Medical Education
Evaluate Your Teachers

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Evaluate Your Teachers Form - Minneapolis Campus

Please complete the following evaluation. When complete, scroll down and click the submit button.

NOTE: * indicates a required field

About Yourself
Your Training Level*:
Evaluate The Director
	Name	Rating
Director:
Comments on Director:
Evaluate The Chief Resident
	Name	Rating
Chief Resident Name
Comments on Chief Resident:
Evaluate Children's Hospitalists (up to 3)
	Name	Rating
Children's Hospitalist 1:
Children's Hospitalist 2:
Children's Hospitalist 3:
Comments on CHC Hospitalists:
Evaluate Children's Clinic Doctors (up to 3)
	Name	Rating
Children's Clinic Doctor 1:
Children's Clinic Doctor 2:
Children's Clinic Doctor 3:
Comments on CHC Clinic Doctors:
Med/Peds Hospitalists (up to 3)
	Name	Rating
Med/Peds Hospitalist 1:
Med/Peds Hospitalist 2:
Med/Peds Hospitalist 3:
Comments on Med/Peds Hospitalists:
Evaluate Others (Community Doctors, Subspecialists, etc.)
	Name	Rating
Name 1:
Name 2:
Name 3:
Comments on Others:
Teaching Nominations
Nomination for Teaching Award (Attending):
Nomination for Teaching Award (RN):

Date Last Modified: 04/12/2011 08:42