SIU School of Medicine

Neurology Clerkship

End of Clerkship Evaluation by Student

Thank you for participating in the Neurology Clerkship evaluation process!

Please proceed with the evaluation.

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

Class Year:

End Week of Clerkship:

1.  Objectives and Organization

Rate your response to each item on a scale using strongly agree to strongly disagree.

Strongly
Agree
5


4


3


2

Strongly
Disagree
1

  1. Clerkship objectives were clear.

  1. The clerkship orientation prepared me for clerkship expectations.

  1. The clerkship encouraged active student participation in activities.

  1. The clerkship was a valuable part of my medical education.

Comments:

2.  Inpatient Services

Rate your response to each item on a scale using strongly agree to strongly disagree.

Strongly
Agree
5


4


3


2

Strongly
Disagree
1

  1. I was assigned a sufficient number of patients.

  1. The attending physicians provided effective learning experiences.

  1. Residents provided effective learning experiences. 

  1. Inpatient rounds and discussions contributed to my learning.

Comments:

3.  Outpatient Clinics

Rate your response to each item on a scale using strongly agree to strongly disagree.

Strongly
Agree
5


4


3


2

Strongly
Disagree
1

  1. I was assigned a sufficient number of patients.

  1. The attending physicians provided effective learning experiences.

  1. Overall, the outpatient clinics contributed to my learning.

Comments:

4.  Case Conferences and Educational Materials

Rate your response to each item on a scale using strongly agree to strongly disagree.

Strongly
Agree
5


4


3


2

Strongly
Disagree
1

  1. The case conferences contributed to my learning.

  1. The practicum experience (lumbar puncture) contributed to my learning.

  1. The attending physicians encouraged active participation in conferences and practicums.

  1. The neurology website was a helpful resource.

  1. The recommended textbook and electronic resources contributed to my learning.

Comments:

5.  Faculty Members as Effective Teachers

This faculty member is an effective teacher and/or facilitator. (Please rate only the Attendings that you have worked with in the clinic setting.)

Strongly
Agree
5


4


3


2

Strongly
Disagree
1

Brajesh Agrawal, MD

Thomas Ala, MD

Jeff Cozzens, MD

Rodger Elble, MD

Jose Espinosa, MD

Sushant Kale, MD

Sajjad Mueed, MD

James Gilchrist, MD

Shubhangi Peche, MD

Yen-Yi Peng, MD

Michael Pranzatelli, MD

Fazeel Siddiqui, MD

Diane Wildrick, NP

Comments:

6.  Residents as Effective Teachers

This Resident is an effective teacher and/or facilitator. (Please rate only the residents that you have worked with in the inpatient service.)

Strongly
Agree
5


4


3


2

Strongly
Disagree
1

Emmanuel Akano, MD

Suddepta Dandapat, MD

Bridget Jones, MD

Elias Karroum, MD

Arkady Melikyan, MD

Vijay Pandav, MD

Rajesh Sandasiuni, MD

Comments:

7.  Nurse Educator as Effective Resource

This Nurse Educator is an effective facilitator.

Strongly
Agree
5


4


3


2

Strongly
Disagree
1

Carolyn Holmes, MSN, RN

Comments:

8.  Overall rating of the Neurology Clerkship

Excellent (5) Very Good (4) Good (3) Fair (2) Poor (1)

9.  Strengths

Please identify the strengths of the Neurology Clerkship.

10.  Opportunities for Improvement

Please identify ways to improve the Neurology Clerkship.

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

Yes   No 

Comments:

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

Yes   No 

Comments:

13.   Additional Comments:  

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

 


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Revised: November 22, 2013