Department of Internal Medicine

End of Clerkship Evaluation

NAME: 

Rotation: 

Note:  Please include comments!!

 

WARDS ( select one): MMC     SJH

Excellent

Very Good

Good

Fair

Poor

          QUALITY OF RESIDENT TEACHING

          QUALITY OF ATTENDING TEACHING

          QUALITY OF FEEDBACK GIVEN

          ADEQUATE NUMBER OF PATIENTS?

          VARIETY OF PATIENTS SEEN?

          DID YOU BECOME PART OF THE TEAM?

Comments:

SUBSPECIALTY PRECEPTORSHIPS

         

       

Excellent

Very Good

Good

Fair

Poor

          Quality of Attending Teaching

          Quality of Feedback Given

          Adequate Number of Patients?

          Variety of Patients Seen

          Organization of this Subspecialty

Comments or Suggestions:

      

Excellent

Very Good

Good

Fair

Poor

          Quality of Attending Teaching

          Quality of Feedback Given

          Adequate Number of Patients?

          Variety of Patients Seen

          Organization of this Subspecialty

Comments or Suggestions:

    

Excellent

Very Good

Good

Fair

Poor

          Quality of Attending Teaching

          Quality of Feedback Given

          Adequate Number of Patients?

          Variety of Patients Seen

          Organization of this Subspecialty

Comments or Suggestions:

CHAIRMAN'S WARD REPORT

Excellent

Very Good

Good

Fair

Poor

                   

          QUALITY OF FACULTY TEACHING

          QUALITY OF FEEDBACK GIVEN

Comments OR SUGGESTIONS:

CLINICAL CASE QUESTION REPORT

Excellent

Very Good

Good

Fair

Poor

          EDUCATIONAL VALUE OF THESE SESSIONS

Comments OR SUGGESTIONS:

WEEK 1

Excellent

Very Good

Good

Fair

Poor

          CRITICAL INCIDENT TEACHING SESSION (Anaphylaxis)

          CRITICAL INCIDENT TEACHING SESSION (Pancreatitis)

          SBAR/HAND-OFFS TEACHING SESSION

          CLINICAL SKILLS ASSESSMENT

          CASE REVIEW SESSION

Comments OR SUGGESTIONS:

LOGBOOK

Excellent

Very Good

Good

Fair

Poor

 

Comments OR SUGGESTIONS:

CLINICAL MANAGEMENT CONFERENCES

Excellent

Very Good

Good

Fair

Poor

          QUALITY OF FACULTY TEACHING -- Dr. Varney

          QUALITY OF FACULTY TEACHING -- Dr. Constance

Comments OR SUGGESTIONS:

NOON SEMINARS

Excellent

Very Good

Good

Fair

Poor

          TOPIC SELECTION

          QUALITY OF TEACHING

Comments OR SUGGESTIONS:

NURSE EDUCATOR

Excellent

Very Good

Good

Fair

Poor

          QUALITY OF CARDIOVASCULAR EXAM SESSION

          QUALITY OF NURSE EDUCATOR AS A RESOURCE

          EDUCATIONAL VALUE OF THE CARDIOVASCULAR EXAM TEACHING SESSION

Comments OR SUGGESTIONS:

MENTORS

Excellent

Very Good

Good

Fair

Poor

          QUALITY OF MENTOR TEACHING

          QUALITY OF FEEDBACK GIVEN

          EDUCATIONAL VALUE OF THESE SESSIONS

Comments OR SUGGESTIONS:

GIM CLINIC

Excellent

Very Good

Good

Fair

Poor

          QUALITY OF ATTENDING TEACHING IN GIM CLINIC

          QUALITY OF FEEDBACK GIVEN IN GIM CLINIC

          QUALITY OF TIME SPENT WITH NURSES

          QUALITY OF TIME SPENT WITH DIABETES EDUCATOR

          QUALITY OF TIME SPENT DOING PFT's AND STRESS TESTS

Comments OR SUGGESTIONS:

OTHER SESSIONS

Excellent

Very Good

Good

Fair

Poor

          REFLECTION EXPERIENCE

         TRANSITIONS OF CARE/DISCHARGE PROJECT EXPERIENCE

Comments OR SUGGESTIONS:

OTHER Comments OR SUGGESTIONS:

 

  1. What is your overall rating of this clerkship?

Excellent

Very Good

Good

Fair

Poor

  1. What would you do to change this learning experience for future years?

  1. What were the strengths of this clerkship?

  1. In this clerkship was an appropriate amount of time devoted to basic science concepts?  

Yes   No 

  1. Have you personally experienced or witnessed student abuse during this clerkship? 

Yes   No 

 

 If yes, briefly describe.

  1. Have you been directly observed performing clinical skills by faculty during this clerkship? 

Yes   No