3. I had the opportunity to follow a variety of different patients (with different medical conditions)....................................................................................................................

2. My performance was assessed against the learning objectives.......................................

1. I received clear learning objectives for the clerkship.......................................................

Please rate your agreement with the following statements.

6. My time in the clinical setting was productive...............................................................

5. My resident and attending encouraged my participation on the team..............................

4. I was able to care for an adequate number of patients on this rotation.............................

9. My attending provided me with sufficient feedback on my performance...........................

8. My attending provided effective teaching during the clerkship.........................................

7. My attending was adequately involved in teaching.........................................................

15. My residents provided effective teaching during the clerkship.......................................

14. My residents were adequately involved in teaching......................................................

10. My attending provided me with feedback in a timely manner........................................

18. A member of the healthcare team personally observed me performing a physical examination during this rotation......................................................................................

17. My residents provided me with feedback in a timely manner.........................................

16. My residents provided me with sufficient feedback on my performance..........................

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UT Southwestern Medical Center at Dallas

Acute Care Clerkship

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19. Overall, the teaching I received on this rotation enhanced the educational value of the clerkship.......................................................................................................................

22. Were the following subjects (if applicable) adequately covered in the clerkship?

21. Overall, the clerkship gave me a positive attitude towards this discipline........................

20. Overall, the clerkship allowed me to learn valuable skills..............................................

c. Professionalism.....................................................................................................

b. Geriatrics.............................................................................................................

a. Ethics..................................................................................................................

e. Cultural competency..............................................................................................

d. Health Promotion and Disease Prevention................................................................

Clerkship:

At this moment in time I am considering a career in:

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13. My fellows provided me with sufficient feedback on my performance.............................

12. My fellows provided effective teaching during the clerkship...........................................

11. My fellows were adequately involved in teaching.........................................................

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