Department of Medicine

Observer/Affiliate Evaluation of Faculty Physician

Faculty Physician Name:

Rotation Date(s):

Your Level of Training:

Your Status at National Jewish Health:

NOTE: Please read the expectations carefully and rate the faculty physician based on his/her SPECIFIC ACHIEVEMENT OF EXPECTATIONS ONLY.

How well does this faculty physician convey information?:

Poor communication skills, conveying information in unclear manner or consistently failing to communicate important points.
Good communication skills, usually conveys information in a clear, comprehensive manner.
Excellent communication skills consistently conveys information in exceptionally clear, comprehensive manner.
Insufficient contact to judge

How enthusiastic is the faculty physician about teaching:

Lack of enthusiasm for teaching, Does not stimulate interest or teaching curiosity in clinical setting.
Usually enthusiastic about teaching, maintains an interest in learning.
Consistently enthusiastic about teaching, outstanding at stimulating interest in learning.
Insufficient contact to judge

How approachable is this faculty physician?:

Consistently unapproachable, discourages questions, concerns, or discussions.
Usually approachable and open to questions, concerns, or discussions.
Always available and approachable, actively solicits questions, concerns, or discussions.
Insufficient contact to judge

How effectively does this faculty physician provide direction and feedback to trainees?:

Does not define expectations,fails to provide direction or feedback about clinical performance, devotes little time or attention to helping trainees improve.
Discusses expectations, provides some direction and feedback about clinical performance, devotes adequate time and attention to helping trainees improve.
Provides clear guidelines about expectations, provides specific, useful feedback verbally about strengths and areas for improvement, exceptional level of time and attention devoted to helping trainees improve, recognizes and tries to correct learning problems.
Insufficient contact to judge

How effectively does this faculty physician promote critical thinking?:

Does not discuss clinical reasoning and knowledge of underlying mechanism of disease, does not encourage use of the literature to improve patient care or pursue self-directed learning.
Promotes critical thinking through clinical reasoning, emphasis on underlying mechanism of disease, and use of the literature to improve patient care and encourage self-directed learning.
Exceptional ability to promote critical thinking through clinical reasoning, emphasis on the underlying mechanism of disease, and use of the literature to improve patient care and encourage self-directed learning.
Insufficient contact to judge

How effectively does this faculty physician use direct observation as a teaching strategy?:

Never performed direct observation of interactions with patient or assessment of patient materials.
Directly observed some portion of my clinical exam skills through bedside rounds.
Directly observed some portion of my clinical exam skills by consistently seeing patients with the team.
Insufficient contact to judge

Overall, how effective is this faculty physician’s teaching?:

This faculty physician was an overall poor teacher, either due to inadequate time spent teaching or ineffective style.
This faculty physician was an overall good teacher through dedication of adequate time to teaching and a generally effective style.
This faculty physician was an overall excellent teacher through dedication of time to teaching and a highly effective style, enabling significant skill development throughout the rotation.
Insufficient contact to judge

Faculty physician’s strengths. What are the strengths of this faculty physician? (These comments will be viewed by the faculty physician. For comments to be effective feedback, please be direct, specific and constructive. General comments such as "good faculty physician" are too non-specific to be of value.)

Comments:

Physician faculty improvements. How could this faculty physician improve? (These comments will be viewed by the faculty physician. For comments to be effective feedback, please be direct, specific and constructive. General comments such as "bad faculty physician" are too non-specific to be of value.)

Comments:

How respectful is this faculty physician in his/her interactions with you?:

This faculty physician treated me with disrespect or was consistently abusive and unprofessional toward me.
This faculty physician consistently treated me with respect and interacted with me in a professional manner. She/he was NEVER unprofessional in their interactions toward me.
This faculty physician demonstrated exceptional professionalism towards trainees and is an outstanding role model.

Comments:

Based on your observations, how respectful is this faculty physician in interacting with others (e.g. patients, students, allied health staff)?:

This faculty physician treated others with disrespect or was consistently abusive and unprofessional towards others.
This faculty physician consistently treated others with respect and interacted with all persons in a professional manner. She/he was NEVER unprofessional in their interactions towards other.
This faculty physician demonstrated exceptional professionalism towards all whom they interacted with and actively promoted a respectful working environment.

Comments:

I have concerns about this faculty physician continuing to work with trainees.:

NoYes

I am willing for you to contact me:

NoYes

Your email address: