SIU School of Medicine

Department of Psychiatry

Student Evaluation of Psychiatry Clerkship

Please respond to each item carefully and thoughtfully.  Select the appropriate rating
for each item.  Add specific comments at the bottom of this form regarding strengths and areas for improvement

NAME:    
Clerkship Rotation: 

 

1.  Inpatient Experience:
  5
Excellent		 4
 Very
Good		 3
Good		 2
Fair		 1
Poor		 0
 Very
Poor		 N/A
  Lincoln Prairie Behavioral Health
  Memorial Medical Center 5A
  Consult/Liaison
  Substance Abuse
  McFarland Mental Health Center Adolescent Unit
  St. John's 10th Floor
2.  Outpatient Experience  
  Acute Care Clinic 
  Child/Adolescent Clinic   
  Child/Adolescent NPE   
  Community Support Network
  Forensic Clinic  
  Gateway
  Geriatric Clinic  
  Jacksonville Developmental Center
  Medication Management
  New Patient Evaluation
  Psychotherapy
  Rural Psychiatry
  Special Needs Clinic  
3.  Assigned Responsibility for patients was commensurate with your training
  Inpatient:
  Outpatient: 
4.  Patients were assigned to you with an appropriate range of psychiatric disorders
  Inpatient:
  Outpatient: 
5.  Goals and expectations were clearly communicated:   
6.  Specific feedback on your work was given:   
7.  Faculty were role models:  
8.  Residents were role models:  
9.  Seminars were useful and practical:   
10.  Recommended readings were appropriate:  
11.  Overall organization of the clerkship:     

  OVERALL COMMENTS:

What is your overall rating of this clerkship?

Excellent

Very Good

Good

Fair

Poor

Please provide comments on strengths of the clerkship:
What would you do to change this learning experience for future years?
Please comment on quality of teaching you received:
Please list and comment on the texts you used:
Have you personally experienced or witnessed student abuse during this clerkship?  Yes   No 

If yes, briefly describe:
In this clerkship was an appropriate amount of time devoted to basic science concepts?  Yes   No 

Please vote for one of the following for Resident Teacher of the Year:

     

Jean Afflerbach, Web Master
Copyright © 2009, Board of Trustees, Southern Illinois University. All rights reserved.
Revised: October 29, 2009