Student Final Grade Submission
Last Revision: Wednesday August 05, 2009

Student and Course Information

Student's Last Name:    Student's First Name: 

Maiden Name:   (If female and married during pharmacy school)

Course Number:   Instructor:  

Clerkship Month:      Year:  

All information above, except maiden name, is required to use this form

Student Performance

Instructions: 
Choose the abilities that most closely represent the student's performance. For any chosen ability, both the grade and % of grade must be selected. The total % must equal 100% and can be checked using a button at the bottom of the form. The calculated "trial average" will be displayed and can be recalculated before you submit the final average (in red).

Important note: The Experiential Education Program requires that students complete an examination and a project or presentation in order for a student to successfully complete her/his rotation. That means that this form will NOT submit a grade for a student if values are not assigned for a project/presentation (Item 23) and for an examination (Item 24).
 

                        Abilities  (see Frequently Asked Questions for more detailed descriptions of abilities)

% of grade

Grade
1.  Evaluated orders, compounded, packaged and dispensed medications

     
2.  Managed the practice

     
3.  Applied computer and technology skills

     
4.  Communicated well with patients and health care professionals

     
5.  Developed, implemented, evaluated and modified (or recommended modifications) of pharmaceutical plan of care

6.  Solved medication-related problems

     
7.  Assessed patients and ordered meds or labs

     
8.  Triaged patients

     
9.  Administered medications

     
10.  Counseled and educated patients and health-care professionals

     
11.  Related non-drug therapy knowledge

     
12.  Provided emergency care and information

     
13.  Managed professional information

     
14.  Optimized therapy using clinical information

     
15.  Collaborated with other health care professionals

     
16.  Evaluated and documented interventions and outcomes

     
17.  Self-assessed learning

     
18.  Thought critically and solved professional problems

     
19.  Made and defended rational, ethical decisions

     
20.  Demonstrated psychological and social awareness of patient needs

     
21.  Demonstrated awareness of importance of life-long learning

     
22.  Demonstrated professional attitudes

     
23.  Developed a project and/or performed presentation (MANDATORY)

     
24.  Completed written and/or oral examination(s) (MANDATORY)


 Percentage of Grade Assigned: Trial Average: Trial Grade: 

Total % of grade must equal 100%. Make adjustments and recalculate, if needed.
       
Final Average Submitted Final Grade Submitted:

Once the student's grade is submitted it can NOT be altered.

PLEASE NOTE: Once you click "Submit" you should see a "Confirmation of Final Grade Assignment" appear
 on your screen. This verifies that the grade was received and recorded in the database. If you do not see this
screen appear, notify Len Cleavelin at (901) 448-3403 immediately.

Thank you for helping educate our students!