Medical University Of The Americas

Student Evaluation Rotation Form

This evaluation form must be completed in order for a grade to be posted.

Student

Title

First Name

Middle

Last Name

Preceptor

Title

First Name

Middle

Last Name

Hospital or Clinic

Rotation

Rotation Dates

Discriminators

DIRECTIONS: Rank each area of your clerkship using the following rating scale (1=poor / 5=excellent). Check N/A if not applicable.
Professionalism of Preceptor.
Attitude and willingness to teach of Preceptor.
Attitude of other personnel : (nurses, house staff, etc.).
Teaching of diagnosis and treatment.
Observation of procedures.
Performance of procedures.
Number of patient contacts per day.
Number of history and physical exams per week.
Scope and variety of pathology/disease.
Night and weekend coverage.
Quality of didactics (ie, lectures, reading, rounds,etc.).
Overall rotation evaluation.

Comments

Please briefly describe the strongest and weakest areas of this rotation.

Would you in retrospect, take this rotation again?

(Please comment below)

What would you recommend to students in order for
them to get the most out of this rotation?

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