Clinical Instructors and Clinical Coordinators Assessment of Program CCE

Survey of Clinical Instructors (CI) and Center Coordinators of Clinical Education (CCCE) on Adam Fischbach, PTA, Program Clinical Education Coordinator (CCE)
Name (optional): 


A red asterisk (*) indicates required questions.

  1. Clinical Affiliation Dates 2023-2024*
    PTA 241 Clinical I - November - December , 2023
    PTA 245 Clincal II - February - March , 2024
    PTA 250 Clinical III - March - May , 2024


  1. The Clinical Education Coordinator guides & supports the Clinical Instructor by providing information and strategies for creating the best learning opportunities for the student. *
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. The Clinical Education Coordinator accurately communicates and disseminates necessary student information and site visit information. *
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. The Clinical Education Coordinator demonstrates level of knowledge concerning the clinical education program by answering questions thoroughly, concisely and timely.*
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. The Clinical Education Coordinator is accessible and responds to concerns raised by the clinical site.*
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. The Clinical Education Coordinator is open to suggestions or comments by the Clinical Instructors (CIs) and Center Coordinators of Clinical Education (CCCEs) regarding clinical education program.*
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. The Clinical Education Coordinator promotes student's self-assessment of their clinical performance.*
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. The Clinical Education Coordinator solicits comments, feedback and concerns from the Clinical Education Clinical Instructors (CIs) and Center Coordinators of Clinical Education (CCCEs).*
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. The Clinical Education Coordinator conducts prepared and organized clinical site visit or phone calls.*
      1 2 3 4 5     N/A
    Strongly agree   Strongly disagree  


  1. Please comment and provide examples of the strengths of the Clinical Education Coordinator.


  1. Please comment on areas needing improvement in the clinical education portion of the curriculum.


  1. To help you grow professionally in your teaching abilities as a Clinical Instructors, provide 2-3 learning topics you would be interested in developing.





Physical Therapist Assistant Program
Physical Therapist Assistant Instructor
Lake Area Technical Institute