	Rotation Starting Date:
	Please use (mm/dd/yyyy) format, i.e. 06/07/2010

Comment on the following four questions in the space provided:
What was the :
1.) Overall quality of the lectures?
2.) Overall quality of the practical labs?
3.) Overall quality of your clinical experience in the ED?
4.) Overall quality of the faculty?
Evaluate the Attendings with whom you worked, for each category to the right of the Faculty Name and Number of Shifts fields, . For those Attending with whom you did work, in the "Number of Shifts" field, please enter at least 1 or more shifts and do not leave it blank. Note: Leave blank the fields for those Attendings with whom you did not work.
For the following evaluation, use this rating scale: ( please note: do not enter anything other than the whole number i.e. no fractions, decimals, symbols or letters)
Excellent = 5 Very Good = 4 Good = 3 Fair = 2 Poor = 1

Faculty Name	Number of Shifts - enter total shifts -	Teaching - rate 5-1 -	Clinical Abilities - rate 5-1 -	Approachable - rate 5-1 -	Helpful - rate 5-1 -
Dr. Arguelles
Dr. Baty
Dr. Bohan
Dr. Braude
Dr. Brillman
Dr. Bullard-Berent
Dr. Cheney
Dr. Crandall
Dr. Dell
Dr. Doezema
Excellent = 5 Very Good = 4 Good = 3 Fair = 2 Poor = 1

Faculty Name	Number of Shifts - enter total shifts -	Teaching - rate 5-1 -	Clinical Abilities - rate 5-1 -	Approachable - rate 5-1 -	Helpful - rate 5-1 -
Dr. Doyle
Dr. Ernst
Dr. Gnauck
Dr. Huyler
Dr. Kennedy
Dr. Lester
Dr. Macias
Dr. McLaughlin
Excellent = 5 Very Good = 4 Good = 3 Fair = 2 Poor = 1

Faculty Name	Number of Shifts - enter total shifts -	Teaching - rate 5-1 -	Clinical Abilities - rate 5-1 -	Approachable - rate 5-1 -	Helpful - rate 5-1 -
Dr. McLean
Dr. Miller
Dr. Moore
Dr. Munk
Dr. Myers
Dr. Park
Dr. Price
Dr. Richards
Excellent = 5 Very Good = 4 Good = 3 Fair = 2 Poor = 1

Faculty Name	Number of Shifts - enter total shifts -	Teaching - rate 5-1 -	Clinical Abilities - rate 5-1 -	Approachable - rate 5-1 -	Helpful - rate 5-1 -
Dr. Rimple
Dr. Rogers
Dr. Rollstin
Dr. Roth
Dr. Sapien
Dr. Seifert
Dr. Sims
Dr. Skarbek-Borowska
Excellent = 5 Very Good = 4 Good = 3 Fair = 2 Poor = 1

Faculty Name	Number of Shifts - enter total shifts -	Teaching - rate 5-1 -	Clinical Abilities - rate 5-1 -	Approachable - rate 5-1 -	Helpful - rate 5-1 -
Dr. Sklar
Dr. Upham
Dr. Wachter
Dr. Walsh
Dr. Webb
Dr. Weiss
Dr. Whitefield
Other: Dr.
Other: Dr.
Other: Dr.

Please enter any additional comments on the rotation:

Before submitting your evaluation, please be sure you have entered the rotation starting date at the top of the evaluation and then type in the field "yes":
	type yes
Click here to submit your evaluation results

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