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Get the free Clerkship Mid‐Point Feedback Form - ucdenver

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This form is used for evaluating and providing feedback to medical students during their clerkship at a medical school, specifically assessing their performance and areas for improvement.
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How to fill out clerkship midpoint feedback form

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How to fill out Clerkship Mid‐Point Feedback Form

01
Gather all necessary information about the student and the clerkship details.
02
Begin by entering the student's name and the name of the clerkship site.
03
Complete the evaluation of the student's clinical skills by rating each area on a scale provided.
04
Provide specific comments and examples to support your ratings in the feedback section.
05
Assess the student's professionalism and communication skills, providing feedback where necessary.
06
Fill in the learning goals and objectives discussed during the mid-point review.
07
Sign and date the form to finalize the feedback.

Who needs Clerkship Mid‐Point Feedback Form?

01
Clerkship coordinators
02
Supervising faculty members
03
Medical students undergoing clerkships
04
Accrediting bodies requiring progress documentation
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The Clerkship Mid-Point Feedback Form is a tool used to gather feedback from students during their clinical clerkships to assess their performance and identify areas for improvement.
Typically, students participating in clinical clerkships are required to complete the Clerkship Mid-Point Feedback Form.
To fill out the Clerkship Mid-Point Feedback Form, students should provide thoughtful and honest evaluations based on their experiences, reflecting on various aspects of their clerkship.
The purpose of the Clerkship Mid-Point Feedback Form is to facilitate communication between students and supervisors, allowing for timely feedback and guidance during clinical training.
The form typically requires information regarding the student's clinical skills, professionalism, interactions with patients and staff, and any specific learning objectives related to the clerkship.
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