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1. Clinical opportunities match the internship objectives for the phase.
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Strongly agree, superior
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Agree good
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Somewhat disagree
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Disagree, needs improvement/growth area
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Not Applicable
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2. Clinical experiences model ethical and professional behavior.
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Strongly agree, superior
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Agree good
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Somewhat disagree
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Disagree, needs improvement/growth area
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Not Applicable
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3. Clinic safety standards are understood and followed.
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Strongly agree, superior
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Agree good
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Somewhat disagree
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Disagree, needs improvement/growth area
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Not Applicable
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4. Clinical experiences assisted me in understanding theoretical principles.
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Strongly agree, superior
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Agree good
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Somewhat disagree
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Disagree, needs improvement/growth area
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Not Applicable
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5. This supervisor encourages respect for interns and patients of diverse backgrounds.
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Strongly agree, superior
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Agree good
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Somewhat disagree
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Disagree, needs improvement/growth area
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Not Applicable
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6. This supervisor assisted me in the developing assessment and diagnostic skills.
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Strongly agree, superior
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Agree good
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Somewhat disagree
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Disagree, needs improvement/growth area
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Not Applicable
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7. This supervisor assisted me with treatment strategy and planning. |
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Strongly agree, superior
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Agree good
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Somewhat disagree
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Disagree, needs improvement/growth area
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Not Applicable
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8. This supervisor helped me with acu/moxa techniques and/or other clinical skills. |
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Strongly agree, superior
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Agree good
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Somewhat disagree
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Disagree, needs improvement/growth area
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Not Applicable
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9. This supervisor helped me with herbal diagnosis and formula selection.
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Strongly agree, superior
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Agree good
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Somewhat disagree
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Disagree, needs improvement/growth area
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Not Applicable
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10. This supervisor helped me with adding TCM nutrition to patient care.
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Strongly agree, superior
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Agree good
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Somewhat disagree
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Disagree, needs improvement/growth area
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Not Applicable
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11. This supervisor gives feedback on the quality of SOAP notes and case records.
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Strongly agree, superior
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Agree good
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Somewhat disagree
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Disagree, needs improvement/growth area
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Not Applicable
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12. This supervisor helps interns respond to patient's ethical and emotional dilemmas.
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Strongly agree, superior
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Agree good
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Somewhat disagree
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Disagree, needs improvement/growth area
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Not Applicable
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13. This supervisor motivates and encourages interns as they progress through phases.
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Strongly agree, superior
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Agree good
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Somewhat disagree
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Disagree, needs improvement/growth area
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Not Applicable
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14. Clinic experiences allowed me to apply various therapeutic modalities.
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Strongly agree, superior
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Agree good
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Somewhat disagree
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Disagree, needs improvement/growth area
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Not Applicable
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15. Clinic experiences provided me with a variety of health care problems.
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Strongly agree, superior
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Agree good
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Somewhat disagree
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Disagree, needs improvement/growth area
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Not Applicable
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16. I have improved my interviewing and communication skills.
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Strongly agree, superior
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Agree good
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Somewhat disagree
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Disagree, needs improvement/growth area
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Not Applicable
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17. I am given responsibility for patients commensurate with my abilities.
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Strongly agree, superior
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Agree good
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Somewhat disagree
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Disagree, needs improvement/growth area
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Not Applicable
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18. Feedback on my overall performance provides direction for professional development.
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Strongly agree, superior
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Agree good
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Somewhat disagree
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Disagree, needs improvement/growth area
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Not Applicable
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19. Feedback on my clinical ability provides direction for skills development.
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Strongly agree, superior
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Agree good
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Somewhat disagree
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Disagree, needs improvement/growth area
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Not Applicable
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20. Criteria were fairly applied in evaluating performance.
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Strongly agree, superior
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Agree good
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Somewhat disagree
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Disagree, needs improvement/growth area
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Not Applicable
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