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