1. PERSONNEL RESOURCES
PROGRAM FACULTY (Completed by Medical Directors & Advisory Committee Members only)
A. FACULTY TEACH EFFECTIVELY IN THE:
B. FACULTY NUMBERS ARE SUFFICIENT IN THE:
C. PROGRAM KEY PERSONNEL:
1. Program Director is accessible (2.06)
2. Director of Clinical Education is accessible (2.10)
MEDICAL DIRECTOR(S) (Completed by Program Faculty and Advisory Committee only)
1. Medical Director(s) ensures that didactic instruction and clinical experiences meet current practice guidelines (2.11)
Comments:
2. FACILITIES
A. CLASSROOMS HAVE ADEQUATE:
4. audiovisual equipment/materials/technology to support effective instruction (2.01)
B. LABORATORIES HAVE ADEQUATE:
Comments:
3. LABORATORY RESOURCES
A. The amount of equipment is sufficient for student to perform the required laboratory exercises (2.01)
B. The variety of equipment is sufficient for me to perform the required laboratory exercises (2.01)
C. The duration and quality of laboratory experiences is sufficient for student to acquire the competencies (4.08)
D. Supplies are sufficient for student to perform the required laboratory exercises (2.01)
E. Technology is sufficient for student to perform the required laboratory exercises (2.01)
F. Laboratory resources are available/accessible to student when needed (2.01)
Comments:
4. ACADEMIC SUPPORT RESOURCES
A. Learning resources (ex., textbooks, journals, reference materials, and computers) are sufficient to support the curriculum (2.01)
B. Learning resources are available/accessible to student when needed (2.01)
C. Administrative and clerical support staff enable Program to meet its goals and objectives (2.15)
Comments:
5. FINANCIAL RESOURCES
A. PROGRAM BUDGET PROVIDES FOR:
1. Sufficient access to functioning and up-to-date equipment to achieve program goals and objectives (2.01)
2. Supply purchases necessary to achieve program goals and objectives (2.01)
3. A sufficient number of faculty for didactic (classroom) and laboratory instruction (2.01)
4. A sufficient number of faculty for clinical instruction (2.01)
5. Adequate continuing professional development of program faculty (2.01)
Comments:
6. CLINICAL RESOURCES
A. Each clinical experience is of sufficient quality and duration for student to meet clinical objectives (4.08)
B. Clinical sites offer sufficient supervision for student to meet clinical objectives (4.08)
C. Clinical sites offer a sufficient variety of patient experiences for student to meet clinical objectives (4.08)
D. Clinical sites offer a sufficient variety of patient populations for student to meet clinical objectives (4.08)
E. Clinical sites provide sufficient practice time for student to meet clinical objectives (4.08)
F. Clinical instructor to student ratio is adequate (2.13)
G. Clinical instructors provide feedback and mentoring during student's clinical rotations (3.12)
Comments:
7. For Students at the Program's Satellite Campus(es) Only
A. The satellite coordinator (faculty member) ensures uniform implementation of the program on that site (2.14)
B. The satellite coordinator (faculty member) was accessible to PD and DCE (2.14)
Comments:
8. ADDITIONAL COMMENTS
Please provide any additional comments or recommendations for improvement:
What position do you hold with this program?
How long have you been a associated with the program?
Years:
Months: