GPHC Faculty Evaluation Form

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This form serves as a tool for residents to evaluate members of faculty

Please note that it is completely ANONYMOUS as no names or email addresses will be required for completion

All questions are on a scale of 1-10, with 1 being least effective and 10 being most.

Name of Faculty Member *

Please assess this faculty member in his/her TEACHING abilities. This includes dedication and enthusiasm for teaching as well as teaching abilities both in the classroom and at the bedside?

Required

How well has this faculty member contributed to your journey of becoming a successful emergency medicine physician? This includes approachability, mentoring, systems-based practice, professionalism, leadership, etc.

Do you have any concerns about this faculty member’s professionalism?

Yes

Comments for the faculty member to see:

Confidential comments for the Program Director (faculty member will not see):

Submit

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