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Please enter your FIRST rotation site and rate it on the following items:
Your rotation number:
Your SID:
Psychiatry Clerkship Evaluation 2007-08
This Clerkship Evaluation Form has been designed by the Dean's Office. Your responses will be used to improve the Psychiatry Clerkship. Click the 'Submit Button' at the end of evaluation when finished.
Strongly
Agree
Agree
Undecided
1. I received clear learning objectives for the clerkship.................................................
2. My performance was assessed against the learning objectives....................................
3. I had opportunity to follow a variety of different patients (with different medical conditions)....................................................................................................
4. I was able to care for an adequate number of patients on this rotation..........................
5. My time in the clinical setting was productive.........................................................
6. The clerkship schedule of duties, sites, and call was clear to me...................................
7. My attending was adequately involved in teaching...................................................
8. My attending encouraged my participation on the team.............................................
Please rate the following statements:
9. My attending provided effective teaching during my clerkship......................................
Disagree
Strongly
Disagree
10. My attending provided me with sufficient feedback on my performance.........................
Please evaluate the one attending you worked with the most. Enter their name in the appropriate space below:
Faculty Attending Name:
Strongly
Agree
Agree
Undecided
Disagree
Strongly
Disagree
11. My attending provided me with feedback in a timely manner......................................
12. My attending was easily available to me for the purpose of signing off on the passport requirement....................................................................................................
Please evaluate the one resident you worked with the most. Enter their name in the appropriate space below:
Resident Name:
13. My resident was adequately involved in teaching...................................................
14. My resident encouraged my participation on the team.............................................
15. My resident provided effective teaching during my clerkship......................................
16. My resident provided me with sufficient feedback on my performance..........................
Strongly
Agree
Agree
Undecided
Disagree
Strongly
Disagree
17. My resident provided me with feedback in a timely manner........................................
____________________________________________________________________________________________
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Click link to find your SID:
Please comment on your experience at the above site - include comments on how this rotation could be improved:
Please enter your SECOND rotation site and rate it on the following items:
18. My attending was adequately involved in teaching.................................................
19. My attending encouraged my participation on the team...........................................
20. My attending provided effective teaching during my clerkship....................................
21. My attending provided me with sufficient feedback on my performance........................
Please evaluate the one attending you worked with the most. Enter their name in the appropriate space below:
Faculty Attending Name:
Strongly
Agree
Agree
Undecided
Disagree
Strongly
Disagree
22. My attending provided me with feedback in a timely manner.....................................
23. My attending was easily available to me for the purpose of signing off on the passport requirement...................................................................................................
Please evaluate the one resident you worked with the most. Enter their name in the appropriate space below:
Resident Name:
24. My resident was adequately involved in teaching...................................................
25. My resident encouraged my participation on the team.............................................
26. My resident provided effective teaching during my clerkship......................................
27. My resident provided me with sufficient feedback on my performance..........................
Strongly
Agree
Agree
Undecided
Disagree
Strongly
Disagree
28. My resident provided me with feedback in a timely manner........................................
Please comment on your experience at the above site - include comments on how this rotation could be improved:
____________________________________________________________________________________________
____________________________________________________________________________________________
29. Overall, the teaching I received on this rotation enhanced the educational value of the clerkship.......................................................................................................
30. Overall, the clerkship allowed me to learn valuable skills..........................................
31. Overall, the clerkship gave me a positive attitude towards this discipline.......................
32. The overall quality of the clerkship was high........................................................
Strongly
Agree
Agree
Undecided
Disagree
Strongly
Disagree
33. I felt I had an adequate amount of time on each 3 week subrotation...........................
The following subjects were addressed in the clerkship:
34. Ethics.....................................................................................................
35. Geriatrics.................................................................................................