Patient Evaluations

We adapted a form originally developed by the American Board of Internal Medicine (ABIM) for your use. There are ten questions and a space for comments. We also have a cover letter of explanation for the patient and an envelope. These packets are available in the Clerkship Director’s office across from Kathy’s desk on the wall or you may print your own Patient Evaluation of Student at this site.

You may ask as many patients (or their family members if appropriate) to evaluate you using this form as you would like. We provide an envelope with our address that you can use so the survey can remain anonymous. The more patients you are able to have evaluate you, the more meaningful the data. Logistically, there is no easy way to do this other than hand them out yourself or you can ask another team member to do so if that is more comfortable for you. You will need to collect the sealed envelopes and return them to Kathy Pipkins.

We will provide you with your numeric rating and any comments when you receive your final clerkship evaluation and grade. Usually this feedback is very positive but sometimes it can alert you to certain practices or styles that are not as effective as you might think. This type of feedback is rather unique so we make sure to include it in the comments provided to the Dean of Student Affairs for inclusion in your MSPE letter. It is pretty powerful to say that actual patients evaluated your interpersonal skills and rated you as outstanding. If you receive 8 or more positive patient evaluations, this  will be factored into your patient communication competency evaluation.

Patient Evaluation of Student