FOR ALL residents.. AS i told all of you before, this is the faculty evaluation form, and it must be filled by each one of the resident in order
to evaluate the faculty members and their performance.. consider the following:
1. the resident can fill more than one form if he/she want to evaluate more than one member.
2. the resident can evaluate good and bad members as well.
3. the resident can evaluate all the faculty members including the program director, assisting program director and chief resident.
4. 100% CONFIDENTIAL feel free, evaluate whatever u want, by whatever u think it is fair.
5. submitt your evaluation to dr.azhar or dr.baha. (if u trust me, i will be more than happy to collect your feedback +/- forms )
--Forwarded Message Attachment--
From: Saved by Windows Internet Explorer 7
Subject: Evaluation Form - MedHub
Date: Tue, 29 Nov 2011 13:14:52 +0300
Evaluation FormPrinted on Nov 29, 2011
RESIDENTS EVALUATION OF FACULTY
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| Evaluation of: |
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| Date: |
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Role modeling/Professionalism
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Strongly Disagree |
Disagree |
Agree |
Strongly Agree |
| 1 Communicates clearly with the team members, both verbally and in writing (e.g. in medical records, consultation requests).* |

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2 Shows respect for all members of the team including residents, nurses and other health professionals.* |

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| 3 Displays compassion and respect towards patients and families. |

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| 4 Shows evidence of up to date medical knowledge.* |

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| 5 Demonstrates an analytical approach to clinical decision- making.* |

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| 6 Overall, is an effective role model.* |

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Comments
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| Additional comments |




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Clinical Teaching
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Strongly Disagree |
Disagree |
Agree |
Strongly Agree |
| 1 Establishes an environment that supports learning.* |

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2 Specifies clearly the goals and objectives of this training period.* |

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| 3 Organizes time to allow for both teaching and patient care.* |

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| 4 Promotes learning through the use of stimulating questions.* |

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5 Helps develop my clinical and technical skills ( e.g. physical examination, procedures).* |

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| 6 Provides appropriate supervision of my duties.* |

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| 7 Provides regular feedback to help me improve my performance.* |

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| 8 Encourages me to learn independently and mature as a physician.* |

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| 9 Overall, is an effective teacher.* |

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Comments
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Commitment to the Residency Program
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Strongly Disagree |
Disagree |
Agree |
Strongly Agree |
| 1 Shares skill and knowledge by regularly participating in organized clinical discussions and clinical rounds.* |

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| 2 Shares skill and knowledge by regularly participating in journal clubs.* |

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| 3 Is available to residents for additional guidance.* |

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Comments
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