Neurology Clerkship Evaluation Form

Name: (Please Note:  Your name will not appear on any reports.  We are collecting this information only for tracking purposes)

Agree
5

4

3

2

Disagree
1

1.  Clerkship objectives were well-defined

2.  Clerkship was well organized

3.  Clerkship rotation was long enough

4.  My opinions were appropriately considered

5.  Which aspects do you feel were most valuable:

     a.  Inpatient Rotation

     b.  Outpatient Rotation

     c.  Faculty Case Presentations

     d.  Morning Report

     e.  Clerkship Web Page

     f.  Grand Rounds

Comments:

Agree
5

4

3

2

Disagree
1

6.  The evaluation process was well defined

7.  Faculty/Fellows/Residents/Staff

     a.  Were readily available

     b.  Helped achieve clerkship objectives

Comments:

Agree
5

4

3

2

Disagree
1

8.  I would prefer case based discussions over lectures.

9.  Total effect the clerkship had on you:

     a.  Increased understanding of common neurological disorders

     b.  Introduced frequently-used neurological procedures and laboratory tests

     c.  Taught me to correctly perform a neurology history & physical examination

Comments:

Agree
5

4

3

2

Disagree
1

10.  Neuroscience was integrated well with the clinical material.

11.  I am more confident, after completion of this clerkship, in my ability to recognize, evaluate, and manage neurologic problems.

12.  What is your overall rating of the Neurology Clerkship?

13.  What would you do to improve this learning experience for future years?

14.  What were the strengths of this clerkship?

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

Yes   No 

If yes, briefly describe.

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

Yes   No 

Thank you for completing this evaluation.  We value your opinions.