Ana G. Méndez University System Continental USA Campuses School for Professional Studies Department of Sciences and Technology Health Services Management Student Teaching Handbook A Guide for Internship HESM 430 (This course requires that Faculty and Students have a current IRB Certification) Ana G. Méndez University System, 2006. All rights reserved.
HESM 430 Health Services Management Internship Manual 2 TABLE OF CONTENTS Pages Contents Introduction... 3 Objectives and Goals... 4 Desired Knowledge Gained Through the Internship Experience... 5 Duties and Responsibilities of the Intern... 6 Selecting the Internship Site... 7 Duties and Responsibilities of the Internship Coordinator... 7 Duties and Responsibilities of the Internship Facilitator... 8 Internship Policies and Procedures... 10 Attendance... 11 Evaluation of the Internship Experience... 11 Intervention guide for problem solving... 12 Repeating the Internship... 12 Appendix A... 13 Appendix B... 15 Appendix C... 17 Appendix D... 20 Appendix E... 21 Appendix F... 24 Appendix G... 26 Appendix H... 27 Appendix I... 28 Appendix J... 30 Science and Technology Department Health Services Management... 30
HESM 430 Health Services Management Internship Manual 3 Introduction The course HESM 430 is the first internship activity required for all students pursuing a BS in Public Health with a major in Health Services Management from Universidad del Este of Ana G. Méndez University System, Continental USA Campuses. The internship helps fulfill the student's academic performance for the Public Health and Health Services Management profession. It also provides a combination of work experience and an opportunity for application of classroom theories. The students are required to go into a health management-related environment to gain experience and exposure to techniques, methodologies, and procedures; all under the close supervision and guidance of a capable practitioner. The internship may be taken after a student has successfully completed 60 credits within the program including the pre-requisites HESM 110, HESM 220, HESM 210, HESM 340 and HESM 310. The average participation for the Internship is one part of term (8 weeks). The intern should expect to work at the internship site an average of, at least, twelve (12) hours per week, and meet with the Internship facilitator weekly for two (2) hours in the classroom. Three credit hours shall be awarded for 112 clock hours of participation for this course; this includes 96 hours internship on site, and 16 hours classwork. Every state may have additional internship requirements. It is the responsibility of the student to verify and comply with the requirements of the state and the health services department. *This course requires a current IRB Certification (facilitator and students).
Objectives and Goals HESM 430 Health Services Management Internship Manual 4 At the end of the Internship, the students will: 1. Implement personal skills and competencies. 2. Achieve practical experience under professional supervision. 3. Develop the ability to work with people, both individually and as part of a group. 4. Compare theories and concepts learned in the classroom and related real life experiences. 5. Acquire and apply problem-solving techniques. 6. Experiment with personal skills and competencies, and execute classroom experiences and theories. 7. Become skilled with the routine procedures and responsibilities of the Health Services Management or Public Health site. 8. Experience opportunities to learn, observe, and practice a variety of administrative activities. 9. Evaluate one s self in relation to the field, and in relation to his or her professional preparation. 10. Establish realistic goals for professional growth and development. 11. Establish career goals and objectives upon conclusion of the internship experience. 12. Develop a research project on a health services management or public health related topic.
HESM 430 Health Services Management Internship Manual 5 Desired Knowledge Gained Through the Internship Experience Each intern will achieve the following objectives: 1. Distinguish between the diverse areas of knowledge in health services management the most relevant skills and competencies for this discipline. a. Assist the administrator or manager b. Observe his/her leadership skills 2. Utilized resources and instructional materials to strengthen the theoretical cognitive competencies of health services management. a. Integrate knowledge into the daily living practice b. Decision making process analyzing the meaning of each practice exercise c. Identify the different areas of the internship organization 3. Recognize the functions and responsibilities of the different occupations within the same field in the internship organization. a. Interdisciplinary teams b. Managers 4. Adapt classical knowledge into innovational organizational developments. a. Utilize computerized information technology in studies, analysis, and projects 5. Show knowledge and skills on handling documents such as: a. Financial statements b. Statistics of census c. Service utilization d. Cost assignments 6. Appreciate from different perspectives the organizational culture. 7. Demonstrate ability to handle multiple tasks and being assertive; maintaining the quality of service. 8. Demonstrate a behavior based on the professional code of ethics and to follow established policies. 9. Compare the net contribution of the manager activities to the economy of the organization. 10. Demonstrate competence to establish protocols for: a. Service accreditations b. Periodic evaluations
c. Documentation in the different areas of practice HESM 430 Health Services Management Internship Manual 6 11. Understand the ethical-moral consequences of the health services management practice. Duties and Responsibilities of the Intern 1. The student must be registered for the Health Services Management Internship (HESM 430) before reporting to the site to begin work. Internship may be taken following the matriculated student's successful completion of 60 credits or more within the program including the pre-requisites. 2. The student must have a minimum 2.50 grade-point average to enroll in internship. 3. The student would give authorization to the internship facilitator to request a transcript in order to process an academic evaluation to validate the internship application. (Appendix A). 4. The Application for Internship Form (Appendix A), and the Intern s Statement of Responsibility Form (Appendix B) must be submitted to the internship coordinator of the Sciences and Technology Department no later than one week of the part of term preceding the planned internship. 5. The student may make the initial contact with a potential internship site, regarding their placement. The on-site supervisor must complete the Internship Site Description Form (Appendix C), and the Contract Agreement Form (Appendix D). 6. Care should be taken, to select an internship site that will provide a quality experience and quality mentoring. (Refer to Selecting the Internship Site for requirements) 7. Students must arrange to have the on-site supervisor complete the Site Supervisor s Evaluation of Intern Form and mail it directly to the Internship Coordinator. (Appendix E). 8. The student will turn in the Intern s Presentation Letter to the on-site supervisor (Appendix G). 9. The student will complete a weekly time sheet, signed by the on-site supervisor, and turn it in to the internship facilitator at the end of each workshop (Appendix H). 10. The student will pay all related financial obligations required for the internship. The student may accept financial stipends, salaries, housing, other compensation, and outside employment provided by the internship site as long as such employment does not interfere with internship experience.
HESM 430 Health Services Management Internship Manual 7 11. The intern should submit Intern s Evaluation of Site Form (Appendix I), and the Intern s Site Supervisor Evaluation Form (Appendix J). These forms will be turn in to the internship facilitator at the end of workshop number eight. 12. Each student must complete the IRB certification. To access the forms from the IRB Office or for additional information, visit the following link: http://www.suagm.edu/ac_aa_re_ofi_comites_irbnet.asp. Additional information related to IRB processes is available here: http://www.suagm.edu/pdf/instrucciones%20certificaciones%20irbnet.pdf Selecting the Internship Site 1. The internship site should provide quality work experience and quality mentoring. 2. The student may request to complete the internship requirements at any health service or public health organization of choice. 3. Only under special conditions, to be determined by the internship coordinator, will an internship be permitted as part of an intern's regular full-time job. 4. The student is responsible for negotiating the work schedule and duties with the internship on-site supervisor, once the health service or public health organization site is selected. 5. The internship coordinator will approve the internship site according to the specifications above. Duties and Responsibilities of the Internship Coordinator 1. Evaluate student s application to determine eligibility. 2. Explain in detail the internship policies and procedures, and intern duties and responsibilities. 3. Maintain updated record of the internship s site information such as: contact, address, phone and fax numbers, e-mail, etc. 4. Maintain a copy of the completed evaluations of the Intern s Evaluation of Site Form (Appendix I), and the Intern s Site Supervisor Evaluation Form (Appendix J). These forms will be retained for future reference and recommendation. 5. Collaborate with the internship facilitator and the students with academic or extracurricular activities. 6. Provide evaluation forms.
HESM 430 Health Services Management Internship Manual 8 Duties and Responsibilities of the Internship Facilitator 1. Meet weekly for two hours with the interns on the day specified in the register documents. Discuss internship development, course work, and assignments prior the workshops. 2. Visit the intern at least once during the internship period if condition permits. Monitoring will be conducted by telephone and/or e-mail, when visitation is not possible. 3. Evaluate the intern s attendance at the internship site; as well as class participation, homework, responsibility, etc. The internship facilitator will be using the internship on-site supervisor s evaluations of the interns for this purpose. 4. The internship facilitator should complete two evaluations of the intern, by the end of the internship. The first evaluation is at the end on the fourth week, and the second one at the end of the internship on week eight. These evaluation forms will be placed in the student's academic file. The evaluation provided by the on site supervisor will have a weight of 30% in the final evaluation of the intern and the internship facilitator 70%. 5. Receive completed and signed the Intern s Evaluation of Site Form (Appendix I), and the Intern s Site Supervisor Evaluation Form (Appendix J) from the students. These forms will be retained for future reference and recommendation. Relay these documents to the internship coordinator. 6. Complete and submit the grade roster to the Registrar s Office, according to policy. 7. Be responsible for all final grading decisions. 8. Students must bring to class the IRB certification document. The facilitator is responsible to ensure that every student successfully met all requirements to complete the IRB certification.
HESM 430 Health Services Management Internship Manual 9 Duties and Responsibilities of the Internship on-site Supervisor 1. An internship on-site supervisor should consider the intern as a learning partner while engaged in professional training. 2. The internship on-site supervisor should make a commitment to provide the intern with a comprehensive learning experience. 3. The qualifications and experience of the internship on-site supervisor is very important. The supervisor must have the proper practical experiences and education to qualify as a health services manager or public health professional. 4. An internship on-site supervisor must understand the goals of the International Health Services Management and Public Health Internship Program of Universidad del Este, Ana G. Méndez, USA Campuses. 5. The internship on-site supervisor is to discuss the evaluative assessment with the intern before mailing, e-mailing the evaluation form back to the internship facilitator, and the internship coordinator. 6. The on-site supervisor should complete two evaluations of the intern by the end of the internship. The first evaluation is at the end of the fourth week, and the second one at the end of the internship on week eight. These evaluation forms will be placed in the student's academic file. The evaluation provided by the on-site supervisor will have a weight of 30% in the final evaluation of the intern and the internship facilitator 70%.
HESM 430 Health Services Management Internship Manual 10 Internship Policies and Procedures 1. The student must have a minimum 2.50 (B) grade-point average to enroll in the internship. 2. The student should be officially registered before reporting to the internship site. 3. An Application for Internship (Appendix A), and the Intern's Statement of Responsibility Form (Appendix B) must be submitted to the internship coordinator no later than two (2) weeks prior to the end of the term preceding the planned internship 4. The student may make the initial contact with a potential internship site, regarding their placement. 5. Coursework would be taken weekly for two (2) hours, during the part of term in which a student is engaged in internship. 6. The University and the internship site must complete any contractual arrangements in writing. The University and the internship site will retain a copy. (Students should also retain a copy). See the Contractual Agreement Form in Appendix D. Final Project Internship Log of Experiences 1. Upon completion of the internship, the intern will submit two typewritten copies of the log of experiences along with all of the internship evaluation forms. Following the evaluation of the internship log of experiences, one of the two submitted copies will be returned to the intern. 2. The log/journal of experiences should include, preceding the introduction section, a cover (title page), a table of contents, and a bibliography APA style. (Refer to Appendix F} 3. The Log of Experiences is required in order to receive the final grade for the course.
Attendance HESM 430 Health Services Management Internship Manual 11 1. The intern has the obligation of being on time and having consistent attendance. The Intern will complete the Attendance Sheet. (See Appendix H) 2. Absences will not be accepted unless the student is sick or a death in the family of a close relative occurs, or s/he is serving as a juror (jury duty). If the student misses days because of these circumstances, the internship hours must be made up. The on-site supervisor and the internship facilitator will determine how the intern will make up the missed time. 3. In the situation of excessive or unjustified absences, the intern could be removed from the internship on site. Two (2) absences will be considered excessive. Evaluation of the Internship Experience 1. An evaluation of the intern's performance will be made at the middle and end of the of the internship experience by the internship on-site supervisor. The internship on-site supervisor will be supplied with the proper internship evaluation forms and all the documents the site requests from the University. The internship on-site supervisor is to discuss the evaluative assessment with the intern before mailing or e-mailing the evaluation form back to the internship coordinator. 2. The internship facilitator will evaluate the intern according to attendance (classroom and internship site), class participation, class work, final project, etc. 3. The internship shall be graded according to Ana G. Méndez University System, Universidad del Este, USA Campuses grading policies. a. The standard grading scale is: 100-90 A, 89-80 B, 79-70 C, 69-60 D, 59 or below F. b. The final internship grade will be derived from: i) The internship On-site Supervisor's Evaluation form (two) ii) The internship facilitator (one) iii) The log of experiences iv) Seminar (Class participation, class work, internship time-sheet, etc.) 4. The final grading decision will rest solely with the internship facilitator. 5. A student must obtain an A or B in order to pass the internship course
HESM 430 Health Services Management Internship Manual 12 Intervention guide for problem solving The following procedures should be followed in the event of conflict or problem: 1. The problem is identified by the on-site supervisor and/or the internship facilitator. 2. The on-site supervisor and the internship facilitator meet to identify the problem. 3. The on-site supervisor and the internship facilitator meet with the intern to clarify the problem and generate suggestions for its solution. Minutes from the meeting will be taken and a narrative will be reported to the internship coordinator. 4. If the problem persists, a second meeting will take place where one of the following options will be taken: a. Reassigning the on-site supervisor b. Reassigning the internship center c. Withdrawal and apply for the internship to be completed in the following semester d. Reasonable accommodation Repeating the Internship 1. The application to repeat the internship is initiated with a letter to the internship coordinator. 2. The semester in which the student requests the opportunity to repeat the internship must be specified, and the letter must be turned in two months before the beginning of the semester in which the internship is set to take place.
HESM 430 Health Services Management Internship Manual 13 Appendix A Science and Technology Department Health Services Management Universidad del Este Ana G. Méndez University Center Continental USA Campuses APPLICATION FOR INTERNSHIP I, hereby request permission to (please print or type) enroll in the Health Services Management Internship (HESM 430), for the part of term, (year). I have successfully completed a total of semester hours toward the fulfillment of the requirements for the BS in Public Health with a major in Health Services Management degree (a minimum of 60 or more credit hours must be completed to be eligible to participate in Internship), and I am currently carrying a grade point average. (Intern s signature) Internship Coordinator Health Services Management (Date approved)
HESM 430 Health Services Management Internship Manual 14 TRANSCRIPT A current transcript from student services will accompany your application. By signing below you give permission for a transcript to be sent to schools and school districts as part of your student teaching application. I, give the Science and Technology Department permission to distribute my university transcript as part of my application for my teaching internship. (Intern s signature) Date
HESM 430 Health Services Management Internship Manual 15 Appendix B Science and Technology Department Health Services Management Universidad del Este Ana G. Méndez University Center Continental USA Campuses Intern's Statement of Responsibility Form I acknowledge receiving a copy of the current Health Services Management Program's Internship Guideline Manual. I acknowledge that I will not participate or practice within the internship phase until I have on file: 1. A properly completed Intent to Register form (Appendix A), 2. A properly completed and signed Intern's Statement of Responsibility Form (Appendix B) 3. An Internship Site Description (Appendix C), 3. An updated resume, 5. A properly completed and signed internship contract (Appendix F). I acknowledge that I will not report to the site of the internship until I have read completely the Health Services Management Program's Internship Guideline Manual and until I have registered for internship (HESM 430). Also, I agree not to reproduce, alter, or exchange with any other similar program, institution, or other health services management program any part of the Health Services Management Program's Internship Guideline Manual without written permission. During my internship experience, I will keep an up-to-date log of my experiences. I will attend all meetings and cooperatively participate in all approved activities as suggested by the on-site supervisor. I will also attend one time a week for two hours with the internship facilitator. Upon the conclusion of the Internship I, I will schedule two individual appointments, one with the on-site supervisor and the other with my internship program coordinator. I will convey, to the best of my ability, as much information as
HESM 430 Health Services Management Internship Manual 16 possible for the improvement of the internship, intern preparation, and the Health Services Management Program of Universidad del Este, Ana G. Méndez University System, USA Campuses. I acknowledge that failure to comply completely with the conditions set forth in this statement of responsibility could result in dismissal from the internship site, thereby requiring that another internship be completed to fulfill graduation requirements. (Signature of intern) Internship Coordinator (signature) (Date)
HESM 430 Health Services Management Internship Manual 17 Appendix C Science and Technology Department Health Services Management Universidad del Este Ana G. Méndez University Center Continental USA Campuses Internship Site Description Form A. General Information Student's Name Name of Site or Business Address City State Zip Code Phone Fax Web Site Supervisor s Name On-site Supervisor s Position On-site Supervisor s E-Mail On-site B. Internship Site Information What is the general nature of the business? Please give a general description of the size of the business or operation, i.e., number of employees, members, nature of facilities, etc.
HESM 430 Health Services Management Internship Manual 18 Please give a general description of the duties expected of an intern. Please list specific duties that the intern would perform: Check the seasons during which the site could use an intern: Fall Winter Spring Summer Is there any reason why a semester included would not work well beginning (a) early September (b), early January, or (c) mid-may? C. Remuneration (While pay is not required for an internship, we do suggest that students be paid a salary of some sort because they do have expenses, and will often have to select sites with that in mind.) Will a salary be paid? If so, what will be the approximate salary per hour? Are there any fringe benefits for the intern such as meals, lodging, etc.? Please list Is there a possibility of employment for interns following a successful internship?
HESM 430 Health Services Management Internship Manual 19 D. Duties and Responsibilities of the Internship On-site Supervisor 1. An internship on-site supervisor should consider the intern as a learning partner while engaged in professional training. 2. The internship on-site supervisor should make a commitment to providing the intern with a comprehensive learning experience. 3. The qualifications and experience of the internship on-site supervisor is very important. The supervisor must have the proper practical experiences and education to qualify as a tourism or hospitality professional. 4. An internship on-site supervisor must understand the goals of the Health Services Management Internship Program of Ana G. Méndez, USA Campuses (Professional excellence requires a commitment). 5. The on-site supervisor would type a list of the intern's responsibilities on the company s letterhead. 6. The internship on-site supervisor is to discuss the evaluative assessment with the intern before mailing, e-mailing the evaluation form back to the internship facilitator, and the internship coordinator. 7. Once the internship is completed, the on-site supervisor should have written two complete evaluations of the intern. The first one, at the end on the fourth week, and the second one at the end of the internship on week eight. A copy of the completed evaluations forms from the internship site at which the internship was completed shall be placed in the student's academic file.
HESM 430 Health Services Management Internship Manual 20 Appendix D Science and Technology Department Health Services Management Universidad del Este Ana G. Méndez University Center Continental USA Branch Campuses Contractual Agreement Form The Health Services Management Program of Universidad del Este, of Ana G. Méndez University System, USA Campuses, and (site) affiliated with (intern s name). This AGREEMENT will be effective the month of, (year) between the Health Services Management Program of Universidad del Este, Ana G. Méndez University System, USA Campuses and (site). The parties desire to engage the participation of the (site) in the internship education of students from Universidad del Este of Ana G. Méndez University System, Ana G. Méndez University System, USA Campuses, and thereby to promote excellence in administration and education and to contribute to the professional growth, development, and competence of the Health Services Management students. By agreeing to cooperate in accomplishing these common objectives, the three parties hope to further mutual understanding and programs of mutual interest.
HESM 430 Health Services Management Internship Manual 20 For the Internship Site: (Name) (Title) (Site) (Address) (Signature) (Date) For the Health Services Management International Program, Universidad del Este, AGMUS, USA Campuses: (Name) Executive Director (Signature) (Date) For the Intern: (Intern s signature) (Date)
HESM 430 Health Services Management Internship Manual 21 Appendix E Science and Technology Department Health Services Management Universidad del Este Ana G. Méndez University Center Continental USA Campuses On-site Supervisor's Evaluation of Intern Form Intern s Name SSN Internship Site Name of Supervisor Title/Position Address Telephone Fax E-Mail Directions: Prior to the completion of the internship experience, please check the rating which best describes the level of attainment of the intern and complete the statements. Please review the completed evaluation with the intern prior to submitting the evaluation to the Health Services Management internship coordinator. In the evaluation, rate the intern as you would rate a new employee. (Internship is the first step towards a professional career.) How would you rate this individual as a future professional? Rating Scale: 5 = Outstanding 4 = Above Average 3 = Average 2 = Needs Improvement 1 = Unacceptable 0 = N/A Criteria 5 4 3 2 1 N/A 1. Cooperation a. Functions well with and adjusts to people b. Willing to accept suggests and criticisms c. Respects opinions of others 2. Responsibility a. Follows tasks through to completion b. Follows directions and instructions
HESM 430 Health Services Management Internship Manual 22 c. Is punctual d. Is dependable e. Demonstrates appropriate attendance f. Demonstrates awareness of responsibility for the position 3. Enthusiasm a. Eagerly pursues tasks b. Demonstrates interest in people c. Initiates tasks without prodding d. Demonstrates a desire to assist e. Demonstrates a desire to learn 4. Leadership a. Demonstrates ability to plan b. Demonstrates ability to function with assigned groups c. Attempts to resolve problems independently d. Conveys ideas clearly e. Introduces new ideas and approaches f. Indicates understanding of people (staff, clients, or customers) g. Demonstrates imagination and creativity h. Demonstrates knowledge of programming skills and techniques i. Exercises good judgment 5. Emotional Stability/Maturity a. Demonstrates confidence b. Is well-poised c. Exhibits self-control d. Indicates sensitivity for needs of the clients or customers e. Demonstrates capability of confronting new situations 6. Physical Qualities a. Demonstrates appropriate energy b. Dresses appropriately for setting and activity
HESM 430 Health Services Management Internship Manual 23 7. Social Qualities a. Establishes good rapport with groups b. Establishes good rapport with site staff c. Demonstrates ease in meeting people d. Demonstrates good character and integrity e. Maintains a cooperative attitude TOTAL: 180/ = % The intern is most effective in: The intern requires assistance in: Additional comments and/or recommendations: * Intern's Signature Date Signature of On-site Supervisor Date * This signature confirms that I have seen and discussed this evaluation. When the evaluation is completed, please forward to: Ana G. Méndez University System USA Campuses Health Services Management Program Internship Facilitator
HESM 430 Health Services Management Internship Manual 24 Appendix F Science and Technology Department Health Services Management Universidad del Este Ana G. Méndez University System Continental USA Campuses Internship Log of Experiences Upon completion of the internship, the intern will submit two typewritten copies of the log of experiences along with all of the internship evaluation forms. Following the evaluation of the internship log of experiences, one of the two submitted copies will be returned to the intern. The log/journal of experiences should include, preceding the introduction section, a cover (title page), a table of contents, and a bibliography APA style. The log/journal should be organized in the following manner: 1. Brief Introduction a. Site of Internship b. Job responsibilities (This should be typed on letterhead from the internship site.) 2. Organizational hierarchy 3. Time/duration of the internship (112 clock hours is the minimum requirement for three (3) credit hours. 4. Chronicle of Experiences a. Daily/weekly summarization of the work experiences b. Appendix Section for any special materials, handouts, or gimmick samples 5. Summary c. Brief summary of the total experience, exposures, and participation d. Personal philosophy paper (two to three pages, font Courier New 12) (The students should address the value of the Health Services Manager in Health Care Organizations.)
HESM 430 Health Services Management Internship Manual 25 7. Intern's evaluation of the site a. Briefly evaluate the site and the on-site supervisor. b. Should the Health Services Management Program seek to place another intern with this site? c. What recommendations do you have for the improvement of the internship phase of the program? d. Should we strive to prepare our interns in a special manner for this site? e. Was the internship a worthwhile expenditure of the time required? If the answer is no, why or why not?
HESM 430 Health Services Management Internship Manual 26 Appendix G Science and Technology Department Health Services Management Universidad del Este Ana G. Méndez University Center Continental USA Campuses Date Intern s Presentation Letter to the On-site Supervisor Name Position Site s name Address Mr. or Mrs. Dear: Universidad del Este, Ana G. Méndez University System, USA Campuses offers a bilingual (Spanish and English) BS in Public Health with a major in Health Services Management. In order to complete such a degree, it is a requisite that the students perform 96 practical hours in the related area of concentration as part of the course HESM 430, Internship. The students of these programs are insured under a policy. These students also have knowledge of the fact that they will not receive any wages from the employer if their business is used for practical work experience, unless the employers wishes to stimulate the student for the work accomplished. We hope to count on your help and cooperation with the future bilingual professionals of the Health Services Management industry. In offering an opportunity to a participating student, you are contributing to the education of future youth, which can later on form part of your prestigious business. Anticipated thanks for your cooperation. If there should be any further information needed, please contact me at 1-800-378-8342. Sincerely, Prof. Coordinator of Health Services Management Internship Universidad del Este, AGMUS, USA Campuses
HESM 430 Health Services Management Internship Manual 27 Appendix H Science and Technology Department Health Services Management Universidad del Este Ana G. Méndez University Center Continental USA Campuses Intern s Name Intern s Time Sheet Form SSN Internship Site From To Month/Day/Year Month/Day/Year Day time in (am) time out (pm) time in (am) time out (pm) total of SUNDAY hours MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY TOTALOF HOURS Intern s signature Internship On-site Supervisor s Signature Date
HESM 430 Health Services Management Internship Manual 28 Appendix I Science and Technology Department Health Services Management Universidad del Este Ana G. Méndez University Center Continental USA Campuses Intern's Evaluation of Site Form Intern s Name Site SSN Internship On-site Supervisor Instructions: Using the following scale, rate the strengths and weaknesses of the site in terms of meeting your needs as an intern. Please make comments in spaces provided. 5 = Outstanding; 4 = Above Average; 3 = Average; 2 = Needs Improvement; 1 = Unacceptable; 0 = N/A Criteria 5 4 3 2 1 0 1. Acceptance of you as a functional member of the staff, willingness to integrate you into all appropriate levels of management in programs and projects. 2. Provisions of relevant experiences in administration, supervision, and leadership. 3. Cooperation of site staff to provide professional growth experiences through training programs, seminars, and similar activities. 4. Provision of assistance in helping you meet your personal and professional goals and objectives. 5. Possession of resources essential to the preparation of professionals (library, equipment, supplies, etc.). 6. Employment of qualified, professional staff with demonstrated capability to provide competent supervision. 7. Adequate scheduling of conferences with you and ongoing
HESM 430 Health Services Management Internship Manual 29 evaluation of your performance followed up by brief written progress reports. 8. Allowance for relating classroom theory to practical situations. 9. Location in reasonable proximity to campus. 10. Willingness to listen to whatever suggestions or recommendations you might offer, and willingness to discuss them with you, explain the rationale for their acceptance or rejection. Would you recommend this site to future interns? Why or why not? What were the strongest/weakest parts of this experience? What should be added or deleted? Do you have any additional comments? Final Comments:
HESM 430 Health Services Management Internship Manual 30 Appendix J Science and Technology Department Health Services Management Universidad del Este Ana G. Méndez University Center Continental USA Campuses Intern's Evaluation of On-site Supervisor Form Intern Site Supervisor s Name Date Instructions: Evaluate the quality of the supervision you received during the internship period. Please comment on the following items, and include other information you feel pertinent. 5 = Outstanding; 4 = Above Average; 3 = Average; 2 = Needs Improvement; 1 = Unacceptable; 0 = N/A Criteria 5 4 3 2 1 0 1. Interest in you as a person and as an intern. 2. Willingness to discuss the full range of your activities at the site. 3. Ability to respond to your problems and to help you work toward solutions. 4. Quality of the weekly conferences. 5. Adequacy of arrangements made to orient you to the site. 6. Sensitivity to your needs in accomplishing your objectives. 7. Expression of encouragement and sincerity. 8. Understanding of philosophy and practices in the profession. 9. Flexibility in arranging for your tasks in light of changing situations within the site and with you. 10. Openness to change, innovations, and new techniques. Final Comments and Recommendations: