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Clinical Student Evaluation

Preceptor Assessment Portal

This page provides access to the Clinical Student Evaluation Form, which preceptors use to assess student performance during clinical rotations. The evaluation covers core clinical competencies, professionalism, communication, and overall readiness for practice. Completed evaluations support consistent feedback, accurate progress tracking, and full program compliance.

📘 Preceptor Guidance Document (Click to Expand)

The Preceptor Training Document outlines preceptor expectations, student responsibilities,
documentation requirements, and key program information for Texas Rescue Med clinical rotations.

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Click here to open the PDF in a new tab

Submit Clinical Student Evaluation

Please complete all required fields below. Submitted evaluations are sent securely to the program for review and recordkeeping.

    Clinical Student Evaluation

    Student Name:
    Student Email:

    Course / Cohort*

    Clinical Site / Agency*

    Clinical Shift / Ride #*

    Clinical Location:
    Clinical Date:
    Today's Date:
    Hours Completed Today:
    Preceptor Name:
    Preceptor Email:
    Patient Assessment Skills
    Ability to conduct a thorough primary and secondary assessment.
    Competence in identifying and prioritizing life-threatening conditions.
    Rating (1–10)
    Communication Skills
    Communicating effectively with patients, family, and professionals.
    Clarity and accuracy in documenting patient care.
    Rating (1–10)
    Medical Knowledge and Application
    Understanding and applying protocols, anatomy, physiology.
    Rating (1–10)
    Clinical Decision-Making
    Ability to make appropriate decisions from assessment.
    Rating (1–10)
    Technical Skills
    Proficiency with BLS procedures and equipment.
    Rating (1–10)
    Professionalism and Ethics
    Professional conduct, confidentiality, punctuality, teamwork.
    Rating (1–10)
    Safety and Risk Management
    Implements safety protocols, mitigates hazards.
    Rating (1–10)
    Patient Interaction and Empathy
    Compassionate care, emotional support, difficult interactions.
    Rating (1–10)
    Time Management and Efficiency
    Effective time use during assessment/transport.
    Rating (1–10)
    Adaptability and Resilience
    Handles stress, adapts to changing scene environments.
    Rating (1–10)
    Average Score (All Domains)

    Comments

    Save and Resume Later

    Related Clinical Documentation

    Need to complete other clinical forms? Use the links below.

    Questions about clinical documentation? Contact
    info@texasrescuemed.com.