THE UNIVERSITY OF SOUTHERN MI EVALUATION OF INSERVICE INTERN: ISSIPPI— DIETETIC INTERNSHIP ROTATION: _Podurhuy Use the scale below to evaluate the intern. Check the appropriate response for each of the following criterion. 5 (Very Good) = elements well 4 (Good) - improvements needed 3 (Fair) = Some major things 2 (Poor) a 1 (Failed) OVERALL EVALUATION OF THE DIETETIC INTERN [ ‘CRITERIA 3 ‘COMMENTS Prepares in advance for presentation: . 7 appropriate for group is See Nee + Room and equipment arranged appropriately Setting: + Introduces self, thanks for the opport iy to present + Explains the topic and plan for the lesson + Creates a positive climate

4][3 [271 COMMENTS + Avoided reading x + Stayed within allotted time—not INTERN’S OVERALL SCORE ADDITIONAL COMMENTS: What did you feel were the intern’s greatest strengths? Nene vee con Gusete WSN QRore . BQERR A HH eee WA Sm eR Quer sstions or recommend: ns for improvement can you provide ai % cy ye Revised August 2009, Reviewed August 2015, Reviewed August 2016 a