Training Professional Feedback

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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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