Final Eval Fall 17

5/1/2019 Georgia College Mail - Fwd: Form submission from: KINS 3102: Preceptor Evaluation of Student
adekemi adeleke <adekemi.adeleke@bobcats.gcsu.edu>
Fwd: Form submission from: KINS 3102: Preceptor Evaluation of Student

1 message
mandy jarriel <mandy.jarriel@gcsu.edu> Tue, Dec 5, 2017 at 8:33 PM

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: Kemi Adeleke <georgia.college@gcsu.edu>

Date: December 5, 2017 at 7:58:36 PM EST
To: <mandy.jarriel@gcsu.edu>
Subject: Form submission from: KINS 3102: Preceptor Evaluation of Student
Submitted on December 5, 2017 - 7:58pm

Submitted by anonymous user: [184.180.233.195]
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
Kemi Adeleke
Preceptor Name
Mary Catherine Sikes
Preceptor Email
mc_sikes@piedmontacademy.com
Clinical Setting/Experience
Piedmont Academy
Date
https://mail.google.com/mail/u/2?ik=5d1700dbb6&view=pt&search=all&permthid=thread-f%3A1585996378896269922&simpl=msg-f%3A15859963788… 1/5
December 5, 2017
Evaluation
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
NA 5 4 3 2 1
2. Demonstrates professionalism (i.e., attitude, actions, dress/appearance). X
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 a X

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

function well during periods of high stress.
NA 5 4 3 2 1
7. Demonstrates the perseverance, diligence and commitment to complete X

the athletic training program as outlined and sequenced.
8. Demonstrates flexibility and the ability to adjust to changing situatins and X

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

relate to professonal education and quality patient care.
Lower Extremity Assessment Skills
NA 5 4 3 2 1
1. Obtains appropriate medical history. X
2. Completes appropriate visual observation of lower extremity X

injury/condition.
3. Identifies and palpates appropriate lower extremity anatomical X

landmarks.
4. Assesses lower extremity range of motion appropriately. X
5. Performs lower extremity manual muscle test(s) appropriately. X
6. Selects appropriate diagnostic/special tests pertinent to injury/condition. X
7. Performs lower extremity diagnostic/special tests accurately. X
8. Differentiates between normal and abnormal patient physical findings. X
9. Performs appropriate lower extremity neurological circulatory X

assessment.
10. Documents evaluation and diagnosis appropriately. X
Therapeutic Modalities Skills
NA 5 4 3 2 1
1. Selects appropriate modality based on desired patient outcomes. X
2. Inspects modality prior to use to ensure safety. X
3. Utilizes proper patient positioning during treatments. X
4. Identifies indications and contraindications for modality use. X
5. Utilizes appropriate parameters for modality use. X
6. Utilizes correct procedures for modality application and use. X
7. Documents treatment appropriately. 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 definitely understands and accepts her role as a health care provider and seem to really enjoy what
she does.
Utilization of evidence-based medicine techniques in patient care

Kemi is always asking questions about how research is related to what we are doing at the clinical site. She
also brings in new ideas from things she is learning in class and is always interested in relating the two .
Strengths of the athletic training student

Kemi's personality is by far her biggest strength. She is easily able to form bonds with both the students and
coaches at Piedmont, and both trust her and her abilities as an athletic training student. Kemi also shows a
learning initiative in more than just what she is learning in the program at that time. She is always interested
in talking about new topics and ideas in athletic training.
Areas for the athletic training student to improve

Kemi should continue to work on evaluation skills. Unfortunately my site did not have a ton of real-time
lower extremity evaluations for her, but I know the more she does them, she will improve easily and quickly.
Do you feel students under your supervision engage in a sufficient number of real-time clinical
evaluations? Why or Why Not?
No. We did not have a lot of real-time injuries/evaluations for Kemi to be involved in, especially with lower
extremity. A majority of our lower injuries happened at the very beginning of the year before she started
evaluations.
Additional comments
It was a pleasure to have Kemi at my site. I know she is going to do great in whatever field of athletic
training she chooses!
Signature
__________________________________________ Student Signature / Date
The results of this submission may be viewed at:

https://intranet.gcsu.edu/node/1606/submission/14028

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5/1/2019 Georgia College Mail - Fwd: Form submission from: KINS 3102: Preceptor Evaluation of Student

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

Fwd: Form submission from: KINS 3102: Preceptor Evaluation of Student

mandy jarriel <mandy.jarriel@gcsu.edu> Tue, Dec 5, 2017 at 8:33 PM

Mandy Jarriel PhD, ATC, LAT

Begin forwarded message:

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

Submitted on December 5, 2017 - 7:58pm

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, dress/appearance). 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 a 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 situatins and X

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

Lower Extremity Assessment Skills

1. Obtains appropriate medical history. X

2. Completes appropriate visual observation of lower extremity X

3. Identifies and palpates appropriate lower extremity anatomical X

4. Assesses lower extremity range of motion appropriately. X

5. Performs lower extremity manual muscle test(s) appropriately. X

6. Selects appropriate diagnostic/special tests pertinent to injury/condition. X

7. Performs lower extremity diagnostic/special tests accurately. X

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

9. Performs appropriate lower extremity neurological circulatory X

10. Documents evaluation and diagnosis appropriately. X

Therapeutic Modalities Skills

1. Selects appropriate modality based on desired patient outcomes. X

2. Inspects modality prior to use to ensure safety. X

3. Utilizes proper patient positioning during treatments. X

4. Identifies indications and contraindications for modality use. X

5. Utilizes appropriate parameters for modality use. X

6. Utilizes correct procedures for modality application and use. X

7. Documents treatment appropriately. X

Willingness to accept role as a health care provider