Office of Experiential Programs Rotation Site Evaluation Step 1 of 5 20% Site(Required)Date Evaluated(Required) MM slash DD slash YYYY Evaluator Name(Required)Connelly, JeanetteDoty, RandellFeild, CarindaFox, KristiePaglio, RobynPantouris, ChrisSoucie, JanelStultz, KimberlyVandervoort, LisaWilt, VickieAttendees(Required) Add RemoveRotations(Required) Community IPPE Hospital IPPE Advanced APPE Community Hospital Practice APPE General Medicine APPE Ambulatory Care APPE Patient Care Elective APPE Non-Patient Care Elective APPE If PC, specify name Add RemoveIf NPC, specify name Add Remove Site Visit PreparationIs the site description present?(Required)YesNoN/ACommentsAre the rotation descriptions present?(Required)YesNoNACommentsAre syllabi for the site present?(Required)YesNoNACommentsAre onboarding requirements present?(Required)YesNoNACommentsIs the preceptor contact information present?(Required)YesNoNACommentsOther questions, concerns, comments? Preceptor QuestionsIs the site able to meet UF learning objectives for each rotation?(Required)YesNoNACommentsAre students consistently meeting expectations at this site?(Required)YesNoNACommentsAre students participating in interprofessional learning activities on all offered rotations?(Required)YesNo, but reasonable where not offeredNo, see comments belowNACommentsAre students participating in all steps of the Pharmacist Patient Care Process on all Patient Care rotations?(Required)YesNoNACommentsAre students being given opportunities to complete the OEP-required activities?(Required)YesNoNACommentsAre preceptors comfortable navigating PharmAcademic?(Required)YesNoNACommentsWhat specific needs does the site have at this time?(Required) Student QuestionsIs student feedback available?(Required)YesNo, comment belowCommentsDid your preceptor clearly explain their expectations for your responsibilities and performance?(Required)YesNoNACommentsAre the expectations and responsibilities outlined in the syllabus consistent with what your preceptor expects of you?(Required)YesNoNACommentsAre you participating in all steps of the Pharmacist Patient Care Process on all your Patient Care rotations?(Required)YesNoNACommentsDo you have opportunities to complete the OEP-required activities?(Required)YesNoNACommentWould you recommend this site and/or preceptor to other students?(Required)YesNoNACommentsOther questions, concerns, comments? Items DiscussedEntrustable Professional Activities (EPAs)(Required)YesNoNACommentsThe Pharmacist Patient Care Process(Required)YesNoNACommentsPreceptor development(Required)YesNoNACommentsOther questions, concerns, comments?Issues Identified(Required)Plan for Follow-up(Required)Date for follow up (if needed) MM slash DD slash YYYY Please select the appropriate classification option below(Required)No IssuesIssues Identified, RC follow-up onlyIssues Identified, OEP follow up is needed but issues not urgentIssues Identified, Immedite OEP follow up is needed
