Department of Family & Community Medicine
Student Evaluation of Clerkship Activities
Please evaluate your experiences here at the Family & Community Medicine Clerkship. Be specific about strengths and weaknesses in your comments. Your honest and constructive criticism will be used to improve the clerkship for students in the future.
Name: *Select Student Name Altheimer, Alicia Austin, Richard Barfield, Andrew Bauman, John Becker, Amanda Betzle, Christopher Boucek, Lisa Canaday, Dian Chandra, Sidharth Cheatham, Terah Dawood, Moiz Day, Rachel Dodia, Neal Feller, Cathy Galanos, Kelly Grimm, Trenton Hagene, Michelle Haryani, Anand Henkle, Benjamin Hiatt, Elizabeth Jimenez, Monica Johnson, Kevin Juvinall, Douglas Keeler, Aisha Ken, Jonathan Ken, Kimberly Khan, Imran Koch, Craig Kulacz, Jeremy Leverenz, Ashley Malvik, Natalie Mathews, Dionna Mayfield, Allison McKenna, Katherine Meyer, Bria Michael, Alex Michaels, Jason Miedema, Christopher Miksanek, Zachary Miller, Peter Nester, William Parke, Jacob Patel, Raunak Patel, Sonal Raab, Joseph Rabideau, Amanda Rebeiro, Sumi Reid, Taylor Roloff, Carolyn Ros, Sara Rosenkrans, Daniel Ryan, Daniel Sadowski, Daniel Sanserino, Kathryne Schmucker, Drew Simon, Kevin Spencer, Lauren Swong, Michael Tennill, Robert Thompson, Kirk Urish, Ashley Varney, Brittany Varney, Jacob Wakid, Christopher Washington, Vance Weitzel, Laura Yanik, Susan Yoon, Kristopher Yu, Xin Zubairu, Josiah zzTest
Clerkship Rotation:
1=Poor, not useful; 2=Below Average, barely useful; 3=Average; 4=Above Average, quite useful; 5=Excellent, very useful
Poor ... Excellent
Discussion Groups
1
2
3
4
5
The chosen readings complemented similar cases seen and broadened my knowledge base.
The discussion group process helped my understanding of the readings.
The process of connecting and meeting was…
The discussion group process provided a useful education tool to facilitate my learning in the FCM clerkship.
The provided information was evidence-based.
The information gained will be useful in the future.
Comments/Suggestions:
Curricular Assignments
Patient-Centered Medical Home Reflective Writing
How useful was this assignment?
Appropriate content for your level of training
How useful were the presentations of others?
Quality Improvement Sheet/PDSA
Essential Evidence Plus Worksheet
Case related secure messages
COPC/ Health Literacy Assignment
Critical Appraisal/ Pub Med
This helped my understanding of basic & clinical sciences.
Simulated Patient Encounters/Clinical Competency Exam (CCX)
How would you rate the quality of the cases (challenging, realistic, etc.)?
How useful was faculty feedback?
Overall rating:
Comments/Suggestions: (Please feel free to comment on the SP also)
OSCE Stations: Rate each station on content and how well you think they assessed your skills.
Population Health
Health Disparities
Health Literacy
Chronic Care Model
QI/PDSA
Legal/Ethical
COPC
Pub Med Literature Search
Practice Management
Secure Messaging
NBME Exam
This was useful for evaluating my knowledge in the FCM clerkship
Overall Clerkship Evaluation:
The design and organization of the clerkship promoted student learning.
Overall rating of the FCM Clerkship
The overall teaching I received was ...
The overall feedback I received was ...
The clerkship directly increased my knowledge and skills.
How did the clerkship give you a better understanding of the discipline of Family Medicine?
List the beneficial/positive experiences or aspects of this clerkship.
List the negative/weak experiences or aspects of this clerkship.
What recommendations can you make for improvement of the clerkship?
Have you personally experienced or witnessed student abuse during this clerkship? If yes, briefly describe.
Yes No
In this clerkship was an appropriate amount of time devoted to basic science concepts?
Other comments or suggestions:
Thank you for taking time to complete this information.
Contact us: Harald Lausen, DO (Curriculum Information) Jean Afflerbach (Web Master)
Page last updated 08/21/2012
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