CLINICAL PROFICIENCY EVALUATION - Nathaniel S. Hansen
As in the past, all preclinical laboratories, typodont instruction, and clinical experiences are grouped under one title called “Clinical Orthodontics,” even though each is considered a separate educational offering. An overall grade will be given for the Clinical Orthodontics course and you are asked to contribute your assessment as to the students’ performance in your portion of the course. Your grade can be determined according to any activity involved in your instruction (tests, quizzes, papers, attendance, exercises, demonstrations, class participation, project grades, clinical performance, etc) as you determine.

Evaluation of Clinical Proficiency:
A. Outstanding: far exceeds reasonable expectations
B. Good: usually exceeds reasonable expectations
C. Satisfactory: always meets reasonable expectations
D. Doubtful: occasionally falls short of reasonable expectations
F. Unsatisfactory: often falls short of reasonable expectations
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STUDENT'S ATTITUDE
A. Outstanding
B. Good
C. Satisfactory
D. Doubtful
F. Unsatisfactory
Expresses a commitment to orthodontics by actions and attitude
Strives for quality treatment in each case
Cooperates in meeting the demands of the system
Self-confidence
Integrity, reliability, responsibility
Rapport with peers, staff, and faculty
Rapport with patients
Clear selection
STUDENT'S KNOWLEDGE
A. Outstanding
B. Good
C. Satisfactory
D. Doubtful
F. Unsatisfactory
Fund of information for level of training
Application of knowledge
Clear selection
STUDENT'S JUDGEMENT
A. Outstanding
B. Good
C. Satisfactory
D. Doubtful
F. Unsatisfactory
Seeks appropriate assistance
Gathers data pertinent to specific procedures
Demonstrates initiative in solving problems
Seeks to solve patient problems
Evaluates procedures for improved efficiency
Clear selection
STUDENT'S CLINICAL SKILLS
A. Outstanding
B. Good
C. Satisfactory
D. Doubtful
F. Unsatisfactory
General preparation
Technical performance
Efficient use of clinic time
Follows patients appropriately
Attains patient compliance
Clear selection
STUDENT'S PRESENTATION
A. Outstanding
B. Good
C. Satisfactory
D. Doubtful
F. Unsatisfactory
Presentation of the patient for treatment
Chart and record documentation
Clinic area cleanliness
Organization
Appropriate attendance and punctuality
Compliance with clinic regulation
Clear selection
ASSIGNMENT OF AN OVERALL LETTER GRADE *
COMMENTS *
SUGGESTED ACTION
INSTRUCTOR'S NAME *
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