INTERNAL MEDICINE Savannah CLERKSHIP MANUAL
CLERKSHIP MANUAL - Mercer University School of Medicine
CLERKSHIP MANUAL - Mercer University School of Medicine
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Internal Medicine Clerkship Rotation<br />
Student Evaluation of Faculty/Resident/Intern<br />
Faculty/Resident/Intern/Backup Name:<br />
Evaluator’s Name:<br />
Rotation Period:<br />
«Faculty_Name»<br />
«Student_Name»<br />
«BegDate» to «EndDate»<br />
Please evaluate your faculty/resident/intern’s performance during this rotation utilizing the<br />
following scale:<br />
4 = Outstanding 3 = Above Average 2 = Average<br />
1 = Below Average 0 = Unacceptable<br />
All individual responses will be kept CONFIDENTIAL. Composite summary data will be<br />
provided to faculty in an ANONYMOUS format. Place a check mark in the appropriate<br />
box for each area:<br />
Medical Knowledge<br />
Professional Attitude<br />
Teaching Skills<br />
Availability to you during rotation<br />
Value of teaching sessions on<br />
rounds<br />
0 1 2 3 4<br />
Unacceptable<br />
Below<br />
Average<br />
Average<br />
Above<br />
Average<br />
Outstanding<br />
Comments or suggestions for improvement:<br />
Please return form to Clerkship Coordinator. THANK YOU!<br />
UPDATED: 7/2015<br />
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