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?
Letter Writers Telephone
Format: (000) 000-0000.
Background Information
1.How long have you known the applicant?
2.Nature of contact with applicant: (Check all that apply)
Other
3.a. What rotation did the student complete in your Department?
3.b. Is the 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
5. What date(s) did this student rotate with you? (mm/yy)

MonthDayYear
Date
6.Is your rotation pass/fail?
7. What Grade was Given?
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.
2.Work ethic, willingness to assume responsibility.
3. Ability to communicate a caring nature to patients.
4.Teachability -- open to feedback, applies feedback given
5.Respectful of all team members, ancillary staff, and patients.
6.Willingly admits to errors/mistakes/oversights.
7.Hold themself accountable as a professional. (Note completion, task and assignment completion, etc)
8. Reliably show up on time for clinical and non clinical duties.
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:
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
Date

MonthDayYear
Date
Signature
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: