Rotation Starting Date:   Please use (mm/dd/yy) format.
User ID Number:

Choose one of the following:
PEDS       EM       FP       IM      CCare       Med Student       Other 
Choose one of the following:
1st Year            2nd Year           3rd Year          4th Year


The following questions pertain to the four teaching methods that were utilized during the NMPDIC Clinical Toxicology Rotation. Please use the following number rating scale to answer questions 1 thru 8, and 11 thru 20. After answering all the questions in this evaluation, please remember to click on the SUBMIT button at the bottom of the form.
 

Excellent = 5     Very Good = 4     Good = 3     Fair = 2     Poor = 1     Not Applicable = 0
 

Assigned Reading Material

  

Didactic Sessions
1.) Quantity of material :  5.) Quality of interaction :
2.) Quality of material : 6,) Appropriate use of time :
3.) Scope of topics covered : 7.) Scope of topics :
4.) Overall rating : 8.) Overall rating :
 
9.) How do you rate the teaching methods used in this rotation? In what way did this instruction contribute to your knowledge, skills and professional growth?



 
10.) What did you think of the NMPDIC staff with respect to their knowledge, teaching ability, interest in residents, interest in callers, and strengths/weaknesses? Please make specific comments on Dr. Benson and Dr. Cumpston.

Dr. Benson

Dr. Cumpston
 
 

Excellent = 5     Very Good = 4     Good = 3     Fair = 2     Poor = 1     Not Applicable = 0
 

Toxicology On Call Experience

  

Toxicall Case Reviews
11.) Quantity of interactions :  16.) Quantity of cases :
12.) Quality of interactions : 17,) Quality of cases :
13.) Variety of interactions : 18.) Scope of topics covered :
14.) Appropriate use of time : 19.) Appropriate use of time :
15.) Overall rating :   20.) Overall rating :
 
21.) What did you find was the most productive use of your time?



 
22.) What did you find was the least productive use of your time?



 
 
23.) How often do you think you will call the NMPDIC, when involved in managing future
        poisoning  cases? (Choose one)

Always:

Almost Never:

Almost Always:

Never:

Sometimes:

    
 
24.) Please provide any suggestions for improvement of the rotation.



 


At this time, please click on the SUBMIT button below. Before exiting this page,
be sure you get a confirmation of submission, and
Thank You for taking the time to complete the evaluation.