MCSO/OSU-CHS
Service Evaluation by Resident
Rotation
DATE OF ROTATION
Resident Name
Monica Woodall, DO
Michael Roach, DO
Mike Boger, DO
Robert Gispanski, DO
Thomas Jarvis, DO
Alex Roby, DO
Andrew Hamill, DO
Robert Moody DO
Tim Newton DO
Clay Garrett DO
Instructor Name
Overall Rotation Rating
poor
average
good
excellent
Overall instructor rating
poor
average
good
excellent
About the Rotation
(1=poor, 3=average, 5=excellent)
1
2
3
4
5
Was the rotational environment conducive to a good educational experience?
Were there scheduled formal educational programs?
Was the educational experience additive?
Did the educ.and service components complement?
Was the service pace appropriate?
Was your knowlege tested?
Did you have assignements?
Were assignments relevant?
Did you require reference texts?
Were reference texts or online materials avail.?
About the Supervising Physician
(1=poor, 3=average, 5=excellent)
1
2
3
4
5
Supervisor was knowlegable
Supervisor was prompt and available
Supervisor was fair
Supervisor challenged you to learn
Supervisor gave you solid feedback
General Questions and Comments
My medical knowlege increased because of this rotation
yes
no
not sure
There was a balance between professional and personal life in this rotation
yes
no
not sure
Suggested improvements for this rotation
Indicates Response Required