Responsibility and Respect

PLUS Observation Form

Owned by Molly Clarie Cook
Last updated: Jul 26, 2013 by Leta Moser
1 min read

 ObservationFormFA13.doc

The word doc linked above is what we use. It's displayed below just to give you an idea of what the observers are looking for.

PLUS Observation Form
Fall 2013
Observer: ________________________
Preceptors: _______________________________________________________________________________________
Date & Time: ____________________ Location: __________________

Preceptor

SCORE (1-4)

 

 

 

 

 

 

 

 

Interpersonal Skills

Embracing Program Philosophy

Facilitation Skills

Time Organization

Uses Effective Questioning Techniques

Problem Solving Skills

Individual TOTALS

OVERALL GROUP SCORE (1-4)

Name:

 

 

 

 

 

 

 

 

Name:

 

 

 

 

 

 

 

 

Name:

 

 

 

 

 

 

 

 

Quick Comments

 

 

 

 

 

 

 

 


Comments:

Please make specific notes about each preceptor, how well they worked together, and the group time as a whole.

Questions? Contact Leta Moser, PLUS Program Coordinator, at leta.moser@austin.utexas.edu