Welcome

Sub Navigation

3.1: Faculty Downloads
3.3:
Preceptor Evaluation of Birthingway
3.4: Faculty Evaluation of Birthingway
3.5: Teaching Resources

Preceptor Evaluation of Birthingway

We value open communication and conflict resolution, thus we urge you to include your name on this form to improve the chances of offering the best, most holistic experience possible. In order to improve our program, we would appreciate your feedback. Feel free to include additional pages if needed.

*Red fields are required.

Preceptor Evaluation of Birthingway

Your Name*

Your Email*

Enter a number here (anti-spam)*

Date*

Current or most recent midwifery student name(s) with approximate dates of training*

How long have you been a preceptor with Birthingway?

Staff are helpful and courteous

Yes

No

Staff are helpful and courteous comments

Staff inform me of policy and procedure changes

Yes

No

Staff inform me of policy and procedure changes comments

Staff provide consistent and supportive assistance

Yes

No

Staff provide consistent and supportive assistance comments

Staff send accurate and timely information

Yes

No

Staff send accurate and timely information comments

Staff inform me of changes regarding my midwifery student

Yes

No

Staff inform me of changes regarding my midwifery student comments

The college policies are easy to follow

Yes

No

The college policies are easy to follow comments

The college policies are easy to incorporate with my practice

Yes

No

The college policies are easy to incorporate with my practice comments

College administrative forms are easy to use

Yes

No

College administrative forms are easy to use comments

I plan to work with Birthingway students as student midwives in the future

Yes

No

I plan to work with Birthingway students as student midwives in the future comments

I have opportunities to participate in evaluating students

Yes

No

I have opportunities to participate in evaluating students comments

I receive the newsletter

Yes

No

I receive the newsletter comments

I have the opportunity to participate in Birthingway community events

Yes

No

I have the opportunity to participate in Birthingway community events comments

Overall, my experience of working with Birthingway has been positive

Yes

No

Overall, my experience of working with Birthingway has been positive comments

Students are well qualified for clinical training

Yes

No

Students are well qualified for clinical training comments

What ideas do you have for possible additions, improvements or changes to Birthingway's curriculum?

Are you satisfied with Birthingway's resources, facilities and services? If not, do you have suggestions about how we could improve?

Do you have any input on the Birthingway student admissions criteria?

Are you satisfied with the opportunities Birthingway provides for professional growth and training?

What other areas of improvement would you like to see at Birthingway?

Preceptors Responsibility

I have updated my file with my most current resume/CV (If not, please contact the Faculty Coordinator)

Yes

No

I have updated my file with my most current resume/CV comments

I have updated my file with my most current license(s) or certification. (If not, please contact the Faculty Coordinator)

Yes

No

I have updated my file with my most current license(s) or certification comments

I have read the Birthingway Student Catalog for this year

Yes

No

I have read the Birthingway Student Catalog for this year comments

I have read the most recent version of the Preceptor Handbook

Yes

No

I have read the most recent version of the Preceptor Handbook comments

I understand my responsibilities as a preceptor with Birthingway College

Yes

No

I understand my responsibilities as a preceptor with Birthingway College comments

I submit all documentation on student midwives including Evaluations, Contracts, Guidelines, Timesheets, Skills Assessment Checklists, and other documents as may be needed by Birthingway at the end of each term for my student midwife

Yes

No

I submit all documentation on student midwives comments

I provide student midwives hands-on experience and provide feedback to them in a timely manner, preferably three days or less after a birth experience

Yes

No

I provide student midwives hands-on experience comments

I have attended an Nonviolent Communication training or practice group this year

Yes

No

I have attended an Nonviolent Communication training or practice group this year comments

I inform and provide honest critique to my student when she does not meet the assigned task or requirement

Yes

No

I inform and provide honest critique to my student comments

I have attended a Birthingway community event this year

Yes

No

Please name which events you have attended- Meet and Greet, Orientation, Graduation, etc.

I have attended a committee meeting this year

Yes

No

Please name which meeting you attended- Diversity, Curriculum, Admissions, etc.

I respond to Birthingway correspondence (phone, mail, email) in a timely manner.

Yes

No

I respond to Birthingway correspondence (phone, mail, email) in a timely manner comments

Do you think you are effective and successful as a preceptor? How?

What are your strengths as a preceptor?

What challenges did you encounter in your preceptor/student relationship and how did you address them?

If you use your own materials in your teaching, are you willing to share your written business materials, handouts and ideas with students?

Other comments:

^Top

Welcome

Welcome

Main Navigation

Sub Navigation

Preceptor Evaluation of Birthingway

Preceptor Evaluation of Birthingway