For Employees
|
Our Locations
|
Contact Us
|
Site Map
|
Search
Delivering Next Generation Care
Search
Medical Education
Program Evaluation
Program Evaluation Form
Please complete the following questions appropriate to your time at Children's. All items with a red star
*
are required fields. When complete, scroll down and click the submit button.
Rotation Information
*
Campus
Minneapolis
St Paul
*
Unit/Dept
NICU
Emergency
Inpatient/Wards
Other
*
If Other Dept, where?
*
Start Date
MM/DD/YYYY
*
End Date
MM/DD/YYYY
Preceptor
*
Staff Type
Resident
Student
Fellowship
Physician Assistant
Externship
*
Training Level
Extern
G1
G2
G3
Med/Peds 1
Med/Peds 2
Med/Peds 3
Med/Peds 4
MS3
MS4
PA Student
PL1
PL2
PL3
*
Med School/Residency Program
Augsburg
Costa Rican
Methodist
North Memorial
Rapid City
Region
Riverside (Smiley's)
St. Joseph
St. John
United
U of M Dept. of Peds
U of M Medical School
Waseca-Mankato
Other
Evaluation
Weak
Below
Average
Average
Above
Average
Very
Strong
*
1.
Diversity of Patient Problems
*
2.
Use of Patients for teaching purposes
*
3.
Opportunities to exercise own clinical judgement
*
4.
Meaningful discussion of patients with supervising resident, fellow, lead or attending
*
5.
Teaching Rounds
*
6.
Conferences
*
7.
Overall Educational value of this rotation
*
8.
How satisfied with the experience
*
9.
Do you feel this rotation has prepared you to care for children
*
10. Adequacy of patient volume
Insufficient
Light
Just Right
Heavy
Excessive
*
11. If you are a resident, were you able to comply with the Work hour Guidelines?
Yes
No
12. Comments on Work Hour Guidelines
13. General Comments
Copyright
© 2009 Children's Hospitals and Clinics of Minnesota
This site subscribes to the
HON Code Principles of Conduct
of the
Health On the Net Foundation
.
Privacy and Terms of Use
|
Viewing Recommendations
Date Last Modified: 11/16/2009
