Student Midterm  Assessment
 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 during the first half of this rotation month.
 

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

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

 

Please review your assessments carefully; once submitted, the assessments cannot be changed!
Once you are satisfied with the Mid-rotation Assessment, click on "Submit" below.
       


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

Thank you for helping educate our students!