2nd Year Medical Student Evaluation 2nd Year MD Student Preceptorship Student Name* First Last Evaluator*BuSanda Frost, ARNPGrant Harrell, MDHarvey Rohlwing, MDHenry Storch, MDJerry Stein, MDMathew Neibaur, MDMichelle Nall, ARNPPetar Breitinger, PARalph Rice, PARosella Smith, MDShalon Buchs, PAotherEvaluator Name Not Listed1. Professionalism*SatisfactoryUnsatisfactoryNA2. Patient Care*SatisfactoryUnsatisfactoryNA3. Medical Knowledge*SatisfactoryUnsatisfactoryNA4. Interpersonal Communication Skills*SatisfactoryUnsatisfactoryNA5. Evaluator’s Comments*Please include observations of history and physical exam.
