American Academy of Family Physicians

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Sample Checklists

Program: Date:
Overall Rating  
(Rating 1 to 5)  
1. Area 7. Curriculum
_____Housing _____Well Planned
_____Schools _____Accredited Program
_____Recreation _____Variety of Electives
_____Climate _____Conferences
_____Distance from Family  
_____Practice Opportunities 8. Evaluation/Advancement
  _____Cognitive
2. Facilities _____Psychomotor
_____Modern _____Feedback
_____Well Managed _____Pyramid
_____Efficient  
_____Good Staff 9. Patients
  _____Adequate Numbers
3. Faculty _____All Socioeconomic Levels
_____Experienced Clinicians _____Resident Responsibilities/Call
_____Educators _____Back-Up
_____Humanistic  
  10. Gut Feelings
4. Residents  
_____Full Complement All Categories
_____Good Attitude Comments
_____Graduates Board Certified (A) Positive
  _______________________________
5. Benefits _______________________________
_____Salary _______________________________
_____Health Insurance _______________________________
_____Malpractice _______________________________
_____CME (B) Negative
_____Moonlighting _______________________________
  _______________________________
6. Library _______________________________
_____Accessible _______________________________
_____Full-time Librarian _______________________________
_____Adequate Volumes  
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