EMS University

Student Instructions: Complete this form after each field or clinical internship shift. Return the form to the course instructor within ten
(10) days. Rate the preceptor using the following scale.

Grading Scale
5 Excellent > Displays commendable preceptor behavior/skills; Fosters atmosphere conducive to learning.

4 Good > Most always displays good preceptor behavior/skills; Promotes learning most of the time.

3 Acceptable > Adequate preceptor behavior/skills; Generally supportive of student learning.

2 Fair > Rarely displayed desirable behavior/skills; Generally does not promote student learning.

1 Unacceptable >  Displays poor preceptor behavior/skills; Actions are not supportive of student learning.