Fellow Progress Eval - Michael Duran, Lt

This survey allows the preceptors to evaluate the progress of the fellows. This information will be used to assist with providing a well-rounded and focused CC/ETN fellowship program.

Name (optional): 


A red asterisk (*) indicates required questions.


  1. What is today's date?


  1. This Fellow began the program in January 2018. The Fellow is progressing _______________ in the program*
    Far beyond expectations
    Above expectations
    On schedule
    A little slow, but making progress
    Far behind expectations


  1. This Fellow's demonstrates:*

            1 2 3 4 5      
      Professionalism Excellent  Poor  
      Self-direction Excellent  Poor  
      Critical-Thinking Excellent  Poor  
      Compassionate nursing care Excellent  Poor  


  1. This Fellow demonstrates these skills: *

            1 2 3 4 5      
      Comprehensive assessment skills Excellent  Poor  
      Basic nursing skills (IV, foley, NG, etc.) Excellent  Poor  
      Understanding of complex pathophysiology Excellent  Poor  
      ID appropriate clinical objectives Excellent  Poor  
      Prioritize appropriate clinical objectives Excellent  Poor  
      Understanding of medication use Excellent  Poor  
      Thorough documentation Excellent  Poor  
      Effective time management Excellent  Poor  


  1. Please add any comments regarding this Fellow's strengths:


  1. Please add any comments regarding this Fellow's areas for improvement:


  1. Please add any comments you may have for improving this Fellow's experience in the program:


  1. Please add any comments you may have for improving the CC/ETN Fellowship program, as a whole:





Critical Care/Emergency Trauma Nursing Fellowship
Scottsdale, AZ