oSLOE 2021-2022

OFFICIAL CORD OFF SERVICE STANDARDIZED LETTER OF EVALUATION (OSLOE)

2020-2021 APPLICATION SEASON
Please use this letter to recommend and evaluate a student applying to an Emergency Medicine residency whom you have experience with from a clinical rotation. Please read the O-SLOE instructions before completing this form.
Applicants Name*
AAMC ERAS ID No.*
Letter Writers Name*
Letter Writers Email*
example@example.com
Letter Writers Institution*
Present Position*
Options: Chair, Clerkship Director, Faculty, Group SLOE, Group SLOE + CD, Non-Faculty, Vice Chair
Do you work with residents?*

YesNo
Letter Writers Telephone*
Background Information
1.How long have you known the applicant?*
2.Nature of contact with applicant: (Check all that apply)
Directly through extended, clinical contact >1 weekKnow indirectly through others/evaluations i.e. Clerkship Director without direct patient care observationsDirectly through clinical contact ≤ 1 weekKnow directly through teaching sessions (i.e. simulation, workshop)Other
3.a. What rotation did the student complete in your Department?*
3.b. Is the rotation:*

core rotationadvanced/sub-internship rotationselective/elective rotation
4. How was the rotation affected by COVID-19? (i.e.: lower patient volumes, shorter rotation)
Check here if this rotation was not affected by COVID-19

Check box
5. What date(s) did this student rotate with you? (mm/yy)*

MonthDayYear
Date
6.Is your rotation pass/fail?*

YesNo
7. What Grade was Given?*

HonorsHigh PassPassLow PassFail
7b. If needed please explain how your school does grading, ex: A, B, C instead of honors:
8. For your Rotation what is the approximate grade breakdown for all students?
(Must total 100%)
Honors/A%
High Pass/B%
Pass/C%
Low Pass/D%
Fail/F%
Approximate # of students that do your rotation each year:
Student Evaluation
1.Clinical knowledge and skills.*

Above Peers (Top 1/3)At level of peers (Middle 1/3)Below peers (Lower 1/3)
2.Work ethic, willingness to assume responsibility.*

Above Peers (Top 1/3)At level of peers (Middle 1/3)Below peers (Lower 1/3)
3. Ability to communicate a caring nature to patients.*

Above Peers (Top 1/3)At level of peers (Middle 1/3)Below peers (Lower 1/3)
4.Teachability -- open to feedback, applies feedback given*

Above Peers (Top 1/3)At level of peers (Middle 1/3)Below peers (Lower 1/3)
5.Respectful of all team members, ancillary staff, and patients.*

Above Peers (Top 1/3)At level of peers (Middle 1/3)Below peers (Lower 1/3)
6.Willingly admits to errors/mistakes/oversights.*

Above Peers (Top 1/3)At level of peers (Middle 1/3)Below peers (Lower 1/3)
7.Hold themself accountable as a professional. (Note completion, task and assignment completion, etc)*

Above Peers (Top 1/3)At level of peers (Middle 1/3)Below peers (Lower 1/3)
8. Reliably show up on time for clinical and non clinical duties.*

Above Peers (Top 1/3)At level of peers (Middle 1/3)Below peers (Lower 1/3)
Global Assessment
We recognize that almost all medical school graduates will successfully train to become competent physicians. We also know that there is a lot of growth that happens during residency.

To give us a sense of where the student is in regards to their peers, please honestly answer the following.
Compared to all students you have worked with over the past few years, this candidate Ranks:*

Top 10% (star student, chief resident potential)Top 1/3 (above average student)Middle 1/3 (solid student, average)Bottom 1/3 (below average student)
Written Comments:
Please use the top boxes to highlight a few strength and growth opportunities for the applicant. The larger text box can provide more detailed information regarding the applicant.
Highlight the top strengths of this candidate: (limit 50 words)*

0/51
List growth opportunities for this student: (limit 50 words)*

0/50
Please concisely summarize this applicant's overall candidacy, providing detail on strengths, explaining growth opportunities or lower ratings from above, and highlighting anything else you feel like we should know about this student. (please limit your response to 250 words or less)*

0/251
STUDENT HAS WAIVED RIGHT TO SEE THIS LETTER*

YesNo
Date*

MonthDayYear
Date
Signature*

Clear
You must download the completed form and upload it to ERAS.
Should be Empty:

OFFICIAL CORD OFF SERVICE STANDARDIZED LETTER OF EVALUATION (OSLOE)

Background Information

Student Evaluation

Written Comments: