SIU School of Medicine

Department of Psychiatry


Student Assessment of Clinical Supervision

Student: 

Rotation

Faculty/Resident: 

Setting:

 

 


Excellent

Very
Good


Good


Fair


Poor

Very
Poor

Provided examples and feedback about the interview and mental status:

Discussed the process of the patient's illness: 

Promoted development of a therapeutic alliance:

Encouraged comprehensive and specific differential diagnosis:   

Encouraged a rational approach to a broad range of therapeutic modalities:

Gave practical administrative/dispositional suggestions: 

Encouraged discussion:  

Was a role model: 

Overall effectiveness:

What aspects of this instructor's teaching were especially good?

What changes could be made to improve this instructor's teaching?

Faculty should be given this feedback immediately as opposed to the end of year feedback (includes positive and/or negative):     Yes     No

  

 

 


 

Jean Afflerbach, Web Master
Copyright 2000, Board of Trustees, Southern Illinois University. All rights reserved.
Revised: August 06, 2014