DFMC EMPLOYEE EVALUATION
RESIDENT PROFESSIONALISM EVALUATION
CHOOSE RESIDENT
RESIDENTS
DR WOODALL
DR ROACH
DR BOGER
DR JARVIS
DR GISPANSKI
DR HAMILL
DR ROBY
DR GARRETT
DR MOODY
DR NEWTON
1 = poor, 2 = needs improvement, 3 = appropriate,
4= above average, 5 = excellent, UE-unable to evaluate/do not observe
FOR REFERENCE PLEASE CLICK ON BOX
1
2
3
4
5
UE
Professional Attitude w/Patients
Professional Attitude w/Staff
Interacts Congenially-Avoids Chaos
Manages Time Efficiently
Willingness to Work-In Patients
Clearing Desk Daily
Efficient Patient Care
Self Sufficient
Uses Resources Appropriately
Knowledge of Office Policies and Procedures
Please provide comments regarding specific resident behavior below
Do you have any suggestions to help improve this Resident's behavior? Please be specific and relate examples, if possible.
Last 4 of SSN and Date
Indicates Response Required