University of Texas Medical Branch
Clinical Laboratory Sciences Academic Year 09-10
Affective Objectives Evaluation
Page 1
Preceptorship Affective Objectives
Purpose
The UTMB CLS student is required to meet cognitive (knowledge), psychomotor (skill) and
affective (attitude) objectives. This document outlines the affective objectives of the UTMB
CLS program that are the essence of quality health care and professional behavior. The
affective objectives, which are listed in this document, are evaluated during the student’s
clinical preceptorship experiences.
Objectives
To demonstrate professional behavior, the student will:
1. demonstrate a positive attitude by being prepared for the preceptorship experience,
completing assigned tasks, and show evidence of initiative. (ATTITUDE)
2. arrive on time and begin work promptly. (ATTENDANCE/PUNCTUALITY)
3. follow directions, pursue accuracy diligently, and work on your own after being given
instructions. (DEPENDABILITY)
4. use advance planning, establish priorities, utilize extra time efficiently and keep work
area neat and clean. (ORGANIZATION)
5. attend to detail by documenting data accurately and legibly, meeting deadlines and
following all standard operating procedures. (ATTENTION TO DETAIL)
6. recognize errors and repeat lab tests when necessary. (ERROR RECOGNITION AND
CORRECTION)
7. cooperate and communicate effectively with peers and instructors, and display
courteous, considerate behavior towards peers, instructors and patients.
(INTERPERSONAL SKILLS)
8. display self-confidence by initiating new procedures, by interacting freely in discussion,
and with instructors and peers and by accepting constructive criticism. (SELF
CONFIDENCE)
9. explain the purpose of each step in instrument operation, perceive most procedural
errors and instrument failure appropriately and arrive at appropriate solutions using
sound logic and analytical reasoning. (PROBLEM-SOLVING)
10. abide by all rules and regulations governing the CLS program and the preceptorship
clinical facility. (POLICY COMPLIANCE)
University of Texas Medical Branch
Clinical Laboratory Sciences Academic Year 09-10
Affective Objectives Evaluation
Page 2
Evaluation Checklist for Affective Objectives
Institution_____________________________________________Date ____________________________
Student_____________________________________________Evaluator ___________________________
Directions: Please use the following rating scale for the evaluation checklist of Affective Objectives.
Check "YES" if the student has demonstrated accomplishment of the stated objective at the acceptable
level.
Check "NO" if the student has been unable to perform the stated objective. Please explain the “NO”
response in the comment area; use the back of the form if necessary.
I. Behavior/Attitude
The student shall have the opportunity to demonstrate the ability to:
NO
YES
No
Yes
arrive on time (within 5 minutes) 95% of the time prepared to commence learning experience;
take only scheduled breaks, and return from lunch and breaks promptly 95% of the time;
report to work on schedule 95% of the time, call and report to appropriate person(s) if unable to
come in;
comply with dress code 100% of the time;
comply with established student and administrative policies 100% of the time.
Clinical Coordinator Comments:
II. Professional Commitment
The student shall have the opportunity to demonstrate the ability to:
respect the rights of patients;
maintain patient confidentiality;
show consideration for individual patients and their needs;
observe quality assurance limitations;
record and report findings thoroughly, accurately, and legibly;
verify all abnormal results;
recognize own limitations and seek help;
check all work before submission to supervisor;
follow all procedures carefully as written, without alterations or short-cuts.
Clinical Coordinator Comments:
University of Texas Medical Branch
Clinical Laboratory Sciences Academic Year 09-10
Affective Objectives Evaluation
Page 3
III. Development of Professional Skills
The student shall have the opportunity to demonstrate the ability to:
No
Yes
No
Yes
use appropriate safety procedures 100% of the time;
use equipment carefully as prescribed by operations manual 100% of the time;
maintain work area neat, clean, and well-supplied 95% of the time;
use supplies/expendables in cost conscious manner 100% of the time;
respond to change in a constructive and cooperative manner.
Clinical Coordinator Comments:
IV. Commitment to Personal and Professional Development
The student shall have the opportunity to demonstrate the ability to:
respect the needs of others as to personal considerations, use of supplies, and equipment
100% of time;
maintain proper decorum in situations involving hospital staff and physicians 100% of the time;
accept responsibility for and correct own errors 100% of the time;
readily undertake any procedure assigned 95% of the time;
accept instruction and constructive criticism from instructors 95% of the time;
participate in learning experience by asking questions, reading manuals, seeking clarification
and/or additional information 90% of the time;
discuss problems rather than complain 90% of the time;
participate in continuing education whenever offered; be supportive of college and hospital
affiliate 90% of the time.
Clinical Coordinator Comments:
Clinical Coordinator ______________________________________________ Date ___________
I have had the opportunity to review this evaluation. My signature below does not indicate that I agree or
disagree with the above evaluation.
Name (print)_______________________________________Date __________________________
Signature ___________________________________Clinical Evaluator______________________