Pediatrics Clerkship Student Feedback
Please evaluate the clerkship by completing this questionnaire.  The information which you and other students provide will be reported in summary form to the clerkship director in order to improve the curriculum.  For each item, rate it 1 - 5, with 1 being "Strongly Disagree" and 5 being "Strongly Agree".  Please use COMMENTS section freely to explain your ratings, but especially whenever you disagree or the item cannot adequately be covered by a simple reply.  Thank you.

Name:   
Clerkship Rotation:

1.  OBJECTIVES & ORGANIZATION
  (strongly
agree)
5		 4 3 2 (strongly disagree)
1
How well did each of the following activities assist you in attaining your goals for the clerkship?          
bulletClerkship orientation helped me achieve the clerkship objectives.
bulletClerkship organization promoted student learning.
bulletClerkship encouraged active student participation in activities.
Objectives & Organization Comments: 
2.  CLERKSHIP EXPERIENCES

The following aspects of the clerkship were valuable learning experiences:

  (strongly
agree)
5		 4 3 2 (strongly disagree)
1
a.  Inpatient Rotation enhanced my overall clerkship education          
     1.  Ward Rounds

Comments: 

b.  Outpatient/Clinics enhanced my overall clerkship education
Comments: 
c.  Newborn Nursery enhanced my overall clerkship education
Comments: 
d.  Streamers enhanced my overall clerkship education
Clerkship Experiences Comments: 
3.  OVERALL, THIS CLERKSHIP RESULTED IN:
  (strongly
agree)
5		 4 3 2 (strongly disagree)
1
a.  better understanding of children
b.  improved history and physical exam skills
c.  improved clinical reasoning skills
d.  increased comfort and ease in approaching infants and children
e.  increased understanding of problems unique to the pediatric population

Overall Comments: 

4.  What were the strengths of the Pediatrics Clerkship?

5.  What would you DO TO CHANGE THIS LEARNING EXPERIENCE for future years?

6.  What is your overall rating of the pediatrics clerkship?

5 - Excellent

4 - Very Good

3 - Good

2 - Fair

1 - Poor

7.  ABUSE
Have you personally experienced or witnessed student abuse during this unit?  Yes   No 

If yes, briefly describe.

8.  BASIC SCIENCE

In this clerkship was an appropriate amount of time devoted to basic science concepts?  Yes   No 

(go to Pediatric Faculty Evaluation, Part 1)