Final Eval Fall 18

5/1/2019 Georgia College Mail - Fwd: Form submission from: KINS 4102: Preceptor Evaluation of Student
adekemi adeleke <adekemi.adeleke@bobcats.gcsu.edu>
Fwd: Form submission from: KINS 4102: Preceptor Evaluation of Student

1 message
mandy jarriel <mandy.jarriel@gcsu.edu> Wed, Dec 5, 2018 at 10:24 AM

To: "adekemi.adeleke@bobcats.gcsu.edu" <adekemi.adeleke@bobcats.gcsu.edu>
Mandy Jarriel PhD, ATC, LAT

School of Health and Human Performance
Associate Professor, Program Director
Athletic Training Program
Campus Box 112
Health Sciences Building 330
478-445-2136
Begin forwarded message:
From: Adekemi Adeleke <georgia.college@gcsu.edu>

Date: December 5, 2018 at 10:22:32 AM EST
To: <mandy.jarriel@gcsu.edu>
Subject: Form submission from: KINS 4102: Preceptor Evaluation of Student
Submitted on December 5, 2018 - 10:22am

Submitted by anonymous user: [98.188.241.66]
Submitted values are:
INSTRUCTIONS
Please fill out the evaluation below. The survey will be emailed to the email address you provided on
the survey. Please printout the email. Both the student and preceptor need to sign and date the last
page of the printout.
Student Name
Adekemi Adeleke
Preceptor Name
Garrett Law
Preceptor Email
garrett.law@fpdmacon.org
Date
December 5, 2018
Evaluation
https://mail.google.com/mail/u/2?ik=5d1700dbb6&view=pt&search=all&permthid=thread-f%3A1619025984904529391&simpl=msg-f%3A16190259849… 1/5
Final Evaluation
DIRECTIONS
Please evaluate the athletic training student objectively. Please select the appropriate response for
each item in the categories below. Select NA if you are not able to assess the student. NA = Not Able
to Assess 5 = Outstanding 4 = Good 3 = Satisfactory 2 = Improvement Needed 1 = Unacceptable
Athletic Training Knowledge
NA 5 4 3 2 1
1. Demonstrates knowledge of policies and procedures of clinical X

experience setting.
2. Demonstrates knowledge in injury prevention. X
3. Demonstrates skill in selecting and interpreting fitness/testing X

procedures to minimize risk of injury/illness.
4. Demonstrates skill in developing and implementing prevention strategies X

to minimize risk of injury/illness.
5. Demonstrates knowledge in taping/bracing techniques. X
6. Demonstrates skill in applying taping/bracing techniques. X
7. Demonstrates knowledge in injury evaluation and diagnosis. X
8. Demonstrates knowledge in providing treatment to patients/athletes. X
Interpersonal Skills
NA 5 4 3 2 1
1. Demonstrates effective written communication with preceptor. X
2. Demonstrates effective oral communication with preceptor. X
3. Demonstrates effective communication with patients/athletes. X
4. Demonstrates effective communication with other staff/personnel. X
5. Demonstrates effective critical-thinking skills. X
6. Demonstrates effective clinical decision-making skills. X
7. Demonstrates a positive attitude in interactions with preceptor, patients, X

etc.
8. Demonstrates confidence in abilities as an athletic training student. X
Professional Responsibility
NA 5 4 3 2 1
1. Demonstrates punctuality. X
2. Demonstrates professionalism (i.e., attitude, actions, X

dress/appearance).
NA 5 4 3 2 1
3. Demonstrates initiative. X
4. Demonstrates a willingness to learn. X
5. Demonstrates an awareness of limitations. X
6. Maintains confidentiality. X
DIRECTIONS
Please evaluate the athletic training student objectively. Please select the appropriate response for
each item in the categories below. Select NA if you are not able to assess the student. NA = Not Able
to Assess 5 = Outstanding 4 = Good 3 = Satisfactory 2 = Improvement Needed 1 = Unacceptable
Administrative Tasks
NA 5 4 3 2 1
1. Demonstrates an ability to multi-task efficiently and effectively. X
2. Maintains an accurate inventory of supplies. X
3. Maintains accurate documentation of injuries/illnesses and treatments X

provided.
4. Documents injuries/illnesses and treatments accurately. X
5. Utilizes accurate and appropriate medical terminology. X
Technical Standards
NA 5 4 3 2 1
1. Demonstrates the mental capacity to assimilate, analyze, synthesize, X

integrate concepts and problem solve to formulate assessment and
therapeutic judgments.
2. Demonstrates sufficient postural and neuromuscular control, sensory X

function, and coordination to perform appropriate physical examinations
using accepted techniques.
3. Demonstrates the ability to tolerate physically taxing work loads. X
4. Demonstrates the ability to communicate effectively and sensitively with X

patients and colleagues, including individuals from different cultural and
social backgrounds.
5. Demonstrates the ability to record the physical examination results and X

a treatment plan clearly and accurately.
6. Demonstrates the capacity to maintain composure and continue to X

function well during periods of high stress.
7. Demonstrates the perseverance, diligence and commitment to complete X

the athletic training program as outlined and sequenced.
NA 5 4 3 2 1
8. Demonstrates flexibility and the ability to adjust to changing situations X

and uncertainty in clinical situations.
9. Demonstrate affective skills and appropriate demeanor and rapport that X

relate to professional education and quality patient care.
General Medical Conditions/Pharmacology Skills
NA 5 4 3 2 1
1. Utilizes appropriate strategies for assessing patient vital signs. X
2. Identifies and manages general medical conditions appropriately. X
3. Differentiates between normal and abnormal patient physical findings. X
4. Selects appropriate pharmacological intervention as needed. X
5. Utilizes appropriate strategies for dispensing OTC medications. X
6. Refers to specialized medical personnel when appropriate. X
GLOBAL ASSESSMENT
In the space below, please assess the athletic training in each of the following areas:
Willingness to accept role as a health care provider

Kemi has been willing to do what is needed to have a good learning experience and seems to enjoy
working with my athletes and coaches.
Utilization of evidence-based medicine techniques in patient care

Kemi always uses accepted EBM techniques and parameters that we discuss.
Strengths of the athletic training student

Kemi is a good role model for my athletes and (my girls especially) my athletes generally look to her as
a leader in the ATF. She asks good questions and often asks for help in techniques she is not confident
with. She does not get rattled with stress.
Areas for the athletic training student to improve

Kemi's ankle taping has improved over the semester, but she should continue to work on it.
Additional comments
Kemi has been a great student this semester. I know she will become a leader in her working
environment as she carries an air of confidence and leadership with her always.
Do you feel students under your supervision engage in a sufficient number of real-time clinical
evaluations? Why or Why Not?
Yes, my student generally get a first look at evals in the ATF, middle school and junior varsity events or any
time an athlete isn't needed in a time sensitive manner.
Signature
__________________________________________ Student Signature / Date
The results of this submission may be viewed at:

https://intranet.gcsu.edu/node/1600/submission/15089

Final Eval Fall 18

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5/1/2019 Georgia College Mail - Fwd: Form submission from: KINS 4102: Preceptor Evaluation of Student

adekemi adeleke <adekemi.adeleke@bobcats.gcsu.edu>

Fwd: Form submission from: KINS 4102: Preceptor Evaluation of Student

mandy jarriel <mandy.jarriel@gcsu.edu> Wed, Dec 5, 2018 at 10:24 AM

Mandy Jarriel PhD, ATC, LAT

Begin forwarded message:

From: Adekemi Adeleke <georgia.college@gcsu.edu>

Submitted on December 5, 2018 - 10:22am

Submitted values are:

Athletic Training Knowledge

1. Demonstrates knowledge of policies and procedures of clinical X

2. Demonstrates knowledge in injury prevention. X

3. Demonstrates skill in selecting and interpreting fitness/testing X

4. Demonstrates skill in developing and implementing prevention strategies X

5. Demonstrates knowledge in taping/bracing techniques. X

6. Demonstrates skill in applying taping/bracing techniques. X

7. Demonstrates knowledge in injury evaluation and diagnosis. X

8. Demonstrates knowledge in providing treatment to patients/athletes. X

1. Demonstrates effective written communication with preceptor. X

2. Demonstrates effective oral communication with preceptor. X

3. Demonstrates effective communication with patients/athletes. X

4. Demonstrates effective communication with other staff/personnel. X

5. Demonstrates effective critical-thinking skills. X

6. Demonstrates effective clinical decision-making skills. X

7. Demonstrates a positive attitude in interactions with preceptor, patients, X

8. Demonstrates confidence in abilities as an athletic training student. X

2. Demonstrates professionalism (i.e., attitude, actions, X

4. Demonstrates a willingness to learn. X

5. Demonstrates an awareness of limitations. X

1. Demonstrates an ability to multi-task efficiently and effectively. X

2. Maintains an accurate inventory of supplies. X

3. Maintains accurate documentation of injuries/illnesses and treatments X

4. Documents injuries/illnesses and treatments accurately. X

5. Utilizes accurate and appropriate medical terminology. X

1. Demonstrates the mental capacity to assimilate, analyze, synthesize, X

2. Demonstrates sufficient postural and neuromuscular control, sensory X

3. Demonstrates the ability to tolerate physically taxing work loads. X

4. Demonstrates the ability to communicate effectively and sensitively with X

5. Demonstrates the ability to record the physical examination results and X

6. Demonstrates the capacity to maintain composure and continue to X

7. Demonstrates the perseverance, diligence and commitment to complete X

8. Demonstrates flexibility and the ability to adjust to changing situations X

9. Demonstrate affective skills and appropriate demeanor and rapport that X

General Medical Conditions/Pharmacology Skills

1. Utilizes appropriate strategies for assessing patient vital signs. X

2. Identifies and manages general medical conditions appropriately. X

3. Differentiates between normal and abnormal patient physical findings. X

4. Selects appropriate pharmacological intervention as needed. X

5. Utilizes appropriate strategies for dispensing OTC medications. X

6. Refers to specialized medical personnel when appropriate. X

Willingness to accept role as a health care provider

Utilization of evidence-based medicine techniques in patient care

Strengths of the athletic training student

Areas for the athletic training student to improve

The results of this submission may be viewed at:

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