Introduction

Minutes

Members

DHE120 Preclinical Dental Hygiene  
Professionalism                                                           

Circle One:      Lecture            Lab

Student: _________________________              Date: _________________________

Please rate your behavior in lab today according to the criteria outlined below. Each category is worth one point, for a total of 4 points.  Point values are all or none.

Behavior in the indicated area(s) needs improvement to meet the expected standards of professionalism. Please specify the area for improvement.

Self-Assess    Faculty

                                 1. Reliability and responsibility

G           fulfills responsibilities in a timely manner

G           completes assigned tasks

G           manages time to avoid tardiness, absence or late assignments

G           provides thorough documentation of clinical activities

G           adheres to clinic or course protocols, infection control, and safe practice.

G           works in an organized manner

 

                                 2. Self-improvement and adaptability

G           accepts constructive feedback in a non-defensive manner

G           recognizes limitations and seeks help when necessary

G           incorporates feedback in order to make changes in behavior

G           adapts to change

 

                                 3. Relationships with students, faculty, staff, patients and guests

G           establishes rapport

G           demonstrates sensitivity to the needs of patients

G           establishes and maintains appropriate boundaries in work and learning situation

G           demonstrates respect for others

G           uses tact in all communications

G           volunteers and assists in lab and classroom activities

 

                                 4. Upholds a professional and ethical code of conduct

G           honesty in actions and relationships

G           contributes to an atmosphere conducive to learning

G           values diversity

G           resolves conflicts in a respectful manner

G           uses professional language

G           protects patient confidentiality per HIPAA guidelines

G           dresses in a professional manner as outlined in DH policy manual

========================TOTAL

Comments and suggestions for improvement:

Student: _______________________          Instructor:  ______________________________