Appendix 20a - Reflective Tutorial Feedback Form

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Reflective Tutorial Year 4: Feedback/Report Form 2013-14
Name:…………………………………………
Date:………………………
Written Submission
Not
disc.
Tutor:……………………………………………
Fail
Weak
Satisfactory
Good
Excellent
0-39%
40-49%
50-59%
60-69%
70-100%
Appropriate nature of issues identified
Clear and concise descriptions
Evidence of understanding of the CPD process
Appropriate precision on elements requiring change
Evidence of effective outcome measures
Appropriate structure and sequence
Style of writing and use of terminology
Evidence and references in support
During the Tutorial
Appropriate expansion of information requested
Evidence of appropriate self awareness in responses
Level of engagement in the discussion
Relevance and focus of responses
Use of literature and resources to support discussion
An awareness of the impact of the students behaviours on
others
An appropriate understanding of the CPD process
An appropriate understanding of the needs of clients
An appropriate understanding of the needs of the service
Flexibility
Overall
Evidence of the appropriate level of reflection
An ability to extract the impact of views, feelings and
clinical reasoning where relevant
Professionalism (presentation of information, terminology
etc.)
Awareness of professional roles/boundaries
Linking of theory to practice
Overall comments:
% MARK
Tutor signature:
Updated September 2013
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