PEER EVALUATION FORM FOR PRACTICUM

Date: 3/30/15
Session: Traction Splint
Physician: Lindsay Hahn
Observer: Samantha Ruff
Brief Description of Session:
_________Students were shown how to use both Hare and Sager traction splints and then given time to
practice with feedback from instructors.

Identified objectives at the beginning of the session

Demonstrated ability to communicate orally

Answered questions clearly and in a helpful manner

Used appropriate methods for the activities presented

Used appropriate instructional materials

Implemented activities and information in a logical

sequence
Provided audience with opportunities to participate

Communicated content/information that was

technically accurate
Established rapport with audience

CT

NQ

CT

NQ

Used the visual aids effectively

The instructional materials/handouts were interesting and

easy to understand

Personal Skills

Showed respect for all in the audience

Spoke clearly and enthusiastically

Developed by Kadriye O Lewis, Ed.D

Online Masters Program for Healthcare Professionals
Cincinnati Childrens Hospital Medical Center

Judge

NA

Not Qualified to

Couldn't Tell

this SituationNot Applicable to

Poor

Fair

Good

Presentation Skills

Excellent

EVALUATION CRITERIA

Outstanding

Please rate the following statements that represent your appraisal of the issue.

NA

Demonstrated professional/ethical behavior

Demonstrated self-confidence

Demonstrated a sense of humor

Body Language (Maintained eye contact)

Voice (Varied rate, pitch, volume for emphasis)

Organizational Skills

The presenter was prepared to take charge.

There was a clearly stated introduction.

The sequencing of the subject material was logical.

The presenter demonstrated ability to work with groups.

The time was used effectively.

Content

The topics covered were relevant to audience work.

The topic was treated in sufficient depth.

Terms were clearly explained.

Facility/Equipment

The room was comfortable.

The room was free from distractions.

The computer equipment, including hardware, was set up

correctly and worked correctly.

THINGS THAT WORKED

Demonstrated Hare and Sager quickly and
efficiently
Each student had time to practice with both devices
Students were told to practice on different people
each time to practice on different sizes of people

Developed by Kadriye O Lewis, Ed.D

Online Masters Program for Healthcare Professionals
Cincinnati Childrens Hospital Medical Center

NA

CT

NQ

NA

CT

NQ

NA

CT

NQ

x
QUESTIONS AND SUGGESTIONS
Running two groups of three students at the same
time is difficult with the time crunch it was
necessary but it would have been ideal to focus all
attention on one group at a time

Other Comments:

Developed by Kadriye O Lewis, Ed.D

Online Masters Program for Healthcare Professionals
Cincinnati Childrens Hospital Medical Center