Resident Rotation Evaluation Survey    1. Rotation   PGY1

 Resident Rotation Evaluation Survey 1. Rotation PGY1 FMBT Adult ER Hospital Medicine Palliative SBGH Women’s Nine Circles Geriatric Peds ER Thompson Morden/Winkler OBS: HSC PGY2 Addiction Neonatology: HSC ICU MSICU FMBT: Flin Flon MICU Swan River NT: site SICU NMU: SBGH Airway: Norway House Gold The Pas Churchill The Pas Peds Gen Orthopedic Surgery Peds Inpatient Thompson NU: site Hodgson Fly‐in: site 2. Lead Preceptor (if applicable): 3. Rotation orientation Poor Fair Good Excellent N/A 4. Frequency of feedback Poor Fair Good Excellent N/A 5. Use of specific, constructive feedback Poor Fair Good Excellent N/A 6. Frequency of formal teaching sessions (e.g. rounds guidelines, review, small group discussion or presentations) Poor Fair Good Excellent N/A 7. Effectiveness of clinical teaching overall Poor Fair Good Excellent N/A 8. Enthusiasm for teaching Poor Fair Good Excellent N/A 9. Interpersonal climate of rotation (patience, courtesy, respect) Poor Fair Good Excellent N/A 10. Degree of independence appropriate to resident’s level of comfort Not enough responsibility Appropriate Too much responsibility most of the time most of the time 11. Encouragement for resident to express his/her own ideas Poor Fair Good Excellent N/A 12. Use of evidence‐based medicine in practice setting Poor Fair Good Excellent N/A 13. Presence of other learners Supported my learning Interfered with my learning NA Page 1 of 2 Resident Rotation Evaluation Survey 14. Opportunity to teach Poor Fair Good Excellent 15. Demonstration of participation in inter‐professional practice High Moderate Low Not at all N/A 16. Please comment on the accommodations provided with respect to: Location: Amenities, including internet connectivity: Cleanliness: Privacy: Other: Comments about the rotation not covered in the questionnaire, or any points that need further elaboration. Please Fax or Mail: Fax: 204‐940‐4370 Mail: Northern Connection Medical Centre, Rotation Survey, 425 Elgin Ave.,Wpg, MB R3A 1P2 Updated Jan 22, 2015
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