No / Never Always Cannot Insufficient Appropriate Judge Inappropriate Great Deal 1 2 3 4 5 1) Professional Attitude 2) Provides Realistic Workload 3) Provides Feedback on Student Performance 8) Holds Supervision Regularly 9) Clinical Knowledge 10) Conceptualizes Needs of Case 11) Role Model 12) Value of Supervision Meetings 13) Provides Opportunity to Participate in Clinical Planning 14) Encourages Participation by All Students 15) Encourages Expression of Differences of Opinion 16) Guides Discussion without Monopolizing 17) Available for Necessary Consultation Outside 18) Familiar within Orientation with Range of Treatment Techniques 19) Aware of Appropriate Treatment Models 20) Makes Expectations for Student Contribution to Supervision Clear 21) Sets Appropriate Criteria for Evaluation of Student Performance 22) Discussion Relevant Germane to Topic 23) Level / Quality of Discussion Appropriate for Graduate Supervision 24) Criticism Given in Context of Feedback is Constructive Helpful 25) Gives Appropriate Supplementary Reading if Needed 26) Overall Amount Learned from Participating in this Therapy / Supervision 27) Overall Rating of Course Component as Given by this Supervisor Supervisor Feedback Evaluation of Primary Supervisor 4) Monitors Student Activities 5) Monitors Case Outside Supervisor Group (watch session, watch DVD, listen to tape) 6) Provides Adequate Monitoring so Supervisor Understands Case and Advises Appropriately 7) Keeps Appointments (Additional information and explanation of ratings..
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