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Clinical Rotation Evaluation
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Intern's EMT #:   
Intern's Last Name:   
Intern's First Name:   
Date of Shift:    
Clinical Site:
If Other, please specify:   
If Other, please specify:   
Please consider each item separately and rate each item independently of all others.
Please do not skip any rating, if the statement does not apply, select "Not Applicable."

 Not ApplicableStrongly DisagreeGenerally DisagreeNeutral (Acceptable)
Generally AgreeStrongly Agree
The preceptors were helpful, interactive, and knowledgeable.
The preceptors were aware of the roles and responsibilities of paramedics.
In my opinion, the specific department at the facility offered sufficient skills to make my clinical rotations productive and worthwhile.
Preceptors encouraged my participation with patient assessment and care.
Preceptors represented paramedic interns to other staff and patients as healthcare professionals.
Preceptors offered constructive criticism when I made mistakes
Physician - paramedic intern interaction at this site is adequate / good.
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