UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
DEPARTMENT OF MEDICINE
Grade Meeting Form
Please complete the following form, indicating specifically the section that corresponds to the grade component that you wish to have reviewed. Grade components are: clinical performance evaluations including professionalism, the NBME subject examination (shelf exam), and write-ups.
Submit the completed form to:
Kathy Pipkins, Medicine Clerkship Coordinator
Phone: 265-0230
The Medicine clerkship director will review your request and respond to your concern after reviewing your evaluations again.
1. What do you hope to accomplish from this meeting?
2. Please explain in specific detail what you would like to discuss regarding your evaluation. Working hard or putting in long hours is not sufficient.
3. What do you propose be done about your concern(s)?