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: 
5=Excellent 4=Very Good 3=Good 2=Fair 1=Poor 0=Very Poor

 

1.  Inpatient Experience: N/A
  Memorial 5A
  Memorial 3A 
  Consult/Liaison
  Substance Abuse
  McFarland Mental Health Center
  Alton
  Choate
  VA 
  St. John's 
2.  Outpatient Experience    
  Adult Diagnostic Clinic 
  Alton  
  Barton-Stone Rounds
  Child NPE   
  Community Support Network
  DD Group Psychotherapy
  Developmental Disabilities (Special Needs Clinic) 
  Forensic Clinic  
  Geriatric Clinic  
  Jacksonville Developmental Center
  Kemmerer Village
  Macoupin County Mental Health Center 
  Macoupin Co. Mental Health Center (with Dr. Kripakaran)
  MHCCI/Montvale
  Montgomery County Mental Health Center
  Montvale Child/Adolescent Center
  Southern Illinois Regional Social Services (Choate)   
  Springfield Mental Health Center 
  Union County Mental Health Center
  VA    
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   

     

Jean Afflerbach, Web Master
Copyright © 2008, Board of Trustees, Southern Illinois University. All rights reserved.
Revised: June 11, 2008