4
Rev 12-05
The University of Akron
Coordinated Program in Dietetics
Supervised Practice Evaluation: 329
Student______Evaluator______
Rotation______Dates______to ______
/ Consistently / Usually / Rarely / N/A / * Points /Uses effective oral and written communication skills
Comments:
Participates in professional activities.
Comments:
Demonstrates the ability to interpret medical terminology.
Comments:
Demonstrates knowledge of general health assessment, e.g. vital signs, blood pressure.
Comments:
Demonstrates knowledge of pharmacology, nutrient-nutrient and drug-nutrient interactions.
Comments:
Refers clients/patients to other dietetics professionals or disciplines when a situation is beyond one’s level or area of competence.
Comments:
Provides nutrition counseling and education to individuals and groups for health promotion, maintenance, treatment, and rehabilitation.
Comments:
Uses current technologies for information and communication activities
Comments:
Consistently / Usually / Rarely / N/A / * Points
Interprets and incorporates new scientific knowledge into practice
Comments:
Integrates pathophysiology into medical nutrition therapy recommendations.
Comments:
Performs ethically in accordance with the Code of Ethics for the Profession of Dietetics.
Comments:
Provides nutrition care for individuals and groups through systematic screening
Comments:
Assesses/supervises nutrition assessment of individual patients/clients with selected medical conditions, e.g. diabetes, cardiovascular disease, gastrointestinal disease.
Comments:
Designs and implements nutrition care plans as indicated by the patient/client’s health status.
Comments:
Supervises design through evaluation of nutrition care plan for patients/clients with complex medical conditions, i.e., more complicated health conditions in select populations, e.g., those with renal disease, multi-system organ failure, trauma
Comments:
Manages monitoring of patients’/clients’ food and/or nutrient intake.
Comments:
Consistently / Usually / Rarely / N/A / * Points
Provides nutrition counseling and education to individuals and groups Comments:
Coordinates and modifies nutrition care activities among caregivers.
Comments:
Refers patients/clients to appropriate community services for general health and nutrition needs and to other primary care providers as appropriate.
Comments:
Provides nutrition care for people of diverse culture and religions across the lifespan, i.e., infants through geriatrics.
Comments:
Makes sound judgments
Comments:
Demonstrates initiative
Comments:
Is accurate in written/oral work
Comments:
Functions independently, with minimal supervision
Comments:
Accepts constructive criticism
Comments:
Consistently / Usually / Rarely / N/A / * Points
Is punctual and extends self to make most of experience
Comments:
Summary:
Strengths:
Areas needing improvement:
Additional comments:
Student______Instructor______
Date______Overall grade ______
Student Comments:
* Points: A = 8 points; B = 6 points; C = 4 points; D = 2 points; F = 0 points