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PO/KM/PS July 05 Student feedback for mentor/assessor Please tick ...

PO/KM/PS July 05 Student feedback for mentor/assessor Please tick ...

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<strong>Student</strong> <strong>feedback</strong> <strong>for</strong> <strong>mentor</strong>/<strong>assessor</strong><br />

<strong>Please</strong> <strong>tick</strong> the box which reflects your views.<br />

1=Strongly agree.<br />

2=Agree<br />

3=Neither agree nor disagree<br />

4=Disagree<br />

5=Strongly disagree<br />

Aspects of the role 1 2 3 4 5 <strong>Please</strong> give examples and/or further<br />

comments.<br />

1 Was enthusiastic about the<br />

role of facilitator of learning<br />

2 Established ground rules with<br />

me, regarding the placement<br />

experience<br />

3 Orientated me to the<br />

placement<br />

4 Helped me to integrate into the<br />

multi-professional team<br />

5 Took into account my past<br />

experience and skills in<br />

relation to planning my<br />

learning<br />

6 Was aware of my needs in<br />

relation to module learning<br />

outcomes and placement<br />

assessment<br />

7 Offers an appropriate level of<br />

supervision (direct-indirect)<br />

that is responsive to my<br />

development.<br />

8 Helped me to identify<br />

opportunities <strong>for</strong> my learning<br />

9 Was able to develop a good<br />

working relationship/<br />

partnership<br />

<strong>PO</strong>/<strong>KM</strong>/<strong>PS</strong> <strong>July</strong> <strong>05</strong> 1 PLU08_14


Aspects of the role 1 2 3 4 5 <strong>Please</strong> give examples and/or further<br />

comments.<br />

10 Provided appropriate support<br />

where needed<br />

11 Helped me connect theory and<br />

practice<br />

12 Encouraged me to take<br />

responsibility <strong>for</strong> my own<br />

learning<br />

13 Was approachable and open<br />

to questioning and <strong>feedback</strong><br />

14 Assessed my level of<br />

competence and challenged<br />

me appropriately throughout<br />

my placement<br />

15 Offered clear rationale <strong>for</strong><br />

clinical decision making<br />

16 Used a variety of methods to<br />

assess my competence: e.g.<br />

observation, listening,<br />

<strong>feedback</strong> from others,<br />

questioning, reflection and<br />

discussion of my selfassessment.<br />

17 Made appropriate time to<br />

discuss my progress<br />

throughout my placement<br />

18 Gave balanced, constructive<br />

<strong>feedback</strong> throughout my<br />

placement<br />

19 Acted as a good role model <strong>for</strong><br />

high quality, evidence based<br />

practice<br />

<strong>Please</strong> add any further constructive comments/specific <strong>feedback</strong>:<br />

<strong>PO</strong>/<strong>KM</strong>/<strong>PS</strong> <strong>July</strong> <strong>05</strong> 2 PLU08_14

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