Graduate Information

Name

Year Graduated

Institution Name

JRC-DMS Program #

Employment

Years

and months

Evaluator Information

Name

Title

E-Mail Address

Employer

What credentials as an employer do you require of your sonographers (check all that apply)?:

RDMS (
Ab
Ob )
RDCS
RVT
RT(S)

I. Knowledge Base (Cognitive Domain)

INSTRUCTIONS: Consider each item separately and rate each item independently of all others. Select the rating that indicates the extent to which you agree with each statement. Please do not skip any rating. Select N if you do not know about a particular area.
5= Strongly Agree 4 = Generally Agree 3 = Neutral (acceptable) 2 = Generally Disagree 1 = Strongly Disagree N = Not Applicable

The Graduate:

A. Has the sonography knowledge necessary to function in a healthcare setting.

B. Has the general medical knowledge base necessary to function in a healthcare setting.

C. Is able to collect data from charts and patients.

D. Is able to interpret patient data.

E. Is able to perform appropriate diagnostic and therapeutic procedures.

F. Uses sound judgment while functioning in a healthcare setting.

Comments:

II. Clinical Proficiency (Psychomotor Domain)

The Graduate:

G. Effectively performs a broad range of clinical skills.

H. Possesses the skills to perform patient assessment.

I. Is able to perform current sonography procedures and modalities.

J. Is able to perform and interpret diagnostic procedures.

Comments:

III. Behavioral Skills (Affective Domain)

The Graduate:

K. Communicates effectively within a healthcare setting.

L. Conducts himself/herself in an ethical and professional manner.

M. Functions effectively as a member of the healthcare team.

N. Accepts supervision and works effectively with supervisory personnel.

O. Is self-directed and responsible for his/her actions.

Comments:

IV. Overall Rating of the program

Please rate and comment on the OVERALL quality of this program's graduate.

Comments:

V. Additional Comments

What qualities or skills (if any) did you expect of the graduate upon employment that he/she did not possess?

Please provide comments and suggestions that would help this program to better prepare future graduates.

What are strengths of the graduate(s) of this program?

If given the opportunity, would you hire another graduate from this program?

Yes
No

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Thank you!

Employer Survey – Diagnostic Medical Sonography

Employer Survey

Graduate Information

Evaluator Information

I. Knowledge Base (Cognitive Domain)

II. Clinical Proficiency (Psychomotor Domain)

III. Behavioral Skills (Affective Domain)

IV. Overall Rating of the program

V. Additional Comments