MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_01C90135.99432A20" This document is a Single File Web Page, also known as a Web Archive file. If you are seeing this message, your browser or editor doesn't support Web Archive files. Please download a browser that supports Web Archive, such as Microsoft Internet Explorer. ------=_NextPart_01C90135.99432A20 Content-Location: file:///C:/CC4A9D8F/MICHIGANSTATECardio.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" MICHIGAN STATE

MICHIGAN STATE=

UNIVERSITY<= /span>

Mich= igan State University/Sparrow Hospital

Card= iovascular Disease Sub-specialty Residency Program

Rotation:    Name:

Attending:  Rotation Period:

       &nbs= p;            &= nbsp;         &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;  Please Circle One

<= ;Strongly Disagree     <Agree>   Strongly Agree>

       &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;                &nbs= p;            &= nbsp;          1       &nbs= p; 2       &nbs= p;   3     &n= bsp;   4        5

 

1.  The teaching attending allowed the SSR opportunity for primary care and decision-making.

 

 

2.  The teaching attending was available for consultation and backup.<= /span>

 

Confidential
 

3.  The t= eaching attending was appropriately involved in the care of patients including evaluation notes.

 

 

4.  A sufficient and appropriate amount of time was devoted to teaching (both didactic and bedside).

 

 

5.  The education activities were consistently high quality.

 

 

6.  The teaching attending provided critical feedback to the SSR regarding patien= t care and clinical skills.

 

 

7.  The t= eaching attending provided appropriate supervision for procedures.

 

 

8.  The teaching attending was an appropriate role model (including but not limit= ed to integrity, humanism, and practice standards).

 

 

9.  Appro= priate backup was provided during any absences of the teaching attending.

 

 

 

 

 

 

 

 

10. The rotation for this ti= me frame was productive, educational and of high quality.

 

 

 

 

 

 

 

 

11. Please rate the overall rotation experience under the direction of this attending*.

 

 

 

 

 

 

 

 

 

 

SSR Signature

 

Date

 

 

Pl= ease enter comments here:

 

 

 

 

 

*Rati= ngs of less than 3 on Item 11 REQUIRE a written comment

 

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Revised 9/5/02

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