Third Year Clerkship Evaluation of Faculty

Please note that this is a three-part form.

Please complete all sections.

ID# (for authentication, will not be used for identification):

Clerkship:

Start Date: month year

Clinical Teaching Skills

Check 1, 2, 3, 4, 5 or NA for each area. Record comments in spaces
provided.

1. CONTENT: Provided a rich, up-to-date source of clinical knowledge for a wide range of diseases and disorders (both acute and chronic).
Relevant			Irrelevant	NA
1	2	3	4	5


2. ACCESSIBILITY: Were generally available for reference, on time for meetings, lectures, etc.; were strongly motivated to accommodate students' learning needs; and were consistently responsive and helpful.
Inaccessible			Accessible	NA
1	2	3	4	5


3. DIFFICULTY LEVEL: Overall, the amount and complexity of material presented was at a level which could be easily comprehended and utilized.
Inappropriate			Appropriate	NA
1	2	3	4	5


4. PRESENTATION SKILLS: Presentations were clear, stimulating and well placed. Faculty were effective at analyzing and presenting cases, in using questions and examples to promote thinking and problem solving, and in other ways stimulated learning and understanding.
Poor			Excellent	NA
1	2	3	4	5


5. EVALUATION: Approached assessment of student competence in an unbiased, reliable and valid manner; employed various techniques to probe the range and depth of students' clinical competence.
Fair			Unfair	NA
1	2	3	4	5

Clinical Teaching Skills Additional Comments:

Clinical Role Models

Check 1, 2, 3, 4, 5 or NA for each area. Record comments in spaces
provided.

6. HISTORY AND PHYSICAL EXAMINATION: Faculty effectively taught the process of obtaining information by taking complete and accurate case histories, doing physical examinations, and evaluating laboratory results.
Ineffective			Effective	NA
1	2	3	4	5


7. DIAGNOSTIC ACUMEN: Were effective in demonstrating and teaching the process of problem solving and interpreting information to arrive at a diagnosis (recognition, exploration, and approach to differential diagnosis in a thorough and objective manner).
Ineffective			Effective	NA
1	2	3	4	5


8. PATIENT MANAGEMENT: Effectively taught the development of a sound plan of patient management (deciding of the type and extent of treatment, urgency of implementation, and the use of correct methods and procedures).
Ineffective			Effective	NA
1	2	3	4	5


9. ROLE MODELING: Provided exemplary models of the many roles of the physician, regarding: interaction, teamwork, consultation, referrals, and being concerned with professional and ethical issues:
Ineffective			Effective	NA
1	2	3	4	5


10. COMPREHENSIVE CARE: When appropriate, served as effective models for offering comprehensive and continuous care to patients; coordinated all available social and medical services to resolve patients' problems.
Ineffective			Effective	NA
1	2	3	4	5

Clinical Role Models Additional Comments:

11. What changes would you recommend in this clerkship which might
prove helpful to other students?