NUCLEAR MEDICINE FACULTY EVALUATION BY NM RESIDENT

DATE:______

This anonymous evaluation will be kept confidential. Its purpose is solely for faculty development.

CLINICAL TEACHING

Availability / Frequently absent while on duty, difficult to find / Available at nearly all scheduled times / Available at all scheduled and many unscheduled times / N/A
Name of faculty member / 1 / 2 / 3 / 4 / 5
Name of faculty member / 1 / 2 / 3 / 4 / 5
Willingness to help solve problems / Gives minimal or unhelpful advice / Helpful, advice usually of value / Very helpful; sees that all or nearly all problems are solved / N/A
Name of faculty member / 1 / 2 / 3 / 4 / 5
Name of faculty member / 1 / 2 / 3 / 4 / 5


Evaluates resident performance and provides feedback / Gives minimal or unhelpful feedback / Helpful, advice usually of value / Very helpful; provides immediate and detailed feedback / N/A
Name of faculty member / 1 / 2 / 3 / 4 / 5
Name of faculty member / 1 / 2 / 3 / 4 / 5
NUCLEAR MEDICINE knowledge and clinical judgment / Minimal knowledge, often erroneous / Knowledgeable about most aspects, judgment sound / Knowledgeable about all or nearly all aspects, judgment perspicacious, insightful / N/A
Name of faculty member / 1 / 2 / 3 / 4 / 5
Name of faculty member / 1 / 2 / 3 / 4 / 5
GENERAL MEDICAL knowledge and clinical judgment / Minimal knowledge, often erroneous / Knowledgeable about most aspects, judgment sound / Knowledgeable about all or nearly all aspects, judgment perspicacious, insightful / N/A
Name of faculty member / 1 / 2 / 3 / 4 / 5
Name of faculty member / 1 / 2 / 3 / 4 / 5
Teaching ability when doing case interpretation/dictation / Disinterested, uninspiring, does not spend time on teaching process / Interested in teaching / Exceptional interest in teaching; stimulates learning, takes time to teach and explain concepts and diagnoses / N/A
Name of faculty member / 1 / 2 / 3 / 4 / 5
Name of faculty member / 1 / 2 / 3 / 4 / 5
Teaching by means of didactic lecture/s / Information not well-conveyed / Informative, somewhat interesting / Compelling, stimulating / N/A
Name of faculty member / 1 / 2 / 3 / 4 / 5
Name of faculty member / 1 / 2 / 3 / 4 / 5
Teaching: At conferences, Journal Club and Tumor Boards / Too little contribution, Erroneous, not well conveyed / Informative, Interesting / Stimulating, perspicacious, Compelling / N/A
Name of faculty member / 1 / 2 / 3 / 4 / 5
Name of faculty member / 1 / 2 / 3 / 4 / 5

PROFESSIONALISM

Personal Qualities / Does not respect trainees, not a positive professional role model / Shows some respect for trainees but not optimal / Treats trainees with respect, invites questions. Is a positive role model / N/A
Name of faculty member / 1 / 2 / 3 / 4 / 5
Name of faculty member / 1 / 2 / 3 / 4 / 5

INTERPERSONAL SKILLS

Communication with residents / Disinterested, distant, cold, makes no effort to relate to resident, critical attitude / Communicates with trainees but not optimal / Communicates well, shows interest in resident’s general development, polite, warm / N/A
Name of faculty member / 1 / 2 / 3 / 4 / 5
Name of faculty member / 1 / 2 / 3 / 4 / 5

RESEARCH (COMPLETE THIS SECTION ONLY IF YOU ARE INVOLVED IN A FORMAL RESEARCH PROJECT AND

ONLY FOR THOSE FACULTY WITH WHOM YOU HAVE A MENTOR RELATIONSHIP)

Availability for research discussion or project / Frequently absent, difficult to find / Available at nearly all scheduled times / Available at all scheduled and many unscheduled times
Name of faculty member / 1 / 2 / 3 / 4 / 5
Name of faculty member / 1 / 2 / 3 / 4 / 5
Research Ideas / Pedestrian / Insightful, interesting / High level, cutting edge
Name of faculty member / 1 / 2 / 3 / 4 / 5
Name of faculty member / 1 / 2 / 3 / 4 / 5
Guidance with research project / Inappropriate: fellow given too little or too much freedom or responsibility / Fellow given guidance but not at an optimal level / Just right, fellow given appropriate responsibility and freedom
Name of faculty member / 1 / 2 / 3 / 4 / 5
Name of faculty member / 1 / 2 / 3 / 4 / 5
Willingness to help solve problems / Gives minimal or unhelpful advice / Helpful, advice usually of value / Very helpful; sees that all or nearly all problems are solved / N/A
Name of faculty member / 1 / 2 / 3 / 4 / 5
Name of faculty member / 1 / 2 / 3 / 4 / 5


SUGGESTIONS: (if desired, you may type this section or add a separate typed page for anonymity)