2021-2022 SLOE - EM Sub-Specialty

Official CORD Standardized Letter of Evaluation (SLOE) - EM Sub-Specialty

2021-2022 application cycle
I have read this year's instructions @ www.cordem.org*

YesNo
Applicant's Name*
AAMC ERAS ID No.*
Letter Writers' Institution*
Letter Writers Email address*
example@example.com
Reference Provided By
Telephone*
Present Position*
Options:Chair, Clerkship Director, Faculty, Group SLOE, Group SLOE+CD, Non-faculty, Vice Chair
Background Information
1.How long have you known the applicant?*
Nature of contact with applicant: (Check all that apply)

Know indirectly through others/evaluationsExtended, direct observation in the EDOccasional contactClinical contact outside the EDAdvisorOther
3a. Which EM subspecialty rotation did the student complete?*

UltrasoundToxicologyEMSPediatric EMOther
3b. Was the rotation affected by COVID-19?*

YesNo
3b. Continued. If Yes, please use the box below to elaborate. If No, move on to question 4.
4. What grade was given during the students rotation?*

HonorsHigh PassPassLow PassFail
5. Indicate what % of students rotating in your Subspecialty Rotation received the following grades last academic year
Honors %*
High Pass %*
Pass %*
Low Pass %*
Fail %*
Total # students last year*
B.Qualifications for EM. Compare the applicant to other EM applicants/peers.
1. Work ethic, willingness to assume responsibility.*

Above Peers (Top 1/3)At level of peers (Middle 1/3)Below peers (Lower 1/3)
2.Subspecialty knowledge and/or skill performance.*

Above Peers (Top 1/3)At level of peers (Middle 1/3)Below peers (Lower 1/3)
3.Ability to work with a team.*

Above Peers (Top 1/3)At level of peers (Middle 1/3)Below peers (Lower 1/3)
4.How much guidance do you predict this applicant will need during residency?*

Less than peersThe same as peersMore than peers
5.Given the necessary guidance, what is your prediction of success for the applicant?*

OutstandingExcellentGood
C. Global Assessment
1. Compared to other EM residency candidates you have recommended in the last academic year, this candidate is in the: Recommended in each category last academic year*

Top 10 %Top 1/3Middle 1/3Lower 1/3
Total Number of letters you wrote last year*
Indicate the # of Top 10% you recommended last academic year*
Indicate the # of Top 1/3 you recommended last academic year*
Indicate the # of Middle 1/3 you recommended last academic year*
Indicate the # of Lower 1/3 you recommended last academic year*
Written Comments
Please concisely summarize this applicant’s candidacy including; (1) Specific feedback regarding their performance on your subspecialty rotation, (2) Areas that will require attention, (3) Any low rankings from the SLOE, and (4) Any relevant noncognitive attributes such as leadership, compassion, positive attitude, professionalism, maturity, self-motivation, likelihood to go above and beyond, altruism, recognition of limits, conscientiousness, etc. please limit your response to 350 words or less

0/350
Please concisely summarize any pieces of information regarding your institution/rotation that you deem important or necessary. (please limit your response to 350 words or less)

0/350
STUDENT HAS WAIVED RIGHT TO SEE THIS LETTER*

YesNo
Date*

MonthDayYear
Date
Signature

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Official CORD Standardized Letter of Evaluation (SLOE) - EM Sub-Specialty