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Georgetown University School of Medicine Mid-Clerkship Reassessment & Feedback Form Student Name: Faculty Name: Clerkship Name EMERGENCY MEDICINE Block: This assessment is designed to improve student
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How to fill out mid clerkship feedback form:

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Start by carefully reading the instructions provided on the form. Make sure you understand the purpose and expectations of the feedback form.
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Fill out your personal information accurately, including your name, student ID, and contact details. This information is crucial for identifying who the feedback is coming from.
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Begin addressing the specific sections or questions on the feedback form. This may include rating your performance, providing comments or suggestions, and assessing specific skills or competencies.
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Be honest and constructive in your feedback. Highlight both positive aspects and areas for improvement. Use specific examples or incidents to support your evaluations.
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Follow any additional instructions stated on the form, such as submitting the feedback electronically or returning a physical copy to the appropriate person or department.

Who needs mid clerkship feedback form:

01
Medical students undertaking a mid-clerkship evaluation may need to fill out the mid clerkship feedback form. The form allows students to provide feedback on their experiences, interactions, and overall progress during the clerkship.
02
Supervising physicians or faculty members responsible for evaluating students benefit from the mid clerkship feedback form. The form provides them with valuable insights into the student's performance and helps identify areas of strength and areas that need improvement.
03
The medical school or educational institution may require mid clerkship feedback forms to assess the effectiveness of their clerkship program. This feedback can guide curriculum enhancements and ensure the program meets its intended goals.
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The mid clerkship feedback form is a form used to provide feedback on a student's performance during the middle of their clerkship.
Supervisors, preceptors, or instructors are required to file the mid clerkship feedback form for the students they are evaluating.
The mid clerkship feedback form can be filled out electronically or in a physical form provided by the institution. The evaluator must provide detailed feedback on the student's performance in various areas.
The purpose of the mid clerkship feedback form is to provide students with constructive feedback on their performance midway through their clerkship, allowing them to make improvements and adjustments.
The mid clerkship feedback form must report on the student's skills, knowledge, professionalism, communication, and overall performance during the clerkship.
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