| 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 |
|
