If you see this message, your browser doesn't have the features needed to view this form, nor does it support the JavaScript needed to redirect it to an alternate page. Please click this link.

UT Southwestern Medical School
Fourth Year Course Evaluation
ANESTHESIOLOGY
INTERNAL MEDICINE (cont'd)
PSYCHIATRY
CELL BIOLOGY
DERMATOLOGY
FAMILY PRACTICE
INTERNAL MEDICINE
CBCS
NEUROLOGY
OBSTETRICS & GYNECOLOGY
OPHTHALMOLOGY
OTOLARYNGOLOGY
PATHOLOGY
PEDIATRICS
PHYSICAL MED/REHABILITATION
RADIOLOGY
SURGERY
Please enter your Student Id or Name below
Your id is used to assign credit for submitting the form only - the id will be stripped from the evaluation record at the time that it is submitted and your input will be anonymous.
Electives

Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Not Applicable
1. The objectives of this elective were clearly defined at the beginning.
2. Most objectives of this rotation were met.
3. I was given appropriate responsibilities to achieve the objectives of this rotation.
4. The performance criteria for my evaluation were clearly explained.
5. I received feedback on my performance.
6. The feedback I received was timely and helpful.
7. Patient experiences represented a full range of clinical problems seen in this specialty.
8. The faculty were committed to providing a worthwhile learning experience.
9. The house staff were committed to providing a worthwhile learning experience.
10. My overall rating for this rotation:
Excellent
Good
Average
Fair
Poor
__________________________________________________________________________________________________________
http://sws002.swmed.edu/fa/support.asp
Click link to find your SID:
Comments on the strengths and weaknesses of this rotation:
Created with TeleForm 9.0 eForm Option
Copyright © 1997 - 2004
Verity, Inc.