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Student: Date/Shift/Location: Evaluator: # of Patients Not observed Unacceptable REQUIRES COMMENT At expected level of MS3 At Expected Level of MS4AboveExpectation (Within top 25%) Outstanding(Top
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How to fill out new clerkship evaluation form

01
Begin by obtaining a copy of the new clerkship evaluation form from your supervisor or the relevant department.
02
Read the instructions and guidelines provided at the beginning of the form to understand the purpose and criteria for evaluation.
03
Fill out the personal details section, including your name, student ID, and clerkship start and end dates.
04
Evaluate your performance in each of the predefined categories or criteria mentioned in the form. Provide honest and accurate ratings based on your observations and experiences.
05
Use the provided space to add specific comments, examples, or suggestions related to each category. Be detailed and specific to provide valuable feedback.
06
If there are any additional sections in the form for self-reflection or feedback on the supervisor or program, fill them out as instructed.
07
Review your completed form to ensure it is filled out correctly and comprehensively.
08
Submit the evaluation form to the designated person or department before the deadline mentioned.
09
Keep a copy of the filled-out form for your personal records or reference if needed in the future.

Who needs new clerkship evaluation form?

01
The new clerkship evaluation form is needed by medical students or individuals who are undergoing a clerkship program at a medical institution.
02
It is typically required for students to assess their performance and provide feedback about the clerkship program, supervisors, and their overall experiences.

What is NEW CLERKSHIP EVALUATION Form?

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Instructions for the form NEW CLERKSHIP EVALUATION

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New clerkship evaluation form is a document used to assess and evaluate the performance of clerks during their clerkship period.
Both the clerk and the evaluating supervisor are required to fill out and submit the new clerkship evaluation form.
The form can be filled out by providing honest feedback and ratings based on the clerk's performance in various areas during the clerkship.
The purpose of the new clerkship evaluation form is to provide feedback to the clerk on their performance, identify areas of improvement, and assess their readiness for clinical practice.
The new clerkship evaluation form typically includes ratings on the clerk's knowledge, skills, professionalism, communication, and overall performance during the clerkship.
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