Q1.

Dietetic Intern Evaluation: Food Systems Management

To better align our evaluation with the "Career Development Guide" from the Academy of
Nutrition and Dietetics, the Ball State Dietetic Internship has adjusted the terminology that is
used. Please note the following:
Definition of Performance Standards:
1. Proficient: Demonstrates additional knowledge, skills, and experience in a focus area of
dietetics practice; above entry-level practice
2. Competent*: Demonstrates sound knowledge, confidence, and effective use of entry
level skills; seeks assistance after investigating potential solutions
3. Beginner: Requires supportive or directive cues occasionally; applies principles
accurately with occasional cues; works at acceptable standards
4. Novice: Requires frequent supportive and occasional directive cues: identifies principles
but needs direction to identify application
5. Not applicable: not observed/not applicable
*The goal of the Ball State Dietetic Internship is to have 80% or more of interns attain a level
of competent for each ACEND competency.
Directions: Using the ratings above, please evaluate the intern on the following
competencies:
NOTE: The online forms cannot be saved or edited after submission. Please e-mail
ljballenger@bsu.edu if you would like a copy e-mailed to you.

Q2. Please fill out the following information:

Intern name (First and Last):

Samantha McInerney

Facility:

Reid Health

Preceptor Name (First and Last):

Rachel Wendel

Preceptor E-mail:

Rachel.wendel@reidhealth.org

Date:

3/16/2016

Q3. Name of person completing the form (if different from the preceptor):

Q4. Based on the ratings on the first page, please evaluate the intern on the following
competencies related to Professional Attributes:
Novice Beginner Beginner
Proficient
_____ (6 ___ (7
___ (8 Competent Competent __ (10
Not
pts)
pts)
pts)
__ (9 pts) __ (10 pts)
pts)
applicable
Prepare appropriately for
rotation
Demonstrate
collaboration/teamwork
Demonstrate proactive
problem-solving skills
Demonstrate customer
focus

Demonstrate risk-taking

Demonstrate critical
thinking

Demonstrate flexibility

Demonstrate time
management
Demonstrate work
prioritization

Demonstrate advocacy

Demonstrate work ethic

Develop goals and

objectives

Respect life experiences,

culture diversity,
educational background
Demonstrate negotiation
skills
Demonstrate
assertiveness
Develop effective oral
communication skills
Develop effective written
communication skills
Use informatics
technology
Dress is appropriate for
given work setting

Q5. Please list any additional comments about the intern's Professional Attributes:

Q12. Please comment on any of the BSU-Assigned Projects (if applicable):

Q6.
Please comment on the interns areas of strength:

Samantha is well organized and is able to be flexible.

Q7. Please comment on the interns areas for improvement:

I think with any intern there are always areas for improvement. She just lacks experience, as any new intern
would. Also, she needs to work on her confidence, but that will come with time as well. Her confidence has
improved though since day 1!

Q9. Please answer the following questions about the intern's attendance:
Please specify the number of
days the intern was late during
the rotation:

Please specify the number of

days the intern was absent during 0
the rotation:
Did the intern make up all if the
days days/hours he/she was
absent? (yes/no)

N/A

If late or absent, the intern

contacted me ahead of time to
explain the situation? (yes/no)

N/A

Q10. Final Comments:

Samantha has been a great intern! With every project I have given her. She has given 100% and has grown
since her mid way eval. If I was providing her with a grade, I would give her an A.
Thank you, Samantha, for all of your hard work!

Q11. Would you hire this intern for employment? (yes/no) Any comments?

Yes

Location Data
Location: (39.838104248047, -84.905403137207)
Source: GeoIP Estimation