Clinical Affiliation Student Evaluation - 2026

Please evaluate the clinical education portion of the curriculum and determine how well the program met each of the following goals. Please use the following grading scale:
A=exceeds objective
B=Met objective
C=Good effort but needs improvement
D=Deficient in meeting the objective
F=Unable to evaluate this objective


  1. The Physical Therapist Assistant Program and the CCE (Adam Fischbach)

          A B C D F    
      secured adequate clinical affiliation sites    
      provided a variety of clinical settings   
      disclosed the process for student site selection and placement   
      attempted to place student in desired clinical affiliation   
      completed placement process in reasonable time frame to allow for travel and housing arrangements to be made   
      provided clear policies and procedures for the clinical affiliation   
      provided the clinical site with appropriate student information to assist with education   
      provided the student with appropriate information about the clinical site   
      maintained contact with student during the clinical affiliation   
      made a site visit or teleconferance during at least 2 of the 3 clinical affiliations   
      provided an opportunity for student feedback about the site and the clinical instructor   
      provided the student feedback about their performance and assisted student in remediating, if necessary   
      responded to student concerns or needs during the clinical affiliation   
      counseled student regarding clinical affiliation choices    
      when necessary, responded to conflict resolution during the clinical affiliation   


  1. How well prepared were you academically to be placed in your terminal clinical affiliations?
    very well prepared
    adequately prepared
    slightly unprepared
    very inadequately prepared


  1. Does the program have the appropriate amount of time allocated to clinical affiliation?
    very adequate
    adequate
    slightly inadequate
    very inadequate


  1. Are the clinical affiliations placed in the best sequence during the PTA curriculum?
    yes
    no


  1. Please make comments about the clinical affiliation portion of the curriculum to assist the program in improving the learning experience.





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