MCSO/OSU-CHS

Basic format

Rotation Dates

Lichert Scale 1=poor 3=average 5=excellent

CORE COMPETENCY EVALUATION
Did the intern / resident demonstrate Osteopathic Skills during this rotation?  
Did the Intern/Resident demonstrate adequate medical knowledge during this rotation?  
Did the intern / resident demonstrate professionalism during this rotation?   
Did the Intern / Resident demonstrate adequate interpersonal and communication skills during this rotation?   
Did the Intern / Resident demonstrate adequate patient care skills for their level of training?  
Did the Intern demonstrate adequate use of resource materials during this rotation?   
Did the Intern / Resident demonstrate punctuality?  
ROTATION SPECIFIC QUESTIONS  
 12345UE
Ability to
Ability to perform
Placement of
Placement of
Knowledge of
Understands
Basic use

ROTATION SPECIFIC COMMENTS

Signature of Evaluator  
 
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