience as an emergency medicine physician, the student should consider dividing their shifts as follows.
Senior Shift
Observe a senior EM resident as s/he works through a shift. Senior physician’s duties include patient care, fielding transfers from other facilities, supervising other residents and generally managing the flow of the emergency department.
Junior Shift
Observe a second year EM resident’s approach to patients. They tend to see the sicker critical care patients, although they are responsible for all patients who present to the ED.
Junior residents are ideal to observe for the patient encounters you need to document.
Intern Shift
Observe a first year EM resident to…. These residents are very talented but have less experience and there will be more attending supervision that you will note.
Pediatric Shift
Observe the pediatric ED specialists in our department. They cover the pediatric side of the ED from 2pm to midnight.
Triage
Observe one-hour in the triage area to understand the concept of triage (observe criteria for triage level assignment, see initiation of nursing orders prior to physician evaluation and how ambulatory patients present to the emergency room). This may be a good time to get an IV established.
Critical Care
Observe 5-hours in the critical care areas for medical and trauma resuscitations.
Opportunities for procedures, CPR, and assistance with evaluation of critical trauma patients occur here.
Patient Encounters:
Patient acuity varies from day to day in the ED. There are two types of patient encounters, observation and direct patient contact. Below are instructions for documentation of both.
Observation Patient Encounters :
Students are required to see at least one patient with the following conditions: chest pain, dyspnea, altered mental status, abdominal pain and trauma. The student will observe these patients with an ED resident or attending. Students will document this encounter on the appropriate encounter sheet (included in the syllabus) according to the instructions below. The student will turn these sheets in after the rotation.
**Note that this medical document is not part of the official patient’s medical records.
3.
4.
5.
Chest Pain Encounter
1.
2.
See and evaluate with the resident a patient with the chief complaint of chest pain.
Use the “chest pain sheet” to obtain a history of the pain, associated symptoms, risk factors and characteristics of the discomfort.
Perform a directed physical exam.
Examine and discuss the ECG findings with the resident or faculty.
Examine the CXR and discuss findings.
9 | P a g e

6.
7.
8.
Discuss the appropriate laboratory investigations and their importance.
Discuss the potential working diagnosis and plan of management. If the patient is admitted, obtain the medical record number and follow-up the course in the hospital.
Copy the patient note and attach to the task list
If the patient has ST elevation MI and goes to the Cath Lab you’re welcome to accompany the patient to see the procedure, but return to the emergency room as soon as reasonably possible.
Have the ED attending review and sign the note .
9.
Dyspna Encounter
1.
See and evaluate with the resident a patient with the chief complaint of dyspnea.
2.
Obtain a history of the dyspnea, associated symptoms, risk factors for associated diseases.
3.
Document the results.
4.
Perform a directed physical exam.
5.
Examine and discuss the ECG findings with the resident or faculty, examine the CXR and discuss findings.
6.
Discuss the appropriate laboratory investigations and their importance.
7.
Discuss the potential working diagnosis and plan of management.
8.
Keep and attach a copy of the evaluation on the general emergency department history and physical sheet that is not part of the official medical record.
9.
Have the ED attending review and sign the note.
Altered Mental Status Encounter
1.
See and evaluate with the resident a patient with the chief complaint of altered mental status.
2.
Obtain a history, associated symptoms, risk factors for associated diseases.
3.
Document the results.
4.
Perform a directed physical exam focusing on the neurologic status.
5.
Discuss the appropriate laboratory investigations and their importance.
6.
Discuss the potential working diagnosis and plan of management.
7.
Document the findings on an ED history and physical form.
8.
Have the ED attending review and sign the note.
Abdominal Pain Encounter
1.
See and evaluate with the resident a patient with the chief complaint of abdominal pain.
2.
Obtain a history of the characteristics of the pain, associated symptoms and risk factors for associated diseases.
3.
Document the results.
4.
Perform a directed physical exam.
5.
Discuss the appropriate laboratory investigations and their importance.
6.
Discuss the potential working diagnosis and plan of management. If the patient is admitted, obtain the medical record number and follow-up the course in the hospital.
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7.
Complete history and physical on the general emergency medicine history and physical medical student note template. Have the ED attending review and sign the note.
Trauma Encounter
1.
Assist the ED resident with the initial evaluation of a trauma alert patient.
2.
Perform the primary survey in association with the resident.
3.
View the trauma alert sheets and assist in filling in information on these forms.
Direct Patient Encounters:
The student needs to document the below encounters in New Innovations after each shift. Refer to the instructions provided during College of Medicine orientation. The clerkship director will monitor the student’s experience throughout the clerkship in order to provide timely feedback.
1. Perform venous assess and set up an IV on TWO patients during the rotation. Failed attempts at IV insertion may count.
2. Perform the NIH Stroke scale on one patient.
3. Assist with one wound repair.
4. Perform the NEXUS rule on C-Spine evaluation (with supervision).
Feedback Card:
A required feedback card must be completed for each shift by the resident or attending whom the student worked with the most during the shift. These are designed to provide the student timely feedback. Although these are not factored into the student’s grade, they are required for the completion of the rotation.
EMS Ride-A-Long Requirement:
To experience pre-hospital care, all students must complete a 6-hour ride with the Fayette
County EMS unit. The student is expected to complete the Ride-A-Long during the rotation, but must complete prior to the 15 th
week in the event of unforeseen circumstances. The student will need to report between the hours of 7am -11pm. Read and follow directions carefully in order to set up a Ride-A-Long.
1.
Fill out the Ride-A-Long form located in New Innovation under curriculum and email to: woodb@lfd.lfucg.com
.
2.
Include 2 or more dates giving at least one-week availability.
3.
Major Wood will approve or disapprove the dates; assign an EC unit; and notify the student by email
4. After the ride a long, the student must complete the EMS ride along survey in New
Innovations.
Dress codes required by EMS:
Dress appropriate for weather.
UK student identification badge and stethoscope.
Males: clean and neat shirts (with collar), slacks, and dress style shoes.
Females: slacks and a blouse or jacket with shoes.
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Shorts, blue jeans, and logo t-shirts are prohibited.
Medical personnel may wear their work uniform (scrubs, etc.)
Fire stations for ride-a-longs Location
Station 1 EC-1 and Shift Supervisor 3
RD
St and MLK Blvd.
Station 2 EC-8 New Circle and Meadow Ln.
Station 3 Heavy Rescue Maxwell and Merino
Station 6 EC-7 Limestone and Scott St
Station 7 EC-4 Tates Creek and Lansdowne
Station 8 EC-3 N Broadway and Dover
Station 9 EC-2 Richmond and Fountain
Station 10 EC-6
Station 12 EC-9
Georgetown and Finney
Southland and Cherry Bark
ACLS Requirement:
Advanced Cardiac Life Support provider course is a requirement for completion of this course. A separate agenda will be provided. The student will be responsible for purchasing the ACLS provider manual and pocket card. The course will be scheduled during the 15-week time frame.
A separate preparation session on arrhythmias as well as medications used in ACLS will be given prior to the course.
Required Reading:
The students are required to read: First Exposure to Emergency Medicine Clerkship
Lance Hoffman et. al. ISBN # 0-07-141716-8
Dress:
Students are representing the College of Medicine and the Department of Emergency Medicine and should be properly and professionally attired. This includes the official UK identification badge, stethoscope, scrubs, white coats and student beepers. Proper protective gear is provided in the ED and shall be used to prevent healthcare worker blood fluid exposures.
Attendance:
Students are required to participate in all scheduled clerkship learning activities. Participation is graded as either PASS or FAIL (p/f). Anticipated absences from a scheduled activity should be approved in advance by the Clerkship Directors (Drs. Hoellein or Young) and by the Office of
Medical Education. The Clerkship Directors and Dean may approve unanticipated absences
(inclement weather, illness, family emergencies, etc.) after the fact. An unexcused absence from a scheduled clerkship learning activity may result in a failing grade for the course. Any absence
(excused or unexcused) may require make-up work.
Make-up work for missed clerkship learning activities will be scheduled outside usual course hours.
Students not able to attend mandatory lectures, small group meetings and clinical assignments must obtain an excused absence by contacting the Assistant Dean for Student Affairs .
Excused Absences: S.R. 5.2.4.2 defines the following as acceptable reasons for excused absences: 1) Serious illness 2) Illness or death of family member 3) University-related trips 4)
Major religious holy days Students anticipating an absence for a major religious holiday are
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responsible for notifying the instructor in writing of anticipated absences due to their observance of such holidays no later than the last day for adding a class. 5) Other circumstances the
Assistant Dean for Student Affairs finds to be "reasonable cause for nonattendance.”
Professionalism:
Please refer to the master syllabus for UKCOM professional standards and expectations concerning exams, electronic devices, duty hours, conduct and decorum.
Plagiarism:
The Professional Code of the College of Medicine states the following: “A medical student must not plagiarize materials of others. Students’ work is expected to be the result of their own thought, research or self-expression. Plagiarism is the act of presenting the information, ideas, organization or phrasing of another source as one’s own, without appropriate acknowledgement, either intentionally or because of gross negligence .”
It should be noted that use of materials from Internet and other electronic sources is governed by the same rules related to plagiarism as print sources. Instances of known or suspected plagiarism will be handled as required by Professional Code guidelines.
Grading:
40% Attendance and Participation in Shifts and Workshops
30% Grade on the Emergency Medicine Final exam based on workshops and required readings
20% Grade on the ACLS written exam
10% Score on combined Clinical Performance Examination on ED type patient complaints
(CPE-MD 835)
PASS/ FAIL Components:
EMS Ride-A-Long
ACLS Certification
Feedback cards for each shift worked including EMS Ride-A-Long
A compose score is created using the above criteria. Students completing all pass/ fail components and scoring between one standard deviation above and two standard deviations below the mean for their cohort of students will be awarded a final grade of “B”. Those students scoring greater than one standard deviation more than the mean will be awarded a grade of “A”,
Those students scoring less than two SD below the mean but greater than three SD below the mean will receive a “C” grade. Students scoring less than three standard deviations less than the mean will receive a “U” and will be required to remediate that portion of the grade most responsible for the poor score. (For example retake the EM exam, retake the CPE-MD 835) If the student successfully remediates the course, the new grade will be U/(re-scored composite grade).
Failure to remediate will result in an “E” grade. If a grade of “E” is given the student must appear before the professional code committee in accordance with University policy.
Failure to complete the pass/ fail components will result in an incomplete grade until all components are met.
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PRINT Student Name
___________________________
Shift Started at:
__________ am pm on ( / /2011)
Shift Ended at:
__________ am pm on ( / /2011)
This student demonstrated professional behavior
YES SOME NO
This student demonstrated empathy and caring
YES SOME NO
This student demonstrated intellectual curiosity
YES SOME NO
This student demonstrated enthusiasm
YES SOME NO
FEEDBACK FOR THIS SHIFT:
EVALUATOR
PRINT Student Name
___________________________
Shift Started at:
__________ am pm on ( / /2011)
Shift Ended at:
__________ am pm on ( / /2011)
This student demonstrated professional behavior
YES SOME NO
This student demonstrated empathy and caring
YES SOME NO
This student demonstrated intellectual curiosity
YES SOME NO
This student demonstrated enthusiasm
YES SOME NO
FEEDBACK FOR THIS SHIFT:
EVALUATOR
14 | P a g e

PRINT Student Name
___________________________
Shift Started at:
__________ am pm on ( / /2011)
Shift Ended at:
__________ am pm on ( / /2011)
This student demonstrated professional behavior
YES SOME NO
This student demonstrated empathy and caring
YES SOME NO
This student demonstrated intellectual curiosity
YES SOME NO
This student demonstrated enthusiasm
YES SOME NO
FEEDBACK FOR THIS SHIFT:
EVALUATOR
PRINT Student Name
___________________________
Shift Started at:
__________ am pm on ( / /2011)
Shift Ended at:
__________ am pm on ( / /2011)
This student demonstrated professional behavior
YES SOME NO
This student demonstrated empathy and caring
YES SOME NO
This student demonstrated intellectual curiosity
YES SOME NO
This student demonstrated enthusiasm
YES SOME NO
FEEDBACK FOR THIS SHIFT:
EVALUATOR

PRINT Student Name
___________________________
Shift Started at:
__________ am pm on ( / /2010)
Shift Ended at:
__________ am pm on ( / /2010)
This student demonstrated professional behavior
YES SOME NO
This student demonstrated empathy and caring
YES SOME NO
This student demonstrated intellectual curiosity
YES SOME NO
This student demonstrated enthusiasm
YES SOME NO
FEEDBACK FOR THIS SHIFT:
EVALUATOR
PRINT Student Name
___________________________
Shift Started at:
__________ am pm on ( / /2010)
Shift Ended at:
__________ am pm on ( / /2010)
This student demonstrated professional behavior
YES SOME NO
This student demonstrated empathy and caring
YES SOME NO
This student demonstrated intellectual curiosity
YES SOME NO
This student demonstrated enthusiasm
YES SOME NO
FEEDBACK FOR THIS SHIFT:
EVALUATOR