1st Year MD Student Evaluation 1st Year MD Student Evaluation Has Demonstrated Competency EXEMPLARY: The student has performed consistently in a manner adjudged as truly outstanding. The performance is worthy as a model. GOOD TO VERY GOOD: The student has performed consistently in a manner adjudged to be clearly above average competency; his or her performance may occasionally be outstanding but not consistently so. ACCEPTABLE: The student has performed consistently in a manner adjudged to be at or above the minimum level of competency, his or her performance may occasionally be superior, but not consistently so; no significant portion of his performance has been below the minimum level of competency. Has Not Demonstrated Competency NEEDS REMEDIATION: The student has performed in a manner adjudged as marginal in relation to the minimal level of competency. In some aspects or at some times performance may have been above the minimum level, but in other aspects or at other times performance has been below the minimum level; confidence has not been engendered that the student has demonstrated mastery of the pertinent competency. Review required. Student Name*Evaluator Name*BuSanda Frost, ARNPGrant Harrell, MDHarvey Rohlwing, MDHenry Storch, MDJerry Stein, MDMathew Neibaur, MDMichelle Nall, ARNPPetar Breitinger, PARalph Rice, PARosella Smith, MDShalon Buchs, PAotherStudent demonstrates engagement and interest in all aspects of your practice in the community. They take advantage of opportunities to participate in all aspects of community life and your role in that community.*Needs RemediationAcceptableGood to Very GoodExemplaryStudent effectively engages the patient and family in verbal communication.*Needs RemediationAcceptableGood to Very GoodExemplaryStudent appropriately demonstrates respect for patients and members of the health care team.*Needs RemediationAcceptableGood to Very GoodExemplaryStudent demonstrates an attitude of caring in their dealings with patients.*Needs RemediationAcceptableGood to Very GoodExemplaryStudent demonstrates the ability to overcome personal prejudices in the delivery of health care.*Needs RemediationAcceptableGood to Very GoodExemplaryDemonstrates an appropriate self-assessment of personal values, knowledge and ability.*Needs RemediationAcceptableGood to Very GoodExemplaryDemonstrates initiative in patient care and a consistently good work ethic.*Needs RemediationAcceptableGood to Very GoodExemplaryDemonstrates ability to obtain a focused patient history.*Needs RemediationAcceptableGood to Very GoodExemplaryAre there aspects of this student's performance that suggest a need for special attention?*YesNoMaybeWhat would you recommend?*Do you believe this student's performance warrants a failing grade?*YesNoMaybeWhat are this student's particular areas of strength?What areas of performance need special attention for improvement?Additional comments and recommendations: