INSTANT FEEDBACK TO THE TRAINING DIRECTOR
Use this form to give instant feedback to the training director. You can give feedback about a specific resident/fellow anonymously. Just leave 'From:' blank. Please include suggestions for remediation, if this is a concern.
Resident's Name:
Please Select
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Not about a resident
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Dr.Maggi Komza
Dr. Riyad Rouf
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Dr. Cecilia Belardinelli
Dr. Shirley Sostre-Oquendo
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Context:
From:
About:
Praise
Suggestion
Concern
Other
Comments
Core Competency area
Patient Care
Clinical Science
Practice-based Learning and Improvement
Interpersonal Skills and Communication
Professionalism and Ethical Behavior
Systems-based Care
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Don't share with specific resident
Only share in a summative evaluation anonymously
You can identify me. Share with resident.
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Should be Empty: